HMS Academy

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

Curriculum Reform: “Preclerkship” Major Themes

• 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

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Areas of Focus

• Structure and Organization

• Pedagogy

• Clinical Skills

• Assessment and Evaluation

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FoundationsFoundations

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May June

Year 1

Year 2

Year 3

Year 4

Principal Clinical Experience Principal Clinical Experience

Subinternships and Advanced ElectivesSubinternships and Advanced Electives

Organization of Curriculum

Organ System Blocks Organ System Blocks

Advanced SelectivesAdvanced Selectives

HighlightsMoves principal clinical year earlier into Year 2, allowing for early clerkship exposureAcknowledges core basic science needed prior to clinical year but that richness of more advanced science is best suited to students post-wardsMore individualized learning; dedicated scholarship block; advanced topics based on interestPushes USMLE to Year 3, allowing for focused attention on core basic science in Year 1

Advanced selectives could include advanced pathophysiology courses and integrated subjects such as genetics, cancer, nutrition, human development/aging, population health, and social medicine

Organs Organs

PCE PCE Scholarly ProjectScholarly ProjectUSMLE

USMLE

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The Learning Sequence

• Self Study

• Team Study

• Group Discussion – integration, application, analysis

• Reflection

Integrated “Courses”Support of Aerobic Metabolism – Homeostasis 1• Cardiovascular and Respiratory

– Anatomy/histology– Embryology– Physiology– Pathophysiology/pathology– Pharmacology– Radiology

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Integrated Faculty

• Core teachers, theme experts and content experts

• Multiple “specialties” and disciplines

• Integrated cases

• Integrated planning

• Integrated exams

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Design Phases (draft)• 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

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Focusing ContentFick Principle for Education

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Fick Principle for Education

• 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

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Key Questions (how? why?) for Each Course

• 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?

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Task Force TimelinesOctober-January: review new models,

vision for design/directionOctober-January: review new models,

vision for design/direction February-August: subcommitteesFebruary-August: subcommittees

May-June:Curriculum Cabinet

Senior HMS/Hospital Leadership Exec CmteMed Ed Leadership Retreat

May-June:Curriculum Cabinet

Senior HMS/Hospital Leadership Exec CmteMed Ed Leadership Retreat

YEAR 1 – AY13: TASK FORCE AND SUBCOMMITTEES

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 2015Year-I curriculum for class entering in August 2015

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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

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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

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HMS Academy

Interest Groups

• 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 Group Workshops

• 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

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Interest Group Workshops• 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

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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

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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

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Staying Linked with Insights

• Literature updates• Education news• Faculty highlights• Why I Teach essays• Publications from

Academy members• Academy events

worldofdtcmarketing.com

New Assistant Editors

HMS Academy

Jennifer Kesselheim

Literature Reviews

Dara Brodsky

Features &

Pedagogy

Michael Parker

Ed Tech

Jason Alvarez

Ed Tech

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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

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

Other ideas for AY 14?

HMS Academy

HMS Academy

Use the Academy Website!

Come quick – I forgot when the next Academy event is!