Post on 28-Mar-2015
transcript
How to Get Your Career Going as a Clinician-Educator
Patricia Thomas, MD
Associate Professor of Medicine
Associate Dean of Curriculum
With apologies to Dr.Susan MacDonald
“Navigating the Promotion Process”
What is a Clinician Educator?
• Faculty member whose scholarship is not dependent on research, although may do research
• <50% of salary support comes from external funding
“cE” vs. “Ce”• cE: Scholarship related to educational issues,
innovations in medical education, educational research.
• Ce: Scholarship related to clinical practice, but documented excellence in teaching.
Expanded Definition of Scholarship
• Scholarship of Discovery: elucidation of new knowledge
• Scholarship of Application: building bridges between theory and practice
• Scholarship of Integration: creative synthesis or analysis, looking for connections across disciplines
• Scholarship of Teaching
Documenting Scholarship Excellence:The Glassick Criteria
1. Clear Goals and Aims
2. Adequate Preparation
3. Appropriate Methods
4. Significant Results
5. Effective Dissemination
6. Reflective Critique
Skills Necessary to the CE*
1. Teaching and Learning
2. Curriculum Design
3. Assessment
4. Leadership
5. Information Technology
* E. Armstrong, Director of Harvard Macy Institute
Instructor Level
Non-CE• Pose questions• Develop expertise• Learn how to obtain
funding• Identify important areas• Self-management (Time
management)
Clinician Educator(Adequate Preparation)• Teaching Skills
– Public speaking– Small group facilitation– One-on-one precepting– Writing for publication
• Education Expertise• Clinical Expertise
Teaching Skills Courses
Locally:– JHU Faculty Development Program (K.Cole)*
• Teaching Skills• Curriculum Development
– Office of Faculty Development* (flier)• “Speak Like a Pro”
– Homewood: Center for Educational Resources
– JHU Graduate School of Education *www.hopkinsmedicine.org/fac_development
Teaching Skills Courses
Regional/National– Evidence-based Medicine (McMasters)– Teaching Geriatrics (UCSF)– Healthcare Communication (Bayer Institute)– Professional societies: Surgeons as Educators
Course (American College of Surgeons)
– Harvard Macy Institute (2 week courses)
Fellowship Training(cE)
• Medical Education Fellowship (GIM)• Stanford Fellowship in Medical Education• Rabkin Fellowship in Medical Education• Surgical Research Education Fellowship
(American College of Surgeons)
Additional Degrees (cE)
• Masters in Education (M.Ed.)• Masters in Medical Education (M.Ed.)
– Univ. of Pittsburgh– Univ. of Cincinnati– Univ. of Michigan– Univ. of Southern California– Univ. of Southern Illinois (online or residential)
• Masters of Science– Masters of Science in Education with a concentration
in Technology in Education
Clinician Educator: Instructor Level
1. (Adequate Preparation)
2. Start your Educator (Teaching) Portfolio (Significant Results & Reflective Critique)
3. Identify mentor(s) – (Hint: May not be in your division)
4. Volunteer to teach! (Impact)
Contents of the Educator Portfolio
• Evidence of quantity of teaching effort
• Evidence of impact
• Evidence of scholarship– Scholarly teaching: using best practice– Teaching scholarship: discovering best
practice
Resources
• The Silver Book
• “Advancing Educators and Education: Defining the Components and Evidence of Educational Scholarship”– Summary Report and Findings From the
AAMC Group on Educational Affairs Consensus Conference on Educational Scholarship
– Available at www.aamc.org
Educator Portfolio Content*
• Philosophy Statement• Teaching Activity Report• Curriculum Development• Assessment of Learner Performance• Adviser and Mentor• Educational Administration• Public Expression of Scholarly Activity
*Steps and Example content are in the “Silver Book”
Start Here!
Teaching Activity Report
• Track:– Your learners– Your content area– Your evaluations (Significant Results)– JHUSOM Office of CME will track activities and
evaluations for CME talks– How did you change your teaching (Reflective
critique)– Where would you like to lead?
