V.V. College of Medicine College of Medicine Accreditation Site VisitAccreditation Site Visit

Dr. Bryan BognarDr. Bryan BognarDr. Gretchen KoehlerDr. Gretchen Koehler

LCME:Self-Study Overview

Board of Trustees HSC Management Subgroup Meeting:

October 19, 2006

Self Study Committees Appointed

and Committees

Began Meeting

Report to USF from

LCME

LCME Site

Team Visit

September 2006

April 2007February 25-28,

2007January16-18

2007November

2006Summer

2006September

2005

LCME Timeline

Complete Database

and Committee

Reports

Create Executive Self Study Summary

Mail Databases and Executive

Self Study Summary to

LCME

Mock Site Visit

Self-Study CommitteesInstitutional Settings/Government :

1. Administration: Michael Barber2. Research, Grad. Program, Basic Sciences: Bruce Lindsey3. Clinical Settings: Frank Fernandez

Educational Program for the MD Degree: 4. Marion Ridley and Greg Nicolosi

Medical Students/Admissions: 5. Deanna Wathington

Medical Students/Student Services: 6. Jose Lezama

Faculty: 7. Santo Nicosia

Finances: 8. Chuck Paidas

Educational Resources:9. Facilities: Tom Klein10. IT & Library: Karl Muffly

Database Development

1. Institutional Setting: Governance and Administration and Academic Environment (15 standards)

2. Medical Students: Admissions, Student Services, The Learning Environment (37 standards)

3. Faculty: Number, Qualifications, and Functions, Personnel Policies (14 standards)

4. Educational Resources: Finances: General Facilities, Clinical Teaching Facilities, Information Resources and Library Services (12 standards)

5. The Educational Program for the MD: Educational Objectives, Structure of the Educational Program, Teaching and Evaluation, Curriculum Management, Evaluation of Program Effectiveness. (48 standards)

USF COM has an effective governance structure that contributes to effective institutional planning with respect to the education, research and service missions of the college.

The Board of Trustees and the President of the University of South Florida provide efficient oversight of the operations of the COM through an appropriate governance strategy and have been supportive of the college.

Planning and development activities have resulted in the college’s commitment to provide an outstanding educational environment and an innovative curriculum to encourage lifelong learning.

Continue to work on shared governance and change management concerns. The degree and pace of change at USF COM has created many new opportunities for positive growth and development as well as anxiety and concerns by some.

Committee #1: Institutional Setting: Governance and

Administration and Academic Environment

Summary:

Summary:

New interdisciplinary basic science departments have been created and a new model for Ph.D. programs has been developed.

Research: Aggressive plan for research has been developed

Need to recruit faculty and other extramurally funded investigators; Need enhanced space & cores; Need increased “indirect” cost returns.

Graduate Students: Issues: continued effort in recruitments and implementation of interdisciplinary PhD program.

Committee #2: Research/Graduate Programs/Basic Science

Committee #3: Institutional Setting: Governance and Administration, Academic Environment: Clinical andResidencies

Students have excellent opportunities to develop core competencies.

Residents are active and positive participants in undergraduate medical education.

Office of Continuing Professional Education:CME/CPE programs are closely aligned with institutional missions and objections;Medical students have opportunities to participate in programs;Fruition of Center for Advance Medical Learning and Simulation will make CME opportunities more accessible to students and residents.

Summary:

Committee #4: Educational Program For The MD Degree

Strong curricular planning and reform has created an innovative, nationally- recognized educational program.

Excellent clinical training and assessment opportunities are available through Center for Advanced Clinical Learning.

Student performance is strong on external measures including the assessment by residency program directors.

There is a mismatch between the learning styles and preferences of the Millennium Generation and the teaching preferences of the faculty.

The medical education facility is antiquated and does not reflect everyday concepts of architectural design in support of the educational program.

Summary:

Summary:

The COM matriculates a highly-qualified, diverse study body.

The development of a series of 7-year honors program with various institutions in state has created relationships and opportunities and has promise of bringing high quality students to USF.

The innovative curricular program is a recruitment tool.

There is dedication to recruit qualified under-represented minorities by the dean and other senior administrators.

The plans for two new medical schools in the state may create challenges in the recruitment of students from the existing pool.

