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Medical Education at Duke

Medical Education at Duke. Colleen O’Connor Grochowski, PhD Alisa Nagler, EdD Katherine Grichnik, MD. The Continuum of Medical Education. Undergraduate Medical Education (UME) Graduate Medical Education (GME) Continuing Medical Education (CME). LET’S TEST YOUR CLICKERS.

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Medical Education at Duke

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  1. Medical Education at Duke Colleen O’Connor Grochowski, PhD Alisa Nagler, EdD Katherine Grichnik, MD

  2. The Continuum of Medical Education • Undergraduate Medical Education (UME) • Graduate Medical Education (GME) • Continuing Medical Education (CME)

  3. LET’S TEST YOUR CLICKERS

  4. I went to medical school at Duke • Yes • No

  5. I did my residency training at Duke • Yes • No

  6. Undergraduate Medical Education Colleen O’Connor Grochowski, PhD Associate Dean for Curriculum Development Assistant Professor, Medical Education • Medical student curriculum • Introduce a resource for educators • Educational policies • Challenges • UME funding model

  7. Edward G. Buckley, MD Vice Dean, Education

  8. UME Organization Chart

  9. What is unique about the Duke medical student curriculum? • It contains just one year of basic science instruction • Students have clinical experiences a year earlier than their peers at other medical schools • Students spend an entire year in scholarly investigation • Students take an active role in teaching the basic science curriculum

  10. THE DUKE CURRICULUM: FOUNDATION FOR EXCELLENCE http://medschool.duke.edu/modules/som_registrar/ August January July October Molecules Brain & Normal Body Year Phys Exam Orientation & Cells Body and Disease Body and Disease Body and Disease Body and Disease Behav Vacation 1 Break (12.5 weeks) Vacation Vacation (6.5 weeks) (4 weeks) (20 weeks) (20 weeks) Practice Course I Practice Course I August August August August Fam . Internal Med. Internal Med. Surgery Surgery Ob/ Ob/ Gyn Gyn Psych Pediatrics 2 wk Elective Elective Elective 2 wk Selective 2 wk Selective Med Year Assessment Vacation Break Vacation Orientation to Clinical Core 1 (4 wks) (4 wks) (8 weeks) (6 weeks) Clinical Year (6 weeks) (6 weeks) (4 wks) Clinical Core 3 (8 weeks) Clinical Core 2 Clinical Core 4 Clinical Core 5 (4 wks) 2 Practice Course II September June August September June August Scholarship Scholarship Scholarship Year Break Break Vacation (10 – 12 months ) Clinical Clinical Clinical 3 3 Elective Elective Vacation Practice Course III Practice Course III May September September March May March Cap - Year Clinical Clinical Clinical Electives Clinical Electives Graduation Vacation stone 4 4 Elective Elective (4 wks)

  11. I have been trained for my role as an educator • Yes • No

  12. http://guides.mclibrary.duke.edu/educators

  13. Policies to Review • The Honor Code of Professional Conduct • Compact Between Teachers and Learners of Medicine • University Harassment Policy • Consensual Relationship Policy • Duty Hours Policy

  14. Are faculty members allowed to have intimate relationships with medical students? • Not recommended, but okay as long as the student’s clerkship director has given authorization • Not recommended, but okay as long as the faculty member is not in a supervisory or grading capacity over the student • No, not under any circumstances • No, unless the student is in his/her fourth year

  15. Consensual Relationship Policy • No faculty member should enter into a consensual relationship with a student actually under that faculty member's authority. • Situations of authority include, but are not limited to, • teaching • formal mentoring • supervision of research • employment of a student as a research or teaching assistant • exercising substantial responsibility for grades, honors, or degrees • considering disciplinary action involving the student

  16. The Honor Code of Professional Conduct is intended to guide students’ professional behavior • In their health professions programs and applies to all endeavors and conduct pertaining to those studies • In their private life • Both

  17. Honor Code of Professional Conduct • Applies to professional behaviors in the learning environment • However, behavior from student’s private life may come to the attention of the school and warrant investigation under the Honor Code • Reports about capacity of student to continue studies • Criminal offense

  18. Remaining Policies • Compact Between Teachers and Learners • Calls for mutual respect • Harassment Policy • Not tolerated • Duty hour policy • No more than 80 hours per week averaged over 2 weeks • 1 day off per week averaged over 2 weeks

  19. Challenges • Generational issues – Boomers/Millennials • Experiences of disrespect • Medical student mental health issues • Anxiety/depression • Alcohol use • Reluctance to seek help

  20. UME Funding Model

  21. http://medschool.duke.edu

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