1 / 53

Current approaches to medical education: from policy to practice

Current approaches to medical education: from policy to practice. Professor Vikram Jha Professor of Medical Education and Head of Undergraduate School of Medicine University of Liverpool, UK. Overview. Medical Education policy and its influences Examples of current approaches

aleda
Download Presentation

Current approaches to medical education: from policy to practice

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Current approaches to medical education: from policy to practice Professor VikramJha Professor of Medical Education and Head of Undergraduate School of Medicine University of Liverpool, UK

  2. Overview • Medical Education policy and its influences • Examples of current approaches • Future directions

  3.  

  4. Influence on medical education

  5. Social trends • Change in population demographics • Changes in disease pattern • Changes in societal expectations from doctors • Global health

  6. Approach 1: Move towards generalism

  7. Medical generalism • Seeing person as a whole and in context of their family/social environment • Dealing with undifferentiated illness and widest range of patients and conditions • Taking continuity of responsibility for people’s care across many disease episodes and over time • Coordinating care as needed across organisations within and between health and social care.

  8. Tomorrow’s Doctors (GMC 2009) • Doctor as Scientist • Doctor as Practitioner • Doctor as Professional

  9. Doctor as Scientist • Knowledge

  10. Doctor as Practitioner • Skills

  11. Doctor as Professional ‘A set of values, behaviours, and relationships that underpins the trust the public has in doctors’ (RCP 2005) RCP, Doctors in society, RCP 2005.

  12. Approach 2: Teaching and assessing professionalism • Mandatory requirement by regulatory bodies (GMC 2009, GMC 2001, ABIM 2002) • Emphasis from educational bodies (RCP 2005) General Medical Council (2009) Tomorrow’s doctors, GMC, UK General Medical Council (2001) Good Medical Practice, GMC, UK ABIM Foundation, ACP-ASIM Foundation (2002) Medical professionalism in the new millennium. Annals of Internal Medicine 136 (3) Royal College of Physicians (2005) Doctors in Society, RCP, UK

  13. Complaints against physicians relate to unprofessional conduct rather than lack of knowledge or technical skills (Ginsburg et al 2000, Papadakis et al 2004) Papadakis M A et al (2004). Unprofessional behavior in medical school is associated with subsequent disciplinary action by State Medical Board, Acad Med, 79 (3) Ginsburg S et al (2000) Context, conflict and resolution: a new conceptual framework for evaluating professionalism, Acad Med, 75 (10 suppl)

  14. Problematic behaviour in school associated with subsequent disciplinary action (Papadakis et al 1999, 2004 2008) Papadakis MA et al (1999) A strategy for the detection and evaluation of unprofessional behavior in medical students, Acad Med, 74

  15. Professionalism Excellence Humanism Accountability Altruism Ethical and Legal Understanding Communication Skills Clinical Competence (Knowledge of Medicine) Arnold L, Stern DT. What is medical professionalism? In: Stern DT, ed. Measuring Medical Professionalism. Oxford, UK: Oxford University Press; 2006:15–37.

  16. Approach 3: Regulation of Education

  17. Global Health • Global health is an international issue • Professional and patient migration • Global accountability and social responsibility • McKimm J & Mclean M (2011) Developing a global health practitioner: Time to act? Medical Teacher, 33: 626–631

  18. Approach 4: Towards a global competency model

  19. New Face of Global Education • Boom in undergraduate study • Growth of private provision • Students (families) having to pay fee • New regions driving global competition in research • Internationalisation will grow broader and deeper • Gibney E. THE

  20. Health care delivery trends • Patient safety • Clinician productivity • Reduction of working hours • Workforce planning • Patient centredness

  21. The Four Horsemen of the Medical Education Apocalypse • Teaching patient shortages • Teacher shortages • Conflicting systems • Financial problems • Albanese M, Mejicano G, Gruppen L, Perspective: Competency-Based Medical Education: A Defense Against the Four Horsemen of the Medical Education Apocalypse, AcadMed. 2008; 83:1132–1139.

  22. Approach 5: Simulation

  23. Patient centredness Focus medical attention on individual patient's needs and concerns, rather than the doctor’s Bardes CL. Defining “Patient-Centered Medicine” N Engl J Med 2012; 366:782-783

  24. Approach 6: Patient involvement

  25. Approach 7: Continuum of education

  26. Pedagogical influences • Learning in context • Advances in technology • Best evidence education

  27. Approach 8: Workplace learning

  28. Approach 9: Technology enhanced learning

  29. Approach 10: Best Evidence Medical Education

  30. Future directions • Impact of global financial climate

More Related