Supplemental Digital Content

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Supplemental Digital Content

Supplemental Digital Appendix 1 Curriculum Map as of 2019……….2 Supplemental Digital Appendix 2 Proposed Curriculum to Take

Effect in 2021...……….3 Supplemental Digital Appendix 3 Medical Education Program

Objectives and Assessment

Methods……….4

Supplemental Digital Appendix 4 Organizational Chart .……….18

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Supplemental Digital Appendix 1

Curriculum Map as of 2019

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Proposed Curriculum to Take Effect in 2021

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Supplemental Digital Appendix 3

Medical Education Program Competencies and Assessment Methods Medical Education Program Competencies Origin of

Competency Assessment Methods Domain One: Practice-Based Learning and Improvement

Identify strengths, deficiencies, and limits

in one’s knowledge and expertise. PCRS 3.1 Exam - Institutionally Developed, Clinical Performance Rating/Checklist Self-Assessment

Set learning and improvement goals. PCRS 3.2 Exam - Institutionally Developed, Self-Assessment

Identify and perform learning activities that address one’s gaps in knowledge, skills, and/or attitudes.

PCRS 3.3 Exam - Institutionally Developed, Clinical Performance Rating/Checklist Self-Assessment

Systematically analyze practice using quality improvement methods and implement changes with the goal of practice improvement.

PCRS 3.4 Exam - Institutionally Developed, Exam - Institutionally Developed,

Written/ Computer-based Self-Assessment

Incorporate feedback into daily practice. PCRS 3.5 Clinical Performance Rating/Checklist Exam - Institutionally Developed, Self-Assessment

Locate, appraise, and assimilate evidence from scientific studies related to patients’

health problems.

PCRS 3.6 Exam - Licensure, Clinical Performance

Exam - Licensure, Written/Computer- based

Oral Presentation

Research or Project Assessment Use information technology to optimize

learning. PCRS 3.7 Exam - Institutionally Developed,

Written/

Oral Presentation Demonstrate proficiency in researching,

developing, and presenting effective educational experiences for peers, patients, and other professionals.

PCRS 3.8 Performance

Exam - Institutionally Developed, Clinical Performance Rating/Checklist Oral Presentation

Self-Assessment

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Demonstrate skills in obtaining and using information about populations of patients and communities from which patients are drawn in order to improve health care outcomes.

PCRS 3.9 Research or Project Assessment

Analyze new knowledge, guidelines, standards, technologies, products, and services in order to identify and implement those that have been demonstrated to improve health care outcomes.

PCRS 3.10 Clinical Performance Rating/Checklist Laboratory, Practical

Oral Presentation

Research or Project Assessment

Domain Two: Medical Knowledge Given an abnormal effect, identify the cause/causal agent or predisposing factor(s) leading to the effect.

PCRS 2.2 Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Clinical Performance Exam - Institutionally Developed,

Written/ Computer-based Exam - Institutionally Developed,

Laboratory, Practical Exam - Licensure, Clinical

Performance

Identify the underlying molecular, cellular, tissue, and/or system processes/pathways that account for, or contribute to, the expression or resolution of a given abnormal condition.

Laboratory, Practical Exam - Institutionally Developed,

Written/ Computer-based Exam - Licensure, Written/Computer-

based Evaluate clinical and/or physical findings

to identify the underlying anatomic structure or physical location associated with the findings.

PCRS 2.2 Exam - Institutionally Developed, Laboratory, Practical

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Medical Education Program Competencies Origin of

Competency Assessment Methods Apply knowledge about the mechanism of

action of various drugs to select appropriate pharmacotherapy.

AAMC-HHMI Competency M7

Exam - Institutionally Developed, Written/ Computer-based Exam - Licensure, Clinical

Performance

Apply quantitative knowledge and reasoning—including integration of data, modeling, computation, and analysis—and informatics tools to diagnostic and

therapeutic clinical decision making.

PCRS 2.2

Exam - Institutionally Developed, Written/ Computer-based

Apply foundational physical, chemical, and biochemical principles to explain major technologies used in the prevention, diagnosis, and treatment of disease.

PCRS 2.2

Exam - Institutionally Developed, Written/ Computer-based

Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based health care.

PCRS 2.3 Exam - Institutionally Developed, Written/ Computer-based Exam - Licensure, Written/Computer-

based Apply principles of epidemiological

sciences, social determinants of health, and of population and public health to the identification of health problems, risk factors, treatment strategies, resources, and disease prevention/health promotion efforts for patients and populations.

