T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Description of a Robust Faculty Development Program for Community-based Faculty at Six Regional Campuses Dennis Baker, PhD, Associate Dean Faculty Development Nancy Clark, M.Ed., Director, Medical Informatics Education Greg Turner, Ed.D., Assistant Dean Faculty Development

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Goals Provide you with ideas for enhancing your faculty development program for community- based faculty. Gather ideas from you as to how we can further enhance our faculty development program. 2STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Overview Background Enabling Factors that Make Program Possible Focus of Faculty Development – Clinical Teaching Component – Medical Informatics Component Evidence Indicating Success 3STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Background Mission: Patient-centered care to elder, minority, & underserved populations in Florida First class: 30 students in students per class 6 regional campuses + 3 sites in rural locations Pensacola Tallahassee Daytona Beach Orlando SarasotaFort Pierce Marianna Immokalee 4 STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Scope of FD Program Target Groups (2000 faculty) – Central Campus faculty – Summer Clinical Practicum clerkship faculty – 4 residency program faculty and residents – Year 1 and 2 preceptors in Tallahassee – Clerkship faculty for 6 Regional Campuses + 3 rural sites 5STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Central Campus in Tallahassee 6 STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care 7 Regional Campus System STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Community Based Clerkships – All 3-4 training at regional campuses – >75% ambulatory – 100% private practice for required clerkships – One-on-one teaching/learning – All community faculty paid and faculty development is required Years 3 & 4 8 STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care 2 Main Areas for FD Programs Clinical Teaching Skills Medical Informatics 9STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Delivery Methods Used Workshops for Regional Campuses (live & videoconference) – 3 workshops required of new clerkship faculty – 35+ workshop titles On-line Modules CDs on Clinical Teaching Podcasts on FD webpage 10STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Clinical Teaching Workshop Topics 3 Basic Introductory Workshops 1.Overview of Curriculum 2.Introduction to Clinical Teaching 3.Evaluation of Students More Advanced Clinical Teaching Workshops 5 Microskills Handling Challenging Teaching Situations Using Knowledge of Personality Types to Enhance Teaching On-Line Modules and CDs Learning Theory Applied to Clinical Teaching Effective Feedback Strategies Orienting Students One-Minute Preceptor Teaching Skills Applied to Content Teaching Students about Meds Mgt Teaching Students about Cognitive Disorders Teaching Students to Conduct EOL Discussion 11STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Number of Workshops for Community-based Faculty 12 Year# WorkshopsAttendance , , ,203 STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Benefits of Workshops 13 Builds community - Strengthens collaboration via personal contact Fosters “shared value” and collective responsibility for all students Increased knowledge of teaching and learning process Promotes active professional learning Attendees learn from each other Positive face of the College STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Enabling Factors for Faculty Dev Clarity Regarding Expectations of Clerkship Faculty Faculty Development Required – Must attend 3 intro workshop before taking student – 4 additional hours during following year – 2 hours/yr thereafter Benefits Provided to Clerkship Faculty – $500/week when teaching – Access to e-library – Faculty status – Free CME – Office signage 14STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care 15STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Enabling Factors Cont’d Regional Campuses Structure That Makes Provision of Programming Possible – Regional Dean and Staff Issue invitations Submit for CME Push for participation Takes care of details (e.g. food) Full-time IT person (one of the staff) – Regional Campus Building Place to conduct workshops Located independently of hospitals 16STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Enabling Factors Cont’d FD workshops given at place and time convenient to regional campus faculty Programs interactive and safe Programs responsive to feedback Adult learning principles followed FD programs focused and content progressive 17STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Most Important Enabling Factors Team Approach to Faculty Development – Associate Dean for FD – Assistant Dean for FD – Regional Deans – Selected Central Campus Faculty Go Out With Us – Director of Medical Informatics 6 Medical Informatics Directors Library staff Administrative Support 18STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Informatics Faculty Development

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Free Access to Virtual Library $3M annual subscriptions Includes $1300 of PDA medical apps Huge incentive for faculty Worked with librarians – Select clinical decision support resources – Design easily usable web interface – Develop FD training to use Seminar Series of 6 workshops 20STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Informatics Faculty Development sessions per year given at each of 6 regional campuses for clerkship faculty 6 given in summer at main campus – pilot new topics Others at remote/rural sites FD Laptops and PDAs – 10 each per site – 20 travelling STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Informatics Curriculum Directors (ICDs) Train the trainer model 2006:.2 FTE physicians, one per regional campus Deliver informatics faculty development sessions. – Their regional campus – Rural sites and residency programs in their area Consult with Director of Medical Informatics Education, Director of the Library, and Asst Dean for Faculty Development 22 STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Informatics FD Topics 23 1.Introduction to the Maguire e-Library and PDA Resources 2.Locating and Accessing Full Text Journal Articles 3.Selecting the Best Evidence-Based Medicine Resources (Web and PDA) 4.Using Drug Resources (Web and PDA) 5.Using Disease Resources and Textbooks, Including Reference e-Books (Web and PDA) 6.Using Calculators and Quick Decision Support References (Web and PDA) STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care New Topics Added Using Medical Images and Videos in Presentations Finding and Using Patient Education Materials – Invite attendees to bring an office staff iPhone/Android Smartphone & iPad Loading Parties Social Media in Medicine (2012) Common Thread: Incorporating use of resources in clinical teaching 24STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Faculty Development Webpage 25STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Informatics FD Resources All materials 26STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Indicators of Program Success 27STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Pre-Post Sample Evaluations 28STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Sample Evaluation Results 29STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care 2011 Aggregated Workshop Data 30STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care AAMC 2011 GQ Data FSU COM (% agree/strongly agree) All Schools (% agree/strongly agree) Family Medicine Internal Medicine Ob-Gyn Pediatrics Psychiatry Surgery Faculty members provided me with sufficient feedback on my performance. 31STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care AAMC 2011 GQ Data FSU COM (% agree/strongly agree) All Schools (% agree/strongly agree) Family Medicine Internal Medicine Ob-Gyn Pediatrics Psychiatry Surgery A faculty member personally observed me performing examinations during the clerkship. 32STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care MedED IQ - Year 3 Faculty Evaluations – “Understands the goals and objectives of the clerkship experience” Strongly agree Agree Mildly agree Disagree Stronglydisagree Mildly disagree 33 Special thanks to Lynn Romrell, PhD,Associate Dean, and the Office of Medical Education, Curriculum and Evaluation staff for supplying or these data. STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Year 3 Faculty Evaluations – “Efficiently oriented me early in my rotation to his/her practice and expectations” Strongly agree Agree Mildly agree Disagree Stronglydisagree Mildly disagree 34STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Year 3 Faculty Evaluations – “Gave me specific information that helped me improve my skills” Strongly agree Agree Mildly agree Disagree Stronglydisagree Mildly disagree 35STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Year 3 Faculty Evaluations – “Instructed me at my own level of expertise” Strongly agree Agree Mildly agree Disagree Stronglydisagree Mildly disagree 36STFM 45th Annual Spring Conference

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care USMLE Step 1 vs Step 2 CK First Time Takers Class Score on USMLE STFM 45th Annual Spring Conference37

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Questions/Thoughts

T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF M EDICINE Educating and developing exemplary physicians who practice patient-centered health care Thank You For Attending Feel free to comments/questions 39STFM 45th Annual Spring Conference