Shield of the SOM Committee on Medical Education
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Summary of 5-24-01 CME Minutes 

  1. Mr. Scott Walker, year two student representative, presented an end-of-year report delineating the following issues as requiring attention:

  • The “zero tolerance” policy requiring all Year II students to pass or remediate every subject committee before advancing to Year III was instituted for the first time this year.  As a mechanism to increase attendance at lectures, the zero tolerance policy did not succeed.

  • Need to work on the collegial attitude of cooperative education that should exist between students and faculty

  • Student frustration with secure exams and desire for faculty to reconsider this arrangement

  • Need to re-examine the “unintended consequences of objective evaluation” via multiple-choice-question exams

  • Need to refocus on producing outstanding physicians rather than improving multiple-choice-question test performance.

Mr. Walker concluded his presentation by encouraging institutionalization of an annual end-of-Year II report by the student CME representative.

  1. Dr. David Katz, Curriculum Leadership Council Chairman, presented an end-of-year report.  He listed the policy issues undertaken by the CLC:

  • Advancing from Year II to Year III requires passing all Year II interim exams.  Input from the CLC, Committee on Students, and the CME was taken into effect in the decision to remediate failures in Year II.  The policy offers the student the opportunity to remediate within the academic year (Year II).  If the student is not successful, he/she delays entering Year III and remediates during the summer.

  • Implementation of cumulative yearlong scoring of Pathology, integrated across Year II.  The previous year, in Year I, students became accountable for Gross Anatomy and Histology, integrated across Year I.

  • Discussion of the merits of the Scoles/Ravdin “experiment,” which 1) set a prospective pass score for each subjective committee, and 2) implemented remediation for failure of an interim.  The consensus was that the Scoles/Ravdin proposal was worth retaining.

  • Reconsideration of the secure exam policy given the input and data brought before the CLC by year two CME student representative Scott Walker

  • New strategies for raising the intellectual level of the learning environment

  • Institution of standardized online course evaluation forms completed by students after each subject committee

  • Evaluation of proposals for vertical themes, such as genetics, preventive medicine, and sexual health

  • Completion of a detailed report for the LCME on support and infrastructure for medical education.

Brief discussion of a problem common to all medical schools—poor student attendance.  Dr. Katz mentioned issues in the first two years needing attention.  Dr. Katz announced that he is starting his sabbatical in July.  Dr. Bill Merrick will become the CLC chair in his place.

  1. Dr. Richard Aach, Associate Dean for Residency and Career Planning, presented his “Analyses of Residency Programs Matched by CWRU School of Medicine Graduates and Comparison with Other 13 Consortium Medical Schools.”

Data on the post-graduate experience of our students is one outcome measure of how well we prepare our students.  Data were used to answer two main questions:  1) What proportion of our graduates go to CWRU-affiliated residency programs? and 2) What proportion of our students go to top-rated residency programs?  Three sets of criteria were used in rating “top” residency programs.  The first were the top 10 and the top 20 programs for each specialty ranked in each year’s July issue of U.S. News and World Report, which rank-orders medical schools, academic departments, and clinical departments each year.  The second were the responses to the annual survey that Dr. Aach sends out to program directors and the clinical department chairs of CWRU-affiliated residencies to indicate what they believe are the top 10 and the top 20 programs of each specialty.  This year 18 out of 20 residency programs responded.  The third criterion was the number of students matching at any university (medical school) residency program.  The majority of data pertained to the CWRU medical school classes graduating from 1996 through 2001.  Dr. LaManna felt that many trends cited by Dr. Aach were noteworthy.  Based on the data, Dr.LaManna suggested adopting the following as a desirable guideline:  retaining 25% ± 5% of our graduates in affiliated residencies was a good number, with cause to look into the situation should a deviation occur.  Dr. Aach pointed out the good relative comparability across the two ranking sources (U.S. News and World Report and the CWRU-affiliated residency program directors/clinical department chairs) indicating the percent of CWRU graduates matching in the top 10 residency programs and in the top 20 residency programs.  Programs were analyzed two ways:  1) the percent when CWRU graduates matching the CWRU-affiliated programs were included, and 2) the percent when CWRU students entering CWRU-affiliated programs were excluded.  There is a tendency for our students to get into the better residency programs, as indicated by both sets of criteria used.  CWRU students match their first, second, and third choices, and they aim high.  Dr. LaManna felt that 50% should be our minimum standard in the “top 20 category that includes CWRU students matching CWRU-affiliated programs.”  Dr. Aach indicated that this is the first year we hit the 50% mark.  One-third of the CWRU medical school graduating class go to the top 20 residencies in their specialty, when not counting CWRU-affiliated programs.  In examining the match with university-affiliated residencies, it was noted that 90% of our graduates this year matched at university-affiliated programs when CWRU-affiliated programs were included.

See Curriculum Revision Update

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This page was last updated on 6/4/01 by John Graham.

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