PCRS 2.4 Exam - Institutionally Developed, Written/ Computer-based Exam - Licensure, Written/Computer-

based

Apply principles of social-behavioral sciences to provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care compliance, and barriers to and attitudes toward care.

Written/ Computer-based

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Apply knowledge of health systems organization and financing to provision of patient care.

Local Origin Exam - Institutionally Developed, Written/ Computer-based Exam - Licensure, Clinical

Performance

Domain 3: Patient Care

Gather essential and accurate information about patients and their conditions through history-taking and physical examination.

PCRS 1.2 EPA 1

Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Written/ Computer-based Exam - Licensure, Clinical

Performance Employ diagnostic reasoning to select

appropriate laboratory, imaging, and other diagnostic tests.

PCRS 1.2, EPA 3

Performance Oral Presentation Interpret the results of history, physical

examination, laboratory, and imaging data to generate a differential diagnosis

PCRS 1.4 EPA 2 EPA 3

Performance Oral Presentation Develop and carry out individualized

patient management plans. PCRS 1.6 Clinical Performance Rating/Checklist Exam - Licensure, Clinical

Performance

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Competency Assessment Methods Organize and prioritize clinical

responsibilities to provide care that is safe, effective, and efficient.

Clinical Performance Recognize and initiate management of life-

threatening conditions. EPA 10 Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Clinical Performance Manage and coordinate the care of patients

with common chronic diseases. Local Origin Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Clinical Performance Provide appropriate referral of patients,

including ensuring continuity of care throughout transitions between providers or settings and following up on patient progress and outcomes.

Clinical Performance

Give and receive a patient handover to

transition care responsibly. EPA 8 Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Clinical Performance Provide preventive health care services to

patients, families, and communities. PCRS 1.9 Clinical Performance Rating/Checklist Exam - Institutionally Developed,

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Perform procedures considered essential

for graduation from medical school. PCRS 1.1 EPA 12

Laboratory, Practical Exam - Institutionally Developed,

Performance

Oral Presentation Participation Peer Assessment

Portfolio-Based Assessment Research or Project Assessment Self-Assessment

Present, orally and in written form, the results of patient encounters in an organized, concise and accurate manner.

EPA 5 EPA 6

Clinical Performance Exam - Licensure, Clinical

Performance

Enter and justify orders and prescriptions. EPA 4 Exam - Institutionally Developed, Clinical Performance

Provide care which is concordant with the patient’s experiences, perspectives and values, and which empowers patients and their families to participate in their care through shared decision making.

Clinical

Domain 4: Interpersonal and Communication Skills Communicate effectively with patients,

families, and the public across a broad range of socioeconomic and cultural backgrounds.

PCRS 1.7 Clinical Performance Rating/Checklist

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Competency Assessment Methods Communicate effectively and responsively

with colleagues within one’s profession or specialty, other health professionals and interprofessional teams, and health-related agencies in order to support and facilitate the maintenance of health and the

treatment of disease in individual patients and populations.

Work effectively with others as a member or leader of a health care team or other professional group.

Written/ Computer-based Peer Assessment

Provide health education to patients, families, and communities which enables patients to self-manage their care.

PCRS 4.3 Clinical Performance Rating/Checklist Exam - Institutionally Developed Oral Presentation

Peer Assessment Self-Assessment Demonstrate effective teaching of peers

and other health professionals. PCRS 3.8 Clinical Performance Rating/Checklist Exam - Institutionally Developed Oral Presentation

Peer Assessment Self-Assessment Demonstrate sensitivity, honesty, and

compassion as well as effective methods of communication about sensitive topics such as death, end of life, adverse events, bad news and disclosure of errors.

PCRS 4.6 Clinical Performance Rating/Checklist Exam - Institutionally Developed Oral Presentation

Peer Assessment Demonstrate the ability to recognize,

manage, and communicate about patient emotions.

Exam - Licensure, Clinical Performance

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Elicit and understand the patient’s

perspective. Local Origin Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Exam - Licensure, Clinical Performance Understand the whole patient within

his/her unique psychosocial context. Local Origin Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Exam - Licensure, Clinical Performance Reached a shared understanding of the

problem and its treatment with the patient that is concordant with the patient’s values.

Local Origin Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Exam - Licensure, Clinical Performance Enable patients to share power and

responsibility for their care to the degree that they wish.

Exam - Licensure, Clinical Performance

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Competency Assessment Methods Demonstrate patient-centered

communications. Local Origin Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Exam - Licensure, Clinical Performance Demonstrate the ability to communicate

respectfully and effectively about the essential elements of obtaining patient informed consent.