Dean/CEO
Educational Policy Committee (EPC)
(Chair, Vice Dean for Education)
Special Committees on Education
(Member, Vice Dean for Education)
SUBCOMMITTEES OF THE EPC
● Curriculum Reform Committee
●Clinician Educator Committee
● Student Assessment and Program Evaluation
● Year I Course Directors Committee
● Year II Course Directors Committee
● Clinical Clerkship Directors Committee
CURRICULUM SUPPORT SERIVCES
Associate Dean for Curriculum
P Thomas, MD
Office of Academic Computing
H Goldberg, PhD
Office of Medical Education ServicesCraig Bowen, Ph.D
Simulation CenterE Hunt, MD
Medical Student EducationalInfrastructure at JHUSOM
Assistant Professor
Non CE:• Clear area of
concentration• Present work & publish• Become nationally
recognized• Provide teaching &
service to the Dept.
CE:• Focus area of
concentration• What are important areas
for discovery/innovation?• Join professional
organizations & volunteer• Ask Director for
opportunities to talk, teach & write
• Manage your time & effort
Why join an organization?
• Develop expertise• Place to disseminate your work• Place to identify mentors• Place to discover collaborators (dissemination is
easier if it is multi-institutional)• Opportunity to develop regional and national
reputation: volunteer to work on meetings, review committees, etc.
• Can provide documentation of your leadership: Awards for educators: Self-Nominate
Medical Education OrganizationsWhich should you join?
• Who are your learners?• Do you represent a subspecialty?• Do you have an educational method of interest,
e.g. evidence-based medicine, simulation, medical informatics?
• Do you have a content area that crosses disciplines, e.g. preventive medicine or patient safety?
Medical Education Organizations
Organization Focus Publication
AAMC:
GEA
RIME
GSA
UME,GME,CME Academic Medicine
ACCME CME
ABSME Behavioral Sciences and Medical Education
Annals of Behavioral Science and Medical Education
AAME Medical Education in Europe
Medical Teacher
NBME Assessment (Stemmler Fund)
Specialty Medical Education Organizations
Alliance for Internal Medicine (SGIM,ACP, ASP,CDIM, APDIM)
Internal Medicine Journal of General Internal Medicine,
Annals of Internal Medicine
Council on Medical Student Edcuation in Pediatrics
(COMSEP)
Pediatrics Pediatric Educator
Association of Professors of Gynecology and Obstetrics
(APGO)
Obstetrics/Gyn
Women’s Health
Assoc. for Surgical Education
Surgery
Consortium of Neurology Clerkship Directors (CNCD)
Neurology
Society of Teachers of Family Medicine
Family Medicine
Ambulatory Medicine
Family Medicine
Examples of Content Medical Education Organizations
American Medical Informatics Association (AMIA)
Journal of the AMIA
Association for Teachers of Preventive Medicine (ATPM)
American Journal of Preventive Medicine
End of Life /Palliative Care Resource Center (EPERC)
Website
International Association of Medical Science Educators (IAMSE)
Association for the Study of Medical Education
Medical Education
Other Ways to Network
• Volunteer to be a reviewer for a journal
• Host a colleague at your institution, and volunteer to be invited to theirs
• Volunteer to be a peer-reviewer:– HRSA Bureau of Health Professions Grants– MedEdPORTAL
Effective Dissemination
• Publish in Medical Education Journal
• Publish in Specialty Journal
• Publish in Higher Education Journal
• Workshops at Professional Meetings
• MedEdPORTAL (www.aamc.org/mededportal)
Summary: How to Get Started
• Keep Glassick Criteria in mind• Balance volunteerism with need for protected
time to develop your enduring materials• Seek preparation• Reach outside of institution for mentors• Ask for recognition: Departmental or SOM
awards, opportunities to speak, etc.• Document your career in an Educator Portfolio