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Community Engagement Initiative of the Year Award

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Summary

Thousands of aspiring physicians are turned away from medical school every year despite a projected U.S. shortage of 139,000 physicians by 2033. Two international medical schools, Ross University School of Medicine (RUSM) and American University School of Medicine (AUC), are committed to closing this workforce gap by creating pathways for qualified and deserving students who have been overlooked by the education system. Since 1978, we have graduated more than 22,500 physicians—many of whom practice in underserved communities and areas of greatest need.



As access-mission medical universities, RUSM and AUC serve diverse, non-traditional students who often require individualized support in a high-volume learning environment. This support became significant during the pandemic as students struggled to study for and pass the daunting USMLE Step 1 exam, the first hurdle to US physician licensure. As pandemic-related Step 1 challenges increased, RUSM leveraged impactful partnerships with AUC and parent company Adtalem Global Education to develop a Pathways to Step 1 program for students in varied states of academic readiness.  



Design thinking was used to understand student needs and develop a holistic success framework with targeted academic, social, and wellness interventions. Solutions were prototyped, tested, iterated, and refined based on student outcomes, and the initiative moved a significant number of students out of the Step 1 gap toward graduation.  



This program has become a model for cross-collaboration and has driven change and improvement across both medical schools. Importantly, it has allowed us to continue our mission to have a profound impact on health.

Key People


Dr. Heidi Chumley
Dean of Ross Medical School
Academics,  Ross University School of Medicine



Dr. Kenneth Feldman
Senior Associate Dean
Academics and Student Affairs,  Ross University School of Medicine



Dr. Sean Gnecco
Associate Professor
Academics, Teaching and Learning ,  Ross University School of Medicine



Christine Scott
Director, Academics Course Development
Academic, Course Development ,  Ross University School of Medicine



Laura Fillmore
Senior Director, Product Development and Classroom Design
Product Development and Classroom Design ,  Adtalem Global Education



Dr. Joy Checa
Associate Dean
Academic Affairs, Clinical ,  American University of the Caribbean



Alex Carassco
Vice President
Operations,  Adtalem Global Education



Tonja Kelly
Senior Manager, Product Development
Product Development and Classroom Design ,  Adtalem Global Education



Dr. Brenda Scott
Director, Academics Course Development
Product Development and Classroom Design ,  Adtalem Global Education



Dr. Pedro Delgado
Dean of American University of the Caribbean
Academics,  American University of the Caribbean



Dr. Nurry Pirani
Senior Associate Dean
Academics and Student Affairs,  American University of the Caribbean


Acknowledgements

Ross University School of Medicine would like to acknowledge the support of our parent company, Adtalem Global Education, for this support of this program. Specifically, Dr. John Danaher, Steven Tom, and Dr. Darrell Luzzo.

Images

Ross Medical School of Medicine Graduation

Ross Medical Students in Anatomy Lab

Ross Medical Students in Community Clinic

Ross Medical Students studying

Student match in Family Medicine

Targeted Interventions for Step 1 Success

Welcome Page of Step 1 "Surfer Success" Course

Pathways to Step 1 program intervention strategies

IMPACT STORY

Impacting lifes

Using the right resources in the right sequence at the right time is crucial to helping non-traditional students prepare for Step 1. When they transition from a structured medical sciences program to independent study, students risk feeling detached from their institution, their confidence can fade, and test scores may drop with delayed testing. Defining each student’s testing readiness through personalized coaching and data became key factors in their Step 1 success journeys.



Medical student, Adedayo shared her personal “must-haves” after passing Step 1:

Advising: An advisor that is fair, compassionate, practical, optimistic, and keeps you accountable is essential. Get tailored and positive advice about your unique journey.

Tutoring-Group Study: See tutors to think through problems, clarify concepts, and hear from someone who has been in your position. I could barely do 2 study blocks by myself but with groups, we could get through 3-4 blocks in a day together.

Question Banks-Repetition: I redid every resource I had access to. The benefit is stamina, familiarity, and identifying commonly tested concepts to direct your plan. With each iteration, you're more agile in thinking and experienced 8-10 different ways to be tested.

Faith-Therapy-Wellness: A big hurdle for me was testing anxiety. I saw a therapist weekly about how I was feeling. If you are a person of faith, hold on during this time. Have confidence and a sense of peace, particularly on exam dates. Take breaks, exercise, decrease cortisol, and receive peace from praying.

Thank you for your support and encouragement! Gratefully, Adedayo

LEARNINGS

Lessons learned

Graduating new physicians, particularly those with diverse cultural backgrounds, directly improves health outcomes, especially in communities impacted by the Social Determinants of Health. We admit our students because we believe Adtalem partnerships and the unique RUSM curriculum, support, and resources empower them to succeed. When we saw a Step 1 decline, we took accountability as a cross-institutional team to rapidly improve our curriculum, support, and resources to mitigate risk and increase student success. Our learnings include:

Don’t wait for perfect to test a solution.

Pathways to Step 1 began with a student success framework, a course, some data, and a small team of support staff. We used evidence, such as student feedback and outcomes, to continually refine and test more effective solutions.

Know who you are designing and solving for.

Define user personas that include goals, motivations, preferences, fears, and success factors to deeply understand user needs. Utilize these personas to guide intentional, nuanced, user-centric design decisions.

Meet students where they are and help them feel supported.

Identify risk categories, create individualized study plans, and provide resources and holistic, ongoing support. Consider all students, including the highest achievers, to keep them motivated toward success.

Redefine your community and rethink traditional perspectives and roles.

Leverage the power of interdisciplinary problem solving and diverse perspectives, especially in high-stakes scenarios, to surface unmet needs and recognize new possibilities. Ask “how might we” questions to reimagine and pivot resources to maximize their impact. Manage change as positive potential rather than a fearful unknown.

FUTURE PLANS

What's coming?

Early, positive Step 1 initiative results indicate that leveraging our cross-institutional efforts and resources toward a common goal will allow our students to be their best and achieve our shared mission to impact healthcare delivery in our communities, the US, and throughout the world.



A holistic, sustainable student success strategy includes the following goals:

Continue to refine the curriculum toward a seamless “Day 1, Step 1” student success model and fully integrated community and clinical experiences all the way through clinical rotations, applying for residency, and graduation.

Develop just-in-time data strategies for students and support teams to monitor testing readiness and progress toward graduation.

Fully utilize in-person and virtual learning communities that provide social and emotional support for shared student experiences throughout their medical school journey.

Continue to maximize the expertise of Adtalem design, data, and technology teams and partner institutions to iterate and refine a holistic learning experience that engages students with innovative, evidence-based teaching and learning experiences.

Continue to leverage high-yield, industry-tested resources that address student learning, exam preparation, and review gaps.

Expand our communities by connecting clinical students and alumni for mentorship, pathways into practice, and specific areas of practice.

Continue to utilize a discovery process to validate value-driven, user-centric ideas rather than defaulting to assumptions based on historical practice.

Maintain open lines of communication with AUC and bring shared learnings and best practices across our schools to positively impact more students.


KEY STATISTICS

9

Number of "Pathways to Step 1 Course" iterations

435

Students moved out of the Step 1 gap into clinical

26%

Percentage of 2022 graduates who are of a race or ethnicity underrepresented in medicine

22,500+

Number of graduates trained by Ross University and American University

88%

Graduates who practice in low-income communities

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