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and allowed students to become confident about their ability to undertake pharmacy related calculations. We are currently evaluating whether this method ensures retention of this knowledge. and has helped them take international exams for residence programs. Repeated testing and guided independent studies are important to improve scores. Assessment Abstract ID: 120 IMPLEMENTATION AND UTILITY OF THE CBSE IN A PBL CURRICULUM: THE EXPERIENCE OF A PRIVATE UNIVERSITY IN ECUADOR, 2006-2011 David Viteri 1 , Marco Fornasini 1 , Iván Sisa 1 , Manuel Baldeón 1 . 1 Universidad San Francisco de Quito, Quito- Ecuador PURPOSE Few Medical Schools in South America have implemented an International Progress Test to evaluate student’s progress. Since 2006, the Comprehensive Basic Science Examination (CBSE) from the National Board of Medical Examiners (NBME) was implemented at a private medical school in Ecuador as a complementary method of evaluation. A minimal score of 60 points is a requirement for graduation. The aim of the study was to evaluate the progress of students in basic sciences over the six years of schooling through the NBME-CBSE in order to assess students and adjust the curriculum. METHODS The results of each subject are reported in a qualitative performance band which did not permit for quantitative statistical analyses of the scores. Therefore, a 1-5 scale was developed based on the band length. Higher scores reflect better performance. RESULTS From 2006 to 2011 a total of 353 exams were taken by 2nd to 6th year medical students (n=93). Mean score during 2nd and 6th year were 39.3±5.6 and 52.5±6.7, respectively. The best and worst performance subjects were hematology 2.1±1.2 and general principles of health and disease (GPHD) 1.1±0.4. Scores increased as the students advanced in their studies. Limited progress was observed in genetics, anatomy, histology and GPHD. All sixth year students scored ³ 60 points, however, about 5 chances are offered to students during their sixth year. CONCLUSIONS This is the first report from a Medical School in Ecuador that evaluates the usefulness of the NBME- CBSE. This test has allowed this Medical School to improve its curricula, monitor student’s progress Assessment Abstract ID: 121 Award Nominee EVALUATING THE EFFECTIVENESS OF MANDATORY WEEKLY ASSESSMENTS ON END-OF-YEAR SUMMATIVE PERFORMANCE David M. Thomas, David W. Rodenbaugh, Robert A. Augustyniak, Minhee Seo, Richard L. Sabina and William C. Forbes. Oakland University William Beaumont School of Medicine, Rochester, MI, USA PURPOSE Medical students are expected to assimilate vast quantities of material; however, their learning is often assessed using just a few high stakes exams. As a result, students are prone to memorize subject matter immediately before exams, failing to integrate materials for the long term. To examine the “spacing effect” in our assessments, this study is designed to test the effectiveness of mandatory, graded, weekly assessments on students’ retention of information. METHODS First-year medical students will be exposed to a variety of courses, each utilizing weekly on-line quizzes to varying degrees. One utilizes nonevaluated, voluntary, weekly quizzes. A second uses non-evaluated, sporadic, voluntary quizzes. Two others utilize graded, mandatory, weekly quizzes. A year-end summative examination integrating topics from all first-year courses will be used to assess student learning of materials covered throughout the year. Topic-specific performance on the yearend exam will be compared to like-content performance in courses offered during the year. RESULTS The two courses utilizing mandatory, graded quizzes will be completed by April, 2012, and the year-end summative examination will follow two weeks later. While simply qualitative, students have anecdotally reported the benefits of weekly quizzes for assimilating materials. It is anticipated that students will perform at a higher level on content that was assessed within courses that afford graded, mandatory, weekly quizzes. CONCLUSIONS It is anticipated that weekly quizzes will prove beneficial to student performance within courses Medical Science Educator © IAMSE 2012 Volume 22(4S) 282
and on the year-end exam. At the very least, the students’ perceptions that weekly quizzes are beneficial to their success are sufficient to warrant their continued inclusion in our curriculum. Assessment Abstract ID: 122 Award Nominee FIRST-YEAR MEDICAL STUDENT ATTITUDES ON NUTRITION TOPICS BEFORE AND AFTER A NUTRITION COURSE Oren Rosenthal, James Leiber, and Mark Best, LECOM-Bradenton College of Osteopathic Medicine, Bradenton, FL USA PURPOSE The objective of this study was to evaluate students’ changing attitudes on the following: importance of including nutrition in their medical curriculum, influence of a nutrition course on their eating habits, beliefs about how they will spend time counseling future patients, and ability to provide information to patients on the relationship of nutrition to major chronic diseases. METHODS Online surveys were sent to 154 first-year osteopathic medical students, pre and post a medical nutrition course. A 1-5 rating scale was used for each survey statement. Data was compared by the Mann-Whitney rank sum test. RESULTS Response rates were 98% pre-course and 79% postcourse. Nutrition-related survey items, all at P≤0.001 post-course compared to pre-course, included: interest, education importance, prescription use, and health of patients and self. Comparison of Pre to Post course responses on the item about ability to supply patients valid information on the relationship of nutrition to the following conditions was: for cancer (P≤0.001); metabolic syndrome (P=0.005), coronary artery disease (P=0.009), hypertension (P=0.003), and aging (P≤0.001). CONCLUSIONS Students value the inclusion of nutrition topics in their medical education. More students conclude that having taken a nutrition course, they will be able to offer valid information to patients about the relationship of nutrition to cancer, metabolic syndrome, coronary artery disease, hypertension, and changes associated with aging than they did prior to the course, and they predict they will spend more time counseling patients on nutrition. Students’ attitudes on nutrition are influenced by taking a course in the first year of medical school, and they believe this will transfer to behaviors in practice. Assessment Abstract ID: 123 eDemo ASSESSING RESIDENT'S UNDERSTANDING OF ACGME CORE COMPETENCIES THROUGH CREATIVE EXPRESSION Lorraine Fugazzi, Timothy Sullivan, MD, Brahim Ardolic MD, Staten Island University Hospital, USA PURPOSE Residents are regularly evaluated as to their understanding of the six ACGME Core Competencies. The evaluation typically relies on standard, multiple-choice written examinations on course content, as well as discussion and review with their Program Director and other key clinical faculty. Achievement of satisfactory performance in all six core competencies is necessary for successful completion of the program. The study objective is to explore whether describing and evaluating residents’ creative responses to the six Core Competencies augments the educators’ assessment of the learning process, and also whether it enhances the residents’ educational experience. METHODS After participating in presentations on the Core Competencies, 58 residents were given a template with six blank spaces bearing headings reflecting each of the six Core Competencies. They were simply asked to draw their responses to each of the Competencies in whatever way they chose. They could illustrate the concept of the Competency, or their reaction to it, as they wished. RESULTS In the first phase of this study the investigators will subject the drawings to a systematic analysis, to determine thematic content, emotional content, and literal content with respect to how accurately the drawings reflect their intended object (i.e. one of the Core Competencies). It is hypothesized that the intense stimulus represented by the “Core Competencies,” will yield insights into their imaginative responses to key stressors occurring during their professional development. Drawings will be evaluated, with guidelines established by the investigators in consultation with a psychologist experienced in the interpretation of psychological tests, by blinded raters. Medical Science Educator © IAMSE 2012 Volume 22(4S) 283
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MEDICAL SCIENCE EDUCATOR The Journa
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