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Course learning objectives Course learning opportunities Learning assessments for students

Review of Y2 SBM/CT and MS Course PreClinical Subcommittee November, 2013 Chris Rees (Geisel 2), Steve Benson MD, Dave Nierenberg MD. Course learning objectives Course learning opportunities Learning assessments for students Measures of overall quality for the course

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Course learning objectives Course learning opportunities Learning assessments for students

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  1. Review of Y2 SBM/CT and MS CoursePreClinical SubcommitteeNovember, 2013Chris Rees (Geisel 2), Steve Benson MD, Dave Nierenberg MD • Course learning objectives • Course learning opportunities • Learning assessments for students • Measures of overall quality for the course • Specific suggestions for improving course

  2. 1. 2012-2013 Course Learning Objectives

  3. 2012-2013 ILIOS Course Objectives (cont’d)

  4. 1a. Learning Objectives (Dave) • In the course syllabus 2013, the course objectives are listed as follows: • To provide a thorough and detailed introduction to rheumatologic conditions and musculoskeletal medicine • To know the important historical features, physical findings, laboratory and radiographic findings that help differentiate one connective tissue disease from another • To develop a structured approach to the patient with musculoskeletal symptoms in order to construct an appropriate differential diagnosis and develop rational diagnostic and therapeutic plans. • Students are not provided with the ILIOS course objectives • Important to have one shared set of core learning objectives, presented right at the beginning of the course

  5. Continued (Dave) • From the lecture topics, and also the categories on the final exam, we can see the core topics of the course include: • Overview of course, and the approach to the patient • Elements of the joint and MS exam • Osteoarthritis • Rheumatoid arthritis • Pediatric conditions and JRA • Lyme disease • Other types of arthritis: seronegative, crystal, infectious • Muscle conditions, myositis and myofascial pain • Vasculitis, SLE, and scleroderma • Lab testing • Soft tissue problems and injuries • Bone diseases, fractures, and tumors • DJD and other Diseases of the spine • Congenital and developmental problems • Imaging the MS and CT systems • Common genetic conditions

  6. 1. Topics in national textbook(Cecil Essentials of Medicine, 2013) • Approach to patient with rheumatic disease (Yes) • Rheumatoid arthritis (Yes) • Spondyloarthropathies (Yes) • SLE (Yes) • Antiphospholipid antibody syndrome (yes) • Systemic sclerosis (Yes) and Sjogren’s syndrome • Idiopathic inflammatory myopathies (Yes) • Sjogren syndrome (no in 2013, yes in 2014) • Systemic vasculitis (Yes) • Crystal arthropathies (Yes) • Osteoarthritis (Yes) • Non-articular soft tissue disorders (Yes) • Rheumatic manifestations of systemic disorders (Yes)

  7. 1f. Learning objectives addressing additional specific LCME topics (with Nicole) • Health of populations: • Senior epidemic of OA, and how obesity contributes to the clinical progression • Chronic pain syndromes, e.g. fibromyalgia • Basic and ethical principles of clinical and translational research: • How the intricate process of basic and translational immunology research is changing the way we approach pts with RA (William Rigby) • Gender and cultural biases in students themselves: • Not at this time • Instruction in medical ethics and human values • In 2014 will be their first Hearts and Minds session about a patient with fibromyalgia (chronic pain syndrome) and her long-term use of opioids for pain management

  8. 1g. Overlap/ILIOS word search: “Vasculitis” • Does not appear in any course objectives • Appears in one session title (SBM/MS) • Appears in 3 sessions in 3 different courses

  9. 1g. Overlap/ILIOS word search: “Rheumatoid Arthritis” • Does not appear in any course objectives • Appears in one session title (SBM/MS) • Appears in 5 sessions in 3 different courses

  10. 1g. Overlap/ILIOS word search: “uric acid”(note: there are other “hits” when “gout” is searched) • Does not appear in any course objectives • Does not appear in any session title • Appears in 4 sessions in 4 different courses

  11. 1. Learning Objectives: Summary

  12. 2. Course Learning Opportunities 2012-13 (Dave) • Total hours: 39 h • Traditional lectures = 29 h (74% of total hours) • Large group discussion/review = 0 h • Lab (classical) = 0 • Small groups/conferences = 6 • PBL groups = 3 • Direct patient contact or PE session = 1 (2 groups) • Panel discussion (Hearts and Minds) = 0 • Other formats = 0

  13. 2. Learning Opportunities Summary

  14. 3. Content of Final exam (current topics 2013)

  15. 3. 2012-2013 Exam items sorted by current course learning objectives (Steve)

  16. 2012-2013 Exam items (cont’d)

  17. 3. Exam content (MS final exam) Question style # Factual only, test recognition/memorization Important concepts, avoid test fatigue 15 Clinical vignette with reasoning Excellent, well written, pertinent 59 Application of knowledge Interpret findings, data 7 Photos of PE findings 8 Negative stem 2 (only!) Multiple T/F format 1 (only!) Pharmacology questions 6 4 were simple recall, 2 clinical vignettes

  18. 3. Evaluating Students, Summary

  19. 4. Performance on USMLE Step 1 over last 3 years

  20. 4. Feedback about course from March 2012 AAMC GQ • How well did each of the following sciences basic to medicine prepare you for clinical clerkships and electives? • All Year 1 disciplines (n=9): mean = 3.1 • All Year 2 disciplines (n=4): mean = 3.4 (3.3) • Renal course was not broken out

  21. 4. Feedback about course:Student survey scores (Dave)

  22. Results from recent student course reviews Data from 2012-2013 evaluations: Strongest areas: • “Overall usefulness of attending laboratory sessions or simulated laboratory sessions.” 4.22 • “How well this course provided me with a useful and appropriate introduction to this field of discipline.” 4.05 • “Overall quality of the entire course” 4.00 Among the questions asked on the course review pertaining to the “usefulness” of course elements, none scored below at 3.48. All faculty were rated at a 3.16 or higher, with 16 of 20 lecturers receiving a score of 3.70 or higher.

  23. Results from recent student course reviews Representative comments (strengths): • Many students commented on the fairness and congruence of the final exam. • “The clinic visit was fantastic. This should be standard for all courses.” • “The best part of the course was the conferences.” • The majority of faculty received overwhelmingly positive scores from the students.

  24. Results from recent student course reviews Representative comments (weaknesses): • Several students commented that the clinical experience would be more useful later in the term. (done for 2014) • “Perhaps one or two more conference groups would be helpful.” (done for 2014) • “The organization of the course could be a little better. The arthritis lectures could be grouped together and the bone lectures could be grouped together.” (done for 2014) • Some students commented that the required paper felt like “busywork.”(replaced in 2014 by off-line quizzes)

  25. 4. Global measures of quality

  26. PLANS FOR ADDRESSING CONCERNS AND ISSUES FOR NEXT CYCLE, TERM 4, 2014

  27. 1. Learning Objectives: Summary

  28. DRAFT New Course Learning Objectives for 2013-14 • Each student should demonstrate an appropriate level of understanding of the pathophysiology of themusculoskeletal/connective tissues system, such that the student is prepared to recognize, diagnose, and describe effective treatment options for the most common and severe diseases and disorders of this organ/system that may be encountered during the clinical clerkships or in clinical practice.

  29. Possible Course Learning Objectives 2013-14

  30. Possible Course Learning Objectives 2013-14

  31. 2. Learning Opportunities Summary

  32. 3. Evaluating Students Summary

  33. 4. Feedback from Students

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