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Faculty Response to Development of an Innovative Consultation-Liaison Psychiatry Curriculum

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Faculty Response to Development of an Innovative Consultation-Liaison Psychiatry Curriculum J Hunter, S Ali, S Bhalareo, C Desouza, R Hawa, R Maunder, S Sockalingam, G Tennen, M Halman, R Jankalns, M Elliott. Methods. (2) Academic impact:. Purpose. - PowerPoint PPT Presentation
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TEMPLATE DESIGN © 2008 www.PosterPresentations.com Faculty Response to Development of an Innovative Consultation-Liaison Psychiatry Curriculum J Hunter, S Ali, S Bhalareo, C Desouza, R Hawa, R Maunder, S Sockalingam, G Tennen, M Halman, R Jankalns, M Elliott. Background Results (2) Academic impact: Conclusion Discussion Methods What it was The University of Toronto CL Psychiatry Core Curriculum was previously weekly ‘canned’ lectures, repeated every 6 months for 8-12 PGY-4 residents. Why it changed Poor attendance resulted in ineffective teaching that was frustrating for both students and teachers. There was a need to standardize residents’ experience across several teaching sites and increase the effective use of technology in teaching. A new Program Head decided to re-invigorate programmatic cohesion by identifying education as the common, shared activity in a large and distributed department. What it is now A monthly 7-hour ‘mini- conference’ with interactive team teaching by 2-3 faculty per day, course director and program head. Faculty members from 6 hospitals participate. Junior faculty were especially Purpose Little is known about how curriculum development affects faculty. We examined benefits and costs to faculty associated with the creation of a new CL Psychiatry Core Curriculum. Qualitative data was collected from participating faculty during curriculum meetings. A focus group of some participating faculty occurred after 2 iterations of the new curriculum. A subsequent anonymous survey of all participating faculty evaluated the focus group feedback, and invited further input. Faculty experienced curricular redevelopment as overwhelmingly positive with: increased personal recognition and cohesion within the group a re-energizing of their own teaching goals frequently a change in clinical practice. Curriculum renewal can be a powerful opportunity for faculty development. Curriculum renewal can benefit faculty as academicians, clinicians and colleagues. A s a consequence of w orking in the core curriculum : 0 2 4 6 8 10 12 Have you experienced new mentoring? D o you hope itw illim pacton your academ ic developm ent? Have you changed yourteaching style? Has itim pacted on yourprofessional identity? Yes No Notsure Curriculum development included approximately 60 person-hours of planning meetings and a final curriculum involving over 151 person-hours of shared teaching. Programmatic faculty involvement in the core curriculum increased from 18% to 48%. The survey was performed as a QA exercise, with a response rate of 78% (18/23). Survey (1) Increased exposure to colleagues: Expansion of referral networks Awareness of other practitioners’ scope of practice Increased sense of affiliation, especially for previously isolated individuals (ex. a paediatric CL doctor who has only a small hospital-based (3) Impact on practice: (4) Costs: Validation of one’s own practice values-e.g. the confirmation that the developmental perspective or neuropsychiatric evaluation is valuable enough to be assigned time within a constrained educational envelope It is an opportunity to practice strategies learned in educational scholars program Capacity to use involvement to Sense of renewed personal expertise and confidence Look for opportunities for team teaching Improved ability to do group teaching I'm doing more interactive teaching, learning from senior colleagues and getting ideas from them on improving teaching The seminars have served as continuing education opportunities and I'm now using some of the tools discussed that Number of responses 0 1 2 3 4 Have you feltpressured to participate? Have you felttim e pressured? Have you feltburdened? Do you feelthe costs outw eigh benefits? A s a consequence ofw orking in the core curriculum : Not at all A lot 0.00 0.50 1.00 1.50 2.00 2.50 3.00 Changed yourclinical practice? Changed your educationalpractice? Changed yourresearch practice? H as participation in the core curriculum : Not at all A lot 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 0 1 2 3 4 5 M ore than 5 A s a consequence of w orking in the core curriculum ,how m any faculty did you m eet for the first tim e?
Transcript
Page 1: Faculty Response to Development of an Innovative Consultation-Liaison Psychiatry Curriculum

TEMPLATE DESIGN © 2008

www.PosterPresentations.com

Faculty Response to Development of an Innovative Consultation-Liaison Psychiatry Curriculum

J Hunter, S Ali, S Bhalareo, C Desouza, R Hawa, R Maunder, S Sockalingam, G Tennen, M Halman, R Jankalns, M Elliott.

