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HMS Academy Membership Meeting. October 22, 2013. Goals Today. Review status of HMS curriculum reform Review Interest Groups’ plans for AY 14 Medical Education Grand Rounds Academy fellowships New initiatives for Insights newsletter Membership issues Discuss your thoughts for AY 14.
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HMS AcademyMembership Meeting October 22, 2013 HMS Academy
Goals Today • Review status of HMS curriculum reform • Review Interest Groups’ plans for AY 14 • Medical Education Grand Rounds • Academy fellowships • New initiatives for Insights newsletter • Membership issues • Discuss your thoughts for AY 14 HMS Academy
Curriculum Reform: “Preclerkship” Major Themes HMS Academy New paradigm of learning; emphasize personal accountability, life-long learning, thinking & analysis Structure: principles of biomedical, population and social sciences pre-clerkship with advanced sciences post clerkship Early clinical experiences integrated with core sciences Periodic, cumulative, multifaceted assessment
Areas of Focus HMS Academy Structure and Organization Pedagogy Clinical Skills Assessment and Evaluation
Organization of Curriculum Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May June Year 1 Foundations Organ System Blocks Year 2 Organs Principal Clinical Experience Year 3 Advanced Selectives PCE USMLE Scholarly Project Year 4 Subinternships and Advanced Electives • Advanced selectives could include advanced pathophysiology courses and integrated subjects such as genetics, cancer, nutrition, human development/aging, population health, and social medicine • Highlights • Moves principal clinical year earlier into Year 2, allowing for early clerkship exposure • Acknowledges core basic science needed prior to clinical year but that richness of more advanced science is best suited to students post-wards • More individualized learning; dedicated scholarship block; advanced topics based on interest • Pushes USMLE to Year 3, allowing for focused attention on core basic science in Year 1 HMS Academy
The Learning Sequence Self Study Team Study Group Discussion – integration, application, analysis Reflection
Integrated “Courses” HMS Academy Support of Aerobic Metabolism – Homeostasis 1 • Cardiovascular and Respiratory • Anatomy/histology • Embryology • Physiology • Pathophysiology/pathology • Pharmacology • Radiology
Integrated Faculty HMS Academy Core teachers, theme experts and content experts Multiple “specialties” and disciplines Integrated cases Integrated planning Integrated exams
Design Phases (draft) HMS Academy Phase 1: Broad overview of year 1 courses (what goes into “Foundations”?); key questions to focus content (Oct 13-March 14) Phase 2: Detailed design of courses; writing the curriculum (syllabus, cases, student assignments); design of assessment and evaluation exercises/mentoring (April-Dec 2014) Phase 3: Design of advanced basic science Simultaneous faculty development and program assessment
Focusing ContentFick Principle for Education HMS Academy
Fick Principle for Education HMS Academy We confuse what we teach with what students learn We deliver information students extract some info what they don’t extract, is returned to us to teach again When we increase amount delivered, they extract less; when we decrease amount delivered, they extract more
Key Questions (how? why?) for Each Course HMS Academy • Example: Respiratory • Anatomy: How does anatomy of chest wall, lung pleural contribute to creation of intra-thoracic pressure? • Physiology: How does physiology of the lung/chest wall/airways interact to determine airway resistance? • Pathophysiology: How do pathologic changes in the lung and chest wall contribute to decreased compliance of the respiratory system? • Pharmacology: How does pharmacology of aminophylline determine its dosing, toxicity, effects?
Task Force Timelines YEAR 1 – AY13: TASK FORCE AND SUBCOMMITTEES • October-January: review new models, • vision for design/direction • February-August: subcommittees • May-June: • Curriculum Cabinet • Senior HMS/Hospital Leadership Exec Cmte • Med Ed Leadership Retreat YEAR 2 – AY14: DESIGN COMMITTEES, Phases 1 and 2 YEAR 3 – AY15: DESIGN COMMITTEES, Phase 2 complete YEAR 4 – AY16: IMPLEMENTATION I, DESIGN Phase 3 • Year-I curriculum for class entering in August 2015 HMS Academy
Symposia - AY 14 A Framework for Cross Cultural Education (November 14) Alex Green, Lydia Schapira: co-chairs • Can culture be taught? Patient centered approach • Thinking critically about cross cultural care • When cultures clash: Team learning and conflict resolution • Cultural awareness and global health HMS Academy
Symposia - AY 14 Confronting The Hidden Curriculum: Leading culture change in academic medicine Karen Wood, Jennifer Kesselheim: co-chairs • January 30, 2014 • Workshops being planned HMS Academy
Critical Thinking Cross-cultural care Feedback and Evaluation Mentoring Peer Observation Education technology Resident as teacher Writing for scholarship Simulation Hidden Curriculum Communication and empathy (new!) Interest Groups HMS Academy
Med Ed Portal: (Writing for Scholarship) Nov 21 Teaching and Learning with Concept Maps (Critical Thinking) – Dec 4 Tools for Keeping Up with the Medical Literature (Education Technology) – Dec 12 Interest Group Workshops HMS Academy
Feedback and Evaluation: Improving Performance (Feedback and Evaluation) -March 6 Others being planned Inter-Hospital Medical Education Collaborative: Jan 15, Feb 26, March 12, April 16, May 14 Interest Group Workshops HMS Academy
Medical Education Grand Rds: Upcoming Topics • Curriculum Reform • Ultrasound and bedside teaching • How people learn • Team-based learning Spring Symposium on the Science of Learning – April 4 HMS Academy
Academy Fellowships • Medical Education – 1 year, 20% effort, project, stipend • Medical Education Research – 2 years, 60% effort (must provide own funding), seminar on research methodology; involvement in joint and personal research projects; will be offering a more limited faculty fellowship as well HMS Academy
Staying Linked with Insights • Literature updates • Education news • Faculty highlights • Why I Teach essays • Publications from Academy members • Academy events worldofdtcmarketing.com HMS Academy
New Assistant Editors Jennifer Kesselheim Literature Reviews Michael Parker Ed Tech Jason Alvarez Ed Tech Dara Brodsky Features & Pedagogy HMS Academy
How can we maximize Insights? • Study click-rates, open-rates, optimal delivery times • Abstract presentation at AAMC Academies Collaborative meeting • Proposal for national hub for other similar Academy newsletters’ content • Your ideas? HMS Academy
Membership Issues • Interest groups – please join and participate! • Tracking attendance; professional development activities • Term ends, June 30 – remember to reapply! • Mentors for student Scholarly Projects HMS Academy
Other ideas for AY 14? HMS Academy
Use the Academy Website! Come quick – I forgot when the next Academy event is! HMS Academy