Innovations in Medical Education

Innovations in Medical Education New Curriculum for a New Wisconsin Physician: BASIC Training in Medical Education February 12, 2005 Goals for Retreat  Define new directions for Year 1 & 2 curriculum Present rationale: national, local, student interest   Describe new resources available for design and implementation Establish common themes for change Define next steps   Overview of Schedule 8:30 -9:00 9:00 -9:30 Goals; rationale for change New curriculum areas Public Health Cultural Diversity Ethics/Health Policy Remington Johnson-Powell Hogle 9:30-10:15 10:30-11:15 11:15-12:00 12:00-12:30 Current curriculum/student panel Small group scenario Group reports/synthesis Implementation/next steps Impetus for Change       UW Medical School self-study LCME 2002 recommendation National curriculum guidelines Continuing to strive for excellence Wisconsin Partnership Fund Medical School Strategic Plan LCME Accreditation – 2002/03 Institutional self study: increase cultural competence training, ethics, professionalism, prevention/population health   Partial non-compliance with education standard: traditional curriculum with pedagogical approach that doesn’t reinforce problem solving EPC guidelines: 20 credits per semester with approximately 50% lecture, 50% applied activity  Evidence of Excellence in Education  Annual assessment reports to EPC, campus Top rated courses – Neurosciences – Infection and Immunity   Nationally recognized primary care curriculum – – – – Established first Primary Care Clerkship Generalist Partners Program Two national demonstration grants Ranked 3rd for primary care in US NEWS surveys New Directions in Medical Education: National IOM Guidelines  Population Health Who will Keep the Public Healthy?  Cultural Diversity Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care  Comprehensive, integrated curriculum Improving Medical Education: Enhancing the Behavioral and Social Science Content of Medical School Curricula Improving Medical Education: Behavioral and Social Science Domains  Mind-Body Interactions in Health and Disease (chronic disease, life cycle & human development)  Physician Role and Behavior (ethics, professionalism) Social and Cultural Issues in Health Care Population Health, Health Policy & Economics  Patient Behavior (risk assessment, behavioral change)   Physician-Patient Interaction  Recourses for Curriculum    Course directors, faculty, staff New faculty curriculum leaders New partnerships – MPH – Center for Cultural Diversity in Health  New grant funding – Cultural competence training – BASIC Training in Medical Education Wisconsin Partnership Fund: Innovations in Medical Education WPF established as an endowment to UW Medical School to improve health in Wisconsin Education was a Core Focus Area of Excellence included in the Wisconsin Partnership Fund 5-year plan Goals reinforced in the 2004-06 Medical School Strategic Plan Awarded $1,050,000 annually for Innovations in Medical Education     ….enhance health professions training and the health of Wisconsin’s citizens by:  creating new education programs, aligned with Healthiest Wisconsin 2010, to address population health needs focusing on gaps in health education: problem solving, information management, chronic disease, women’s health, cultural competence, ethics, oral health, pain management, and end of life care   providing life-long learning skills and ongoing continuing professional education capitalizing on new opportunities for distance education for providers and citizens of Wisconsin   developing meaningful interdisciplinary education that emphasizes team care. Education Priorities UWMS Strategic Plan:  Support the goals of Healthiest Wisconsin 2010: A Partnership Plan to Improve the Health of the Public by establishing new content and evaluation in courses and programs to address the population health issues of the state. Emphasize the scientific basis of current understanding of the health risks, mechanisms of disease, and therapeutic approaches to disease and prevention measures.   Advance and strengthen interdisciplinary and health professions education as an integral function of an academic health center; align curriculum more closely with the current healthcare delivery environment. Establish innovative approaches to teaching health professions students how to deliver culturally sensitive healthcare and to address health disparities and diverse populations in Wisconsin.  Innovations in Medical Education Initiatives  A New Curriculum for the New Wisconsin Physician Clinical Skills Teaching and Assessment Center Statewide Healthcare Distance Education Innovations in Medical Education Grant Program    A New Curriculum…  Synergistic combination of medicine and public health Emphasize population health, problem solving skills, new content areas Teach with new technologies Provide a bridge between traditional curriculum and emerging content areas    A New Curriculum…  Establish a core matrix to support curriculum innovation Three .5FTE faculty each assigned to Years 1, 2, & 3 programs Four FTE staff for Years 1,2,3 & MSTP programs    Budget request: $575,000 Clinical Skills Teaching and Assessment Center  Enhance ability to teach and assess using standardized patients and performance based testing Improved teaching of health risk assessment, behavioral and lifestyle health management, interdisciplinary team care, ethics and communication skills, communication about errors, working with culturally diverse populations Support community needs for skills training Provide leadership and consultation for training grants and faculty development    Clinical Skills Teaching and Assessment Center  Add 3.5 FTE faculty/staff Establish a Clinical Skills Health Center Advisory Group Establish web tools for faculty & community development Budget request: $225,000    Statewide Healthcare Distance Education  Establish a virtual Medical School across all teaching sites throughout the state Establish communities of electronic learners to allow more students, community faculty, community providers, patients and citizens to participate in health education programs Facilitate interdisciplinary education for nursing, pharmacy, medical, veterinary, dental and health professions students Plan for a statewide health resources network as a bridge between UW Medical School and the citizens of Wisconsin    Statewide Healthcare Distance Education   Increase faculty/staff by 3.5 FTE Transform the technology resources of the new Health Sciences Learning Center to a statewide learning resource Support new non traditional learning methods, such as web based and distance education programs for communities and citizens of Wisconsin   Budget request: $275,000 Innovations in Medical Education Summary Provides key funding for initiatives that are timely and critical to achieve the long term goal of transforming the Medical School into a school of medicine and public health Leverage with extramural funding sources    Must be used to support new initiatives, cannot supplant existing resources New Curriculum: BASIC Training in Medical Education    Uses IME funds to establish new courses, integrate topics and improve existing courses Follows national guidelines (BASIC = Behavioral and Social sciences Integrated Curriculum) Outstanding model for training in population health and culturally competent health care