EPA 11 Clinical Performance Rating/Checklist

Domain Five: Professionalism Demonstrate compassion, integrity, and

respect for others. PCRS 5.1 Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Performance Peer Assessment Demonstrate responsiveness to patient

needs that supersedes self-interest. PCRS 5.2 Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Performance Peer Assessment Demonstrate respect for patient privacy

and autonomy. PCRS 5.3 Clinical Performance Rating/Checklist

Exam - Institutionally Developed, Clinical Performance Exam - Licensure, Clinical

Performance Peer Assessment Demonstrate accountability to patients,

society, and the profession. PCRS 5.4 Clinical Performance Rating/Checklist Exam - Institutionally Developed,

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Demonstrate sensitivity and responsiveness to a diverse patient

population, especially those encountered in North Dakota.

Written/ Computer-based Demonstrate a commitment to ethical

principles pertaining to provision or withholding of care, confidentiality, informed consent, and business practices, including compliance with relevant laws, policies, and regulations.

Carry out responsibilities in a timely

manner. Local Origin Exam - Institutionally Developed,

Clinical Performance Oral Presentation

Participation Peer Assessment Maintain appropriate professional

boundaries and use appropriate and respectful language.

Performance Oral Presentation Peer Assessment Identify and propose solutions for common

and important moral, ethical, and legal problems of medical practice.

Written/ Computer-based Research or Project Assessment

Domain Six: Systems-Based Practice

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Competency Assessment Methods Work effectively in various health care

delivery settings and systems, including those with low resources.

Performance

Participation Coordinate patient care within the health

care system. PCRS 6.2 Clinical Performance Rating/Checklist

Exam - Institutionally Developed, Clinical Performance Exam - Institutionally Developed,

Performance

Participation Incorporate considerations of cost

awareness and risk-benefit analysis in patient and/or population-based care.

Performance

Oral Presentation Advocate for quality patient care and

optimal patient care systems. PCRS 6.4 Clinical Performance Rating/Checklist Exam - Licensure, Clinical

Performance

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Participate in identifying system errors and

implementing potential systems solutions. PCRS 6.5 Clinical Performance Rating/Checklist Exam - Licensure, Clinical

Performance

Domain Seven: Interprofessional Collaboration Identify potential barriers to the effective coordination of care of patients with multiple health care needs and providers.

IPEC Core

Competencies Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Clinical Performance Work with other health professionals to

establish and maintain a climate of mutual respect, dignity, diversity, ethical integrity, and trust.

IPEC Core

Competencies Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Clinical Performance Use the knowledge of one’s own role and

the roles of other health professionals to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.

IPEC Core Competencies PCRS 7.2

Exam - Institutionally Developed, Clinical Performance Exam - Licensure, Clinical

Performance

Communicate with other health professionals in a responsive and

responsible manner that supports a team approach to promotion and maintenance of health and the prevention and treatment of disease in individual patients and

populations.

Apply relationship-building values and the principles of team dynamics to work collaboratively with other members of health care teams in different team roles in order to provide both patient-centered and population-focused care that is safe, timely, efficient, effective, and equitable.

Exam - Institutionally Developed, Clinical Performance

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Competency Assessment Methods Domain Eight: Personal and Professional Development

Demonstrate self-awareness of knowledge, skills, and emotional limitations to engage in appropriate help-seeking behaviors.

PCRS 8.1 Clinical Performance Rating/Checklist Performance

Exam - Institutionally Developed, Written/ Computer-based Self-Assessment

Demonstrate healthy coping mechanisms

to respond to stress. PCRS 8.1 Exam - Institutionally Developed, Written/ Computer-based Oral Presentation

Peer Assessment Self-Assessment Performance Manage conflict between personal and

professional responsibilities. PCRS 8.1 Exam - Institutionally Developed, Written/ Computer-based Oral Presentation

Peer Assessment Self-Assessment Performance Practice flexibility and maturity in

adjusting to change with the capacity to alter one's behavior.

PCRS 8.1 Exam - Institutionally Developed, Written/ Computer-based Oral Presentation

Peer Assessment Self-Assessment Performance Demonstrate trustworthiness that makes

colleagues feel secure when one is responsible for the care of patients.

PCRS 8.1 Exam - Institutionally Developed, Written/ Computer-based Oral Presentation

Peer Assessment Self-Assessment Performance Provide leadership skills that enhance team

functioning, the learning environment, and/or the health care delivery system.

Written/ Computer-based Oral Presentation

Peer Assessment Self-Assessment

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Demonstrate self-confidence that puts patients, families, and members of the health care team at ease.

