Teaching Outside of the Box:
Running a Pre-clinical Course
Eve Espey - UNM
Sonya Erickson – CU
Origins
Increasingly, APGO members contribute to
required pre-clinical courses.
Origins
Increasingly, APGO members contribute to
required pre-clinical courses.
Increasingly, APGO members run
required pre-clinical courses.
Origins
Increasingly, APGO members contribute to
required pre-clinical courses.
Increasingly, APGO members run
required pre-clinical courses.
?
Running a Course
Human Reproduction and Sexuality Block,
UNM – 5 years
Life Cycle Course,
CU – 2 years
??
Goals
►
Identify rewards and challenges
►
Review responsibilities of such courses
 Global
 Campus Specific
►
Compare and contrast this with running a clerkship
►
Suggest ideas to start involvement
►
Is this right for you?
Rewards & Challenges
► Rewards
► Challenges
Rewards & Challenges
► Rewards
Personal
Departmental
► Challenges
Personal
Departmental
General Responsibilities
Manage Curriculum
Manage Faculty
Manage Students
General Responsibilities
Manage Curriculum
Manage Faculty
Manage Students
JUST LIKE A CLERKSHIP!
Managing Curriculum
► Negotiating
Content Boundaries
► Sequencing Content
 Matters more
► Annual
Course Delivery Cycle
► Determining Formats
► Evaluations
 Currently, no shelf exams
 Instruments must be created
Managing Faculty
► Recruitment
► Availability
 Up front
 Cancellations
► Other
Departments / Chairs
 Negotiations more complex
► Faculty
Development
Managing Students
► Student
education IS the mission
► Pre-clinical
students are unique
► On
their turf
► All
at once
► Less
intense relationships
Partner Exercise
► Think
of a local course you could run
► Traditional vs Organ Based vs Other
► Timing and Placement
► Duration
► Content?
► Admin support
► Protected Time
► Length of Term
Human Sexuality & Reproduction
Eve Espey, MD MPH
APGO 2008
Resources
► Enthusiasm
► Time
► Chair
support
► Budget ($1,000)
► Administrative assistant
► Helpers (at least one…)
 Student helper (4th year elective)
Credentials
► Obstetrician-
gynecologist
► Masters in public
health
► No stranger to
reproduction
Block Structure - UNM
►
►
►
►
November – December
Year 2
3 weeks – 66 hours
Lecture
 10 hours/week
►
Tutorial
 6 hours/week
►
Lab
 10 hours/week
►
Other
 5 hours/week
Goals and Objectives
Resources:
► Basic
Science Prerequisites to a Clerkship in
Obstetrics and Gynecology, APGO, 2007
► 8th
edition APGO Medical Student
Educational Objectives
Lectures Emphasize Public Health
►
►
►
Week 1 - Menstrual cycle




H-P-G axis
Puberty
Sexuality
STDs






Implantation/fertilization
Sexual differentiation
Contraception/abortion
Endocrinology
Normal pregnancy
Infertility
Week 2 - Pregnancy
Week 3 - Menopause
 Sexual dysfunction
 Urinary incontinence
 Disease prevention
Structure: PBL Tutorial
►
►
Tutorial based on each week’s theme
Pre-case with homework + main case
 25 year old with amenorrhea
► Prolactinoma
 17 year old with amenorrhea
► PCOS
►
Biologic issues
 Menstrual cycle
►
Population issues
 Teen pregnancy
►
Ethical issues
 Unintended pregnancy
 Abortion
Anatomy
► Female
and male
pelvic anatomy
► 2 hour lab
► Open lab throughout
course
► Anatomy lab practical
Histology and Pathology
► Histology
lecture and
lab
► Pathology lectures and
lab
 Uterus and cervix
 Breast and ovary
 Prostate and testicle,
etc.
Assessment
► Formative
(ungraded)
 Weekly quizzes:
multiple choice
► Summative
(graded)
 Homework (5%)
 Final exam (95%)
► Lab
practical
► Multiple choice
► Essay
 Extra credit (3%)
The Innovative Parts
► Pelvic
exam workshop
► Contraceptive display
► Sexual history taking
► Faculty GLBT panel
► Domestic violence – SANE seminar
► Film festival
► Papaya workshop
Contraceptive Display
► Class
of 75 students
► Divide into 4 groups
► 12 Preceptors




OB-GYN faculty
OB-GYN residents
FP faculty
4th year students
Film Festival
►
Teen sexuality
 Fast times at Ridgemont
High
►
Homosexual sexuality
 If these walls could talk
►
Other – Cross dressing
 Ma Vie en Rose
►
►
Discussion
Extra credit
Career Trajectory
► Then
 Nothing
► Now





Clerkship director x 9 years
Tutor, PBL x 5 years
Member, Tutorial steering committee
Chair, Curriculum committee x 4 years
Dean of students
Block Structure
►
►
►
►
November – December
Year 2
3 weeks – 66 hours
Lecture
 10 hours/week
►
Tutorial
 6 hours/week
►
Lab
 10 hours/week
►
Other
 5 hours/week
Block Structure
►
►
►
►
November – December
Year 2
3 weeks – 66 hours
Lecture
►
►
►
►
 10 hours/week
►
Tutorial
 6 hours/week
►
Lab
 10 hours/week
►
Other
 5 hours/week
►
January - March
Year 2
10 weeks – 100 hours
Lecture
 79 hours
Small Groups
 7 sessions - 14 hours
►
Cases
 3 hours
►
Exams
 3 MCQ exams - 6 hours
Annual Cycle
►January
– March
►March - April
►May - June
►June
►July – August
►September
►November
►December
Real Time; Write Exams
Evaluate; Report
Prioritize
Calendar
Meet w/ Faculty – LO’s
Do Own Stuff
Tasking Faculty
Compile Syllabus
Distribute Syllabus
Goals
►
Identify rewards and challenges
►
Review responsibilities of such courses
 Global
 Campus Specific
►
Compare and contrast this with running a clerkship
►
Suggest ideas to start involvement
►
Is this right for you?