Objective 1

Graduates will demonstrate basic science recall, comprehension, analysis, and synthesis of data necessary for the effective practice of medicine.

Outcome

Students will develop a knowledge base in the basic sciences essential for advancement to the next phase of their medical education.

Performance Criteria:

Students will be able to:

• Identify normal human cellular and gross morphology;
• Identify normal cellular and organ physiology;
• Identify normal biochemical, molecular and genetic processes;
• Identify normal behavioral and psychological development;
• Describe biostatistical study design and quantitative analysis;
• Identify etiology of disease;
• Identify pathogenesis and pathophysiology of disease;
• Identify therapeutic principles of disease;
• Identify pharmacologic and non-pharmacologic therapies of disease;
• Identify epidemiology of disease;
• Identify population health and health maintenance of disease;
• Describe the implications of genetic differences in response to medical therapeutics;
• Describe the pathologic basis of abnormal laboratory tests and diagnostic studies used to evaluate common medical conditions;

Assessment Measures

Direct Measures:

Step 1 of USMLE
Basic science NBME subject exams
In-house faculty generated exams
Behavioral observation of student by faculty
Basic Science Study (comparison of traditional and systems-based delivery of basic sciences)

Indirect Measures

Dean's dinners with officers
Course & Lecturer evaluations by students
Class of 2009 study
Education Experience Survey (end of sophomore year)

Objective II

Graduates will demonstrate the clinical skills necessary for effective patient care.

Outcome

Students will develop the clinical skills that are integral to the safe and competent practice of medicine.

Performance Criteria:

Students will be able to:

• Describe the component parts of the medical interview;
• Recognize normal and abnormal findings for a variety of conditions commonly encountered in a primary care setting pertaining to the physical exam;
• Demonstrate basic computer literacy skills including the ability to retrieve, filter, manage, and use biomedical information for solving problems and conducting the physical exam;
• Demonstrate cardiopulmonary examination skills through supervised use of medical simulators;
• Demonstrate proficiency in the clinical activities and technical procedures that are listed in the School of Medicine skills log and departmental skills logs;
• Analyze which laboratory tests and radiographic procedures are indicated for diagnosing common medical problems and how the appropriate and inappropriate use of these tests impact the quantity and cost of medical care;
• Explore career options through an elective rotation;

Assessment Measures

Direct Measures:

Performance appraisal for each clinical rotation (formative midterm and summative at completion of the rotation)
Freshman year-end OSCE
Behavioral observations by clinical faculty
Auscultation practical exam
Computer competency proficiency
Self- peer- and faculty assessment and critique in small groups (videotaped interview)
Junior-year physical exam
End-of-clerkship objective structured clinical exams
Electronic patient record
Skills log
Successful completion of electives

Indirect Measures:

Dean's dinners with officers
Course/Clerkship, lecturer/attending evaluations by students

Objective III

Graduates will integrate the philosophy of wholeness in their personal and professional lives.

Outcome

Students will integrate basic science knowledge, clinical skills, values and professional behaviors within the context of providing whole person care for patients.

Performance Criteria:

Students will be able to:

• Demonstrate the ability to obtain an accurate and comprehensive patient-centered medical history from patients and their families that contains all aspects of the history, including issues related to age, gender, socioeconomic status, emotional concerns, religious beliefs and health maintenance;
• Perform an organized, accurate and appropriately sensitive physical exam, including the screening physical exam, the disease-specific physical exam and a preventive medicine oriented physical exam;
• Apply the scientific method in establishing the causation of disease and efficacy of traditional and non-traditional (complementary and alternative) therapies;
• Apply knowledge about relieving pain and principles of end-of-life care to supervised patient care activities in the hospital, outpatient and hospice settings;
• Demonstrate skills necessary to care for patients with emergent and life-threatening conditions, including those that may be the result of bioterrorism;
• Demonstrate the ability to apply principles of epidemiology and health maintenance to the care of patients in the hospital and ambulatory settings;
• Critically analyze and evaluate the source and validity of new basic and clinical science research that applies to the practice of medicine;
• Demonstrate the ability to integrate psycho-social and spiritual care with the physical care of patients;
• Facilitate the use of patients' assets in coping with illness, including their health-affirming spiritual and religious resources;

Assessment Measures

Direct Measures:

Step II USMLE knowledge and clinical skills exam
In-house faculty generated exams
Behavioral observations by faculty
Performance appraisal for each clinical rotation

Indirect Measures:

Wholeness Inventory
Complementary & Alternative Medicine survey
Whole person care visit with patient (written report evaluated by faculty)

Objective IV

Graduates will demonstrate best practices and diagnostic reasoning and analytic problem-solving skills in caring for patients.

Outcomes

A. Students will develop diagnostic reasoning and analytic problem-solving skills in order to assimilate information and establish appropriate diagnoses and treatment plans.
B. Students will apply best practices and diagnostic reasoning and problem-solving skills more autonomously in patient care experiences.

