Meeting & Agendas

Don Gwynn Welcomes everyone in attendance.

Motion to is made by Kenny Schnell to adjourn the meeting. Motion is seconded and a vote is taken. All vote 'in favor' of adjourning the meeting. Meeting is adjourned.

o Faculty – There have been many changes over the last year. Ginger Locke-Floyd has taken over the Assistant Dept. Chair position. Don Gwynn is now the Dept. Chair. We lost Sarah B Larison (Relocated) and Robyn Richter (retirement) and have added two new full time faculty members (Steven Villavicencio and Gabe Logan). The clinical lab coordinator position that Steven vacated has been posted and we will be looking over applications in about two weeks. o Clinical – We have added San Marcos/Hays County into our ALS clinical rotations. o Curriculum  SB 497 - 60-hour rule changes – Rebecca Brock requested a waiver that was denied. We were the only institution in the State that requested a waiver.  Curriculum changes concerning SB 497 – Ginger Locke-Floyd. a. We had to lose Medical terminology, Speech, and a weight training course. Another thing that we did in order to make room, was to remove the ‘card’ (PALS, PHTLS, ACLS) courses from our degree plan. We also added a success initiative course for healthcare professionals, HPRS 1171. We were also able to retain the ‘End of Life Issues’ course by working with the dept. to condense their 3 hour course into a 2 hour course. b. 4th and 5th semesters are no longer offered in the Summer as of Summer 2014. c. HB 20/20 – This bill has passed. The result is that Paramedics may now work in ER’s along side RNs in the state of Texas. This may result in added curriculum that may benefit paramedics who wish to pursue this opportunity locally.  Community Paramedic Programs (anticipated) – Kenny Schnell – Chronic Diseases, high utilization of EMS, etc… 77 patients activated EMS over 200 times in a 70 day period. This is a free program that is grant funded and provides care for underserved/chronically ill and under-insured people in the community. This helps the patients greatly and reduces the patient’s visits to the hospital dramatically. We would like to add something like this to our clinical training rotation. Nationwide, there is a great interest in creating more specified fields of training. This could be done on the certificate level.  Affective Evaluation – We will evaluate students throughout the program (each semester). The student will start off with the students evaluating themselves each semester. We are working to find a way to make this information quantitative so that we would be able to hold the student back if they do not meet their requirements. This process will be based on trending and not any one evaluation result.  Paramedic Psychomotor Competency Portfolio (PPCP) – We have skills testing. When students test for national registry, there are 14 skills that they will test. National registry testing will be reduced to 5 skills. The student will be tested on a scenario, how they handle the scenario, how they take lead in the scenario as well as in a team member supporting role. Skills performed during the scenario will also be tested. Students will build a portfolio that will document their progress all the way through the program that will prove that they are ready to test for National Registry when the time comes. This portfolio will be required before NREMT testing is allowed.

o Enrollment – • EMSP New Enrollment: EMSP Overall Enrollment: EMSP Graduates: Summer 2011 - 13 Summer 2011 - 100 Summer 2011 - 8 Fall 2011 - 26 Fall 2011 - 102 Fall 2011 - 13 Spring 2012 - 20 Spring 2012 - 105 Spring 2012 - 17 Summer 2012 - 15 Summer 2012 - 99 Summer 2012 - 7 Fall 2012 - 26 Fall 2012 - 108 Fall 2012 - 8 Spring 2013 - 16 Spring 2013 - 107 Spring 2013 - 14 Summer 2013 - 14 Summer 2013 - 84 Summer 2013 - 18 Fall 2013 - 19 Fall 2013 - 86 Fall 2013 - 7 Spring 2014 - 17 Spring 2014 - 93 Spring 2014 - 15 Summer 2014 - 9 Summer 2014 - 75 Summer 2014 - No Senior Class Fall 2014 - 17 Fall 2014 - 78 Fall 2014 - 15 Spring 2015 - 28 Spring 2015 - 111 Spring 2015 - 20 Summer 2015 - 17 Summer 2015 - 108 Summer 2015 - No Senior Class Fall 2015 - 24 Fall 2015 - 106 Fall 2015 - 7 • EMT New Enrollment: Summer 2011 - 59 Fall 2011 - 60 Spring 2012 - 54 Summer 2012 - 60 Fall 2012 - 65 Spring 2013 - 61 Summer 2013 - 70 Fall 2013 - 84 Spring 2014 - 76 Summer 2014 - 73 Fall 2014 - 85 Spring 2015 - 86 Summer 2015 - 78 Fall 2015 - 73 o Pass/Fail Statistics – 7 students will graduate this semester. 23 students are projected to graduate in the Spring2016 semester.  NREMT Exam – EMT – 97%, AEMT – 100% (only two people tested), Paramedic 100%. We did have a student that did not pass his skills for National Registry and has yet to take the written exam. This has afforded us the opportunity to formulate a plan to help support not just current students but graduates of the program  Topic Area Performance – For EMT - We are still well above the national passing rates but we did go down just a bit at this level. Paramedic – We were well above the National average and even increased our individual topic area success overall from last year’s results.

