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Improved classes based on student feedback

The courses you take are important; not only for your knowledge as a medical professional, but as a student trying to retain mass amounts of information.

We strive to make every class as efficient and relevant as possible. Using past survey data, we made the following improvements as part of our effort to make IU the best medical school in the country.

Two students with laptops sitting at a desk having a joyful conversation in class

Phase 1 Year 1

In response to both student and faculty feedback, the Course Management Team has improved and updated their course materials. The Course Management Team has revised eight small group sessions and re-recorded eleven lectures, including pulmonary physiology and pathology lectures. Virtual microscopy sessions have been embedded into small group materials. The team improved the audio on selected renal physiology lectures. We are continuing to have two exams during the physiology section of the course. Student performance improved from previous years compared to having a single exam over the three-week period. While this increases the number of exams in the course, it removes having a single high stakes exam over half of the course (physiology). New practice questions with answers and explanations have been added to all blocks of the course.

  • We have updated a learning objective to address a gap in course content to go beyond explaining the basic principles of immunization: Explain the basic principles of immunization and discuss ways to support informed vaccine decision making.

  • To improve the structure and timing of both the autoimmunity (block 1) and immunodeficiencies (block 3) sessions, several changes have been made to the sessions:

    • Students will no longer give presentations during these sessions. Instead, after a brief pre-work video and introductory material, students will research key facts on each disease, focusing on disease mechanisms. The group will then review a series of brief cases to identify the diseases described.

    • To make the time more manageable, the set of diseases is now split between two sessions instead of covering all diseases on the first day and recapping on the second day.

    • To avoid overwhelming students with a lot of new material right before the exam, the autoimmunity session in week 2 has been moved up by one day. This change provides students with two full days free of in-class activities to study for exam 1.

  • To give students more time to complete the SDL activity and prepare a good presentation, HIV day 1 has been moved up by one day, while day 2 remains in its original place. This adjustment gives students two days to work on the activity.

  • All small group activities have been reviewed by a group of infectious disease physicians and updated accordingly.

  • Links have been added for students to give feedback on each session in the course, rather than just the lectures.

Based on last year’s feedback, several modifications have been made to this year’s N&B course, including:

  • Pre-work lectures and prep materials greater than 30 minutes were moved to dedicated time in the N&B calendar.
  • Updated small group lab materials to increase focus.
  • Reviewed, revised and updated lecture recordings.
  • Reviewed and updated small group sessions materials.
  • Revision of some neurology sessions to reduce redundancies in clinical cases.
  • Addition of TrueLearn formative quizzes for each N&B block.
  • Revised unit exams based on question performance.

  • Updated biostats sessions to ensure greater content alignment and scaffolding.
  • Reviewed and/or updated all pre-recorded lectures based on feedback from students and faculty.
  • Revised learning sessions to reduce content redundancy.
  • Added additional Practice Quick check questions.
  • Combined cultural awareness and patient center care sessions into one session.

  • Revised course schedule — all required work is now listed on the schedule. In addition, students told us that the time allotted for gross anatomy lab sessions was too short, so it's been increased from 2 to 3 hours.

  • Revamped statewide pre-recorded lectures — all lectures were reviewed and/or revised based on student and faculty feedback and in accordance with MSE guidelines.

    • Presentation of surface anatomy has been enhanced in gross anatomy lectures to facilitate integration with physical exam skills taught in Foundations of Clinical Practice 1 course.

    • A new Block 3 Introduction to Skull and Cranial Nerves lecture has been created to provide students with a more complete overview of head and neck structures prior to viewing the lectures on specific head and neck regions.

  • Revamped histology lab practice PowerPoints — now better aligned with lecture content and streamlined the practice of identifying histology structures.

  • Revised gross anatomy laboratory resources and guidance on use of resources.

    • Changed the 'structures to know' lists and dissection instructions for Block 2.

    • Adopted Grant’s Dissector as the official dissection instructions for gross anatomy labs. Lab-associated chapters have been linked to the gross anatomy lab Canvas module pages and are also available as an eBook at the Lilly library.

    • Prosection videos are provided as an overview of structures that will be dissected in lab. The videos are not intended to provide dissection instructions.