Background

Results

(2) Academic impact:

Conclusion

Discussion

Methods

What it wasThe University of Toronto CL Psychiatry Core Curriculum was previously weekly ‘canned’ lectures, repeated every 6 months for 8-12 PGY-4 residents.Why it changed Poor attendance resulted in ineffective teaching that was frustrating for both students and teachers. There was a need to standardize residents’ experience across several teaching sites and increase the effective use of technology in teaching. A new Program Head decided to re-invigorate programmatic cohesion by identifying education as the common, shared activity in a large and distributed department. What it is now A monthly 7-hour ‘mini-conference’ with interactive team teaching by 2-3 faculty per day, course director and program head. Faculty members from 6 hospitals participate. Junior faculty were especially encouraged. Content focuses on basic clinical competency organized around key clinical topics: Getting Started, Low Mood, The Agitated Patient, the Difficult Patient, Food, Sex & Sleep, Death & Dying. A developmental perspective and specific disease foci are integrated via case examples. Throughout there is an emphasis on collaboration, integration, and affiliation. The last day includes an OSCE on course material with formative feedback.

Purpose

Little is known about how curriculum development affects faculty. We examined benefits and costs to faculty associated with the creation of a new CL Psychiatry Core Curriculum.

Qualitative data was collected from participating faculty during curriculum meetings. A focus group of some participating faculty occurred after 2 iterations of the new curriculum. A subsequent anonymous survey of all participating faculty evaluated the focus group feedback, and invited further input.

Faculty experienced curricular redevelopment as overwhelmingly positive with:increased personal recognition and cohesion within the groupa re-energizing of their own teaching goalsfrequently a change in clinical practice.

Curriculum renewal can be a powerful opportunity for faculty development. Curriculum renewal can benefit faculty as academicians, clinicians and colleagues.

As a consequence of working in the core curriculum:

0 2 4 6 8 10 12

Have you experienced new mentoring?

Do you hope it will impact on youracademic development?

Have you changed your teaching style?

Has it impacted on your professionalidentity?

Yes

No

Not sure

Curriculum development included approximately 60 person-hours of planning meetings and a final curriculum involving over 151 person-hours of shared teaching. Programmatic faculty involvement in the core curriculum increased from 18% to 48%. The survey was performed as a QA exercise, with a response rate of 78% (18/23). Survey results are shown graphically, with focus group themes added beneath:

(1) Increased exposure to colleagues:

Expansion of referral networks Awareness of other practitioners’ scope of practice Increased sense of affiliation, especially for previously isolated individuals (ex. a paediatric CL doctor who has only a small hospital-based group)

(3) Impact on practice:

(4) Costs:

Validation of one’s own practice values-e.g. the confirmation that the developmental perspective or neuropsychiatric evaluation is valuable enough to be assigned time within a constrained educational envelope It is an opportunity to practice strategies learned in educational scholars program Capacity to use involvement to justify increased support via Academic Trust Funds

Sense of renewed personal expertise and confidence Look for opportunities for team teaching Improved ability to do group teaching I'm doing more interactive teaching, learning from senior colleagues and getting ideas from them on improving teaching The seminars have served as continuing education opportunities and I'm now using some of the tools discussed that I wasn't before (ie. MOCA) Increased confidence in managing infrequently seen clinical presentations

Number of responses

0 1 2 3 4

Have you felt pressuredto participate?

Have you felt timepressured?

Have you felt burdened?

Do you feel the costsoutweigh benefits?

As a consequence of working in the core curriculum:

Not at all A lot

0.00 0.50 1.00 1.50 2.00 2.50 3.00

Changed your clinicalpractice?

Changed youreducational practice?

Changed your researchpractice?

Has participation in the core curriculum:

Not at all A lot

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%

0

1

2

3

4

5

More than 5

As a consequence of working in the core curriculum, how many faculty did you meet for the first time?

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