Medical education exists to prepare the physician workforce that our nation needs, but COVID-19 pandemic threatened disrupt mission. Likewise, national increase in awareness of social justice gaps country pointed out significant health care, medicine, and medical ecosystem. Crises all industries often present leaders with no choice transform-or fail. In this perspective, authors suggest is at such an inflection point propose a transformational vision ecosystem, followed by 10-year, 10-point...

We sought to investigate the number of US medical schools utilizing portfolios, format information technology (IT) innovations, purpose portfolios and their ability engage faculty students.A 21-question survey regarding was sent 141 LCME-accredited, schools. The response rate 50% (71/141); 47% respondents (33/71) reported that school used in some form. Of those, 7% use paper-based 76% electronic portfolios. Forty-five percent portfolio for formative evaluation only; 48% both summative...

Portfolios are a powerful tool to collect and evaluate evidence of medical students' competence across time. However, comprehensive portfolio assessment systems that implemented alongside traditional graded curricula at schools in the United States have not been described literature. This study describes development implementation longitudinal competency-based electronic system curriculum relatively large U.S. school.In 2009, authors developed served as repository for all student assessments...

Background: Natural language processing is a promising technique that can be used to create efficiencies in the review of narrative feedback learners. The Feinberg School Medicine has implemented formal pre-clerkship since 2014 through its portfolio assessment system but this process requires considerable time and effort. This article describes how natural was build predictive model student performance utilized assist competency committee reviews. Approach: authors took an iterative...

<h3>Importance</h3> Success on the internal medicine (IM) examination is a central requirement of American Board Internal Medicine's (ABIM's) Maintenance Certification program (MOC). Therefore, it important to understand degree which this reflects conditions seen in practice, one dimension content validity, focuses match between discipline and topics questions. <h3>Objective</h3> To assess whether frequency questions IM-MOC examinations were concordant with practice. <h3>Design, Setting,...

In 2012, the Northwestern University Feinberg School of Medicine launched a redesigned curriculum addressing four primary recommendations in 2010 Carnegie Foundation for Advancement Teaching report on reforming medical education. This new provides more standardized evaluation students’ competency achievement through robust portfolio review process coupled with standard evaluations knowledge and clinical skills. It individualizes learning processes flexibility, enabling students to take...

Trust plays a critical role in the assessment of learners clinical setting. In an ideal system, can be vulnerable and share their limitations areas for improvement, while faculty possess time skill to provide specific feedback that enables achieve competency skills. For medical students, number threats establishment trust learning environment exist, including interplay between grades, existence bias, competing demands time. However, several strategies help institutions overcome these foster...

The landscape of combined baccalaureate-MD programs has changed substantially in the last two decades but not been documented detail. authors review current state these and discuss opportunities for future study their evolving role potential impact.In 2011, using a definition program built on prior research, reviewed Association American Medical Colleges sources medical school Web sites to identify characterize 81 active programs. In addition, they surveyed 57 schools offering those...

Over one-third of U.S. medical schools offer combined baccalaureate/MD (BA/MD) degree programs. A subset these truncate the premedical phase, reducing total time to MD degree. Data comparing educational outcomes programs with those conventional pathways are limited.The authors reviewed demographic characteristics and school performance all 2,583 students entering Northwestern University Feinberg School Medicine from 1999 2013, in Honors Program Medical Education (HPME), an accelerated...

Abstract Problem Clinical competency committees rely on narrative feedback for important insight into learner performance, but reviewing comments can be time-consuming. Techniques such as natural language processing (NLP) could create efficiencies in review. In this study, the authors explored whether using NLP to a visual dashboard of preclerkship medical students would improve review efficiency. Approach Preclerkship data collected at Northwestern University Feinberg School Medicine from...

Medical educators struggle to find effective ways assess essential competencies such as communication, professionalism, and teamwork. Portfolio-based assessment provides one method of addressing this problem by allowing faculty reviewers judge performance, based on a longitudinal record student behavior. At the Feinberg School Medicine, portfolio system measures behavioral competence using multiple assessments collected over time. This study examines whether preclerkship review is valid...

The medical student performance evaluation, known as the MSPE or dean's letter, summarizes a student's at time of application for postgraduate training.In each school, considerable effort is exerted to produce this longitudinal account performance.For be valuable it should serve an objective and unabridged summary without obscuring eliminating very information that might predict difficulty in residency.The presently recommended format result several calls over last 20 years standardization...

Medical Education Program Highlights Northwestern University Feinberg School of Medicine (Feinberg) is a large urban medical school with 634 students based in Chicago, Illinois. The curriculum has 3 phases. Phase 1 consists foundational material and 14 organ-based modules. 2 6 core clerkships, composed advanced clinical clerkships. Feinberg's organized around 8 competencies: patient-centered care, communication interpersonal skills, knowledge scholarship, system awareness team-based personal...

Construct: Students entering the health professions require competency in teamwork. Background: Although many teamwork curricula and assessments exist, studies have not demonstrated robust longitudinal assessment of preclerkship students' skills attitudes. Assessment portfolios may serve to fill this gap, but it is unknown how narrative comments within describe student behaviors. Approach: We performed a qualitative analysis data 15 portfolios. Student were randomly selected from 3 groups...

As part of the American Board Internal Medicine's (ABIM's) continuing effort to update its Maintenance Certification (MOC) program, a content validity tool was used conduct structured reviews MOC exam blueprints (i.e., test specification tables) by physician community. Results from Cardiovascular Disease blueprint review are presented illustrate process ABIM conducted for several internal medicine disciplines.Ratings topic frequency and importance were collected cardiologists in 2016 using...

Purpose: Studies have demonstrated the deleterious impact of bias within clinical assessments, especially for students from minoritized groups.1–3 Growing evidence demonstrates that words in narrative assessments differ based on race and gender both performance assessments2 (CPAs) Medical Student Performance Evaluations3 (MSPEs). We developed implemented a brief intervention to promote best practices reduce feedback. Building prior work,2,3 we identify changes language trends CPA narratives...

Purpose: Assessment systems in competency-based medical education increasingly rely on narrative feedback to describe learner performance. 1 When collected over time, portfolios include hundreds of comments describing behavioral performance such as communication and teamwork that are not evident categorical ratings or quantitative assessments alone. However, this large volume data makes summative competency assessment both time resource intensive, limiting its frequency. 2 Since 2014, our...