    • Peer-teaching guides are provided to give students instructions on what should be covered during peer-teaching sessions.

    • A document describing these resources and how best to use them to prepare for gross labs and enhance learning of gross anatomy is provided on the Introduction to Gross Anatomy Lab Canvas Module page.

  • Revised Introduction to Anatomical Donors session. This was a new session last year that was very well received by students. We have made some revisions to enhance the session for its second iteration, including reducing the amount of out-of-class pre-work, streamlining the in-class discussions, and creating a new donor and donor family perspectives video.

  • Review of dissection groups A vs. B effort distribution

    • A Qualtrics survey of HS faculty (n=11) was conducted in which faculty estimated the effort required to complete the dissections for each lab on a scale of 1-5 (1=lowest effort, 5=highest effort).

    • All students dissect during the first gross anatomy lab. Thereafter, each group is responsible for completing dissections during 12 labs. Estimated average effort for group A vs. B labs was nearly identical (3.55 vs. 3.54). Additionally, both groups were responsible for completing the dissections for five labs that received effort ratings above 3.5; Based on these results, we believe that the dissection effort between groups A and B has been equitably distributed.

  • New student-created, faculty/graduate student/medical student-curated, HS course-specific Anki Deck — we're excited to bring students this new customized HS-specific Anki deck.

  • New Gross Anatomy and Embryology Q Bank with over 500 practice questions — this will allow students to practice applying gross anatomy and embryology content.

  • Revised the sequencing of the schedule based on student feedback; Reorganization of content to evenly balance all three course blocks.
  • All lectures were reviewed and updated as needed, and additional faculty experts were recruited to review and revise lecture recordings.
  • Addition of precision medicine lecture.
  • Revised large group discussions at the end of small group sessions to include more clinical correlation and enhance student learning.
  • Changed the deadline for the SDL assignment to provide more flexibility in the students’ schedule.
  • Optional statewide weekly review sessions have been scheduled during course time from 1-2 p.m. ET.
  • Additional practice questions via Canvas quiz, statewide weekly reviews and TrueLearn.

  • Assignments including reflections and modules simplified, reducing overall number of assignments.
  • Basic exam will be taught earlier to allow increased practice time for the physical exam. The fall OSCE will include an assessment of the basic exam. We will have fall semester one-on-one facilitator meetings with video review of the fall OSCE.
  • Clinical Exam Session pre-quizzes.
  • POCUS assessment.
  • Live, interactive feedback led by small group facilitators on H and P write-ups built into small group time.
  • Total number of professional development (PD) sessions reduced but will remain required. Sessions will include time for in-person discussion with site leaders/local faculty. Opportunities for interaction with the speakers are built into the sessions using TopHat. PD sessions include: PD Post-Quizzes, Expanded Substance-Use Disorder Professional Development Session, Preventative Care Session, Care of the Geriatric Patient Session.
  • The first SP practice has been redesigned to include a video review to enhance clinical skills development.
  • Communication skills will be assessed using a validated tool known as the CARE measure during SP events.
  • Clinic visit dheck-off list.
  • Case wrap-up discussion in the fall semester.

  • Journal club assignments will have more self-graded quizzes to improve consistency in feedback for students.
  • Improvements to biostatistics, including more practice questions focusing on biostatistics; New short videos on high-yield biostatistics concepts; The interactive large group session on biostatistics is now required.
  • Organization of the Canvas site has been improved, including new blocks to align with current definitions of Health Systems Science domains.
  • All content has been redesigned to focus on health systems organization and function across three pillars of community, system and evidence-based practice.
  • Redesigned research project.
  • Simplification of the self-directed learning assignment, also allowing students to identify areas of interest and gaps in knowledge.
  • Additional self-graded quizzes to reinforce course content.
  • Reflection assignments have been decreased and revised to focus on health systems domains.
  • In order to reduce the number of virtual sessions, one statewide session was converted to a small group discussion.
  • Two small group sessions are supplemented with real world data from Indiana communities.

Phase 1 Year 2

  • Redesigned blood banking small group to an escape room format.
  • Updated small groups with additional cases and studies.
  • Realigned schedule to allow better preparation for small group sessions.
  • Added environmental impacts to cardiovascular diseases small group.
  • Added pathology small groups.
  • Modified session materials for easier viewing and downloading.
  • Re-recorded several lectures with improved audio for the 2025-2026 academic year.
  • Added several practice quizzes.

