The Miller School of Medicine employs a data-driven approach in pursuit of continuous quality improvement and academic excellence. The Learner Assessment and Clinical Evaluation (LACE) team plays a crucial role in transforming how we assess students and evaluate our curriculum.
By advocating for the implementation of diverse formative and summative assessment methods, LACE ensures the attainment of educational goals and institutional education objectives at the Miller School of Medicine.
LACE actively contributes to the ongoing improvement of the curriculum by meticulously monitoring program evaluation data, including student outcomes. This involves regular reviews of courses, clerkships, and different phases of the curriculum. The team consistently shares its findings and recommendations with the Executive Curriculum Committee, which holds overarching responsibility for managing the curriculum. Through these efforts, LACE strives to uphold the high standards of education and foster continuous enhancement within the Miller School of Medicine.
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NextGenMD Dashboard
The Academic Dashboard and student E-Portfolio is a purpose built tool that displays student performance data to help improve the curriculum and provide feedback and guidance to our learners. Registered Longitudinal Clinical Educators (LCEs), and medical school leadership can log in through the link below using their SSO credentials. LCEs will find their assigned students in the LCE advising tab. For E-portfolio or Dashboard instruction or help, first review the voiceover narrative power point. If you need additional assistance or feel the resources of the E-portfolio or Dashboard can support your work in the Miller School of Medicine, please reach out to Dr. Matthew Imm at mimm@med.miami.edu.
ePortfolio Videos
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USMLE Outcomes
Class of 2024 USMLE Outcomes (2022-2023):
UMMSM Pass Rate Step 1: 98% Pass
National Pass Rate Step 1: 93% Pass
Step 1 is a Pass/Fail Exam and no score is reported.UMMSM Pass Rate Step 2: 100% Pass
National Pass Rate Step 2: 97%
UMMSM Mean Score Step 2: 249
National Mean Score Step 2: 245Class of 2025 USMLE Outcomes (2024-2025):
Class of 2025 Step 1 Pass Rate: 96%
Class of 2025 Step 2 Pass Rate: 99.5%
Class of 2025 Step 2 Mean Score: 250 -
Institutional Education Objectives
IEO Number Text AAMC/ACGME Core Competency 1 Gather relevant and accurate patient information by performing a history and physical exam and obtaining relevant clinical data. PCPS2, PCPS3 2 Develop and prioritize differential diagnoses using history, physical exams, and the interpretation of common diagnostic and screening tests. PCPS4, PCPS5, PCPS6 3 Create and execute integrated diagnostic and therapeutic plans for the acute and longitudinal management of health problems. PCPS4, PCPS6, PCPS7 4 Integrate principles of disease prevention, health promotion, shared decision-making, and education into the health care of individuals, families, communities, and populations. PCPS1, PCPS8, PCPS10, IPCS5 5 Perform the diagnostic and therapeutic procedures necessary for patient care. PCPS9 6 Explain the physiologic basis of human homeostasis and the diagnosis and management of human diseases. MK1 7 Apply the principles of epidemiology and social sciences to the collection of public health data, and the analysis, treatment, and prevention of health problems and disparities in communities and populations. PCPS11, MK1, MK2, SBP1, SBP2, SBP8 8 Recognize personal strengths and limitations, identify academic and career goals, seek and assimilate feedback in daily practice, and execute a personal action plan. P5, P6, PB1, PB2, PB3, IPCS6 9 Critically appraise and incorporate new scientific developments into patient care. MK3, MK5, PB4 10 Identify and investigate problems in the natural, social, and health system sciences that influence patients, populations, and communities to improve health and well-being. MK4, PB5 11 Demonstrate written and verbal communication that is effective, empathetic, and respectful in a manner that reflects the audience and clinical context. P1, P4, SBP4, IPCS3, IPCS4, IPCS6 12 Exhibit and role model professionalism by demonstrating integrity, agency, humility, and responsibility. P8, P10 13 Act ethically in the best interests of patients and society. P2, P3 14 Demonstrate awareness of and respect for the individual