UMSC Meeting AgendaSaturday September 22, 2018

HOST SITE: Chicago (in person meeting)Breakfast @ 9:30 AM; Meeting begins @ 10 AM

University Medical Student CouncilGeneral Board Meeting Agenda, 1/4 AY2018-2019September 22, 2018, COM 367 East Tower10:00 AM - 2:30 PM

1. Opening and Introductions (5 min)1. Welcome UICOM Campus Presidents and UMSC Representatives2. Roll Call: Jonathan Jou, Ayesha Hasan, Steph Grach, Matt Durst, Craig Kym, Hanna

Erickson, Matt Schaeffer, Petra Majdak, Joan Marc, Kyler, Meg, Allison Beggin, Josh Baalman, Akash Khurana, Ushasi Naha, Cat Jimenez, Kate Weishappel, Dean Kashima

2. Dean Raymond Curry: New Curriculum Updates (60 min)1. Students in the new curriculum have been asked to complete regular surveys and

provide immediate feedback. How has this tracked over time? Is there an anonymized way by which we may make this information public?

1. 2 things that take place each week in Phase 12. Medical education data group

1. Previously student feedback data was kept by each campus1. Goal: asking questions about student performance and proper

testing metrics2. Dr. Yingling is in charge of the Medical Education Data Group3. Key question asked of a subset of students:

1. 4 point likert scale, Poor Fair Good Excellent2. “Indicate how well each of the following goals was met this

week.”3. Number of goals per week varies, 3-16 per week

4. 3 campus meeting at noon every Monday to review the survey results and exam results from the previous week

5. We feed this information into the course directors for each course6. Central Data Repository allows us to give feedback - and give

performance summaries categorized by USMLE content area1. Students who are Phase 2 should have gotten this information2. Color coded charting for questions wrong/right and give

understanding of areas for future focus1. Helps tailor studying2. Followed by student survey to start planning their

second year after Block 1-57. MD: is there an increase in resources for students to take advantage of

if they identify an area of weakness

1. Dean Curry: we’re “curricularizing” Osmosis and doing more with it to provide students with study tools, videos, etc.

1. We’re creating some videos with them, we’re working with Rishi Desai MD at Stanford, we use these as our pre-reading sometimes

8. JJ: is this something you envision being provided to students before their dedicated study periods?

1. Dean Curry: yes I think you can look back through these and self-assess: “did it work, did I plan appropriately”

1. Students should feel free to run these by advisors, etc.3. Student Curricular Board Protocols remain different between campuses4. CK: I think the categorical breakdown after exams is helpful but I’m not sure

how helpful the self-directed learning plan is1. The way it’s structured now, I’m not sure if people are getting

meaningful use out of it2. Dean Curry: Based on a more mature program that NYU has been using3. CK: we’ll speak more afterward about this

2. An overview of Phase 2 and 3, especially as a refresher for students outside the new curriculum track. What are the measures for success being monitored? How will we define improved performance for students in the clinical rotations?

1. A lot of the fundamentals were laid down in Peoria in October 20161. Ongoing planning and refinement2. CCI taskforce creating some of the logistics and rules

2. Schedule flexibility built in, as in the Phase 2 core clerkship timeline1. AH: issue with summer tuition for M4s who needed time to complete

clerkships1. Dean Curry: an issue unique to last year, it has been resolved at

this point3. JJ: In terms of these advantages, are these being communicated to students? In

speaking to students at other schools, this is definitely seen as flexible and helpful

1. M2s in the room: no we’re really unclear about what’s happening Phase 2/3, not even sure what’s happening for Block 8

2. Dean Curry: The transition time between the phases is a very structured review, an OSCE (+DoCS capstone)

1. No new concepts, but like other synthesis weeks, substantive practice aside from individual studying

4. CK: what does the rapid STEP review look like in Block 8?1. Dean Curry: pretty much all of Block 8 is STEP review + the DoCS piece; a

“making sure you’ve learned medicine” period2. Classroom based efforts are led by faculty from that block3. Students are going to take a progress exam at the start of block 8 just

like the end of Block 5 to give people some insight into areas of weakness

5. JJ: are there efforts to identify students struggling with DoCS in advance of the OSCE time?

1. Dean Curry: structured remediation

6. MD: are we requiring people to pass OSCE before entering Phase 2 regardless of how they might slide in and out of the curriculum, aka like MSTPs?

