“This Learner Is Terrible”: Remediation In Medical Education
As health professions educators, we feel responsibility to provide support to learners who struggle, and at the same time, we have responsibility to society to graduate learners who are fully competent for the profession. After defining remediation and the trajectories of learners who struggle, we will move through a framework to identify, intervene with, and assess our learners, and evaluate our programs of remediation, to help learners and ensure their success.
The Off-Cycle Curriculum: Intention vs. Impact
The current landscape of undergraduate medical education provides foundations at varying depths of knowledge that will not only be needed for board examinations but also progressively needed for the clinical years as well. The ongoing challenge of undergraduate medical education is displayed by curriculum calendars and the volumes of content consumed by students and produced by schools. These challenges manifest themselves in a small percentage of students failing to meet the minimal competency and then being asked to repeat a year or a course. Awareness of the many influencing factors on the curriculum illustrates the need for a bridge to help the struggling student but also provides the tools, time, and resources to ensure the student is able to be successful moving forward.
The offering of the off-cycle curriculum is a mechanism for allowing students in the DO program an opportunity to complete the pre-clinical portion of the DO curriculum in 3 years instead of the traditional 2 years. The offering of this program is strictly voluntary and cannot be required for student participation. The off-cycle curriculum offers the student an opportunity to significantly improve course performance outcomes by decelerating a required portion of the curriculum. The decelerated pace of progressing through the curriculum allows the student to learn the material and create new habits to become a lifelong learner. Although this differs from the traditional Flexner model, it takes into consideration the type of students who are matriculating into our medical school program. These students range from the students newly progressing from their undergraduate studies to the student who is progressing from the workforce. This curriculum is a chance to establish the foundation needed to not only matriculate through medical school but also become a successful physician. Any student who is enrolled in the off-cycle curriculum must successfully complete all required courses of the first and second preclinical curriculum. Upon decelerating, students in the off-cycle curriculum will delay their graduation by one year, and are subject to revisions in curriculum requirements and changes in tuition and fees of their new graduating class.
Mental Health and the Struggling Learner
This session will assist educators in understanding how mental health difficulties can interfere with student success, both academically and professionally, and provide strategies for preventing and remediating failures attributed to mental illness.
Learning Communities: Creating Structures for Peer Support
In this webinar, we will describe how Learning Communities can be used to support struggling students. Learning Communities are intentionally formed groups of students and faculty who actively learn from each other while building relationships that enhance support networks. LC programs can assist struggling students in a multitude of ways and can be easily integrated with other student support structures in a medical school. We will describe how this is done at a variety of institutions across the country.
Breaking Barriers for Racial/Ethnic Groups Underrepresented in the Health Professions
Underrepresentation of Black, Indigenous, and people of color (BIPOC) in the health professions limits the U.S. health care system’s ability to meet the needs of people in these racial/ethnic groups. A growing body of research shows that patient-physician concordance of race, language, and social characteristics strengthen the patient-physician relationship through higher levels of trust and satisfaction. This webinar will describe the barriers that BIPOC persons face in pursuing health professions education, present a framework for conceptualizing strategies for improving recruitment, retention, and academic success among BIPOC health professions trainees, and describe examples of these strategies. The presentation will focus primarily on examples from medicine and the basic sciences.
Calvin Chou, MD, PhD is Professor of Clinical Medicine at the University of California at San Francisco, and staff physician at the Veterans Affairs Health Care System in San Francisco. After undergraduate work at Yale, he received his PhD in microbiology and his MD at Columbia University, and subsequently completed residency training in internal medicine at UCSF. As Senior Faculty Advisor for External Education with the Academy of Communication in Healthcare (ACH), he is recognized internationally for leading workshops in relationship-centered communication, feedback, conflict, and remediation in health professions education. Currently he is director of VALOR, a longitudinal program based at the VA that emphasizes humanistic clinical skill development for medical students. He also held the first endowed Academy Chair in the Scholarship of Teaching and Learning at UCSF. He has delivered communication skills curricula for providers at health systems across the country, including Mayo Clinic, Cleveland Clinic, Stanford Health, New York Presbyterian, AdventHealth System, Wake Forest, and Texas Children’s Hospital, and internationally as well. His research interests include assessment of curricular developments in clinical skills and clinical skills remediation, forces influencing feedback in health sciences education, and enhancing humanistic communication for interprofessional trainees. A member of the UCSF Academy of Medical Educators since 2002, he has received numerous teaching awards at UCSF, including the Henry J. Kaiser Award for Excellence in Teaching in the Inpatient Setting, and two of ACH’s national awards, the 2019 Healthcare Communication Teaching Excellence Award, and the 2018 Lynn Payer Award for outstanding contributions to the literature on the theory, practice, and teaching of effective healthcare communication and related skills. He is co-editor of the books Remediation in Medical Education: A Midcourse Correction, and Communication Rx: Transforming Healthcare Through Relationship-Centered Communication.