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RPLP Update: Faculty Development

Anthony D Weaver MD September 17, 2014

He who studies medicine without

books sails an uncharted sea, but

he who studies medicine without

patients does not go to sea at all.

Sir William Osler, MD (1849-1919

The most common criticism made at present by

older practitioners is that young graduates have

been taught a great deal about the mechanism of

disease, but very little about the practice of

medicine – or, to put it more bluntly, they are too

“scientific” and do not know how to take care of

patients.

One of the essential qualities of the clinician is

interest in humanity, for the secret of the care of

the patient is in caring for the patient.

Francis W. Peabody, MD (1926)

“The secret of [learning to] care for the

patient is caring for some patients”

Anthony Weaver, MD (2014)

“I’m too busy to take a student!”

Vinson and Paden et al

found that the presence

of a learner adds on

average 45 minutes per

day (1994)

JAMA Internal Medicine Published online September 8, 2014

The mean time loss for

attending physicians was

−48 minutes per clinic

day (P < .001)

80% of respondents felt concern

regarding the adequacy of

number of clinical training sites

70% felt that developing new

sites was more difficult in 2013

than two years before

Key factors influencing the

ability to develop new sites were

security and legal requirements

and training and orientation of

preceptors

Majority of respondents felt the

number of available sites and

competition for sites have an

impact on enrollment capacity in

their programs

RPLP Faculty Development

Quarterly live sessions—Poor attendance

Semi-annual Conferences

Morehead FDC November 14, 2014

Lexington faculty development March 13-14, 2015

Monthly lunches – "drug rep" approach, targeted agenda

Feedback on evaluating students

"Ask Student Services" section at Morehead FDC

Administrative support

Clinic computers and licenses

Student background checks and credentials

Online student eval's + transcribed interviews

Current RPLP approach

“As you all should know, regular collaboration and communication between clerkship directors at different sites (i.e. Morehead and Lexington) is supposed to occur on a regular basis, and be documented.

This is an LCME regulation, and one in which several schools have gone on probation the last few years for not having such communication /collaboration.

THEREFORE I NEED EACH OF YOU TO PLAN ON ATTENDING THIS MEETING. If for some reason you cannot make it, please let me know which faculty member in your department will be representing your clerkship.”

From UK Administration

Dan Hunt, April 2014: The LCME is "very

uncomfortable" with students from different schools

being taught by the same faculty

different learning objectives for the same clerkship

expect clarification soon

Liason Committee on Med Education

Questions?

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Campus Life: RPLP Admissions Boot Camp

May 2014

Shadowing quality/quantity

Extracurricular activities

Paucity of research

Interview skills

MCAT

Problems with rural applicants

Med school data analysis

Matriculants/applicants: UK COM (2009-’14) 35/138 = 25.4%

UL SOM (2009-’14) 32/121 = 26.4%

UPike KyCOM (2009-’14) 41/113 = 36.3%

TOTAL 108/372 = 29.0%

Med school data analysis

The bad news: Two NE AHEC counties (Menifee and Nicholas) had 0

applications to in-state medical schools from 2009-’14

From 2009-’14, 12 NE AHEC service counties had four or fewer matriculants to in-state medical schools

This includes Mason (four) and Montgomery (two)

From 2011-’14, NE AHEC ranked 4th, 5th, 6th, and 5th among KY’s eight regional AHECs for applications to the UK COM

Med school data analysis

The good news: Three counties with solid matriculation numbers to in-state

medical schools from 2009-’14: Greenup (28), Boyd (18), and Rowan (17)

Uptick in matriculation rate from 2009-’13 (28.0%) to 2014 (34.4%)

Primarily due to higher matriculation rate to UK: (22.7% from 2009-’13, 39.1% in 2014)

Kaplan talk

“Prior to the Medical School Admissions Boot Camp, I

was completely in the dark about the medical school

admissions process. After attending the workshops,

mock interviews, and discussions with current rural

physicians. I feel better prepared for the admissions

process.

This program has solidified my decision to enter

medicine and, more specifically, enter medicine in a

rural area. I’m confident in my abilities and now know

what to expect during the admissions process! I

couldn’t be more grateful for being given the

opportunity to participate in a program as exceptional

as this”

Faculty development

Student recruiting

Rural Health Elective – speaker scheduling

Guest Lectures

Graduate recruiting

This conference

Areas for Statewide Collaboration

Questions?