Post on 27-Dec-2018
transcript
2014 CGEA 3/28/2014
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Multiple Vertical Curricula:
10 Years of Experience Orchestrating
Individual Curricula and Developing
Central Organization
Theresa Kristopaitis, MD
Loyola University ChicagoStritch School of Medicine
Disclosures
None
(though I am the director of the Vertical End of Life Curriculum)
“Vertical” Curriculum
Subject integrated (embedded) into multiple courses throughout different years
Adapted from: Hirsh DA et al. N Engl J Med
2007;356:858-866
Ideally brings
• Relevance
• Re-emphasis for deep learning
• Communication and collaboration
Curricular
NeedChampion
Learning
Objectives Design Implementation Assessment
Vertical Curriculum Development
Course/Clerkship
Directors
Reevaluation
&
Revision
DISASTER
PREPAREDNESS
NUTRITION
PREVENTION/
SCREENING
END of LIFE
RADIOLOGY
Stritch Vertical Curricula
Vertical Curricula in Your Schools?
Embedded within courses/clerkships
vs discreet blocks of time?
2014 CGEA 3/28/2014
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Stritch Curriculum Map
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Embedded Vertical Curricula
Challenges
Visibility
Accountability
Student acquisition of core competencies
Evaluation of outcomes of curricular changes
R
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Topics in
Clinical
Medicine
(TCM)
•First Year [Today's Schedule | Calendar
Behavioral Medicine and Development (calendar |
lectures)
•Function of the Human Body (calendar | lectures)
•Host Defense (calendar | lectures)
•Molecular Cell Biology and Genetics (calendar |
lectures)
•Patient Centered Medicine 1 (calendar | lectures)
•Structure of the Human Body (calendar | lectures)
•Topics in Clinical Medicine 1
•Second Year [Today's Schedule | Calendar]
Mechanisms of Human Disease (calendar | lectures)
•Patient Centered Medicine 2 (calendar | lectures)
•Pharmacology and Therapeutics (calendar |
lectures)
•Topics in Clinical Medicine 2
•Third Year [Today's Schedule | Calendar]
Family Medicine (calendar | lectures)
•Medicine l (calendar | lectures)
•Neurology (calendar | lectures)
•Obstetrics-Gynecology (calendar | lectures)
•Patient Centered Medicine 3
•Pediatrics (calendar | lectures)
•Psychiatry (calendar | lectures)
•Surgery (calendar | lectures)
•Topics in Clinical Medicine 3
•Fourth Year [Today's Schedule | Calendar]
Emergency Medicine (calendar | lectures)
•Intern 101 (calendar | lectures)
•Medicine Subinternship ICU (calendar | lectures)
•Medicine Subinternship Wards (calendar | lectures)
•MS4 Medical Teaching Elective (calendar |
lectures)
•Course Catalog
•Course Catalog - Specialties
•USMLE Review
Programs
•Bioethics & Professionalism
•Medical Spanish Program
Topics in Clinical Medicine - Vertical
Curriculum/Self Learning Modules
•Disaster Preparedness
•End of Life
•Nutrition
•Prevention & Screening
•Radiology
Vertical Curricula
Highlights, Successes, Challenges
2014 CGEA 3/28/2014
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Disaster Preparedness
Goal: Provide various background educational
modules that will enable graduates to enter
postgraduate work with a portfolio of
accomplishments in disaster preparedness
Disaster Preparedness
• Online FEMA Course
• Lectures
• Disaster Simulation, Decontamination Drill
• ED Triage rotation
Disaster Preparedness
• Didactic, independent learning, experiential
• 2014 relevance
• Champion
• Limited sequential integration
End of Life
“To Cure Sometimes,
To Relieve Often,
To Comfort Always
This is our work”Anonymous, 15th Century
Structure of
the Human Body
PCM
PCPsM
Patient Centered Medicine 1
