1. Lawrence Family Medicine Residency
Building a Family Doctor for the Next Forty Years: Using the Program Evaluation Committee (PEC) for Curricular Evaluation as a Visioning Process
Lawrence Family Medicine Residency
Cara Marshall, MD
Wendy Barr, MD, MPH, MSCE
Sebastian Tong, MD, MPH
Joseph Gravel, MD

2. Disclosures
None

3. WHAT’S YOUR MISSION underserved research learning suburban teaching
family medicine
WHAT’S YOUR MISSION
patient care
rural
full-spectrum
regional
community
academic rigor

4. OUR MISSION
“The mission of the Lawrence Family Medicine Residency is to create and nurture learning environments where physicians are inspired to develop expertise in Family Medicine and to dedicate themselves to the care of individuals, families and communities, especially those who are underserved.”
Created in 1994, the Lawrence Family Medicine Residency was the first Family Medicine Residency program sponsored by a community health center. Over the years we have attracted Residents who are interested in working in underserved communities, both nationally and abroad. To prepare Residents, our training combines rich and challenging clinical experiences with an academically rigorous curriculum. Our graduates are well trained to practice in underserved communities upon graduation.

5. Mural at one of our clinical sites depicting the Bread and Roses strike, an iconic moment in Lawrence history and in the history of the labor movement.

6. LAWRENCE FAMILY MEDICINE RESIDENCY
Full-spectrum
Academic rigor
Underserved
Community

7. Lawrence Family Medicine Residency is participating in the ACGME’s national 4 year length of training pilot program. Our goals in this project are to deepen resident clinical core competencies, leadership skills in PCMH, expand clinical skills in an area of concentration and facilitate substantive longitudinal community involvement.

8. FACULTY/RESIDENT SURVEY
Multiple areas of change
Faculty/resident assessment of current strengths and weaknesses
Repeat after implementation to measure outcomes of interventions
Responses on 6 point Likert scale
1=strongly disagree
6=strongly agree

9. FACULTY/RESIDENT SURVEY
Our curriculum reflects the mission of our residency.
# responses
We’re doing pretty well here.
Likert scale

10. PROGRAM EVALUATION COMMITTEE: ACGME REQUIREMENTS
Composition: at least 2 faculty members and at least 1 resident
Oversee educational activities
Review competency-based curriculum goals and objectives
Assess compliance with ACGME standards
Monitor resident performance, faculty development and graduate performance

11. PROGRAM EVALUATION COMMITTEE: ACGME REQUIREMENTS
Annual written resident and faculty program evaluation
Written plan of action
Annual formal program evaluation

12. FACULTY/RESIDENT SURVEY
I have a good sense of the overall goals and structure of our curriculum.
# responses
We’re doing pretty well here too.
Likert scale

13. LFMR CURRICULUM ASSESSMENT TOOL (ANNUAL CURRICULAR REVIEW FOR EACH ROTATION)
Competency-based goals and objectives, by year when appropriate
Methods of teaching/overview of curricular content
Measurable outcomes
Summative resident rotation evaluations
In-service exam results as pertinent
Procedure and patient care logs as pertinent
Exit interview results
Results of graduate surveys as pertinent
Graduate ABFM certification examination performance
Faculty development and CME activities as pertinent
Program deficiencies from most recent accreditation review if pertinent
Review of improvement plan from the previous year with progress report
Concerns and areas of attention for the coming year
Our previous curricular assessment tool or CAT

14. FACULTY/RESIDENT SURVEY
I have a clear idea of what I should learn during each rotation experience.
# responses
We wanted to address this.
Likert scale

15. FACULTY/RESIDENT SURVEY
I understand the process by which our curriculum is evaluated and assessed.
# responses
And we wanted to address this. Communication was clearly an issue.
Likert scale

16. COMMUNICATION IN
Chief residents and one standing member from each class
Resident business meeting prior to rotation PEC meeting: Chief residents lead brief discussion to elicit resident input

17. COMMUNICATION OUT
Chief residents report back to Resident Business Meeting
Rotation coordinator reports back to faculty meeting

18. OVERALL CURRICULAR VISIONING
QUARTERLY PEC MEETINGS and BIANNUAL FACULTY MEETINGS
Is the balance right?
Does each rotation have the appropriate amount of time?
What areas need attention?
Are we fulfilling our mission?

19. PEC COMPOSITION
Residents: Who has only chiefs on the PEC? If you have other residents, are they Appointed? Elected?
Discussion slide

20. PEC SCHEDULE Separate meetings for separate rotations?
Meetings for grouped rotations?
One or two big meetings?
Discussion slide

21. CURRICULAR BALANCE How do you approach curricular balance/change?
Discussion slide

22. PROGRAM MISSION/VISION
How do you make sure that your program fulfills your mission?
Discussion slide

23. Please evaluate this session at: stfm.org/sessionevaluation