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					      Incorporating Handheld Computing
     Into a 4-Year Med School Curriculum
     Steven M. Schwartz, MD, Associate Dean for Clinical Informatics
     Georgetown University School of Medicine
     April 21, 2010




Georgetown
 University
 School of
 Medicine
              Objectives
               Evolution of Curriculum
               Tips for success
               Barriers and limitations




Georgetown
 University
 School of
 Medicine
              Outline
                 History of Handheld use at GUH
                 Curricular Goals
                 Curricula (courses)
                 Support (Library)
                 Tips
                 Limitations
                 Future directions




Georgetown
 University
 School of
 Medicine
                      Curricular Evolution at Georgetown
                                           2006
              2002 Palm                  Clinical                       2008 Spring dist
              use in FM                   Skills                          to 2nd year.
               clerkship                 Training                       Change to iPod




                           2005 Palm                 2007 Handheld                         2009 Early 2nd
                           requireme                OSCE for Decision                        year dist/
                            nt for all                  support                               expand
                            3rd year                                                       curricular foot
Georgetown                   clerks                                                             print
 University
 School of
 Medicine
              Curricular Goals
              To provide students with
              an easy to use portable tool to:
                 Access valuable educational resources
                      Blackboard (course management)
                      Share stream Lectures
                      Peer to peer resources
                 Access clinical reference point of care resources for learning and
                  clinical decision support
                 Manage personal organization and communications
                      Calendar
                      Contacts
                 Develop habits of using tools at the point of care in clinical work



Georgetown
 University
 School of
 Medicine
              Curricular footprint
              Year 2                     Year 3
               Pharmacology              All 3rd year Clerkships
               Lab Medicine              Observed Clinical Skill
               Clinical skills primer     Exam (OSCE)
               EBM II                   Year 4
               Clinical skills day       Clinical pharmacology
                workshop
                                          Acting Internships and
               Medical Student Grand      clinical rotations
                Rounds Students
                                          Harvey Mitchell
               Ambulatory Care            Teaching Elective


Georgetown
 University
 School of
 Medicine
              Teaching methods
                 Orientation
                 Demonstration
                 Large and small group walk through
                 Faculty Modeling
                 Self Directed
                 Peer to Peer



Georgetown
 University
 School of
 Medicine
Georgetown
 University
              Institutional Support and Vendors   DML iphone apps
 School of
 Medicine
              Tips: Platform
                 Device Selection Timing
                 Single Platform vs. Open
                 Personal or institutional
                 Smart phone or Stand Alone




Georgetown
 University
 School of
 Medicine
              Tips: Getting in Curriculum
               Faculty buy-in
                   “Fear” of change?
                   Welcome but needing “support”
               Faculty Ability
                   Experience (or lack of)
                   New Pedagogy




Georgetown
 University
 School of
 Medicine
              Tips: Learner Demand
               Listen to the learners
               Target the masses
               Allow the exception but don’t let them
                know 
               Adapt




Georgetown
 University
 School of
 Medicine
              Tips: Modern Realities
               Our students teach faculty as much as
                or more than the other way around




Georgetown
 University
 School of
 Medicine
              Institution limitations
                 HIPPA, FERRPA, and other privacy rules
                 Technical limitations
                 Cost of integration
                 Buy in




Georgetown
 University
 School of
 Medicine
              Future
               Use as a Skills Training tool (Pocket
                CPR)
               Training and testing of shared decision
                making skills
                   Live OSCE requiring demonstration of skills
               Improve Productivity apps for student
                need
               Foster student app development

Georgetown
 University
 School of
 Medicine
              Future
               Research in improved care outcomes
               One communication device
               Window to the EHR and CIS
                   Clinical results reporting
                   Order entry
               Workflow and sign-out tool
               Platform independence


Georgetown
 University
 School of
 Medicine

				
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