1. Dean Curry: great question - central is how do we make sure you don’t forget everything you learned?

1. Ideas: some clinical activities during your G phase2. Expect people to audit review courses even if you can’t ask

them to retake an exam they already passed (from a registrar standpoint)

3. People who complete at least one clinical clerkship before moving into G phase - because you begin to adopt clinical persona and understand that “I can do this”

7. Clerkships are standardized across campuses; this was of major importance to the LCME

1. It will make it possible to have a lot more cross-campus rotation activity2. Everyone has at least 4 weeks of elective time during their first 3 terms

8. JB: I have a couple questions as related to Rockford: what is the story with Neurology for classes of 2020 and beyond?

1. Dean Curry: historically, Peoria has embedded 2 weeks of neuro within psych; Chicago has had 2 weeks of P/F required

1. We wanted to keep the required neurology clerkship, it’s an essential skillset; also a lot of important STEP 2 CK content

2. There is ample capacity in Peoria and Chicago; Rockford however does not have capacity for Neurology

1. For this year, neuro is an optional elective and not required

2. Dr. Stagnaro-Green is recruiting neurologists from the community and beyond

1. If Rockford does not have capacity going forward, then there are slots in Chicago and Peoria to make it possible

3. KK: what about the class of 2020 specifically3. JB: the reason I ask is that there is not currently neurology being

taught at all for 2020 folks1. Students are looking for neuro and wondering about

options1. So what I’m understanding is that people will be

able to do an elective 2. SG: if students are required to go to other

campuses, will they be provided with assistance?

1. Dean Curry: I imagine a very small group of people, so we may rely on volunteers

3. KK: Figure it out on a case by case basis9. JB: I am part of RMED, there has been a lack of communication for requirements

until very shortly before they’re expected1. What can you tell me about this particular issue?

1. Dean Curry: This is the second time I have been told about this; my general take: scheduling is quite difficult for RSPP

1. JJ: there is a gap in terms of communication both for RSPP and curriculum overall

1. JB: we can continue offline3. How have hospitals been preparing for the overlap in student clerkships during

April/May 2019 (projected start date: April 29th)? This will be a 2x or more increase in students participating in the clinical curriculum and occupying space in the hospital.

1. Dean Curry: we’re not the first school to have done this, with the overlap, and in fact it’s more minor than some other case studies we’ve seen (Vanderbilt, Harvard, Northwestern)

1. Each of the clerkships this year have tried to frontload as much as possible

1. Fewer people left requiring clerkships in the last 2 months of the rotation schedule

1. In Chicago, we’ve gotten down to ⅔ of the census2. Additionally, core clerkships have decreased in length so that

we can avoid the obvious trainwreck that could occur in that second half of the academic year

2. JJ: one of the concerns: how do you evaluate students against one another when there’s a major difference in experience

4. Other New Updates:1. Mobile MINI-CEX for faculty/residents to use instead of the paper version

1. Steph Grach working on it as a research project (i.e. definitely respond if she reaches out to you :) )

2. Will be piloted soon, either as general release or through focus groups first

5. Measuring Phase 1 Success:1. Not entirely designed to increase STEP scores

1. Adding in real world benefits for the longevity of your careers (healthcare systems, etc.)

2. We do have measurements for Phase 1 to ensure it’s doing what we intended:3. The student feedback mechanism is far more robust than it’s ever been4. Comprehensive Basic Science Exam at the end of Block 5

1. Includes all USMLE content areas1. Can be scary that the report says you’re not at passing level yet2. But hopefully you’ll be able to mark trajectory on where you are