Peer Assessment Self-Assessment Recognize that ambiguity is part of clinical

health care and respond by utilizing appropriate resources in dealing with uncertainty.

Peer Assessment Self-Assessment

Demonstrate skills in patient advocacy. Local Origin Clinical Performance Rating/Checklist Exam - Institutionally Developed,

Performance

Oral Presentation Peer Assessment Self-Assessment

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Organizational Chart

2/10/2020LS: T:\depts\graphics\DEAN\Orgcharts\Org_chart_Feb2020.eps

SMHS Advisory Council Chief of Staff

Judy Solberg, MPA

Vice President for Health Affairs & Dean Joshua Wynne, MD, MBA, MPH

ALUMNI & COMMUNITY RELATIONS Director, Jessica Sobolik, MS

Assistant Director, Brian Schill

HEALTH SCIENCES Associate Dean for Health Sciences,

Tom Mohr, PhD

North Dakota Healthcare Workforce Group, Mandi Peterson, MS Senior Research Specialist

Health Sciences Departments:

• Brooke Solberg, PhD Chair, Medical Laboratory Science

• Janet Jedlicka PhD Chair, Occupational Therapy

• David Relling, PhD Chair, Physical Therapy

• Steve Westereng, PhD Chair, Sports Medicine

• Jeanie McHugo, PhD Chair, Physician Assistant Studies

• Gary Schwartz, PhD, MPH, PhD Chair, Population Health - Don Warne, MD, MPH

Program Director, Master of Public Health

Director Center for Rural Health,

L. Gary Hart, PhD

Director, Center for Health Promotion &

Prevention Research, Nancy Vogeltanz-Holm, PhD

CENTERS ACCREDITATION

Chief Medical Accreditation Officer, Stephen Tinguely, MD

Interprofessional Education, Eric Johnson,MD

Director, Simulation NDSTAR,

Jon Allen, MD

Chief Information Officer, Nasser Hammami, MS EDUCATION & FACULTY AFFAIRS

Associate Dean, Kenneth Ruit, PhD

Associate Dean for Teaching and Learning,

Richard Van Eck, PhD

Director, Library Resources,

Vacant FINANCE & OPERATIONS

Associate Dean for Administration &

Finance/COO, Laura Block, MBA

Associate Director for Budget and Facilities

Management, Terry Nelson

Director for Finance, Vacant

Associate Director for Human Resources,

Melissa Arnold

Associate Director for Records and Information Management,

Susan Carlson Vice President for Finance and Operations

Associate Dean for Diversity, Equity, and Inclusion, Don Warne, MD, MPH DIVERSITY, EQUITY, & INCLUSION

Director, INMED Don Warne, MD, MPH MEDICINE & RESEARCH

Senior Associate Dean for Medicine & Research, Marc D. Basson,MD, PhD, MBA

Continuing Medical Education, Mary Johnson

Research Affairs MD/PhD Program,

John Watt, PhD

Graduate Medical Education, Kim Becker, PhD Designated Institution Official

Biomedical Sciences, Colin Combs, PhD,

Chair

Assistant Dean for Medical Curriculum,

Patrick Carr, PhD

Regional Campus Deans

• Associate Dean SW Campus, A. Michael Booth, MD, PhD

• Associate Dean SE Campus, Cornelius “Mac” Dyke, MD

• Assistant Dean NE Campus, Susan Zelewski, MD

• Assistant Dean NW Campus, Scott Knudson, MD Clinical Departments:

• Donald Jurivich, DO Chair, Geriatrics

• Dinesh Bande, MD Chair, Internal Medicine

• Jau-Shin Lou, MD Chair, Neurology

• Dennis Lutz, MD Chair, OB/GYN

• MaryAnn Sens, MD, PhD Chair, Pathology

• Robert Sticca, MD Chair, Surgery

• Andy McLean, MD, MPH Chair, Psychiatry & Behavioral Science

• Christopher Tiongson, MD Chair, Pediatrics

• Luke Roller, MD Chair, Radiology

• Jon Solberg, MD Emergency Medicine

• David Schmitz, MD Chair, Family & Community Medicine

- Jeff Hostetter, MD Program Director, Center for Family Medicine-Bismarck - Jeff Hostetter, MD,

Program Director,Center for Family Medicine-Minot

Student Affairs & Admissions, James Porter, PhD

Associate Director for SMHS Financial Aid,

Jennifer Duffy

Supplemental Digital Appendix 4

Organizational Chart