patient backgrounds, values, and characteristics that affect clinical outcomes. P7, P8 15 Practice high-value care for the benefit of patients and health care systems. SBP5, SBP7 16 Advocate for patients and address systems-level changes necessary to improve health outcomes and patient safety. SBP6 17 Respect and utilize the expertise of colleagues and allied health professionals with complementary skills sets to enhance the care of patients. IPCS1, IPCS2 18 Develop a personal and professional identity aligned with the core values of the profession. P1, P2, P3, PB3, PB5 19 Maintain, monitor, and nurture mental, emotional, and physical health and take measures to promote personal wellbeing. P9 20 Demonstrate the teamwork, leadership, and situational awareness necessary to support patient care across the spectrum of changing healthcare contexts. SBP3, IPCS1, IPCS2 -
Key Faculty & Staff
LACE Key Faculty:
Dr. Mathew Imm
Co-Director
Email: mimm@med.miami.eduDr. Chi Zhang
Co-Director
Email: c.zhang@med.miami.eduLACE Key Staff:
Rachel Jenkins
Manager, Programs
Email: rlj66@med.miami.edu
Clerkship Learning Objectives and Required Clinical Experiences
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From the ER to the OR Integrated Clerkship
ER to OR Integrated Clerkship Learning Objectives
- Obtain an organized, age-appropriate, and comprehensive surgical, anesthesiology, and emergency medicine history, including the relevant information appropriate for the clinical context.
- Perform surgical, anesthesiology, and emergency medicine physical exam maneuvers necessary for the clinical context of the patient visit.
- Identify abnormal surgical, anesthesiology, and emergency medicine physical exam findings.
- Demonstrate patient-centered interviewing and examination techniques that reflect respect for patient privacy, comfort, and safety.
- Synthesize essential information from the history, physical exam, previous records, and initial diagnostic evaluation to develop a comprehensive differential diagnosis.
- Interpret common diagnostic studies used in surgery, anesthesiology, and emergency medicine.
- Identify patients presenting with core surgical, anesthesiology, and emergency medicine diagnoses (required clinical experiences or RCEs) requiring urgent or emergent care.
- Recommend medical or surgical therapeutic plans for core surgical, anesthesiology, and emergency medicine diagnoses (RCEs).
- Recommend preventive care measures including lifestyle modification and immunizations for core surgical, anesthesiology, and emergency medicine diagnoses (RCEs).
- Counsel patients and their families about core surgical, anesthesiology, and emergency medicine diagnoses (RCEs).
- Perform the general procedures required for the clerkship including core RCE skills for airway management, wound care and the placement of urinary catheters, NG tubes and IV lines.
- Relate foundational sciences to clinical disciplines within the Integrated clerkship and apply to patient care.
- Apply principles of epidemiology and the social determinants of health to patient care.
- Recognize personal strengths and limitations, be receptive to feedback, and work on areas for improvement.
- Demonstrate the ability to utilize the medical literature to develop an evidence-based diagnostic and therapeutic plan through self-directed learning.
- Provide an accurate, concise, and well-organized oral presentation tailored to the needs of the recipient.
- Prepare and maintain comprehensive and timely medical documentation of the evaluation and care of the patient using the appropriate format for the type of encounter.
- Demonstrate empathy and active listening to patients and colleagues.
- Demonstrate the basic precepts of the medical profession including altruism, respect, compassion, honesty, integrity, and confidentiality in interactions with patients, families, and colleagues.
- Demonstrate a commitment to carrying out professional responsibilities.
- Demonstrate adherence to ethical principles, cultural humility, and sensitivity and respect to a diverse patient population.
- Recommend first line, cost effective diagnostic evaluation in the work up of core surgical, anesthesiology, and emergency medicine (RCEs).
- Collaborate effectively with colleagues and other healthcare personnel in the care of their patients.
- Apply effective teamwork models to Interprofessional Healthcare Teams (IHTs) across clinical contexts.
