The Roadmap to Improvement
A lot of change has happened over the past year and half since the medical school submitted its Report to the LCME and hosted its Virtual Site Visit. Faculty, students and administrators have been intensely engaged in quality improvement efforts across all areas of the medical education program. An essential component of program improvement is obtaining feedback on the impact of interventions.
To do this, we have conducted and will continue to conduct surveys to understand where we have improved and where we have opportunities for further improvement that include:
- Initial broad survey (the Independent Student Analysis-ISA) conducted in January 2019 as a required part of the medical school’s accreditation self-study.
- Pulse surveys yearly to the whole student body and then monthly to a portion to follow overall satisfaction, burnout, wellness, empathy, culture and climate, and depression rates
- Accreditation Monitoring Survey (AMS) in the spring 2021 (for Ms1s-MS3s) to look for changes in student satisfaction in the areas cited by the LCME
- Comprehensive AMS planned for fall 2021 as the next follow-up in preparation for the spring 2022 Limited Site Visit
The school is already seeing positive results in student satisfaction from its efforts when compared to the original 2019 ISA. Almost all areas are improved and exceeded the school’s target satisfaction rates of 80% or greater. We expect these improvements in satisfaction to continue over the next year and beyond.
Use the dropdowns below to read about current improvement efforts and to review the comparison of ISA and AMS data.
Students in Years 1-3 were asked questions about satisfaction with on-campus facilities in general for both campuses and satisfaction with the new Health Sciences Education Center (HSEC) for TC students. Students in Year 3 were also asked about their satisfaction with clinical site facilities. These questions provide feedback on the LCME findings related to element 5.4 and 5.11.
Regarding on campus spaces, the results from this recent survey are extremely positive and provide a strong indication that the HSEC and DU remodel projects have had the predicted positive impact on student satisfaction with on campus facilities. While satisfaction with call rooms and teaching spaces at hospitals and clinical sites is high, study space and secure storage satisfaction reflect the need for continued improvement.
Students in Years 1-3 were asked questions about satisfaction with career counseling, health services, personal and mental health counseling, and wellbeing programs. These questions address the LCME findings related to elements 11.2, 12.3, and 12.4.
A number of student service related Improvement efforts have been implemented since the distribution of the ISA in January 2019 that have contributed to the improvements in student satisfaction shown below. Improvement in satisfaction can be seen in all areas when compared to the January 2019 ISA and all areas reflect rates at or above 80%. Even with improved satisfaction, work will continue to be done, especially in the area of specialty-specific advising.
Students in Years 1-3 were asked questions about satisfaction with the curriculum that addresses the LCME findings related to elements 7.6, 7.9, 8.7, 8.8, 9.4, and 9.7.
Questions about Interprofessional education experiences (IPE) and cultural competence curriculum (quality and quantity) saw improvement overall when compared to the single ISA question about the adequacy of content. There is an indication the amount of cultural competence content can be improved.
Satisfaction with the first year curriculum has improved significantly with all areas above 80%. Satisfaction with the second year has remained fairly consistent with rates being well above 80%. The notable exception is clinical skills instruction resulting from low MS2 TC student satisfaction (59%).
Levels of satisfaction with the clinical phase meet or exceed the target of 80% and have either improved or remained fairly steady since the ISA. The exceptions are with overall clerkship quality (which is still above 80%) and with clinical skills assessment.
Quality improvement work is ongoing to identify potential causes for any areas with low satisfaction or those below the 80% target.