Improving Health Through Medical Education David G. Nichols, MD Johns Hopkins University School of Medicine Johns Hopkins Medicine International Partners Forum Innovations in Education and Simulation October 2, 2012 The JH Swami Institute for International Medical Education

SIIME improving health through education… Needs Methods Outcomes measurement Johns Hopkins Swami Institute for International Medical Education 2

SIIME improving health through education… The needs The methods The outcomes Johns Hopkins Swami Institute for International Medical Education 3

Worldwide: 2420 medical schools 467 depts/schools of public health Indeterminate number of nursing schools 1 million doctors, nurses, midwives, public health professionals graduate annually Johns Hopkins Swami Institute for International Medical Education 4 Frenk J, The Lancet 2010; 376:

New medical schools (public and private) in India (A) and Brazil (B). Frenk, Lancet 2010 Johns Hopkins Swami Institute for International Medical Education 5

Density of Medical Schools by Region Johns Hopkins Swami Institute for International Medical Education 6 Frenk, Lancet 2010

Johns Hopkins Swami Institute for International Medical Education 7 Frenk, Lancet 2010 World Map Resized by Population, Burden of Disease, Number of Med Schools, and Provider Workforce

Why do countries contact SIIME? Better trained doctors Improved health for the population Biotechnology as economic engine The Hopkins Model – The Academic Medical Center (close link between school and hospitals) – Excellence in tripartite mission Exposure to advanced curricula (Genes to Society) Research collaborations Johns Hopkins Swami Institute for International Medical Education 8

Curricula shaped by the genome and complex chronic disease Genome sequencing Chronic disease prevalence Diabetes, Cardiovascular Disease, Cancer, Depression, Arthritis, Alzheimers Disease, Glaucoma, COPD, etc. etc. 9 Johns Hopkins Swami Institute for International Medical Education

GTS Principle I: Phenotype is determined by internal and external factors Society Environment Phenotype (Person) Organ physiology Cell biology Genomics Polygenic, Family hx Crystalline changes Abnl lens cell architecture Myopic shift Cataract, vision loss Poor education, poverty Age, UV light, smoking 10 Johns Hopkins Swami Institute for International Medical Education

SIIME improving health through education… Needs Methods Outcomes measurement Johns Hopkins Swami Institute for International Medical Education 11

What SIIME does… Malaysia project Consultations – Curriculum – Education resources – Education building design Innovative educational strategies Education and biomedical research grants to support international medical Training for international faculty Access to JHUSOM Genes to Society curriculum Johns Hopkins Swami Institute for International Medical Education 12

Johns Hopkins Swami Institute for International Medical Education 13

Armstrong Building Tour and Initial Review of Services Johns Hopkins Swami Institute for International Medical Education 14

The Building Organization: Affinity + Interaction Anatomy Teaching Labs Colleges Case Study Computing Colleges Lobby Prefunction Advising Auditoria Anatomy Teaching Labs Learning Studio Wenz Cafe Classroom Commons SGR Prefunction Commons Johns Hopkins Swami Institute for International Medical Education 15

Classroom Teaching Labs 36 Person Teaching Labs w/ Computers – Teams of 2p, 3p or 6p Johns Hopkins Swami Institute for International Medical Education 16

Central Colleges Commons: Student Crossroads Johns Hopkins Swami Institute for International Medical Education 17

Johns Hopkins Simulation Center: Simulation OR Johns Hopkins Swami Institute for International Medical Education 18

Consultation and Faculty Training Proposals Johns Hopkins Swami Institute for International Medical Education 19

Perdana University Graduate School of Medicine – Class of Johns Hopkins Swami Institute for International Medical Education

Clinical Case Conference Makerere University Medical School Kampala Johns Hopkins Medical School Baltimore Students Learn Together 21 Johns Hopkins Swami Institute for International Medical Education

SIIME improving health through education… Needs Methods Outcomes measurement Johns Hopkins Swami Institute for International Medical Education 22

The Education Cycle 23 Johns Hopkins Swami Institute for International Medical Education