Creating the GSM Agreement on the mission of the GSM Specification of what a graduate will look like – the outcomes Creation of a curriculum that can achieve the outcomes Prof Don Iverson

Mission of the GSM To develop a medical school for the 21 st century that focuses on the training of students who have a desire to, and have demonstrated the competencies to, engage in general practice medicine and other specialty medicine in regional, rural and remote areas

Principles Underlying the GSM An overriding commitment to regional, rural and remote Australia A community-based medical school with extensive participatory involvement by community GPs and specialists A medical school for the 21 st century—a curriculum that reflects advances in medical education approaches, and extensive use of existing and emerging medical education and information technologies

Principles Underlying the GSM Design and implementation of a comprehensive quality assurance process A research focus that complements the academic commitment to regional, rural and remote Australia

UOW GSM Curriculum UOW Mission Modified Sheffield ILA Approach Modified Peninsula Skills Laboratory Approach Modified Flinders Rural Placement Approach UOW Technology Delivery Approach

Undifferentiated Clinical Problems 1. Anaemia 2. Bleeding 3. Breast lump 4. Dying patient 5. Enlarged spleen 6. Fever 7. Lump in neck 8. Lymphadenopathy 9. Pain 10. Back/neck pain 11.Joint pain/swelling 12.… DEVELOP DELIVER REVISE Curriculum Delivery UOW SCHOOL OF MEDICINE

Medical sciences –Basic science –Clinical science –Behavioural Science –Population health Clinical Competencies –Clinical skills –Interpersonal skills –Professional behaviours –Procedural skills Index conditions –Common or less common but dangerous –Uncommon but illustrative Problem Blueprints DEVELOP DELIVER REVISE Curriculum Delivery UOW SCHOOL OF MEDICINE

Block 4-10 wks (e.g. cardiovascular/respiratory) Focus Problem + related problems (e.g. chest pain) Lectures Electrical activation of the heart Lifestyle + coronary heart disease Anatomy lab dissection The Heart and Pericardium Integrated Learning Activities Lge Gp>Inde>Sm Gp>Lg Gp Myocardial infarction Histology/Pathology Endomyocardial biopsy Clinical Skills Centre History taking (focus causes of chest pain) Clinical Demonstrations Palpitations Lectures Importance of evidence- based practice Sm Group Workshops Identifying and critiquing medical literature Intensive Clinical Experience Nurse/allied health/community GP + Hospital Placement Understanding the clinical environment 22hrs/fortnight~11hrs/fortnight ~1.5hrs/fortnight Examples DEVELOP DELIVER REVISE Curriculum Overview GRADUATE SCHOOL OF MEDICINE

Chest pain ILA - Learning Objectives By the end of the ILA students should be able to: describe the anatomy of the human coronary circulation describe the basic physiology of coronary blood flow describe the normal artery describe the pathogenesis of atherosclerosis describe the pathophysiology of myocardial infarction describe the pain pathways of chest pain describe the mechanism of clot formation outline the clinical consequences of heart attack outline the risk factors for MI be able to describe the key features of a focussed history of chest pain

Clinical Placements DEVELOP DELIVER REVISE UOW SCHOOL OF MEDICINE 1000 persons 800 report symptoms 327 consider medical help 21 visit a hospital outpatient clinic 13 visit an emergency department 8 are hospitalised <1 is hospitalised in an academic medical centre 217 visit a physician’s office (113 visit a primary care physician) 1. Access to patients for teaching 2. To expose students to the richness of primary care medicine, and help them identify this as a desirable career option. Why Teach in the Community?

Bottom-Up Analysis What resources do we need to teach the curriculum ? This entailed a detailed examination of each day,each phase & each teaching event Top-Down Analysis What staff do we think we need to run our medical school ? Compare & Align Will the proposed staffing be able to deliver the necessary teaching ? Review & Analyse Can we afford this ? How does this compare? MgtAcademicsGeneral Student placement PREDICTIVE FINANCIAL MODEL METHODOLOGY

Capacity to Deliver Phase 1 of the Curriculum Teaching and Learning Activities PermanentHonorary Faculty Clinical & Other Academics Basic Science Academics Behavioural and Population Health Academics GPs Other Specialists ILAsPresentationsXXXX TutorialsXXXX Wrap upXXXX Clinical PresentationsXXXX Clinical Skills LaboratoryXXXXX Anatomy LabX Block LecturesXXXXX Remedial TutorialsX Research & Critical Analysis Lecture XXX Research & Critical Analysis Tutorials XXX DEVELOP DELIVER REVISE Content and Overview GRADUATE SCHOOL OF MEDICINE

BASIC MEDICAL SCIENCE TEACHING HOURS

Content and Overview UOW SCHOOL OF MEDICINE Four Year Program – Years 1 & 2

Content and Overview UOW SCHOOL OF MEDICINE Four Year Program – Years 3 & 4

Suggestions Have a vision of what you want to achieve – be bold Start with the ‘big’ picture and work down Don’t expect support – most people will expect you to fail Identify 2-3 loyal colleagues who believe in the vision The end result is worth the effort