Education Update Charles H Griffith III MD Vice

Education Update Charles H. Griffith, III, MD Vice Dean for Education, UK College of Medicine

UK Match 2016 • Of the graduating seniors, 39% are entering primary care specialties. Primary Care includes Family Practice, Internal Medicine, Pediatrics and Medicine-Pediatrics. • Of the graduating seniors, 38% elected to remain at UKMC, and another 2% are staying at programs in Kentucky. • Matched into 25 different specialties.

UK Match 2016 Top specialty choices for UK COM seniors were (listed in decreasing chronological order): • Internal Medicine • Emergency Medicine • Med-Peds • Pediatrics • Anesthesiology

UK Match 2016 Top specialty choices for UK COM: • General Surgery • Psychiatry • Urology • Family Medicine • OB/GYN • Vast majority of students interviewed in and matched in the S. E. U. S.

Outcomes of New M. D. Curriculum • In 2012, preclinical curriculum changed from department/disciplinebased courses (pharmacology, microbiology, etc. ) to multidisciplinary systems-based courses (cardiology, gastrointestinal). • Class of 2016 and 2017 earned the highest United States Medical Licensing Exam (USMLE) Step 1 passing rates and mean scores in the history of the UK COM. • Class of 2016 earned the highest mean USMLE Step 2 score in the history of the UK COM.

2016 Step 2 Interim Results • UK Mean Score: 246 National Mean Score: 241 • UK Pass Rate: 99% National Pass Rate: 96% • Step 2 CS Interim Results are not in, but our pass rate will be ~99%

Curricular Revision

First Year Foundations of Molecular Medicine Introduction to Clinical Medicine 1 Interviewing and Communication Skills Foundations of Ethical Decision-Making Longitudinal Clinical Assignments Jan. Feb. March April May Behavioral Basis of Medicine Dec. Neuroscience Physical Exam Nov. Musculoskeletal & Integumentary Physical Exam Anatomy Physical Exam Radiology Oct. Hematologic & Lymphatic Sept. Winter Break Aug. Introduction To Clinical Medicine 1 Cultural and Social Aspects of Healthcare Disparities Longitudinal Clinical Assignments

Introduction to Clinical Medicine 2 Advanced Physical Examination Skills Feb. March Multisystem & Integrative Jan. Endocrine & Reproductive Dec. Introduction to Clinical Medicine 2 Clinical Reasoning & Decision-Making April Vacation USMLE Step 1 EBM Public Healthcare Systems Nov. Winter Break Renal & Urinary Contemporary Practice Oct. Gastrointestin al & Nutrition Sept. Cardiovascular Aug. Respiratory Second Year May

Third Year Dec. Jan. Feb. Mar. Pediatric s April Surgery May M 3 Capstone Nov. Family Medicine Internal Medicine Emergency Medicine Oct. Winter Break Sept. Obstetrics & Gynecology Aug. Neurology July Psychiatry June

March Graduation Feb. Transition to Residency Course Jan. AHEC Rotation Dec. Elective Secondary Acting Internship Winter Break Nov. Elective Oct. Vacation/Interviews Sep. Vacation/Interviews Aug. Elective July Elective June Vacation USMLE Step 2 Primary Acting Internship Fourth Year April

M 1 -M 2 • Obtain a complete history for a patient presenting to establish care in the outpatient • Obtain a complete history for a patient being admitted to the hospital • Obtain a focused history for a patient presenting with a new complaint M 3 • Obtain an interval history for a patient being seen in follow-up • Develop a diagnostic plan for a common clinical presentation • Provide accurate and concise documentation of an office visit clinical encounter • Provide accurate and complete documentation of a hospital admission M 4 • Provide accurate and concise documentation of a hospital discharge • Write, dictate, and/or enter safe and appropriate patient orders • Write progress notes that communicate patient status and management plans

M 1 -M 2 • Perform a screening physical exam for a patient presenting to establish care in the outpatient • Perform a focused physical exam for a patient presenting with a new complaint • Interpret results of common laboratory tests M 3 • Interpret a chest X-ray • Interpret an EKG • Perform bag mask ventilation • Perform simple skin suturing M 4 • Obtain informed consent for low risk procedures • Recognize a decompensating patient, initiate urgent treatment, and seek additional help

Response to Physician Shortage

Source: Kentucky Health News, 2014.

Primary Care Physician Retirement Source: The Commonwealth of Kentucky Health Care Workforce Capacity Report, May 2013.

M. D. Program Applicant Pool Increased National Interest 19

M. D. Program Total Enrollment 2011 - 2016 17% growth

UKCOM and U. S. MCAT Matriculant Averages Increased Class Size without Sacrificing Quality 2014 2013 2012 2011 UKCOM Matriculant Mean 31. 9 31. 7 31. 9 30. 5 UKCOM Matriculant Range 26 -39 27 -41 25 -40 24 -38 National Matriculant Mean 30. 7 31. 3 31. 2 31. 1

Other schools producing physicians in Kentucky: *Based on entering 2014 class.

UK COM is quickly becoming the 4 th largest provider of students for the Commonwealth.

Center for Health Education and Research

The Medical Center-WKU Health Sciences Complex

Rationale: KY has a shortage of physicians. UK COM has a deep applicant pool. UK COM is at its enrollment capacity on the Lexington campus. These University partnerships provide the educational space. These clinical partnerships provide sites for clinical education. These regional partnerships are the only way that UK COM can greatly expand class size to produce more doctors for KY. • This partnership provides the parameters for expansion possibility. • Details of this implementation will be worked out with faculty, staff, etc. in the coming months to years. • • •

UK Co. M Graduates Staying for Residency Training (2011 -2015) Graduation Year