Orientation to Teaching Roles and Responsibilities
To outline the teaching responsibilities of faculty, non-faculty instructors, residents/fellows who supervise or teach in the undergraduate medical education program.
The UCSF School of Medicine has procedures in place to ensure that all instructors who teach medical students in core courses/clerkships are prepared for their roles in teaching and assessment.
Non-Faculty Instructors: Graduate students, medical students, and any other instructor who is not a clinical resident, fellow or appointed UCSF faculty.
- The medical school ensures that the learning objectives for each required learning experience (e.g., course, clerkship) are made known to all instructors who supervise or teach medical students and these instructors are prepared for their roles in teaching and assessment.
- The medical school provides resources to orient non-faculty instructors to their teaching responsibilities, and provides central monitoring of their participation in those opportunities.
- All faculty, residents, and non-faculty instructors with teaching and assessment responsibilities receive annual communications about key policies related to undergraduate medical education.
- Faculty, residents, and non-faculty instructors receive course/clerkship objectives and graduation competencies, and review key policies before teaching in a specific course/clerkship.
- Faculty, residents, and non-faculty instructors are asked to adhere to the key policies or procedures each year. This listing is updated annually (see procedures below) by the Associate Dean for Curriculum and Strategic Advisor for Curriculum Governance but always includes asking instructors to attest they will notify the Course and Clerkship Directors if they feel they cannot comply with the UCSF School of Medicine Duality of Interest: Health Provider and Education Roles Policy.
- Non-Faculty instructors are required to participate in virtual or in-person orientations before teaching in the courses/clerkships. Medical Education Staff centrally monitor and track these orientations.
- The Center for Faculty Educators teaching development courses and workshops are open to faculty, residents, and non-faculty instructors.
YOUR OBJECTIVE and COMPLIANCE ATTESTATION PROCESS (YODA)
1. The Technology Enhanced Education Team manages a process for asking faculty/non-faculty instructors to review and attest to receiving course/clerkship learning objectives, graduation competencies, and key medical education policies related to medical education.
2. The Associate Dean for Curriculum, course and clerkship directors receive non-compliance reports and work individually with faculty members who have not complied to confirm they are still teaching and find out why the faculty member has not responded.
3. The Executive Committee of the curriculum reviews non-compliance reports annually to determine the efficacy of the process.
Preclinical Instructors Objectives Attestation Compliance Procedure
- Two weeks prior to the start of a preclinical course, an application known as YODA (Your Objective Attestation) queries Ilios for instructors assigned to teach.
- Ilios is searched each week while the course is running.
- Any additional instructors found are sent the attestation email.
Clinical Instructor Objective Attestation (revised 5-16-18). Two cycles for different individuals: July (Residents) and September (Faculty). Each cycle contains four weekly, automated email reminders to non-responders.
- The following individuals are included in the July cycle:
- All new, incoming residents (PGY-1) in UCSF departments that have core clerkships
- All new, incoming residents (PGY-1) at UCSF partner organizations that supervise UCSF medical students in core clerkships (includes Fresno, Highland, Kaiser)
- The following individuals are included in the September cycle:
- All UCSF faculty who evaluated medical students in the previous academic year (includes Fresno, VCF) and new faculty as required by clerkship directors
4. The YODA Attestation Email Includes the Following Language:
SUMMARY: We have not received your attestation; please go here, where you may attest, or can indicate that this does not apply to you.
Dear FIRST LAST,
You are receiving this email because you are a faculty member, resident, or are otherwise associated with the Neurology Core 110 Clerkship. Effective teaching in the curriculum requires an understanding of the learning objectives for the course in which you may teach or supervise students, of the competencies expected of our MD graduates, and key policies related to teaching medical students.
Additionally, the LCME, our accrediting body, requires all educators to review the course learning objectives and overall program objectives (graduation milestones) on a regular basis and attest to your understanding. The LCME also requires us to track centrally (and report) our faculty’s compliance with this activity. For your convenience and review, we have included the course learning objectives below, and the graduation milestones in the link below, which you will also use to indicate your review.
We ask your help in attesting to your review and understanding of these learning objectives, policies, and graduation milestones here. If you do not believe this applies to you, please follow the link and indicate you are not involved in teaching/supervising medical students.
(If this link does not work, please copy and paste the URL found at the end of this email into your browser.)
If there are any problems accessing the information, or if you have any questions, please contact David Rachleff (David.Rachleff@ucsf.edu), the MSE Curriculum Coordinator.
Thanks, as always, for your help and commitment to educating the next generation of physicians.
John A. Davis, PhD, MD
Associate Dean for Curriculum
Medical Student Education
Associate Professor of Clinical Medicine
Division of Infectious Diseases
5. The YODA Attestation form will include language about key policies (see below). These policies are updated every year at the direction of the Associate Dean for Curriculum and Strategic Advisor for Bridges Curriculum Governance:
As a faculty member, instructor/preceptor, or resident/fellow who teaches medical students, I attest that I understand and will abide by the following core UCSF policies and requirements:
- I promise to act in a manner compatible with the UCSF Principles of Community and understand the process for students to report medical student mistreatment
- I understand and will use the UCSF’s School of Medicine graduation competencies, relevant course/clerkship objectives and the School of Medicine’s assessment strategies to teach and assess student performance.
- I will notify the Associate Dean for Students or other university official with concerns about student wellbeing or performance. I will call 415-276-HEAL if I have urgent or emergent concerns about the health or wellbeing of a student.
- I will notify the Course/Clerkship Director to recuse myself from evaluating any student with whom I have provided clinical care services or is someone with whom I have familial or personal relationship, as noted in the UCSF SoM Duality of Interest: Health Provider and Education Roles Policy.
- I understand students have the right to be excused from clerkships for religious observation, health care reasons, and personal emergencies, as noted in the Bridges Curriculum Foundations 1 Policy on Attendance and Participation and the Foundations 2 Attendance Policy. I will direct the student to arrange these days off with the clerkship or site director, who may ask the student to makeup activities for missed days.
- I believe our learning environment must support student learning and safeguard students’ personal health. I will not ask students to work beyond the hours outlined in the Pre-clerkship student workload policy and Clinical Duty Hour policy.
- I will complete assessment forms and other assignments within four weeks, in accordance with the ‘Foundations 1 Assessment and Grading Policy’ and the Foundations 2 Assessment and Grading Policy.
- I understand UCSF has a single standard for advancement and all students have the opportunity to appeal any adverse decision related to advancement, graduation, or dismissal as outlined in the Satisfactory Academic Progress policy, Appeal Summary Evaluations or Course/Clerkship Grades and Student Grievance Policies.
- I know where other key policies are located on the Medical Student Policies web page.
Non-Faculty Instructor Orientation Process
- The Assessment, Curriculum, Evaluation course coordinators track the attendance of non-faculty course/clerkship orientation. Instructors who do not attest to receipt of training materials and/or who do not attend in-person orientations are asked to set up individual meetings with their respective course/clerkship director.
- Attendance documentation and orientation plans are reviewed annually by the Foundations 1 and Foundations 2 Operations Committees as part of the Comprehensive Course and Clerkship Reviews.
Accountable Dean or Director: Associate Dean for Curriculum
Approval Date and Governing Body: September 10, 2018, Executive Committee