OR Integrated Clerkship Required Clinical Experiences
Clinical Condition Level of Student Responsibility Setting SURGERY Male Urinary Catheter Placement (SKILL) Performed with Help Inpatient Female Urinary Catheter Placement (SKILL) Performed with Help Inpatient Phlebotomy (SKILL) Performed with Help Inpatient or Outpatient Suturing (SKILL) Performed with Help Inpatient Changing Dressing (SKILL) Performed Independently Inpatient or Outpatient Suture/Staple Removal (SKILL) Performed Independently Inpatient or Outpatient Nasogastric Tube Placement (SKILL) Observed Inpatient Appendicitis Interpreter Inpatient Cholecystitis Interpreter Inpatient Colon Cancer Interpreter Inpatient Bowel Obstruction Interpreter Inpatient Breast Cancer Interpreter Inpatient Inguinal Hernia Interpreter Inpatient Abdominal Aortic Aneurysm Interpreter Inpatient Thyroid Nodule Interpreter Inpatient ANESTHESIOLOGY Bag-Mask Ventilation (SKILL) Performed with Help Inpatient Intubation with Direct Laryngoscopy (SKILL) Performed with Help Inpatient Placement of Standard OR Monitors (SKILL) Performed Independently Inpatient Insertion of IV Catheter (SKILL) Performed with Help Inpatient Induction of General Anesthesia (SKILL) Observed Inpatient EMERGENCY MEDICINE Wound Care, Lacerations, Abscesses (SKILL) Performed with Help Outpatient Orthopedic Injuries (SKILL) Performed with Help Outpatient Trauma Resuscitation (SKILL) Observed Outpatient Focused Assessment with Sonography for Trauma (FAST) (SKILL) Observed Outpatient Undifferentiated Chest Pain Reporter Outpatient Undifferentiated Shortness of Breath Reporter Outpatient Undifferentiated Abdominal Pain Reporter Outpatient Altered Mental Status/TIA/Stroke Reporter Outpatient Sepsis Reporter Outpatient Undifferentiated Back Pain Reporter Outpatient -
Mind, Matter & Medicine Integrated Clerkship
Mind, Matter & Medicine Integrated Clerkship Learning Objectives
- Obtain an organized, age-appropriate, and comprehensive neurologic, psychiatric, and ophthalmologic history, including the relevant information appropriate for the clinical context.
- Perform neurologic, psychiatric, and ophthalmologic physical exam maneuvers necessary for the clinical context of the patient visit.
- Identify abnormal neurologic, psychiatric, and ophthalmologic physical exam findings.
- Demonstrate patient-centered interviewing and examination techniques that reflect respect for patient privacy, comfort, and safety.
- Synthesize essential information from the history, physical exam, previous records, and initial diagnostic evaluation to develop a comprehensive differential diagnosis.
- Interpret common diagnostic studies used in neurology, psychiatry, and ophthalmology.
- Identify patients presenting with core neurologic, psychiatric, and ophthalmologic diagnoses (required clinical experiences or RCEs) requiring urgent or emergent care.
- Recommend medical or surgical therapeutic plans for core neurologic, psychiatric, and ophthalmologic diagnoses (RCEs).
- Recommend preventive care measures including lifestyle modification for core neurologic, psychiatric, and ophthalmologic diagnoses (RCEs).
- Counsel patients and their families about core neurologic, psychiatric, palliative medicine, and ophthalmologic diagnoses (RCEs).
- Perform the general procedures required for the clerkship including neurological exam, ophthalmology exam, mental status exam, and palliative medicine assessments.
- Relate foundational sciences to clinical disciplines within the Integrated clerkship and apply them to patient care.
- Apply principles of epidemiology and the social determinants of health to patient care.
- Recognize personal strengths and limitations, be receptive to feedback, and work on areas for improvement.
- Demonstrate the ability to utilize medical literature to develop an evidence-based diagnostic and therapeutic plan through self-directed learning.
- Provide an accurate, concise, and well-organized oral presentation tailored to the needs of the recipient.