Performance Criteria:

Students will be able to:

Outcome A:

• Demonstrate the ability to retrieve, filter, analyze, manage, and utilize biomedical information and other patient-specific information to solve problems and make patient-care decisions or provide education;
• Demonstrate diagnostic skills necessary for each of the required and elective clerkship rotations;

Outcome B:

• Demonstrate the ability to report and utilize information obtained from the medical history, physical examination, laboratory, and radiographic studies to establish an appropriate differential diagnosis and formulate a treatment plan that expresses relative risks and benefits;
• Demonstrate the ability to discern the indicators for performing a comprehensive medical interview and physical examination for a more focused medical interview and disease-specific exam;
• Evaluate prevailing practices and best practices and identify steps necessary to close the gap;

Assessment Measures

Direct Measures

Step I USMLE
Step II USMLE knowledge and clinical skills exams
OSCEs
Behavioral observations by faculty
Performance appraisals by faculty
Skills log

Indirect Measure:

Course/Clerkship and or a lecturer/attending evaluation by students

Objective V

Graduates will demonstrate adequate interpersonal and communication skills for effectively interacting with patients, their families and health care providers from diverse cultural and religious backgrounds.

Outcome

Students will develop interpersonal and communication skills that will enable them to effectively interact with peers, faculty, patients and their families and other health care providers, including those from diverse backgrounds (e.g., cultural, ethnicity, gender, generational, socioeconomic, and religious).

Performance Criteria:

Students will be able to:

• Explain how patients' cultural and religious worldviews may affect their approaches to health and wellness (e.g., complementary and alternative medicine);
• Explain how racial and ethnic disparities can influence health care delivery and quality;
• Demonstrate oral, written and technological communication skills necessary for effective interactions with peers, faculty, patients and their families and other health care providers;
• Demonstrate willingness to serve as a member of the health care team and effectively utilize the contribution that each member of the team can make to a patient's recovery;
• Respect differing values, cultures and beliefs, including diversity in sexual orientation, gender, age, race, ethnicity and spirituality of patients, peers, faculty and other health care providers;
• Demonstrate the ability to incorporate cultural and religious beliefs and practices when addressing medical problems, concerns and anxieties of patients from diverse cultures and socioeconomic backgrounds, including differing approaches to health, wellness and human suffering;

Assessment Measures

Direct Measures:

Behavioral observation by faculty in supervised patient-care experiences
Performance appraisals by faculty and peers (small groups, teams)
In-house faculty generated exams
OSCEs
Senior year standardized patient exam
Preventive & Community Medicine evaluation of students at SACHS clinic and Health Care Improvement Project

Indirect Measures:

Participation in hospital discharge plan
Students' written philosophy/theology of suffering
Students' response papers to presentations by guest speakers from various cultural, ethnic and religious backgrounds

Objective VI

Graduates will demonstrate professional behaviors that are integral to the safe, competent and compassionate care of patients.

Outcome

Students will develop professionalism in excellence and scholarship, accountability and responsibility and altruistic behaviors.

Performance Criteria:

Students will be able to:

• Recognize and accept one's limitations in knowledge and clinical skills and commit to continuous improvement;
• Accept the responsibility to engage in lifelong learning to stay abreast of relevant scientific advances;
• Exhibit the ability to work independently and the self-motivation necessary to become a lifelong learner;
• Demonstrate a commitment to the following fundamental values: compassion, integrity, excellence, freedom, justice, purity/self-control, humility;

Assessment Measures

Direct Measures:

Senior-year standardized patient exam
Performance appraisals (EBM-IS, clerkships, PDX laboratory, Pathology case-based learning groups)
OSCEs
Videotaped interview followed by self and peer/faculty critiques

Indirect Measures:

Climate survey to be developed at the university or school level
Non-cognitive assessment forms
Medical Professionalism self-assessment survey
Journal Club

Objective VII

Graduates will demonstrate ethical and Christ-centered principles of conduct in their practice of medicine.

Outcome

Students will integrate ethical and Christ-centered principles of conduct in their personal and professional lives.

Performance Criteria:

Students will be able to:

• Describe principles of ethical and interpersonal conduct important for interaction in a health care setting and in a physician's personal life;
• Discuss the major ethical issues in contemporary medicine;
• Outline the most prominent methods of resolving ethical dilemmas;
• Describe key elements of informed consent and advanced directives;
• Explain the Christian worldview and Christian theological foundation for a holistic approach to patient care and for the belief in the dignity and value of all individuals;
• Demonstrate respectful and ethical conduct in interactions and decision-making with peers, faculty and patients;
• Develop a personal spirituality and worldview that encourages a balance in all aspects of the physician's life and guards against cynicism in the practice of medicine;
• Value a physician's obligation to society by participating in service for the community and/or church affiliated missions or other international humanitarian organizations;
• Accept responsibility for upholding ethical and professional standards in one's own life and among one's colleagues;

Assessment Measures

Direct Measures:

In-house faculty generated final essay exam in religion and ethics course
Behavioral observation by ethics faculty and clinical faculty
Performance appraisals by ethics/religion faculty (analysis and critique of books, participation and presentations in small groups)
OSCEs

Indirect Measures:

Written responses to ethics grand rounds
Self-reflection essays
Wholeness Inventory
Medical Professionalism self-assessment
Number of students participating in community and international electives and volunteer
opportunities:

• Students for International Mission Service (SIMS)
• Deferred Mission Appointment Program
• Senior mission elective
• Healthy Neighborhoods tutor/mentoring project
• Social Action Community Health Systems (SACHS Clinic)
• Student Teaching AIDS to Students (STATS)