o Terminal Goals/Objectives – The Terminal Goals and objectives are looked over by the Committee and approved without any suggested changes. o Clinical Goals/Objectives – The clinical goals & objectives were also looked over and approved by the committee at the time the Terminal goals & objectives were voted on. Williamson county EMS would like reviews and evaluations done by students of their visits to WILCO clinical sites. o Graduation Requirements – Statistics  Benchmarking a. Fall 2014 – 100% requirements reached. b. Spring 2015 – 100% requirements reached.

o Student Responses/Analysis – a. Program Faculty • Faculty teach effectively in the classroom 4.65 • Faculty teach effectively in the lab 4.69 • Faculty teach effectively in the hospital clinical area 4.72 • Faculty teach effectively in the field internship area 4.63 • Faculty number is adequate in the classroom 4.69 • Faculty number is adequate in the lab 4.48 • Faculty number is adequate in the hospital clinical area 4.65 • Faculty number is adequate in the field internship 4.38 • Faculty have good rapport with students 4.65 • Faculty help me with academic needs 4.56 • Faculty ensures student representation on the advisory committee 3.75 We will continue to evaluate effective ways the students can contact their student representatives with suggestions, complaints, or general comments. As was the case with last year, there were no student suggestions made to the representatives. We will discuss an electronic submission process to help with convenience in the process. b. Medical Director • I know who the Medical Director is 4.80 • The Medical Director has/have provided instruction 4.55 c. Support Personnel • Tutors assist me as needed 4.30 • The admissions personnel assist me as needed 4.58 • Financial aid personnel assist me as needed 4.05 • The academic advisors assist me as needed 4.15 • The librarians asses me as needed 4.47 d. Curriculum • Curriculum covers necessary lecture content for entry-level paramedic 4.75 • Curriculum covers necessary lab activities for the entry-level paramedic 4.76 • Curriculum includes necessary hosp./field internship experience for the entry-level paramedic 4.67 • Curriculum includes the necessary content in support courses 4.50 • Curriculum is an appropriate sequence of classroom, lab, clinical, and field internship activities 4.58 e. Financial Resources • There is financial support for special student instructional activities 3.71 f. Facilities (Classrooms) • Classrooms are adequate in size 4.50 • Classrooms have adequate lighting 4.69 • Classrooms contain adequate seating 4.60 • Classrooms have adequate ventilation 4.38 • Classrooms have adequate instructional equipment 4.56 g. Facilities (Labs) • Labs are adequate in size 4.56 • Labs have adequate lighting 4.72 • Labs contain adequate seating 4.72 • Labs have adequate ventilation 4.45 • Lab activities prepare me to perform effectively in clinical environment 4.57 • Labs are accessible to students outside regularly scheduled class times 4.61 • Labs are equipped with the amount of equipment necessary for student performance of required lab exercises 4.57 • Labs are equipped with the variety of equipment necessary for student performance of required lab exercises 4.57 Labs are equipped with the amount of supplies necessary for student performance of required lab exercises 4.57 • Labs are equipped with the variety of supplies necessary for student performance of required lab exercises 4.60 • Ancillary facilities provide adequate quiet study areas 4.18 • Ancillary facilities provide adequate secure storage for personal items 3.74 New lockers are being installed next to the labs this Friday, 9/11 h. Clinical Rotations • Facilities offer an adequate number of procedures to meet objectives 4.52 • Facilities offer an adequate variety of procedures to meet objectives 4.58 • Hospital/Field internship facilities provide variety of current equipment 4.73 • Hospital/Field internship provide similar competencies to all students 4.54 • I receive adequate orientation to assigned clinical areas and procedures 4.48 • Hospital/field internship instructors are sufficiently knowledgeable 4.75 • Instructors direct me in completing the assigned objectives 4.54 • Clinical instructors are consistent in their evaluation of performance 4.31 • Instructors are available to assist me, when needed 4.63 • There are sufficient numbers of instructors for the number of students 4.49 i. Learning Resources • Reference texts are adequate to support assignments 4.49 • Journals are adequate to support assignments 4.23 • Computer resources are adequate to support the curriculum 4.19 • Databases are adequate to support assignments 4.41 j. Physician Interaction (other than Medical Director) • Physician/Student interaction facilitates the development of effective communication skills between me and physicians 4.19 • Physician contact is sufficient to provide me with a physician perspective of patient care 3.94 • Overall, my exposure to physicians in the program is adequate 3.98 We will discuss and try to formulate a plan for more physician interaction during hospital rotations. k. • Student Representative – Comments/Additions? – There were no comments from the student representatives o Faculty Responses/Analysis - Very good ratings. • Administrative Personnel • Program Resources • Computer Resources • Classroom/Lab Facilities • Faculty Teach Effectively • Curriculum • Clinical/Field o Graduate Responses/Analysis - Very good ratings. • Paramedic Knowledge Base 4.7 (+/-0.6) • Paramedic Clinical Proficiency (Psychomotor) 4.8 • Paramedic Behavioral Skills (Affective) 4.6 • Paramedic General Information 4.4 o Employee Responses/Analysis - One thing that was rated low was the students ability to identify whether a patient was sick or not. • Paramedic Knowledge Base 4.4 • Paramedic Clinical Proficiency (Psychomotor) 4.4 • Paramedic Behavioral Skills (Affective) 4.7

