Innovations in Medical Education

1. Innovations in MedicalEducation New Curriculum for a New Wisconsin Physician: BASIC Training in Medical Education February 12, 2005

2. Goals for Retreat • Define new directions for Year 1 & 2 curriculum • Present rationale: national, local, student interest • Describe new resources available for design and implementation • Establish common themes for change • Define next steps

3. Overview of Schedule 8:30 -9:00 Goals; rationale for change 9:00 -9:30 New curriculum areas Public Health Remington Cultural Diversity Johnson-Powell Ethics/Health Policy Hogle 9:30-10:15 Current curriculum/student panel 10:30-11:15 Small group scenario 11:15-12:00 Group reports/synthesis 12:00-12:30 Implementation/next steps

4. Impetus for Change • UW Medical School self-study • LCME 2002 recommendation • National curriculum guidelines • Continuing to strive for excellence • Wisconsin Partnership Fund • Medical School Strategic Plan

5. LCME Accreditation – 2002/03 • Institutional self study: increase cultural competence training, ethics, professionalism, prevention/population health • Partial non-compliance with education standard: traditional curriculum with pedagogical approach that doesn’t reinforce problem solving • EPC guidelines: 20 credits per semester with approximately 50% lecture, 50% applied activity

6. Evidence of Excellence in Education • Annual assessment reports to EPC, campus • Top rated courses • Neurosciences • Infection and Immunity • Nationally recognized primary care curriculum • Established first Primary Care Clerkship • Generalist Partners Program • Two national demonstration grants • Ranked 3rd for primary care in US NEWS surveys

7. New Directions in Medical Education: National IOM Guidelines • Population Health Who will Keep the Public Healthy? • Cultural Diversity Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care • Comprehensive, integrated curriculum Improving Medical Education: Enhancing the Behavioral and Social Science Content of Medical School Curricula

8. Mind-Body Interactions in Health and Disease (chronic disease, life cycle & human development) Patient Behavior (risk assessment, behavioral change) Physician-Patient Interaction Physician Role and Behavior (ethics, professionalism) Social and Cultural Issues in Health Care Population Health, Health Policy & Economics Improving Medical Education: Behavioral and Social Science Domains

9. Recourses for Curriculum • Course directors, faculty, staff • New faculty curriculum leaders • New partnerships • MPH • Center for Cultural Diversity in Health • New grant funding • Cultural competence training • BASIC Training in Medical Education

10. Wisconsin Partnership Fund: Innovations in Medical Education • WPF established as an endowment to UW Medical School to improve health in Wisconsin • Education was a Core Focus Area of Excellence included in the Wisconsin Partnership Fund 5-year plan • Goals reinforced in the 2004-06 Medical School Strategic Plan • Awarded $1,050,000 annually for Innovations in Medical Education

11. ….enhance health professions training and the health of Wisconsin’s citizens by: • creating new education programs, aligned with Healthiest Wisconsin 2010, to address population health needs • focusing on gaps in health education: problem solving, information management, chronic disease, women’s health, cultural competence, ethics, oral health, pain management, and end of life care • providing life-long learning skills and ongoing continuing professional education • capitalizing on new opportunities for distance education for providers and citizens of Wisconsin • developing meaningful interdisciplinary education that emphasizes team care.

12. Education PrioritiesUWMS Strategic Plan: • Support the goals of Healthiest Wisconsin 2010: A Partnership Plan to Improve the Health of the Public by establishing new content and evaluation in courses and programs to address the population health issues of the state. • Emphasize the scientific basis of current understanding of the health risks, mechanisms of disease, and therapeutic approaches to disease and prevention measures. • Advance and strengthen interdisciplinary and health professions education as an integral function of an academic health center; align curriculum more closely with the current healthcare delivery environment. • Establish innovative approaches to teaching health professions students how to deliver culturally sensitive healthcare and to address health disparities and diverse populations in Wisconsin.

13. Innovations in Medical Education Initiatives • A New Curriculum for the New Wisconsin Physician • Clinical Skills Teaching and Assessment Center • Statewide Healthcare Distance Education • Innovations in Medical Education Grant Program

14. A New Curriculum… • Synergistic combination of medicine and public health • Emphasize population health, problem solving skills, new content areas • Teach with new technologies • Provide a bridge between traditional curriculum and emerging content areas

15. A New Curriculum… • Establish a core matrix to support curriculum innovation • Three .5FTE faculty each assigned to Years 1, 2, & 3 programs • Four FTE staff for Years 1,2,3 & MSTP programs • Budget request: $575,000

16. Clinical Skills Teaching and Assessment Center • Enhance ability to teach and assess using standardized patients and performance based testing • Improved teaching of health risk assessment, behavioral and lifestyle health management, interdisciplinary team care, ethics and communication skills, communication about errors, working with culturally diverse populations • Support community needs for skills training • Provide leadership and consultation for training grants and faculty development

17. Clinical Skills Teaching and Assessment Center • Add 3.5 FTE faculty/staff • Establish a Clinical Skills Health Center Advisory Group • Establish web tools for faculty & community development • Budget request: $225,000

18. Statewide Healthcare Distance Education • Establish a virtual Medical School across all teaching sites throughout the state • Establish communities of electronic learners to allow more students, community faculty, community providers, patients and citizens to participate in health education programs • Facilitate interdisciplinary education for nursing, pharmacy, medical, veterinary, dental and health professions students • Plan for a statewide health resources network as a bridge between UW Medical School and the citizens of Wisconsin

19. Statewide Healthcare Distance Education • Increase faculty/staff by 3.5 FTE • Transform the technology resources of the new Health Sciences Learning Center to a statewide learning resource • Support new non traditional learning methods, such as web based and distance education programs for communities and citizens of Wisconsin • Budget request: $275,000

20. Innovations in Medical EducationSummary • Provides key funding for initiatives that are timely and critical to achieve the long term goal of transforming the Medical School into a school of medicine and public health • Leverage with extramural funding sources • Must be used to support new initiatives, cannot supplant existing resources

21. New Curriculum:BASIC Training in Medical Education • Uses IME funds to establish new courses, integrate topics and improve existing courses • Follows national guidelines (BASIC = Behavioral and Social sciences Integrated Curriculum) • Outstanding model for training in population health and culturally competent health care