Academic Medicine Open Forum

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  • 1.  Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 12-16-2019 01:52:00 PM

    Welcome to our first "Question of the Week" discussion thread!

    With the holidays coming up, we'll take a break from some of our regular content programming and reconvene in the new year. Hopefully, we can end the year on a positive note with a lively discussion about strategic planning!

    Welcome Wagon
    Before we get to the question of the week, I want to send a warm welcome to our newest members: @Lauri Andress, @Kevin Hittle, @Christina Magnifico, @Sarah McNamara, @Stacey Stephens, @Jen'nea Sumo, and @Cinda Stone!  We're excited to have you in AAMC Communities, and we invite you to join our new weekly discussion by responding to this post by sharing comments below.

     

    Question of the Week

    What do you think are the biggest trends and forces shaping medical education, health care,
    and academic medicine in the future?

     

    More Resources Related to Strategic Planning

    • AAMC's Strategic Planning Process
    • AAMC's Environmental Scan: The environmental scan is an analysis of the trends and forces shaping academic medicine, and the AAMC. The scan identified five main themes of large-scale change that present challenges and opportunities-now, and in the near future. 
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    Stephanie Weiner
    Manager of Digital Strategy
    Association of American Medical Colleges
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  • 2.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 12-16-2019 02:12:00 PM
    I think that the Step 1 climate is greatly impacting pre-clinical medical education. Do others perceive this as a large issue? (Students at our institution take Step 1 at the end of their second year.)

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    Lori DeShetler
    Assistant Dean for Assessment and Accreditation
    The University of Toledo
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    Original Message


  • 3.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 12-17-2019 10:24:00 AM
    Macro/Societal Trends?

    I notice that students whose major was public health in college/university have a better sense in this area but whose major was biochemistry or any other sciences know little about societal issues. It is hard to change the curriculum but professors with a sense of health equity could somehow mention it at class.

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    Wei-Chen Lee
    Health Disparities Analyst
    University of Texas Medical Branch
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    Original Message


  • 4.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 12-18-2019 03:35:00 PM
    Hi Lori - 

    Our students too, take Step 1 at the end of their 2nd year.  It certainly does impact the attendance and number of sessions they attend throughout that second year.  So much so, that we are moving towards a "lecture-less" curriculum over the next few years and moving to all active learning.  I look at that impact on our preclerkship years as beneficial to students but it comes with challenges in flipping all those sessions.  Any one else considering all active learning or already at that point?

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    Cinda Stone
    Director, Curriculum Management
    University of Arizona-College of Medicine-Phoenix
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    Original Message


  • 5.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 12-24-2019 02:14:00 PM
    @Lori DeShetler I'm glad you brought this up. I have been reading up on the InCUS conversations around USMLE scoring https://www.usmle.org/inCus/#info and hopeful for an outcome that will positively impact Step 1 climate. Tagging @Angela Blood as I know Angela is doing some research around Step 1 climate and might have some national perspectives to share.  
    ​

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    Linh Le
    Program Specialist, Curricular Resources
    Community Manager, Curriculum Community
    Association of American Medical Colleges
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    Original Message


  • 6.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 01-02-2020 12:48:00 PM
    @Lori DeShetler Great topic Lori.  @LinhLe Thanks for looping me in.  With all the discussion on the Step 1 climate, it seems like everyone agrees something needs to change, but there isn't agreement on what/how the change should occur.  We have some publicly available curriculum reports that examine USMLE practices at schools - Linh and I made a short video here to show you how to find those reports, attached here: Accessing USMLE Curriculum Reports . 
    Here's also a recent Academic Medicine publication on student perspectives regarding the "Step 1 Climate": https://www.ncbi.nlm.nih.gov/pubmed/30570499

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    Angela D. Blood
    Director, Curriculum Resources
    AAMC
    Chicago, IL
    202-828-0482
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    Original Message


  • 7.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 02-12-2020 01:59:00 PM
    @Lori DeShetler @Angela Blood Looks like a decision has been made about ​​USMLE Step 1 score reporting: https://www.usmle.org/incus/#decision

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    Linh Le
    Program Specialist, Curricular Resources
    Community Manager, Curriculum Community
    Association of American Medical Colleges
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    Original Message


  • 8.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 02-12-2020 03:31:00 PM
    I was shocked when I read the email from David Skorton today and hope this will be a positive change for our pre-clinical curriculum environment. It will be interesting to see what other changes are in store and how residency programs may modify their practices as a result of the change of Step 1 to Pass/Fail.

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    Lori DeShetler
    Assistant Dean for Assessment and Accreditation
    The University of Toledo
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    Original Message


  • 9.  RE: Question of the Week (Dec. 16-20): Trends in Academic Medicine

    Posted 01-07-2020 12:49:00 PM
    Unfortunately, Residency programs have access to the scores, and needless to say, scorers are not always indicative of true medical knowledge.  I believe that residency programs should only receive information regarding pass/fail, and if the pass was on the first attempt.  Remember, USMLE and COMLEX are simply "Licensing exams" that must be passed to move forward for licensing as an MD or DO.  The score is irrelevant for licensing as long as all parts are successfully passed.

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    Leonard Goldstein
    VP for Clinical Education Development
    A.T. Still University
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    Original Message