Education at UCSFSchool of Medicine Spring 2012

Catherine Lucey MD

Incredible Strengths

• Creative and Committed Faculty• Outstanding Clinical Environments• Cutting Edge Biomedical Science • Talented Students and Residents• Equally Strong Partner Schools• Culture of Yes

Goals: Align for Impact

• Medical Education & the Transformation of Health Care• Medical Education and Technology• Medical Education and Accreditation• Medical Education and Other Health Professions

Education

Incredible Responsibilities

The Purpose of Medical Education is to Improve Health and Health Care

Now and in the future

Goal #1: Alignment for Impact: Health Care Transformation

Devise experiential learning opportunities for students and residents that contribute to the solution of important problems in health care.

Paradigm shift: learners add value, not waste

Key Issues to Address

• Reliably high quality care is not universal• Reliably safe care is not universal• Reliably patient centered care is not universal• Reliably equitable care is not universal• Reliably accessible care is not universal

These are Systems Issues

Problem: Medical Education has not successfully incorporated systems thinking into the professional identity of a physician.

Our focus has been on innovations to ensure the singular contributions of the individual

National Experts on Medical Education

• Integrate clinical and basic science across the curriculum, including early authentic experiences

• Emphasize inquiry and innovation• Explicitly focus on identify formation

Reshape the professional identity

GREAT DOCTOR

Systems skills

Clinical Skills

Biomedical

Knowledge

“Do the work, Improve the work”

• Develop service learning systems curriculum• Train and assign inter-professional teams of

students to work longitudinally with community partners to tackle important systeme problems

Examples of systems problems

• Ambulatory• Improve the % of patients achieving target LDL/A1C goals.

• Inpatient• Decrease readmission rates for COPD patients

• Critical Care• Decrease catheter related blood stream infections

• Community• Increase the number of students exercising daily

• Research:• Increase the number of patients enrolled in cancer trials.

Expected Results

• Quality of health care and community health is measurably improved in targeted areas

• Students embrace the importance of collective work as well as individual expertise

• Positive results showcase the value that education adds to the environment

• UCSF leads the nation in aligning high quality education and patient care

What about?

• Pathways?• Time in the curriculum?• Traditional Clerkships• National Boards?• Dual Degree Programs?• 3+1 curriculum

Goal #2: Alignment for impact: Technology

Use technology to enhance learning and extend our reach across the medical education curriculum

Current Initiatives

• Simulation• Lecture Capture• Digital Portfolios• Curriculum Management Systems• Telemedicine equipment

Future Explorations

• Syllabi Digital Textbooks Adaptive Learning Platforms

• Video Modules (a la Kahn Academy)• Real Time data analytics for use by students and faculty• Gaming platforms for drill based competencies• Telemedicine programs• On Line Degree programs

Goal #3: Align for Success: Accreditation

• LCME Accreditation Progress Report due 4/15/12• Faculty awareness of program objectives• Timeliness of grades• Faculty Diversity

• LCME Accreditation Progress Report due 4/15/13• Faculty and Resident Development

• ACGME Accreditation: NAS• May need more robust centralized evaluation system

Goal #4: Align for Impact: Interprofessional Health Education

• Center for Innovation in Inter-professional Health Education

• Pathways to Discovery• Simulation Center for Experiential Learning• Collaboration in On line Degrees• Collaboration in support for students with academic

challenges

Stay Tuned, Stay Involved, Ask Questions!!

Thank you!