Envisioning New Models for Medical Education A Medical Student Panel Allen Ghareeb (MSII) Sean Murray (MSIII) Evyn Neumeister (MSIII) Lacey Wood (MSIV) Moderator: Anna T. Cianciolo, PhD

What is the Student Voice in Curriculum Design? “88% of students Agree / Strongly Agree that the intervention was useful and relevant to learning physical exam skills.” “Focus groups following the intervention indicated that student satisfaction with the curriculum was high.” “On the Graduation Questionnaire, rate of student satisfaction with our curriculum is higher than the national average.” “Student representatives on the curriculum committee supported the proposed reform on the behalf of their classmates.”

How Would Things Look if Students Started the Conversation?? If you could design your own medical school from scratch, what would it look like? How can medical educators be sure that what students want is really what’s good for them?

The Panelists Medical Education Special Interest Group members Co-developers of the Student-led Coachability Curriculum Actively involved in medical education training and research

Evyn Neumeister (MSIII)

Curriculum Revision Goals Introduce HII in Year 1 Replace lectures with a “Flipped Classroom” method organized around First Aid During the first half of 3 rd year, students spend time between 2 or 3 physicians (and specialties as it applies) to gain a broader experience of the field During the second half of 3 rd year, alternate clinical time/deep dive with Shelf Exam preparation Add a required month-long nursing elective to the fourth year for gaining independent proficiency at basic tasks (e.g., IV placement, hospital first response) Repeat either FCM or EM Rotations with the intention of: Seeing improvement since 3 rd year Feeling independent and capable of handling general medicine by graduation

Revised Curriculum Overview Y1 – July-May -HII -CRR -NMB -ERG Y2 – July-April -HII -CRR -NMB -ERG Y3 1st Half: June - Dec -4 weeks of IM, Surgery, Peds, OB/GYN -3 weeks of Psych, FCM, Neuro, EM 2nd Half: Jan-June -PEP Period & Shelfs -Clinical time for 4 wks -Shelf study for 3 wks Doctoring, Public/Community Health and Prevention, Medical Humanities Y4Electives Required Electives -Nursing Month -Sub-Internship -Family Medicine or Emergency Medicine Repeat

Sean Murray (MSIII)

Curriculum Revision - Core Concepts Make everything as clinically relevant as possible and impart translatable skills at every step Limit the amount of time spent on non-pertinent minutia that is often featured on standardized tests Emphasis on teaching and learning from other students

Functional Anatomy, Physiology Clinical Application Translatable Skills Students As Teachers Streamer

Allen Ghareeb (MSII)

How to Train Physicians of the Future Stronger emphasis on population health and preventative medicine Early introduction to medical humanities and ethics Elimination of didactic presentations Implementation of blended-learning modules Elimination of shelf exams & USMLE exams Required community needs assessment project Maintain self-directed learning pedagogy GOAL: address the paradigm shift treatment  prevention

MSIMSIISS1MSIII June-June Systems-Based PBL Curriculum HII CRR NMB ERG emphasis on physiology & doctoring skills June-August Summer Intensive Epidemiology Biostatistics Population Health Behavioral Science Medical Humanities Summer Project partner with community agency on a needs assessment emphasis on service learning application of course material August-March Systems-Based PBL Curriculum HII CRR NMB ERG emphasis on pathology & pharmacology March-October 8-core clerkships (1 month each) Pediatrics IM Neurology Psychiatry Surgery Ob/Gyn FCM EM October-May Selectives Electives Sub-I Away Rotations Applications & Interviews

Lacey Wood (MSIV)

MSIMSIISS1MSIII June-June Systems-Based PBL Curriculum HII CRR NMB ERG emphasis on physiology & doctoring skills June-August Summer Intensive Epidemiology Biostatistics Population Health Behavioral Science Medical Humanities Summer Project partner with community agency on a needs assessment emphasis on service learning application of course material August-March Systems-Based PBL Curriculum HII CRR NMB ERG emphasis on pathology & pharmacology March-October 8-core clerkships (1 month each) Pediatrics IM Neurology Psychiatry Surgery Ob/Gyn FCM EM October-May Selectives Electives Sub-I Away Rotations Applications & Interviews Public Health StreamerPatient As Person Streamer

Common Themes Response to perceived learning and practice needs Increased practical relevance of course content and curriculum structure “Non-traditional” modes of instruction and content delivery Tension between foundational knowledge acquisition with functional capacity development How can we be sure the students are right??

Questions for the Panelists?