  • Moved GIN to a later slot in the academic calendar.
  • Pathology small groups revised and updated.
  • Reviewed and updated lectures, including re-recording multiple lectures to ensure high quality and accuracy.
  • Structure changes in schedule to allow more flexibility in schedule and studying.
  • Incorporation of more clinical scenarios in lectures, small groups, and block exams to align with NBME.
  • New small groups to address clinically relevant topics.
  • Improved self-study modules based on student feedback.

  • Changed the way the course calendar is laid out to put all sessions — including pre-work — onto the schedule so they are visible.
  • Kept all pre-work videos to 30 minutes or less.
  • Reviewed all sessions that weren't re-recorded last year and re-recorded those that needed updating or had quality issues that Adobe couldn't address to our satisfaction.
  • Resolved the pronoun-mismatch issue with the hypertension small group.
  • Recorded some new primer videos for PGR by Dr. Carlos, as requested by students.
  • Added an additional question to the SDL to help us assess the revised HEAL competency CLO in another way.
  • Developing another formative quiz with questions more similar in style to the NBME questions (longer more complicated stems that integrate CVH, etc.). This will prepare students for them so they don't come as a shock. This is to address the comments that the NBME seems to be out of sync with the course and more difficult.  In addition, the formative quizzes have been rearranged to have all questions by block. The quiz settings have been checked, and all questions should display a rationale.
  • All hypertension pharmacology has been moved from C&H to R&R to avoid too much repetition in a short period of time. The hypertension pharmacology lecture has been moved from C&H to R&R and has been combined with the Clinical Aspects of Hypertension lecture with a Canvas Quick Quiz for application of the material.
  • The hypertension interactive lecture and the hypertension small group have been reworked and combined.
  • The pre-work session for the hypertension interactive session covering pulmonary arterial hypertension pharmacology has been moved to just before the pulmonary arterial hypertension grand rounds session.
  • The independent learning session for Renal Handling of Calcium, Phosphorous, and Magnesium has been reworked into a short lecture with a quiz for knowledge testing.
  • More questions have been added to the TrueLearn block quizzes.
  • All questions on the NBME have been reviewed to ensure that all concepts are adequately addressed in materials.

  • Moved ERMD to an earlier slot in the academic calendar.
  • Rearranged blocks to better accommodate scheduling and allow sufficient time for all topics.
  • Updated and rerecorded several lectures.
  • Small groups in female and male cancers have been separated to fit better into sub-blocks.
  • Gender diversity panel has been reorganized.

  • Added an introduction to a telehealth visit.
  • Created a three-week longitudinal case highlighting SOAP notes, electronic health records and discharge planning.
  • More cases with a teaching electronic medical record.
  • Increased variety of assignments.

  • Made journal club assignment improvements to increase health systems science topics, and we will be adding more HSS 1 topic refreshers into HSS 2 journal clubs.
  • Provided wrap-ups for each journal club, which will be highlighted in course announcements after every campus has completed small group sessions.
  • Worked to better align journal club content with other courses, such as FCP 2.
  • Reduced the number of discussion boards to one.
  • Incorporated more self-graded quizzes in journal club assignments to improve consistency in feedback for students. The journal club quizzes will only be taken one time instead of twice since students didn’t find it helpful to have a second opportunity to improve their grade.
  • We have redesigned the SDL assignments to include goals for engaging with course learning objectives and have added biostatistics to the final competency assignment in the course so that all three assignments are aligned with course level learning objectives.
  • We removed the one-on-one required meetings from the course based on student and facilitator feedback.
  • For 2025-2026, we will have two additional learning objectives to build on HSS 1 and prepare for HSS 3:
    • Describe principles of health care quality improvement.
    • Describe the principles of cost-effective care and the role of a physician in delivery of high-quality health care.

