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I have a dream

MedBiquitous Annual Conference 2009. April 28-30. I have a dream. Transforming. Health Care Education. Information. Ronald M Harden OBE MD FRCP FRCS FRCPC. - the missing ingredient for successful INNOVATION in medical education.

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I have a dream

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  1. MedBiquitous Annual Conference 2009 April 28-30 I have a dream Transforming Health Care Education

  2. Information Ronald M Harden OBE MD FRCP FRCS FRCPC - the missing ingredient for successful INNOVATION in medical education

  3. At a time of recession should we be thinking about innovation?

  4. The recognition that the recession provided, or could provide, a challenge; that it could, in some cases, be turned to a positive effect. Squires, 1982

  5. In a time of economic challenges, increasing demands for health care, and less than desirable health outcomes for our citizens, to continue to do the same thing and expect different results is insanity, if I may quote Einstein. Change and innovation should be encouraged, not dismissed because they challenge the status quo. R B Martin, 2009Academic Medicine, 84, p5

  6. When the wind blows some build walls, others build windmills. Hawkins, and Winter, 1997

  7. Number of Books on ‘Innovation’ Amazon Dec 08 25 250 2,500 25,000 250,000

  8. Number of Books on ‘Innovation’ Amazon Dec 08 25 250 2,500 25,000 250,000 250,000

  9. INNOVATION in Medical Education

  10. MedBiquitous Annual Conference 2009 E-learning Virtual patients Second Life Simulations Assessment of competencies Web OSCE E-portfolios Point-of-care learning Approaches to CME E-portfolios Tracking professionaldevelopment Competency-based education Multinational collaborations STANDARDS

  11. BUT BUT BUT

  12. INNOVATION in Medical Education VERY slow • The pace of change is ^ • The actual extent of change is modest or MINIMAL

  13. Technology capability 160 Exponentialtrend 140 120 100 80 60 40 20 Linear trend 0 2 3 5 1 7 9 6 0 4 10 8 Time

  14. Kurzweil’s Law (The Law of Accelerating Returns) The rate of change is accelerating instead of doubling at a constant rate. Because of the explosive power of exponential growth, the 21st century will be equivalent to 20,000 years of progress at today’s rate of progress, which is a thousand times greater than the 20th century.

  15. Need for transformation • Need to look at process of innovation Healthcare Education

  16. Need for transformation • Need to look at process of innovation Process of innovation Healthcare Education

  17. The ‘5 ’ Model INNOVATION I

  18. dea I generated success = INNOVATION

  19. Creativity The capacity to imaginemedical education differently • Lateral thinking • Ingenuity • Problem solving • Questioning conventional theories

  20. Lateral thinking • Ingenuity • Problem solving • Questioning conventional theories • A medical school with no lecture theatres and libraries • Collaborative or peer-assisted learning • Personalised or adaptive learning

  21. BUT A good idea about Medical Education is not enough

  22. “I know what works best” “It’s just a fad” “It’s not what students really need” “There’s no problems with the doctors I train” “It’s too expensive”

  23. mprovement I X demonstrable success = INNOVATION dea I generated

  24. http://www.bemecollaboration.org

  25. Improvement Demonstrable Hearts Hearts and Minds Minds are both important

  26. People change what they do less because they are given analysisthat shifts their thinkingthan because they are shown a truth that influences their feelings Kotter and Cohen, 2002, in The Heart of Change

  27. They did not create a high enough sense of urgency among enough people to set the stage for making a challenging leap into some new direction. What is the biggest single error people make when they try to change?

  28. Highly destructive complacency is, in fact, all around us, including in places where people would deny it, deny it and deny it still more. Complacency is much more common than we might think and very often invisible to the people involved. Success early produces complacency.

  29. The impact of teacher beliefs on innovation in learning and teaching has been well documented

  30. mplementation mprovement dea I I X I X demonstrable planned generated success = INNOVATION

  31. “It ain’t what you do” It ain’t what you do it’s the way that you do it It ain’t what you do it’s the way that you do it It ain’t what you do it’s the way that you do itAnd that’s what gets results Oliver

  32. …… the importance of a top-down, middle-out, bottom-up approach that empowers all individuals in the innovation implementation. The Realities of Change in Higher Education: Interventions to Promote Learning and Teaching Hunt et al, 2006

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