- Prepare and maintain comprehensive and timely medical documentation of the evaluation and care of the patient using the appropriate format for the type of encounter.
- Demonstrate empathy and active listening to patients and colleagues.
- Demonstrate the basic precepts of the medical profession including altruism, respect, compassion, honesty, integrity, and confidentiality in interactions with patients, families, and colleagues.
- Demonstrate a commitment to carrying out professional responsibilities.
- Demonstrate adherence to ethical principles, cultural humility, and sensitivity and respect to a diverse patient population.
- Recommend first-line, cost-effective diagnostic evaluation in the workup of core neurologic, psychiatric, and ophthalmologic diagnoses (RCEs).
- Collaborate effectively with colleagues and other healthcare personnel in the care of their patients.
- Apply effective teamwork models to Interprofessional Healthcare Teams (IHTs) across clinical contexts.
Mind, Matter & Medicine Integrated Clerkship Required Clinical Experiences
Clinical Condition Level of Student Responsibility Setting PSYCHIATRY Bipolar Mood Disorder Interpreter Inpatient or Outpatient Delirium Reporter Inpatient or Outpatient Neurocognitive Impairment (Psychiatry) Reporter Inpatient or Outpatient Eating Disorders Observer Inpatient or Outpatient Anxiety Manager Inpatient or Outpatient Depression Manager Inpatient or Outpatient Personality Disorders Reporter Inpatient or Outpatient Post-Traumatic Stress Disorder Observer Inpatient or Outpatient Psychotic Disorders Manager Inpatient or Outpatient Substance Use Disorder Interpreter Inpatient or Outpatient Somatic Symptom Disorder Observer Inpatient or Outpatient NEUROLOGY Altered Level of Consciousness Interpreter Inpatient or Outpatient Cognitive Disorders/Memory Loss (Neurology) Interpreter Inpatient or Outpatient Dizziness/Vertigo Interpreter Inpatient or Outpatient Focal Pain Interpreter Inpatient or Outpatient Focal Weakness Interpreter Inpatient or Outpatient Headaches Interpreter Inpatient or Outpatient Stroke Interpreter Inpatient or Outpatient Gait Disorders Reporter Inpatient or Outpatient Sensory Symptoms Interpreter Inpatient or Outpatient CT Brain with and without contrast: Normal structures, stroke, subdural hematoma, and mass lesion (SKILL) Performed with Help Inpatient or Outpatient CSF Analysis (SKILL) Performed Independently Inpatient or Outpatient PALLIATIVE MEDICINE Administer and interpret the Palliative Performance Scale (SKILL) Performed with Help Inpatient or Outpatient Assess and characterize a patient's pain (Pain Assessment Tool) (SKILL) Observed Inpatient or Outpatient Observe a goals of care discussion with a seriously ill patient (SKILL) Observed Inpatient or Outpatient -
The Practice of Medicine Integrated Clerkship
The Practice of Medicine Integrated Clerkship Learning Objectives
- Obtain an organized, age-appropriate, and comprehensive internal medicine, family medicine, and geriatric history, including the relevant information appropriate for the clinical context.
- Perform internal medicine, family medicine, and geriatric physical exam maneuvers necessary for the clinical context of the patient visit.
- Identify abnormal internal medicine, family medicine, and geriatric physical exam findings.
- Demonstrate patient-centered interviewing techniques that foster a therapeutic doctor-patient relationship.
- Demonstrate patient-centered interviewing and examination techniques that reflect respect for patient privacy, comfort, and safety.
- Synthesize essential information from the history, physical exam, previous records, and initial diagnostic evaluation to develop a comprehensive differential diagnosis.
- Interpret common diagnostic studies used in internal medicine, family medicine, and geriatrics.
- Identify patients presenting with core internal medicine and family medicine diagnoses (required clinical experiences or RCEs) requiring urgent or emergent care.
- Recommend medical or surgical therapeutic plans for core internal medicine and family medicine diagnoses (RCEs).
