Teaching Outside of the Box: Running a Pre-clinical Course

1. Teaching Outside of the Box:Running a Pre-clinical Course Eve Espey - UNM Sonya Erickson – CU

2. Origins Increasingly, APGO members contribute to required pre-clinical courses.

3. Origins Increasingly, APGO members contribute to required pre-clinical courses. Increasingly, APGO members run required pre-clinical courses.

4. Origins Increasingly, APGO members contribute to required pre-clinical courses. Increasingly, APGO members run required pre-clinical courses. ?

5. Running a Course Human Reproduction and Sexuality Block, UNM – 5 years Life Cycle Course, CU – 2 years ? ?

6. Goals • Identify rewards and challenges • Review responsibilities of such courses • Global • Campus Specific • Compare and contrast this with running a clerkship • Suggest ideas to start involvement • Is this right for you?

7. Rewards & Challenges • Rewards • Challenges

8. Rewards & Challenges • Rewards Personal Departmental • Challenges Personal Departmental

9. General Responsibilities Manage Curriculum Manage Faculty Manage Students

10. General Responsibilities Manage Curriculum Manage Faculty Manage Students JUST LIKE A CLERKSHIP!

11. Managing Curriculum • Negotiating Content Boundaries • Sequencing Content • Matters more • Annual Course Delivery Cycle • Determining Formats • Evaluations • Currently, no shelf exams • Instruments must be created

12. Managing Faculty • Recruitment • Availability • Up front • Cancellations • Other Departments / Chairs • Negotiations more complex • Faculty Development

13. Managing Students • Student education IS the mission • Pre-clinical students are unique • On their turf • All at once • Less intense relationships

14. Partner Exercise • Think of a local course you could run • Traditional vs Organ Based vs Other • Timing and Placement • Duration • Content? • Admin support • Protected Time • Length of Term

15. Human Sexuality & Reproduction Eve Espey, MD MPH APGO 2008

16. Resources • Enthusiasm • Time • Chair support • Budget ($1,000) • Administrative assistant • Helpers (at least one…) • Student helper (4th year elective)

17. Credentials • Obstetrician-gynecologist • Masters in public health • No stranger to reproduction

19. Block Structure - UNM • November – December • Year 2 • 3 weeks – 66 hours • Lecture • 10 hours/week • Tutorial • 6 hours/week • Lab • 10 hours/week • Other • 5 hours/week

20. Goals and Objectives Resources: • Basic Science Prerequisites to a Clerkship in Obstetrics and Gynecology, APGO, 2007 • 8th edition APGO Medical Student Educational Objectives

21. Lectures Emphasize Public Health • Week 1 - Menstrual cycle • H-P-G axis • Puberty • Sexuality • STDs • Week 2 - Pregnancy • Implantation/fertilization • Sexual differentiation • Contraception/abortion • Endocrinology • Normal pregnancy • Infertility • Week 3 - Menopause • Sexual dysfunction • Urinary incontinence • Disease prevention

22. Structure: PBL Tutorial • Tutorial based on each week’s theme • Pre-case with homework + main case • 25 year old with amenorrhea • Prolactinoma • 17 year old with amenorrhea • PCOS • Biologic issues • Menstrual cycle • Population issues • Teen pregnancy • Ethical issues • Unintended pregnancy • Abortion

23. Anatomy • Female and male pelvic anatomy • 2 hour lab • Open lab throughout course • Anatomy lab practical

24. Histology and Pathology • Histology lecture and lab • Pathology lectures and lab • Uterus and cervix • Breast and ovary • Prostate and testicle, etc.

25. Assessment • Formative (ungraded) • Weekly quizzes: multiple choice • Summative (graded) • Homework (5%) • Final exam (95%) • Lab practical • Multiple choice • Essay • Extra credit (3%)

26. The Innovative Parts • Pelvic exam workshop • Contraceptive display • Sexual history taking • Faculty GLBT panel • Domestic violence – SANE seminar • Film festival • Papaya workshop

27. Contraceptive Display • Class of 75 students • Divide into 4 groups • 12 Preceptors • OB-GYN faculty • OB-GYN residents • FP faculty • 4th year students

28. Film Festival • Teen sexuality • Fast times at Ridgemont High • Homosexual sexuality • If these walls could talk • Other – Cross dressing • Ma Vie en Rose • Discussion • Extra credit

29. Career Trajectory • Then • Nothing • Now • Clerkship director x 9 years • Tutor, PBL x 5 years • Member, Tutorial steering committee • Chair, Curriculum committee x 4 years • Dean of students

30. Block Structure • November – December • Year 2 • 3 weeks – 66 hours • Lecture • 10 hours/week • Tutorial • 6 hours/week • Lab • 10 hours/week • Other • 5 hours/week

31. Block Structure • November – December • Year 2 • 3 weeks – 66 hours • Lecture • 10 hours/week • Tutorial • 6 hours/week • Lab • 10 hours/week • Other • 5 hours/week • January - March • Year 2 • 10 weeks – 100 hours • Lecture • 79 hours • Small Groups • 7 sessions - 14 hours • Cases • 3 hours • Exams • 3 MCQ exams - 6 hours

32. Annual Cycle • January – March Real Time; Write Exams • March - April Evaluate; Report • May - June Prioritize • June Calendar • July – August Meet w/ Faculty – LO’s Do Own Stuff • September Tasking Faculty • November Compile Syllabus • December Distribute Syllabus

33. Goals • Identify rewards and challenges • Review responsibilities of such courses • Global • Campus Specific • Compare and contrast this with running a clerkship • Suggest ideas to start involvement • Is this right for you?