http://www.healthcare.uiowa.edu/2020/index.html

1. http://www.healthcare.uiowa.edu/2020/index.html

2. Take Home Points • The Carver College of Medicine provides an outstanding medical education • There is room for improvement (and always will be) • We are committed to continued development of the best possible medical education and learning environment

3. Aim of CCOM Medical Education • To provide an educational foundation that prepares graduates for entry into a GME program of their selection, including whether to pursue a career as a clinician, scientist, and/or educator.

4. 1995 Curricular Revisions • Many excellent changes:- Some new & integrated & centrally managed courses- Some new clerkships & adjustments in clerkship time • Learning environment enhanced by investment in facilities, course management and student services

5. Outstanding Results • Pass rates for USMLE examinations excellent (97-100%) • <1% academic attrition over last decade • Excellent student satisfaction scores on AAMC Graduation Questionnaires • High level of satisfaction with IA graduate performance in residency programs

6. Case for Curriculum Renewal

7. Growing Disconnections • ~ 80% of medical education focused on biology yet 60% of premature deaths due to “non-biologic” factors • ~ 80% of clinical education occurs in inpatient settings yet 80-90% of medicine practiced in outpatient arena • Sub-cellular/molecular focus of scientific inquiry presents a growing challenge for basic science faculty to demonstrate its broad applicability to clinical medicine

8. Growing Disconnections

9. Case for Curriculum Renewal • Growing Disconnects • Exponential ↑ in knowledge • Changing environment • Societal demographics • Health care reform • Technologic advances • Availability and management of information • Methods of delivering curriculum

10. Case for Curriculum Renewal • LCME Report identified: • a need for the CCOM to review its entire curriculum (ED-35) • a need for greater central oversight for the curriculum (ED-33) • Dean Rothman’s charge to systematically review, revise and implement a renewed undergraduate medical education curriculum for the CCOM

11. Steering Committee Charge • Develop a framework for curriculum renewal • Support modeling committees by providing information and resources • Synthesize modeling committees’ work into a consensus curriculum • Work with departments to define core knowledge for a broad-based medical education • Communicate progress to the larger CCOM educational community

12. Modeling Committee Charge • Design an educational structure that will • address patient and societal needs that are anticipated to significantly impact healthcare in the near future • improve integration of basic, clinical, and social sciences within and across all four years • provide earlier clinical experience and appropriate skill development • promote learner-centered education, student well-being, engagement, and active learning

13. Curriculum Renewal • Convened Steering Committee - 11/09 • Charged 4 modeling committees to develop a proposed new curriculum - 4/10 • Held retreat to present the 4 models - 9/10 http://www.healthcare.uiowa.edu/2020/committees.htm • Gathering feedback on curricular themes of models (today)

14. Modeling Committee Chairs

15. Modeling Committee Members

16. Emerging Themesfrom Curricular Models • Greater integration of basic/clinical/social sciences across 4 years • Sub-cellular/molecular focus of scientific inquiry makes collaboration between basic science and clinical faculty even more important • Organizing themes or principles • Conceptual organization of knowledge leads to better learning • Earlier clinical exposure • Models suggest ambulatory experience, which more accurately reflects delivery of care • Individualized educational programming • Current curriculum is more structured than most

17. Greater Integration Across 4 Years • Interdisciplinary courses/clerkships • “Linking” courses • “Blocked” Clerkships • Foundations course • “Threads” or “themes” across all 4 years • Recurring short courses/seminars • Team teaching/collaboration

18. Greater Integration • Clinical expertise linked to a well organized knowledge • Knowledge organized into schemes • 2+2 curriculum imposes discipline-based knowledge as organizing scheme • Educational research supports providing conceptual structure of the content to be learned • Greatest value for students experiencing difficulty in seeing how concepts relate to one another

19. Potential Curricular Structures • Discipline based (current) • Organ based • Complaint based • Mechanism of disease based

20. Earlier Clinical Exposure • Continuity of care experience • Start clinical exposure earlier

21. Individualized Learning • Greater variety of clerkship electives • Reduction in required clerkships

22. Curriculum Renewal - Timeline • November 2010-January 2011 Dissemination of potential curricular innovations to College, departments, faculty, staff, and students • August 2011 Initial implementation of curricular changes

23. Questions • What are the most important issues in the curriculum renewal for your department? • How can your department contribute to a renewed curriculum? • Which elements of the current curriculum do you consider essential? • Suggestions for improved use of technology? • Other suggestions?

24. Information about the 4 Models: http://www.healthcare.uiowa.edu/2020/committees.htm Information about the current curriculum: http://www.medicine.uiowa.edu/osac/curriculum/index.html

27. Bridge to 21st Century Medicine

28. Centered Education with Reinforced Foundations

32. Mechanisms of Disease Spiral Curriculum Clinical Skills (HX + PE) Continuity of Care 1 2 3 Ischemia Inflammation Metabolic Genetic Neuropsychiatric Trauma Neoplasia Socio-behavioral