
MSPE: From Chaos to Clarity at the University of Texas Medical Branch John Sealy School of Medicine
At the University of Texas Medical Branch John Sealy School of Medicine (UTMB), supporting students through every stage of their medical education is a core priority. That includes ensuring Medical Student Performance Evaluations (MSPEs) are accurate, timely, and transparent. Before adopting MSPE Builder, the school relied on a paper- and email-based process that placed heavy demands on staff and made it difficult to consistently engage students in the review and attestation process. Leadership partnered with Acuity Insights to modernize the workflow and better support both learners and administrators.

Challenge
Manual MSPE process, heavy admin workload, low student response rate.
Solution
Program Management and Intelligence Solution: One45, MSPE Builder, Analytics
Results
Streamlined MSPE workflows, higher student engagement, greater efficiency, and clearer review oversight.
PROGRAM TYPE
Medical Education
PROGRAM SIZE
Class size approximately 230 students
REGION
North America – USA
Challenge
The MSPE process at UTMB was complex and inefficient.
Creating letters required printing, reviewing, and drafting multiple versions, with data entered manually from emails, forms, and spreadsheets. Student feedback was collected through email links that were often missed or ignored, which led to low response rates and incomplete attestations.
The process created several challenges:
- High administrative workload and risk of human error
- Limited visibility into where letters were in the review process
- Low student response and attestation rates
- Time spent managing emails rather than supporting students
As Dr. Norma A. Pérez Raifaisen described it, the workflow felt chaotic. The school needed a more reliable, structured way to manage MSPE creation, distribution, and student review.
Solution
As an existing One45 user, UTMB adopted MSPE Builder and Analytics to bring structure and clarity to the MSPE process.
This allows the team to modernize its approach in several key ways.
Automating MSPE Creation and Updates
- Automatically generates MSPE letters using data already housed in One45 and connected systems
- Eliminates manual data entry, reducing errors while improving consistency
Centralizing Student Review and Attestation
- Moves MSPE review and attestation into a secure, dedicated platform
- Ensures clear communication and completion without relying on email or forms
Improving Workflow Visibility and Control
- Provides the Student Affairs team with real-time visibility into MSPE status
- Enables efficient review and resolution of student feedback without switching tools
Supporting a Student-Centered Experience
- Gives students a clear, structured opportunity to review and confirm their MSPEs
- Reinforces transparency and trust while supporting residency applications
Results
The impact of MSPE Builder was immediate and measurable.
By adopting One45 MSPE Builder and Analytics, UTMB achieved:
- a dramatic increase in student response and attestation rates, from roughly 50% to nearly 100%
- a streamlined, centralized MSPE workflow that reduced administrative burden
- improved accuracy and professionalism in MSPE creation
- more time for Student Affairs staff to focus on advising, wellness, and Match preparation
The shift from a paper and email-based process to a dedicated digital platform transformed how the school supports students during a critical stage of their education. The result is a process that supports transparency, reduces administrative friction, and helps students move confidently toward the next step in their medical careers.