- Recommend preventive care measures including lifestyle modification and immunizations for core internal medicine and family medicine diagnoses (RCEs).
- Counsel patients and their families about core internal medicine and family medicine diagnoses (RCEs).
- Perform the general procedures required for the clerkship including geriatrics assessments (RCEs).
- Relate foundational sciences to clinical disciplines within the Integrated clerkship and apply them to patient care.
- Apply principles of epidemiology and the social determinants of health to patient care.
- Recognize personal strengths and limitations, be receptive to feedback, and work on areas for improvement.
- Demonstrate the ability to utilize the medical literature to develop an evidence-based diagnostic and therapeutic plan through self-directed learning.
- Provide an accurate, concise, and well-organized oral presentation tailored to the needs of the recipient.
- Prepare and maintain comprehensive and timely medical documentation of the evaluation and care of the patient using the appropriate format for the type of encounter.
- Demonstrate empathy and active listening to patients and colleagues.
- Demonstrate the basic precepts of the medical profession including altruism, respect, compassion, honesty, integrity, and confidentiality in interactions with patients, families, and colleagues.
- Demonstrate a commitment to carrying out professional responsibilities.
- Demonstrate cultural humility, sensitivity, and respect to a diverse patient population.
- Recommend first-line, cost-effective diagnostic evaluation in the workup of core internal medicine and family medicine diagnoses (RCEs).
- Collaborate effectively with colleagues and other healthcare personnel in the care of their patients.
- Apply effective teamwork models to Interprofessional Healthcare Teams (IHTs) across clinical contexts.
The Practice of Medicine Integrated Clerkship Required Clinical Experiences
Clinical Condition Level of Student Responsibility Setting INTERNAL AND FAMILY MEDICINE Coronary Artery Disease Reporter Inpatient or Outpatient Congestive Heart Failure/Cardiomyopathy Reporter Inpatient or Outpatient Hypertension and Its Complications Reporter Inpatient or Outpatient Obesity and Metabolic Syndrome Reporter Outpatient Diabetes and Its Complications Reporter Inpatient or Outpatient COPD/Asthma Reporter Inpatient or Outpatient Pneumonia Reporter Inpatient Gastro-Esophageal Reflux Disease Interpreter Outpatient GI Bleeding Reporter Inpatient Liver Disease Reporter Inpatient or Outpatient Pancreatic Disease Observer Inpatient Anemia Reporter Inpatient or Outpatient DVT/PE Reporter Inpatient Acute/Chronic Renal Injury Reporter Inpatient or Outpatient Sepsis Reporter Inpatient Encephalopathy Reporter Inpatient HIV Infection and Its Complications Observer Inpatient or Outpatient Health Maintenance in the Primary Care Setting Manager Outpatient Common Dermatologic Conditions in the Primary Care Setting Interpreter Outpatient GERIATRICS Perform a comprehensive geriatric assessment (SKILL) Performed with Help Inpatient or Outpatient Perform a fall risk work-up including a gait and balance assessment (SKILL) Performed with Help Inpatient or Outpatient Perform a medication reconciliation applying deprescribing principles (SKILL) Performed with Help Inpatient or Outpatient Conduct a surveillance examination of skin areas at high risk for pressure injuries and apply a risk assessment tool (Braden or Norton) (SKILL) Performed with Help Inpatient or Outpatient -
Women & Children's Health Clerkship
Women & Children's Health Clerkship Learning Objectives
- Obtain an organized, age-appropriate, and comprehensive pediatric and obstetric-gynecologic history, including the relevant information appropriate for the clinical context.
- Perform pediatric and obstetric-gynecologic physical exam maneuvers necessary for the clinical context of the patient visit.
- Identify abnormal pediatric and obstetric-gynecologic physical exam findings.
- Demonstrate patient-centered interviewing and examination techniques that reflect respect for patient privacy, comfort, and safety.
- Synthesize essential information from the history, physical exam, previous records, and initial diagnostic evaluation to develop a comprehensive differential diagnosis.
