HMS Academy
Membership Meeting
October 22, 2013
HMS Academy
Goals Today
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Review status of HMS curriculum reform
Review Interest Groups’ plans for AY 14
Medical Education Grand Rounds
Academy fellowships
New initiatives for Insights newsletter
Membership issues
Discuss your thoughts for AY 14
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Curriculum Reform: “Preclerkship”
Major Themes
• New paradigm of learning; emphasize personal
accountability, life-long learning, thinking & analysis
• Structure: principles of biomedical, population and
social sciences pre-clerkship with advanced
sciences post clerkship
• Early clinical experiences integrated with core
sciences
• Periodic, cumulative, multifaceted assessment
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Areas of Focus
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Structure and Organization
Pedagogy
Clinical Skills
Assessment and Evaluation
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Organization of Curriculum
Jul
Year 1
Year 2
Year 3
Year 4
Aug
Sep
Foundations
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Organs
 PCE
Oct
Nov
Dec
Jan
Feb
Mar Apr
May June
Organ System Blocks
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Principal Clinical Experience
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Advanced Selectives
USML
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Scholarly Project
Subinternships and Advanced Electives
 Advanced selectives could include advanced pathophysiology courses and integrated subjects such as
genetics, cancer, nutrition, human development/aging, population health, and social medicine
Highlights
Moves principal clinical year earlier into Year 2, allowing for early clerkship exposure
Acknowledges core basic science needed prior to clinical year but that richness of
more advanced science is best suited to students post-wards
More individualized learning; dedicated scholarship block; advanced topics based on
interest
Pushes USMLE to Year 3, allowing for focused attention on core basic science in
Year 1
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The Learning Sequence
• Self Study
• Team Study
• Group Discussion – integration,
application, analysis
• Reflection
Integrated “Courses”
Support of Aerobic Metabolism – Homeostasis 1
• Cardiovascular and Respiratory
– Anatomy/histology
– Embryology
– Physiology
– Pathophysiology/pathology
– Pharmacology
– Radiology
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Integrated Faculty
• Core teachers, theme experts and
content experts
• Multiple “specialties” and disciplines
• Integrated cases
• Integrated planning
• Integrated exams
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Design Phases (draft)
• Phase 1: Broad overview of year 1 courses
(what goes into “Foundations”?); key questions
to focus content (Oct 13-March 14)
• Phase 2: Detailed design of courses; writing the
curriculum (syllabus, cases, student
assignments); design of assessment and
evaluation exercises/mentoring (April-Dec 2014)
• Phase 3: Design of advanced basic science
• Simultaneous faculty development and
program assessment
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Focusing Content
Fick Principle for Education
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Fick Principle for Education
• We confuse what we teach with what
students learn
• We deliver information  students extract
some info  what they don’t extract, is
returned to us to teach again
• When we increase amount delivered, they
extract less; when we decrease amount
delivered, they extract more
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Key Questions (how? why?) for Each Course
• Example: Respiratory
– Anatomy: How does anatomy of chest wall, lung pleural
contribute to creation of intra-thoracic pressure?
– Physiology: How does physiology of the lung/chest
wall/airways interact to determine airway resistance?
– Pathophysiology: How do pathologic changes in the
lung and chest wall contribute to decreased compliance
of the respiratory system?
– Pharmacology: How does pharmacology of
aminophylline determine its dosing, toxicity, effects?
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Task Force Timelines
YEAR 1 – AY13: TASK FORCE AND SUBCOMMITTEES
October-January: review new models,
vision for design/direction
February-August: subcommittees
May-June:
Curriculum Cabinet
Senior HMS/Hospital Leadership Exec Cmte
Med Ed Leadership Retreat
YEAR 2 – AY14: DESIGN COMMITTEES, Phases 1 and 2
YEAR 3 – AY15: DESIGN COMMITTEES, Phase 2 complete
YEAR 4 – AY16: IMPLEMENTATION I, DESIGN Phase 3
Year-I curriculum for class entering in August 2015
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Symposia - AY 14
A Framework for Cross Cultural Education
(November 14)
Alex Green, Lydia Schapira: co-chairs
• Can culture be taught? Patient centered approach
• Thinking critically about cross cultural care
• When cultures clash: Team learning and conflict
resolution
• Cultural awareness and global health
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Symposia - AY 14
Confronting The Hidden Curriculum:
Leading culture change in academic
medicine
Karen Wood, Jennifer Kesselheim: co-chairs
• January 30, 2014
• Workshops being planned
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Interest Groups
• Critical Thinking
• Cross-cultural care
• Feedback and
Evaluation
• Mentoring
• Peer Observation
• Education technology
• Resident as teacher
• Writing for
scholarship
• Simulation
• Hidden Curriculum
• Communication and
empathy (new!)
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Interest Group Workshops
• Med Ed Portal: (Writing for Scholarship) Nov
21
• Teaching and Learning with Concept Maps
(Critical Thinking) – Dec 4
• Tools for Keeping Up with the Medical
Literature (Education Technology) – Dec 12
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Interest Group Workshops
• Feedback and Evaluation: Improving
Performance (Feedback and Evaluation) March 6
• Others being planned
Inter-Hospital Medical Education
Collaborative: Jan 15, Feb 26, March 12,
April 16, May 14
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Medical Education Grand Rds: Upcoming Topics
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Curriculum Reform
Ultrasound and bedside teaching
How people learn
Team-based learning
Spring Symposium on the Science of
Learning – April 4
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Academy Fellowships
• Medical Education – 1 year, 20% effort, project,
stipend
• Medical Education Research – 2 years, 60%
effort (must provide own funding), seminar on
research methodology; involvement in joint and
personal research projects; will be offering a more
limited faculty fellowship as well
HMS Academy
Staying Linked with Insights
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Literature updates
Education news
Faculty highlights
Why I Teach essays
Publications from
Academy members
• Academy events
worldofdtcmarketing.com
HMS Academy
New Assistant Editors
Jennifer Kesselheim
Literature Reviews
Michael Parker
Ed Tech
Dara Brodsky
Features &
Pedagogy
Jason Alvarez
Ed Tech
HMS Academy
HMS Academy
How can we maximize Insights?
• Study click-rates, open-rates, optimal
delivery times
• Abstract presentation at AAMC Academies
Collaborative meeting
• Proposal for national hub for other similar
Academy newsletters’ content
• Your ideas?
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Membership Issues
• Interest groups – please join and
participate!
• Tracking attendance; professional
development activities
• Term ends, June 30 – remember to
reapply!
• Mentors for student Scholarly Projects
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Other ideas for AY 14?
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Use the Academy Website!
Come quick – I forgot when the
next Academy event is!
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