Transcript PowerPoint Presentation - Medical Education

Medical Education Update
2003 SOM Retreat
Medical Education Status Report
Stanford School of Medicine Leadership Retreat
January 30 - February 1, 2003
Medical Education Update
2003 SOM Retreat
Major Accomplishments 2002
• Developed a highly productive working relationship between the
Faculty Senate and the Dean’s office
• Made important headway in establishing a new curriculum for
September 2003 with agreed objectives to:
– Better integrate basic and clinical sciences (translational curriculum)
– Develop and foster student scholarship and community activism
• Created a committee on evaluation and advising with major objectives:
– To review and improve evaluation process
– To ensure faculty and student engagement in the evaluation and advising
process
• Developed new advising program for students.
Medical Education Update
2003 SOM Retreat
Objectives for 2003
• Curriculum
– Institute first year of the new curriculum
– Institute scholarly concentrations
• Develop mechanisms to facilitate and foster teaching
– Improve existing education support
– Fund raising for teaching
– Changing the “culture” of medical education
• Develop CME program
– Financial solvency
– Proactive service to the Stanford community and beyond
Medical Education Update
2003 SOM Retreat
Proposed curricular structure
Undergraduate
Basic science
Molecular medicine
Year
Clinical research
Community service
Clinical
Biotechnology
Health economics
Residency and beyond
Medical Education Update
2003 SOM Retreat
Salient features of new curriculum
• New courses
– Fundamentals of molecular sciences (first year)
– Advances in applied biomedical sciences (second year; with grad
students)
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Eliminated biochemistry and molecular biology
Decreased classroom time
Utilize new technologies (anatomy, nutrition)
Better sequencing
Allied clinical sciences with basic sciences
Longer school year
Clinical clerkships start earlier
Medical Education Update
2003 SOM Retreat
Salient features of new curriculum
• Required basic science curriculum to be added to
previous “clinical years”. Some strategies:
– Required courses
• Clinical research, health care financing
• Applied genomics
– Selective courses
– Embedded science within clerkships
• Enhanced orientations
• Basic science attendings/basic science clerkship
• Required student assignments
Medical Education Update
2003 SOM Retreat
Principles of scholarly concentrations
• Medical school “major” required of all students
• Two options
– Original research option (will likely require 5+ years curriculum)
• Curriculum within a discipline
– Existing courses
– Newly developed course
• Attendance at seminar/journal club
• Conduct of of significant scholarly work (funded for equivalent of 2
years half time)
– Investigative option (can be done within 4 year curriculum)
• Curriculum as above
• Original “term paper”
Medical Education Update
2003 SOM Retreat
Logistics of scholarly concentration
• Timing
– Students should try to select by third quarter of first year
– Requirements can be completed throughout the student’s tenure at
Stanford
• Funding
– Medical scholars will fund students (in Original Research option)
and administration
– Dean’s office will fund faculty leadership
• Embedded flexibility
– Students can develop independent scholarly concentration
• Administration
– Scholarly concentration ad hoc subcommittee to faculty senate
– Committee intersections with Med Scholars committee and Office
of Medical Education
Medical Education Update
2003 SOM Retreat
RFP for scholarly concentrations
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Title of program
Designated director
General program description and rationale
List of mentors and number of student research slots available
Curriculum components
Description of integration with graduate programs
Description of interdisciplinary or bench-to-bedside nature of
proposal
• Method of evaluation
• Degree offered for research option (if any)
Medical Education Update
2003 SOM Retreat
Scholarly concentration deadlines
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January 15, 2003
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Release/Distribution of RFP
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February 7, 2003
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Letters of Intent Deadline
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February 21, 2003
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Consolidation of SC’s
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April 1, 2003
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Proposals Deadline
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April 15-18, 2003
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Meetings with Committee
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April 30, 2003
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Notification of Results of Competition
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October 1, 2003
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Initiation of Scholarly Concentrations.
Medical Education Update
2003 SOM Retreat
Curriculum Name?
Medical Education Update
2003 SOM Retreat
Facilitate and foster teaching
• Improve current support
• Develop endowment
• Change culture of education
Medical Education Update
2003 SOM Retreat
Facilitating and fostering teaching
Committee on teaching facilitation
• Improve current support for teaching.
– Operating budget changes to directly fund teaching and
scholarly concentration directorships
– Develop A&P process so that teaching has a more
recognizable role in promotion
– Promote pedagogical tools:
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SUMMIT
Standardized patients
Pedagogical course
Center for Teaching and Learning
Medical Education Update
2003 SOM Retreat
Facilitating and fostering teaching
Fund raising for education
In an effort to improve medical teaching in an era when research
is king and technology and societal changes are dramatically
revising what it means to be a doctor, Harvard Medical School is
launching an organization to recognize and support its best
teachers and to innovate in medical education.
Harvard Gazette
Medical Education Update
2003 SOM Retreat
Facilitating and fostering teaching
Fund raising for education
• SMILE building
• Development of endowment for:
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Dedicated teaching salaries
Building educational technologies
Student research support
Financial aid
Medical Education Update
2003 SOM Retreat
Facilitate and fostering teaching
Changing the school culture
• Emphasize “rigor”
• Improve evaluation of students and faculty
• Concentrate major teaching roles in a few hands
– Need to cover “non-research” topics
– Need to have name associated with course material
• Broaden other teaching roles
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“Famous names” giving lectures in topics of interest
Expanding teaching by basic science and clinical post-docs
Taking seriously voluntary Clinical Educator role
Use of basic science attendings
• Decrease medical student teaching
• Achieve consensus on educational uses of technology
Medical Education Update
2003 SOM Retreat
CME Mission
To providing medical education programs that
are responsive to the needs of physicians and
that offer opportunities for ongoing
intellectual stimulation and professional
renewal.
Medical Education Update
2003 SOM Retreat
CME
• Has the potential to:
– Provide significant added value to our faculty at
Stanford
– Serve as a link to the community
– Serve as a marketing tool for the hospital
• CME program lacks:
– Visibility
– Vigor
– Money
Medical Education Update
2003 SOM Retreat
CME goals for 2003
• Identify new director
• Establish a faculty advisory board
• Work with departments, divisions and hospitals to
identify educational objectives
• Integrate with information technologies to provide
online and other IT based program
• Establish better reimbursement strategy for
ongoing activities
Medical Education Update
2003 SOM Retreat
Summary
• Much progress over the last year; a lot ahead.
• Education of students and faculty as galvanizing
force for school
• Need department support to make this a successful
endeavor.
• Expect evolution (punctuated equilibrium); not
everything will work exactly right from day one.
Medical Education Update
2003 SOM Retreat
Leadership in education
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Oscar Salvatierra
Theodore Sectish
Neil Gesundheit
Bert Glader
Parvati Dev
Gary Schoolnik
Betsy Moreno
Committee members