Town Meeting: How Are We Educating the Next Generation of Physicians?the Next Generation of Physicians?

Presented By: Catherine Lucey, MDInterim Dean, College of Medicine The Ohio State UniversityDaniel M. Clinchot, MDAssociate Dean for Medical EducationCollege of MedicineCollege of Medicine

1

C ti th F t f M di iWhy? Changes in 21st Century

Today’s Agenda

Did You Know?

Creating the Future of MedicineThe Timeline – The Participants

Highlights from Part 1

The Blueprint

Longitudinal ProjectsYour Role

2

Questions

How many patient encounters will an OSU College of Medicine grad ate ha e in his/her lifetime?of Medicine graduate have in his/her lifetime?

1 10 0001. 10,0002. 15,0003 30 0003. 30,0004. More than 50,000

Serving the Community g y

Our graduates will work with a care teamOur graduates will work with a care team serving on average more than 2,000 patients a year.Over the course of a lifetime, a graduate will have more than 50,000 patient , pencounters

How long ago was the current 2 +2 (2 years basic science + 2 years clinical)(2 years basic science 2 years clinical) medical school curriculum established ?

1. 10 years ago2. 30 years ago3 503. 50 years ago4. More than 100

years agoyears ago

Medical School Curriculum –The Flexner ReportThe Flexner Report

• 2010 was the 100th anniversary of the Flexner Report y pwhich established the recommendations for medical school curriculum.B t 1910 d 1935 th h lf f ll• Between 1910 and 1935, more than half of all American medical schools merged or closed as a result of state medical boards gradually adopting and

f i th Fl R t’ d tienforcing the Flexner Report’s recommendations.

Approximately, how many medical school li t ti ll th i ?applicants nationally are there in a year?

1 20 0001. 20,0002. 40,0003. 60,0003. 60,0004. 80,000

Medical School Applicants pp

• In 2010, there were 40,000 applicants nationwide., , pp• There are 16,000 spots for first year medical

students in the U.S. • In 2010, 4,237 applied to Ohio State’s College of

Medicine.

How many first year medical students received funding to participate in research g p pin 2010?

25% 25%25%25%

1. 202. 253 . 504. 75

1. 2. 3. 4.

Research Experiencesp

In 2010, more than 75 students received financial ,support from the College of Medicine to pursue research experiences through the Samuel J. Roessler and the Bennett and Barnes MedicalRoessler and the Bennett and Barnes Medical Scholarship Foundation.

New Curriculum Aligned with the University’s Si St t i G lSix Strategic Goals

O U i it• One University• Students First • Faculty and Staff Talent & Culture • Research Prominence • Outreach and Collaboration • Operational and Financial Soundness & Simplicity Operational and Financial Soundness & Simplicity

By accomplishing these goals, Ohio State will distinguish itself and fulfill the enormous responsibilities that come withitself and fulfill the enormous responsibilities that come with its global presence

11

Town Meeting: How Are We Educating h N G i f Ph i i ?the Next Generation of Physicians?

• Medical Students are educatedMedical Students are educated in active health care environments.

• They contribute to the care of patients.

• They need teachers from all professionals in all disciplines tounderstand health care teamwork.

They need the support of patientsEvery great doctor can identify

a nurse or allied health • They need the support of patientsand the community to learn.

professional who taught them something critical.

12

Changes in the 21st Century:

20102010

Pedagogy

AMC

Biomedical Knowledge

g gy

Patients

Disease

19101910

Creating the Future of Medicine:

Safe Safe Patient CenteredPatient

Centered

TimelyTimelyEquitableEquitable

EffectiveEffective

14

Teamwork Coaching

Early ClinicalEffective Early Clinical ServiceRelationships

BETTERCritical

ThinkingPersonalized

Learning

Emerging Science Reinforcement

15

Where are we in the process?• Developing of Core Competencies• Reconceptualizing how foundational science

is integrated with patient care• Pilot Programs

16

Who Is Working On Lead. Serve. gInspire. Curriculum?

• Over 220 Faculty within the College of Medicine• 30 Program Coordinators, Program Assistants,

Clerkship Coordinators Managers & medSTARClerkship Coordinators, Managers & medSTAR• 60 Medical Students• 20 Faculty from other Colleges (including College of

N i Ph d th S h l f Alli d M di lNursing, Pharmacy and the School of Allied MedicalProfessions)

• 2 Community Agencies• 30 Patients

17

The Blueprint:C i l D i b d th C Ed ti l Obj ti

Patient Care

Curricular Domains based on the Core Educational Objectives

Medical KnowledgePractice BasedPractice BasedLearningInterpersonal CommunicationSystems Based LearningLearningPersonal and Professional DevelopmentDevelopment

18

Highlights Part One: Clinical Foundations

Scientific and Scientific and Orientation

Evaluation

Evaluation

Exploration

Evaluation

Foundations of Patient 

Care

Foundations of Health Care

Scientific and Medical 

Foundations of Neurological Di d

Medical Foundations 

of Cardiopulmon

Break

Break

Evaluation

Explorationn n

Disorders Cardiopulmonary Disease

n

Compreh

Evalua

Evalua

EvaluaExplora

Evalua

Scientific and Medical 

Foundations of Nutrition 

Scientific and Medical 

Foundations 

Scientific and Medical 

Foundations of Reproduction 

Clinical Foundations 

Brea

Brea hensive ation

ation

ationation

ationand Hormonal Regulation

of Host Defense

pand 

Genitourinary  Disorders

Review

akak

Example: Integrated Learning Through Empanelling

Lauren Jones, Med-1, meets and empanels Ms. Smith one month before starting the Cardiopulmonary Disease block

g p g

Ms. Smith – 67 y/o female with hypertension and coronary

t di ith hi t f Cardiopulmonary Disease block.artery disease with history of MI and CABG presents to her internist for follow-up

Lauren presents Ms. Smith to her team,

Scientific and Medical Foundations of Cardiopulmonary Disease in

Part I: Lead Serve Inspire Curriculum

including medical, family, social history and management plan.

Team discusses the basic behavioral and

At later visit, Ms. Smith presents to

Team discusses the basic, behavioral, and clinical science aspects of Ms. Smith’s cardiovascular history and medical care during small group session.

internist’s office with headaches. Has uncontrolled hypertension due to nonadherence associated with change in prescription coverage and subsequent increase in

Steve, another team member, sees Ms. Smith that day and reports to the group, initiating discussion of relationship between medication and subsequent increase in

medication cost. costs, nonadherence, and health care reform.

Longitudinal Projects

Self Directed LearningMentored Educational Portfolio

LeadershipCommunity Health EducationEffective Role Modeling

Understanding Health SystemsSystems Thinking, Interdisciplinary Care

Health InformaticsPatient Safety through Scientific Inquiryand EBM

USMLE B d P

22

USMLE Board Prep

What Is Your Role?

• Teacher• Coach• Supporter• Advocate• Advocate

23

Q tiQuestions