2. Once we have iterations of this, we can develop predictive equations based on previous exams

6. USMC M1/M2 reps to share information they learned today with their respective constituencies - material to be shared with Jonathan Jou by Dean Curry, to distribute afterward and make available in the UMSC folder

3. Conflict of Interest Policy for Student Orgs1. Sometimes student orgs make arrangements with SIGs to get facetime

1. Our specific policy at UICOM is that we should refer through our administration who can invite these groups to vendor fairs and offiical venues

1. Link to the policy: https://medicine.uic.edu/wp-content/uploads/2016/11/UIC-COM-Health-care-industry-COI-managment.pdf

2. Stems from a recent vendor contacting and sponsoring lunch for an SIG at Chicago and attempting the same thing from Rockford

1. We wanted to clarify that conflict of interest that applies broadly to the profession also applies to student groups

3. Featured heavily in the news recently - Memorial Sloan Kettering CMO was investigated (https://www.nytimes.com/2018/09/20/health/memorial-sloan-kettering-cancer-paige-ai.html)

4. Updates: Campus President Updates (50 min)1. Chicago

1. Dialogue with the Deans at the beginning of September, focused on STEP 2 CK preparation; Chicago performance has been slightly low compared to national mean

1. Minutes available from that meeting2. M1s are wrapping up class elections3. SIG training session to make sure that they’re prepared for conflict of interest

protocols and funding1. Anticipate funding problems but we’ll work through it

2. Peoria1. Peoria has seen a lot of administrative turnover and welcomed a new Assistant

Dean for Student Affairs, Dr. Eileen Doherty, in July. Additionally, our Assistant Dean for Medical Education and Evaluation, Dr. Gerald Wickham, is departing and a search will begin soon for his replacement.

1. This wasn’t very widely communicated on the campus - perhaps want to address transparency.

2. The Class of 2020, our largest ever in Peoria, added 67 students to our enrollment. They are all from Illinois and began in August.

1. A worthwhile consideration when put in the context of tuition/fees and how that might .

2. KK: this was in large part due to student self-selection, and Dean Rusch wanted to select for students who would stay in the Peoria area.

1. Dean Curry: strategic planning process happening between the College of OSF

1. Want to get better utilization of surrounding OSF sites2. Phase 1 students traveling to Ottawa, Mendota, other

rural areas with the goal of creating more community training hubs

3. OSF is very concerned with ability to staff sites, attract and retain physicians

1. Made a concerted effort to recruit and place students who had connection to the region

2. In terms of tuition and funding, this is only one of the areas that determines funding for Peoria

3. Goals for recruiting from rural areas:1. Downstate, rural Iowa - fertile ground for producing

student populations who will possibly stay in Peoria

3. We had some significant change in the structure of SGA and have implemented a subcommittee model, with separate committees for the Apparel sale, SGA events, Service/Volunteer/Outreach, and Communications. The goal is to create more accountability, provide more directed tasks, and enable more efficient meetings throughout the year.

4. Our campus is currently undergoing construction to build a second technologically-integrated TBL room and renovate office space. Estimated completion in 4-6 weeks.

5. Finally, our first student-led event is our Barn Dance at Kickapoo Creek Winery on Friday, 10/12. Since we don’t have a UMSC all-campus event planned as of now, students from all campuses are welcome

1. Students from other campuses are welcome - just need numbers for logistics.

3. Rockford1. Increased levels of student engagement and involvement2. Students are clamoring for knowledge about what’s going on in the community

that might match their interests1. That’s been both exciting and a challenge to figure out how to meet

those needs2. Dean Kashima to come to the RMSC meeting in October

3. Currently lacking in financial advising resources4. Physical site updates on hold - uncertain on status5. Biggest goals this year:

