Presentation is loading. Please wait.

Presentation is loading. Please wait.

Troubleshooting Your Clerkship 104: Teaching Challenges Alan P

Similar presentations


Presentation on theme: "Troubleshooting Your Clerkship 104: Teaching Challenges Alan P"— Presentation transcript:

1 Troubleshooting Your Clerkship 104: Teaching Challenges Alan P
Troubleshooting Your Clerkship 104: Teaching Challenges Alan P. Ladd, MD

2 Disclosures Published evidence provided where possible
Personal Commentary (*) Comments do not necessarily reflect the views of the Indiana University School of Medicine

3 Disclosures—why me? Clerkship Director for 7 years 340+ students
Central Campus (6 hospitals) 8 statewide, regional sites I know JOE

4 General Surgery at the Academic Health Center
“The Mecca”

5 General Surgery at AHC Medical Center or Traditional University Hospital Specialized and Sub-specialized services Typical Services “Whipple-a-day” service “Only Breast and Thyroid” service

6 General Surgery Clerkship
Training models for MS3 clerks Inherent to the Medical Center (traditional) Curricular models slow to change Lack of opportunities to change

7 Novel Clerkship Models
Completely Distributed System Multiple regional campuses Student Apprentice Model Regional oversight for instruction Central oversight for Curriculum, Resources, Outcomes EL Bradley et al. JSR 177 (2012) 14-20 TCW Yu et al. JSR 168 (2011) e17-e23

8 Novel Clerkship Models
Non-Academic Clerkship Model Use of Community hospitals With or without Academic structure of residency M Williams, et al. JST 116 (2004)

9 Novel Clerkship Models
Surgical Subspecialty Model Use of Subspecialty surgery rotations High Ambulatory patient population for instruction MK Sandquist et al. JSR 153 (2009) Poenaru et al. Amer J Surg 175 (1998)

10 Novel Clerkship Models
Common Themes Centralized Curriculum Oversight Identical Educational Objectives/Resources Faculty Development/Instruction Monitoring of Outcomes

11 The Solutions to General Surgery at AHC *
Mindset Change (for CD/Chair/Department) Education not about the Emersion Universal, Reproducible Surgery Curriculum Faculty Development

12 Clerkship is not Emersion
Service and/or Hospital becomes Context Not Team dependent Team can be redefined

13 Universal Curriculum Identical Objectives
Standard Teaching Material & Resources Standard Assessments Pedagogical Options

14 Faculty Development Shared Educational Goals
Common Understanding of Objectives Awareness of Resources Updated Versions

15 Surgery Core Curriculum
Successfully Navigating the First year of Surgical Residency: Essentials for Medical Students and PGY-1 Residents ( National Curriculum) Guidebook for Clerkship Directors, 4th Edition

16 Developing Core INSTRUCTION
Didactics Experiential Opportunities Skill Instruction Always remember equivalency (LCME)

17 The IUSM Example Core topic Small Group Discussions
Lectures—Surgical Nutrition, Ventilators Clinics—Breast Oncology; Colorectal Calls—Acute Care Surgery/Trauma Skills—Venipuncture; Suturing; Foley Patient Assessment—Simulation

18 General Surgery at AHC Curriculum, Objectives, and Instruction that Compile to make a General Surgery experience

19 General Surgery for the “Non-surgical” Students

20 “Non-surgical” Students
Who are our learners? 90+ % of students are not surgeons What should be our Educational Mindset?

21 The Generalist Education
Clinical Encounters MJ Curet et al. Am J Surg 178 (1999) 78-84

22 MJ Curet et al. Am J Surg 178 (1999) 78-84

23 The Generalist Education
Clinical Encounters/Diagnoses Higher interest in topics of subspecialty surgery Orthopedics Otolaryngology Ophthalmology Not trauma, vascular problems, CAD, PE MJ Curet et al. Am J Surg 178 (1999) 78-84

24 The Generalist Education
Skill Proficiency MJ Curet et al. Am J Surg 178 (1999) 78-84

25 MJ Curet et al. Am J Surg 178 (1999) 78-84

26 The Generalist Education
Skill Proficiency Shared importance of Documentation Highly rated “office procedures” Wound Management, Epistaxis, Abscess MJ Curet et al. Am J Surg 178 (1999) 78-84

27 The Generalist Surgical Education*
Not always reflective of AHC healthcare Higher Subspecialty emphasis Office-based procedural elements

28 The IUSM Example Core Discipline didactics
Skills—Casting/Splinting; Vascular Exam TBD

29 The Generalist Surgical Education* Resources
WISE-MD Lawrence Text: Essentials of General Surgery

30

31

32 Headline Here No More Than 2 Lines
Body text here. Never center bulleted text. Line 2 Line 3 Line 4 – no more!

33 Headline Here No More Than 2 Lines
Body text here. Never center bulleted text. Line 2 Line 3 Line 4 – no more!

34 Bullet text here. Never center bulleted text.
Item 2 might be a single line of text. Line 3 might be a bit longer, and could wrap to a second line. Line 4 should be the last bullet on your slide!

35 Major Title Slide Limit to 2 Lines

36 Major Title Slide With a subhead

37 Headline Here Body text here. Never center bulleted text. Line 2
Line 4 – no more!


Download ppt "Troubleshooting Your Clerkship 104: Teaching Challenges Alan P"

Similar presentations


Ads by Google