Patient Centered Medicine -3
Mechanisms of Human Disease
Pharmacology and Therapeutics
Patient-Centered Medicine-2
MCBG
BM
Structure of
the Human BodyFunction of the Human Body
Host
Defense
Medicine SurgeryPediatrics PsychiatryFamily
MedicineNeurology Obstetrics/
Gynecology
T
TC
M
T
C
M
T
C
M
T
C
M
End of Life
Emergency
Medicine
Subinternship
WardsSubinternship
ICUElectives
2014 CGEA 3/28/2014
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End of Third-Year - “End of Life”
Clinical Skills Exercises Using
Standardized Patients
• Pain Assessment
• Advance Directives
• Philosophy and Services of Hospice
• Delivering Bad News
End of Life
• Well-integrated
• Assessment of
– Knowledge via
• Course/Clerkship exams
• TCM-3 exam
– Skills
• Balancing initiatives/curricular time
Nutrition
“Take 2”
“Take 1”
Goals/Objectives “overly” comprehensive
Insufficient collaboration
On-line modules without integration
2014 CGEA 3/28/2014
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Structure of
the Human Body
PCM
PCPsM
Patient Centered Medicine 1
Patient Centered Medicine 3
Mechanisms of Human Disease
Pharmacology and Therapeutics
Patient-Centered Medicine-2
MCBG
BM
Structure of
the Human BodyFunction of the Human Body
Host
Defense
Medicine SurgeryPediatrics PsychiatryFamily
MedicineNeurology Obstetrics/
Gynecology
T
TC
M
T
C
M
T
C
M
T
C
M
NutritionPrevention & Screening
Prevention & Screening
Structure of
the Human Body
PCM
PCPsM
Patient Centered Medicine 1
Patient-Centered Medicine 3
Mechanisms of Human DiseasePharmacology and Therapeutics
Patient-Centered Medicine-2
MCBG
BM
Structure of
the Human BodyFunction of the Human Body
Host
Defense
Medicine SurgeryPediatrics PsychiatryFamily
MedicineNeurology Obstetrics/
Gynecology
T
TC
M
T
C
M
T
C
M
T
C
M
Self-Assessments
Course/Clerkships
Vertical curriculum
Radiologyhttp://www.stritch.luc.edu/lumen/MedEd/Radio/curriculum/radiology-curric1_f.htm
COURSE BASED RADIOLOGY CURRICULUM
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Self Assessment Radiology - Evaluation:
MS1:
On line examination at the end of structure course. You will be evaluated on the 1-3 objectives. Passing grade 70% Pass/fail.
MS2:
On line examination at the end of second year covering objectives 4, 5 and 6. Questions will cover Neuroscience, Abdomen, Heart and Lungs. Passing grade 70% Pass/Fail.
MS3:
Clerkship exams will contain questions evaluating the objective 7 and is part of the clerkship exam score.
Participation in WEEKLY RADIOLOGY IMAGE CASES to evaluate your ability to apply objectives 8 and 9. 70% participation required.
On line examination at the end of third year under the Topics in Clinical Medicine covers objectives 1-9. Passing score 70%
Remediation:
Repeat any failed component.
Radiology
• Driver of curriculum mapping
• Model of Maintenance
• Innovation
– faculty intensive
– Re-evaluation
Topics in Clinical Medicine
TCM Director
Vertical Curricula
Directors
Course/Clerkship Directors
TCM
ExamsCourse
Evaluations
Clerkship
Evaluations
Topics in Clinical Medicine
• Pass/Fail
• Remediation
– Determined by Vertical Curriculum Director
Topics in Clinical Medicine
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Vertical Curriculum Assessment
• Feedback within Individual Courses/Clerkships
• Centralizing via Curriculum Evaluation Process
LESSONS LEARNED & QUESTIONS
•To succeed– “Start small”
• Further permeation
•Oversight
•“What is a vertical curriculum”
•“How many is too many?”
•Assessment of Vertical Curricula
•Sustainability
•Student Time Balance
Emerging Vertical Curricula
• Point of Care Ultrasound
• Quality and Safety
Further Discussion