1. Managing the upswell of student needs (36-40 SIGs)2. Are they funded, do they have sufficiently diverse goals?

6. Larger numbers of students in each rotation and a burden for students, a pressing concern for RMSC

7. RMSC to connect with Chicago if they need help managing SIG funding4. Urbana

1. Combined Urbana Med Student Government (MD/PhD + UMSG)2. Dean Hall recovering from surgery, but M4s have guidance/advisors stepping in

to help navigate during ERAS application season1. Has helped bring in support from other previous Urbana faculty who

can support M4s through ERAS3. MD/PhD students are getting individual guidance/options for completing MD

after PhD training, all seems on track with those individuals.4. Ongoing challenges:

1. Dwindling class sizes and resources5. Working Lunch Break (5 minutes)

1. Return from recess at 12:00 PM6. Dr. Ron Gaba: Cross-Campus Research Platform, Beta Test (20 min)

1. Currently transitioning into a role as a liaison to enhance scholarly environment and create research connections

2. Goals1. Listen and hear from students about existing advantages and difficulties

3. Possible Future Directions1. MD/MS in clinical/translational research

1. Initially developed in Dept of Radiology

2. SPH + UICOM, 5 year program1. Have mentored 12 students through the program, seen great

success from alumni3. Goal: provide that longitudinal experience

2. Website to identify scholarly activities1. https://medicine.uic.edu/education/md-curriculum/scholarly-and-

research-opportunities/ 2. JJ: this has undergone several iterations and we continually seem to

have a problem with student awareness about the resources available 3. KK: want to make it more widely distributed and work to populate it

with more projects3. MVDB: how is this gathering information about projects?

1. KK: it’s working in phases and we’re currently taking advantage of existing resources (IM and Peds in Chicago, for example)

4. Overview and current feedback from Student Research Advisory Group5. Dissemination and tracking metrics?6. Discussion: What signs can we look for in our colleagues to demonstrate efficacy?7. Can contact Dr. Gaba, rgaba@uic.edu

1. Reach out with questions, concerns, comments, etc.2. UMSC Exec to share contact information with Dr. Gaba

8. MD: to bring this back up in our 3rd meeting when we’re planning 2nd look - want to get people already accepted, they can hit the ground running and even get started before classes begin

9. JJ: also want to tap into our students who have been to the NIH program and see what information they can share with interested students

1. Generally, we plan to consolidate experiences of students who take a year off to do research and make that available to interested students.

10. MD: I will share the UICOM research day information and flyer.7. Executive Board Report: (60 min)

1. President1. Student Fees and Tuition Committee: Chicago Chair Identification

1. If anyone from the Chicago campus knows someone or can gauge interest from students - they can contact Jonathan Jou.

2. AH: students who need some time after graduation to complete a clerkship are worried about added tuition

1. KK: these will be a case-by-case discussion and I would encourage students in this situation to speak to their local admins

3. Project Updates:

1. Away Rotation Site: Havana, Cuba; Phase 2

1. White-Paper report currently being developed to submit to COM Administration

1. What students can expect to gain 2. Currently considering a public health angle instead of a

strict one-specialty rotation2. Make a site where housing, logistics, would be able to be

arranged on a recurring long-term basis to make it more feasible for interested students

3. CJ: what will Havana/the site gain from us? If we’re they’re long term, what can we implement there that’s sustainable to help that community?

1. Want to avoid using them for our rotation without adding to their benefit 2

2. Dean Curry: want to echo this sentiment; want to ensure it doesn’t follow a historical pattern of medical work in the developing world that doesn’t leave anything behind

1. Also want to avoid fragmentation - want to create vertical arrangements where faculty + residents + medical students are present and the UICOM is represented at all levels and can replicate UICOM education there

2. Continual presence of faculty at the partner site3.

3. Interest at the level of the Chancellor to create a finite set of well-defined relationships

4. KK: want to make sure the appropriate people from the college and administration are involved; talking about curriculum which requires Dean Curry to be on board