Phase 2

  • Improved didactics and focus on learning objectives
  • NBME mid-rotation practice exams implemented for all clerkships
  • Built in study day for all clerkships the day before an NBME exam
  • Lecture content reviewed if more than two years old and re-recorded if the content is out-of-date
  • Opportunity to retake one clerkship NBME exam at the end of the academic year to try to improve an overall grade for a clerkship

  • To reduce the burden for students during the two-week rotation:
    • Reduced required assignment by one history and physical (H&P)
    • Reduced required assignment by one anesthetic plan
    • No longer utilizing QR code evaluations on H&P assignments
  • Allowing students to request one additional evaluation from faculty or resident to provide additional information for assessment

Added:

  • USPSTF recommendations to modules. 
  • Preventive Health module.
  • POCUS Soft Tissue to Professional Development module.

Combined:

  • Knee Effusion and Wrist/Carpal Tunnel into one MSK POCUS module. 

Changed:

  • Telemedicine from Dermatology to Health Inequities module. 
  • NBME study sessions from a.m. to p.m.
  • Non-Medical Drivers of Health — Social Needs Assignment to PBLI-type assignment
  • Social Needs Assignment due date to allow for additional unencumbered final exam study time.

Removed:

  • Family Medicine Case Files

  • Mandatory didactics changed to 1-5 p.m. or 4-6:30 p.m.
  • Quizzes and required chapters now assigned to help students keep up with reading and studying the materials
  • The communication forms filled out by patients were previously required but are now optional

  • To provide additional time for students to learn obstetrics and gynecology, the clerkship was re-structured to six weeks in duration (previously a four-week clerkship).
  • Orientation is now two days with anesthesia to give more time for practicing procedures.

  • To permit students adequate study time, dedicated assignment completion/study time has been added to both the inpatient and outpatient blocks.

  • Increased outpatient experiences for students on inpatient sites
  • Focus on NBME shelf exam preparation, including development of a psychiatry ANKI deck
  • Increased exposure to child psychiatry for students with primary clinical sites with adults; Increased exposure to adult patients for students placed at primary clinical site for child patients.
  • Increased education on substance use

  • Added sessions for all students on scrubbing and sterile technique regardless of clerkship site or time of academic year
  • Increased focus on expectations for daily involvement
  • Added more advanced POCUS (FAST) skills
  • Addition of Lines and Tubes lecture for all students
  • Incorporation of TA into all rotations offering additional study opportunities and targeted help/feedback
  • Didactic methods were updated to include a mixture of delivery methods including in-person, virtual, synchronous virtual and asynchronous sessions including:
    • Removal of foley catheterization
    • Addition of acute care surgery requirement in place of mandatory overnight call

Phase 3

  • Grading scale shifted to Satisfactory/Fail for all Phase 3 clerkships, selectives and electives starting in the academic year 2023-2024
  • Adapted sub-Internship RCEs to focus on skills related to preparation for residency
  • i-Human simulation experience no longer used for the sub-Internships based on student feedback

Additional resources were created in the following content areas:

  • Supplemental pediatric critical care didactics on Canvas: We have added optional didactics specific to pediatric critical care.
  • Supplemental palliative care/end of life didactics on Canvas.

  • Enhanced orientation by incorporating an updated simulation/procedures/airways day on the first day of the block (in most months), followed by a second day consisting of live online didactics and panel discussions.

  • Included additional opportunities for RCEs, handoff and discharge through educational videos on Canvas.

  • The patient handoff evaluation form has been reorganized and further streamlined based on feedback from both students and their supervising faculty and residents to better reflect the I-PASS framework.
  • Our Transitions of Care pre-recorded lecture has been revised based on both student feedback as well as performance on this particular module; furthermore, the lecture has been split up into more easily accessible and digestible topics.

  • Retired the i-Human simulation experience and focused on transitions and handoffs.

Students are now given the opportunity to spend three consecutive nights with an admitting pediatrics resident. The purpose of this experience is to ensure students gain exposure to the clinical setting in the evenings and overnight. Two of the nights focus on admissions and staffing patients while one night focuses on cross cover.

  • The RCE has been changed to a group exercise to assure students have consistent, relevant cases for an enhanced learning opportunity.
  • We added an extra session on the final day reviewing the course's essential concepts.

  • Added technical skills workshop and assessment
  • Added sub-I site guides

  • Enhancing and tailoring course content and practical procedure training for the various specialty tracks.