- Interpret common diagnostic studies used in pediatrics and obstetrics-gynecology.
- Identify patients presenting with core pediatric and obstetric-gynecologic diagnoses (required clinical experiences or RCEs) requiring urgent or emergent care.
- Recommend medical or surgical therapeutic plans for core pediatric and obstetric-gynecologic diagnoses (RCEs).
- Recommend preventive care measures including lifestyle modification and immunizations for core pediatric and obstetric-gynecologic diagnoses (RCEs).
- Counsel patients and their families about core pediatric and obstetric-gynecologic diagnoses (RCEs).
- Perform the general procedures required for the clerkship including observing vaginal and cesarean delivery.
- Relate foundational sciences to clinical disciplines within the Integrated clerkship and apply them to patient care.
- Apply principles of epidemiology and the social determinants of health to patient care.
- Recognize personal strengths and limitations, be receptive to feedback, and work on areas for improvement.
- Demonstrate the ability to utilize the medical literature to develop an evidence-based diagnostic and therapeutic plan through self-directed learning.
- Provide an accurate, concise, and well-organized oral presentation tailored to the needs of the recipient.
- Prepare and maintain comprehensive and timely medical documentation of the evaluation and care of the patient using the appropriate format for the type of encounter.
- Demonstrate empathy and active listening to patients and colleagues.
- Demonstrate the basic precepts of the medical profession including altruism, respect, compassion, honesty, integrity, and confidentiality in interactions with patients, families, and colleagues.
- Demonstrate a commitment to carrying out professional responsibilities.
- Demonstrate adherence to ethical principles, cultural humility, and sensitivity and respect to a diverse patient population.
- Recommend first-line, cost-effective diagnostic evaluation in the workup of core pediatric and obstetric-gynecologic diagnoses (RCEs).
- Collaborate effectively with colleagues and other healthcare personnel in the care of their patients.
- Apply effective teamwork models to Interprofessional Healthcare Teams (IHTs) across clinical contexts.
Women & Children's Health Clerkship Required Clinical Experiences
Clinical Condition Level of Student Responsibility Setting OBSTETRICS AND GYNECOLOGY OB-GYN History (SKILL) Performed Independently Inpatient or Outpatient Well Woman Exam (SKILL) Performed with Help Outpatient Participation in Prenatal Care Visit (SKILL) Performed with Help Outpatient Participation in Labor Management (SKILL) Observed Inpatient Participation in Care of High-Risk Pregnancy (SKILL) Observed Inpatient or Outpatient Participation in Vaginal Delivery (SKILL) Observed Inpatient Participation in Cesarean Delivery (SKILL) Observed Inpatient Contraceptive Counseling (SKILL) Performed Independently Inpatient or Outpatient Intimate Partner Violence Screening (SKILL) Performed Independently Outpatient Participation in GYN ER Consultation (SKILL) Performed with Help Inpatient Evaluation of Abnormal Uterine Bleeding (SKILL) Performed with Help Inpatient or Outpatient Evaluation of Menopausal Patient (SKILL) Performed with Help Outpatient Evaluation of Patient with Adnexal Mass (SKILL) Performed with Help Inpatient or Outpatient Evaluation of Patient with Vaginal Discharge or Pelvic Infection (SKILL) Observed Inpatient or Outpatient PEDIATRICS Evaluation of Newborn Infant (SKILL) Performed Independently Inpatient Well Child Check (0-18 years) (SKILL) Performed Independently Outpatient Evaluation of a Child with Chronic Disease (SKILL) Performed Independently Inpatient or Outpatient Calculate Maintenance IV Fluids (SKILL) Performed Independently Inpatient Evaluation of Fever (SKILL) Performed Independently Inpatient or Outpatient Developmental Delay (SKILL) Performed Independently Inpatient or Outpatient Evaluation of Abdominal Pain (SKILL) Performed Independently Inpatient or Outpatient Evaluation of Cough (SKILL) Performed Independently Inpatient or Outpatient