2. All-Campus Field Day, Chicago: New Date: Nov 10th 1. Needs to fit between M1 and M2 exam schedules

2. Have banners, trophy to be obtained shortly3. Deciding on a date:

1. AB: Block 2 test not until December 1. November would be fine

2. UN: does it seem reasonable that M2s would attend the weekend after exams? Yes

1. MVDB: worth noting that the day before is also UICOM Research Forum if people come up for that and stick around for the next day Field Day

2. UMSC meeting is also November 103. Field First Aid and Triage Skills Series: Awaiting M4 return and possible

ATLS certification1. Project started Nov 20172. Student in Rockford who put together their own training got

60+ person attendance3. Next steps: committee members will select a date at their own

sites and launch1. Debrief afterward so that campuses can learn

4. KK: I remember this initially had possible collaboration with an org from Northwestern - Dr. Manta Swaroop

1. JJ: that has fallen through because they don’t seem to be as active and there is some value in it being led by UICOM

5. MD: there are other programs and established curricula from schools that have been doing this a long time (WMU, Cincinnati)

6. Comment from Craig Kym (maybe discuss later): Phase 1 students had a trauma training day during one of their synthesis weeks...sorry for encroaching on your notes, Alex! - Love, Cat

4. Sine Medicina + Future of Medicine Summit (History + Future)1. Would this be feasible? Would this be valuable?2. Goals with any event with UMSC involvement: maximum

attendance of students from UICOM; maximum student appeal2. Treasurer

It’s all about the money, money https://docs.google.com/spreadsheets/d/1b2y7ANuBFPt4Wcy_eE-wH8rqyCkBfWT1fz98dVDHgsI/edit#gid=0 (please approve! Or at least approve the $500 for breakfast/lunch today, because we already spent that so :) )

1. To approve USMC budget with 2 amendments1. 2 Amendments Proposed

1. Combine FMS budget line item and Intercampus Event budget to 1 Discretionary Event Budget

1. Spending of this budget requires majority vote from UMSC body

2. Amend to add a line item in the Field Day budget for gaming supplies

2. Pins to be distributed to campuses1. Within the next couple weeks

2. Vice President1. Reaching out to campus presidents to fill vacancies on college committees for

the upcoming year. 3. Secretary

1. Ongoing efforts to improve efficiency, transparency, and frequency of communication.

2. Give me your feedback!4. Historian

1. Umsc.org.uic.edu hit it up! 2. Look at your SIGs and figure out if the info about your campus is up to date.3. Check out the videos made by Alex on Robert’s rules of order to orient you to

these meetings and Matt on the UMSC constitution 4. Send Petra (petra.majdak@gmail.com) any updated IG info for the Chicago,

Peoria, Rockford, Urbana sites 5. OSR

1. Learn Serve Lead conference Nov 2-6 in Austin: Ryan and Ushasi are planning on attending. Let us know about any concerns or ideas we can address via networking with other program representatives across the country.

2. We’ll compile a report of major topics discussed and ideas we can implement moving forward.

3. Gold Humanism Faculty Award: Nomination form will go out in December so voting can take place at the January UMSC meeting

6. Dean Kashima’s Report1. Executive Dean Search

1. Joan Marc is our representative on the committee2. Just finished having subcommittees meet; marketing team, tools team,

leadership profile team3. Beginning of October start reviewing applications

1. Start doing interviews at the end of October2. If you have people in mind, submit nominations and see who

would be interested in applying4. Second round of interviews students can take part in the narrowed

interview process1. November recommendations will be submitted to Dean Barish

and then the wider interviews will happen1. “Finalist interviews” - December/January most likely

2. Dr. Tim Lacy, PhD, started as Director of Medical Student Learning Environment1. Y2Q from AAMC has opened - one of his goals is that we have a policy

and procedures for mistreatment2. Will be visiting the campuses because it is a College-wide position

3. Aaron Smith, new assistant director for finances/financial aid1. Goals: awareness of debt management and services

4. Directors of Admissions at Peoria/Rockford being hired1. Being able to better assess candidates and fit with regional campuses