o Strengths – Faculty preceptors in clinicals (Former area of concern). Exposure to Medical Director. Lecture and lab curriculum. o Weaknesses – Student representation on the advisory committee. Financial aid, student support, emergency alert system, and wifi availability. Internship sites. Simulation equipment. o Action Plans  Financial aid information is printed and available to students. Reminders from faculty are given to encourage student to apply for assistance to include scholarshis.  We see the need for more mannequin equipment. Laerdal discontinued the mannequins that we have so we will need to look into grants or other possible means of getting newer models because the company will no longer work on the models that we have. New mannequins will also be necessary to appropriately initiate the upcoming PPCP process.

o Area Hiring Processes – a. San Marcos EMS – Hiring 7 within the next month. Taking applications, no hiring date has been set. They will work with EMT’s that are going to graduate as Paramedics. b. WILCO hiring process starts Monday. c. Marble Falls – Just hired 9.  Interview process o Accreditation Site Visit  Dates – October 19th and 20th. 2015 (all day)  Participation from committee – Most likely 10/19, Kenny Schnell and Terri King may be able to be here. o Next meeting (set date/time?) o Open to the Floor – Is there a missed market because there are not many working EMT’s who can take ACC’s Paramedic Program because of their work schedules. Don talked with ATCEMS. There could also be a way that they could utilize a shift at that would allow these students the time to take the courses that we have. This will ultimately be a decision made by the respective service. It is suggested that ACC speak with other entities and figure out a way to meet the need (if there is a big enough need). o There has been talk about possibly duplicating the EMS (at least the EMT portion) at the Hays location. This will not occur in the near future but has been discussed as a possibility in the future if enrollment continues to grow. o There is a motion to approve the objectives as written. There is a second to the motion. Vote is taken. Objectives are approved 7(yes)-0(no).

Dr. Kimbrough expresses his appreciation for everybody’s help. Congratulates Don and thanks the Dean.

– Pat thanked Rebecca Brock for her excellent service and welcomes Don for the job he has done already and looks forward to working with him on new things to come. She also thanks the advisory committee for all of their hard work.