Committee #5: Medical Students: Admissions

Committee #6: Medical Students: Student Services and Learning Environment

Summary:

The Offices of Student Affairs and Financial Aid consistently are rated as outstanding by our students.

Students’ transitions are carefully planned: Orientation, Profession of Medicine, Introduction to Clerkships, and residency counseling.Independent counseling services are available at all times for students.

There is a need to increase scholarship funding – particularly to recruit those under-represented in medicine.

Committee #7: Faculty

Summary:Factors that enhance faculty recruitment and satisfaction:

Large University campus, health campus with three collegesCarnegie research institutionNew energetic administration focusing on all three missionsCommunity awareness and relations improvingInformation Technology DivisionNew curriculum for basic sciences and clinical sciencesCreative Office of Educational AffairsNumber and variety of hospital affiliationsLocated in Florida

Factors that may hinder faculty recruitment and satisfaction:Limited and aging research space with inadequate research core facilities, infrastructure, and staffAnticipation of future competition for state support and top-notch faculty from two recently approved medical colleges in the state.Few minorities. Physical separation between university and major clinical affiliates

Committee #8: Educational Resources: Finances

Growth and expected growth of practice plan as Florida and Tampa Bay region populations to grow.

There has been improvement in practice plan metrics and overall financial well-being.

Low indirect cost recovery rates from main campus.

Impact of future state support in climate of additional medical school financing.

Competition and recruitment for special practice physicians, including diversity in areas of high-market demand and related expenses.

Low financial commitment from affiliated hospitals to support COM.

Potential threat of large group practice entering market.

Summary:

Committee #9: Educational Resources: General Facilities and Clinical Teaching Facilities

Summary: New, state-of-the-art Center for Advanced Clinical Learning provides excellent teaching and assessment opportunities.

Excellent animal facility in support of research.

New patient care and research facilities are planned.

Significant upgrades have been made to the security of the main COM complex on the North campus.

Cordial relationships have been developed with affiliates that provide appropriate training environments for clinical care delivery, but do not provide support funding to the same degree as seen at “top 50%” schools.

Existing teaching and research facilities do not allow for expansion of programs.

Research core facilities need to be developed and renovated.

Committee #10: Educational Resources: Information Resources and Library

Summary:

The IT and library staffs are responsive to the needs of the students and faculty and have improved significantly since last visit.

The implementation of modern information technology has contributed to the success of the college’s educational endeavors.

Library space is in need of updating and renovation.

Independent Student Self Study

Voluminous survey of all four years, compiled results, produced balanced and concise summary report.

Outstanding job!

Posted to website: http://hsccf.hsc.usf.edu/ocme/lcme/

Communications Strategy

Committee presentations at faculty council:June 20, 2006: Committees Two and Nine July 18, 2006: Committees One, Six, and TenAugust 15, 2006: Committees Four, Five, and SevenSeptember 18, 2006: Committee EightNovember 21, 2006: Committees Three

Dissemination of Strategic Plan Last YearPosting of Individual Committee Reports and HighlightsDistribution of USFCARES Bookmarks and CardsFrequent Meetings with Y1-Y4 Course/Clerkship Directors and Medical StudentsDistribution of Executive Summary in Fall 2006Board of Trustee BriefingsPostings of reports and highlights, other information:

COM Educational Affairs LCME

http://hsccf.hsc.usf.edu/ocme/lcme/

http://hsccf.hsc.usf.edu/ocme/lcme/

• Finish Institutional Self-Study Executive Summary

• External Consultant Review of Databases and Executive Summary

• Update (2006) Database Materials

• Mock Site Visit: January 17-19, 2007

• Site Visit: February 25 -28, 2007

Between Now and Then

Our Process at USF

Faculty Co-Chairs named to ensure faculty owned process;

Over 100 faculty members participating in ten self study committees;

Each committee has basic scientists, clinicians and many have students;

Engaging conversations and critical analyses of strengths, weaknesses, opportunities and threats;

Development of a written document that can be used for strategic and tactical purposes.

“By improving the learning journey of our students . . . we will improve the medical journey for our patients.”

The LCME Process

Submit materials to LCME.

Team of LCME site visitors come to verify and elucidate the information previously sent.

Deficiencies are “cited” relative to a specific standard.

Possible outcomes include: continued reaccreditation for 8 yearscontinued reaccreditation with the need to provide updates as requestedcontinued reaccreditation with the need for an additional site visit probation