7. Updates to Admissions1. Possible introduction of Multiple Mini Interviews (MMI)

1. MD: students often say that their interviewers were warm and friendly - want to make sure MMI doesn’t take away from that ability to connect

2. CK: I can corroborate that, the MMI felt less human and personal3. KK: we could think about making it so MMI isn’t conducted by students

so we don’t lose that advantage1. MD: interesting to see that if we do this in addition to the

CASPER interview - what additional information do we want from the MMI

2. MVDB: that is one of the strengths of our campus - a friendly and welcoming learning environment

3. SG: how long have we had CASPER 1. KK: 2-3 years, haven’t been using it as much2. MD: the CASPER scores might reflect relationship

grades - M3/M41. Hopefully there is now some data evaluation

going on - probably will be once the current M2s start clerkships

2. KK: there is also an article in academic medicine that there is some correlation with clerkship performance

2. Dean Curry: this is great feedback1. Also a push to link interviewees with interviewers on faculty that may

share an interest with them so that they can connect more immediately

1. KK: looking at resumes and what was said during the interview to make those connections after interviews and have this person emailing you back or calling you back

2. Committee Reports: (30 min)1. CCSP

1. Updates: Dr. Murphy having a tough time staffing, will get back to JJ once he’s finished staffing.

2. KK: difficulty sorting out who can be staffed in these positions given the difficulty of the position, perhaps can discuss with local student government

1. Limited number of students who can be promoted from the local committee to the higher committee

1. UMSC would have to tap them in the Spring2. CCIA

1. Updates: M1/M2 curriculum, course directors are working on changing based on feedback, learning objectives, redistributing material

1. Working on block 7 and block 82. Dr. Yingling did a presentation on longitudinal progress and how to

target students who might be struggling 1. Actionable data! Awesome!

3. M3 curriculum - condensed 1. A lot of content in the IM NBME shelf exam, none of the MPLs

have changed despite a shorter clerkship (12 → 8 weeks)2. Feedback from students: feel time crunched to study for the IM

exam among others3. Internal Med ECC talking about incorporating a graded OSCE

1. Should they be incorporated?2. SG: do you mean with graduation competencies?3. JM: we did have the graded OSCE in chicago last year,

but that was when it was 12 weeks4. Dean Curry:

1. Regarding clerkship lengths and performance on shelf1. There is a commitment from CCIA to do a full review of

the program for the IM Core Clerkship 2020-21 program (which will be for class of 2022) (because in 18-19 and 19-20 the clerkship must remain the same length based on overlap)

1. Changes will be made by that time2. So far from what I know about shelf exams: pass rates

unchanged, means on at least one campus are unchanged

2. Most programs have discussed having a non-graded OSCE in all the core clerkships

3. Strongly favoring have performance based assessment of clinical skills not be isolated but to be a continuous developmental process

1. Entrustable Professional Activities - ensuring readiness for residency; part of a program with the AAMC

2. Could do that 2 ways:1. OSCE

1. Data would be factored into both your clerkship grade and a more longitudinal grade

2. Take an OSCE at a time when you’re ready1. Concept takes into account “mastery

learning” to make sure people are really competent by graduation

2. But allows for mistakes to be made along the way without as much pressure

2. JJ: I think M4s would find multiple OSCEs very helpful in preparing for CS3. AH: if attendings work more closely with students and see more patients

together during clerkships, that would decrease the need for an OSCE3. CCA

1. Just getting started4. CCSAS

1. Hasn’t met yet5. FEC

1. Not sure when the last meeting was6. HPSC

1. No direct communication from HPSC as of late1. Matt Schaeffer to reach out to Dawn to figure out what to do

3. Old Business1. MD: anything from LCME visit that UMSC should be involved in following up with?

1. Dean Curry: don’t know exactly the formal designation of our areas of improvement, but have begun to work that out and present to various groups to tackle

1. Most of it is administrative2. The best thing for UMSC and student body in general can do:

4. New Business1. UMSC 2018-19 Budget to be voted upon in interim before next meeting

1. Simple majority required5. Adjournment