Improving Health Through Medical Education

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Improving Health Through Medical Education David G. Nichols, MD Johns Hopkins University School of Medicine Johns Hopkins Medicine International Partners Forum “Innovations in Education and Simulation” October 2, 2012 The JH Swami Institute for International Medical Education

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Johns Hopkins Medicine I nternational Partners Forum “Innovations in Education and Simulation” October 2, 2012. Improving Health Through Medical Education. The JH Swami Institute for International Medical Education. David G. Nichols, MD Johns Hopkins University School of Medicine . - PowerPoint PPT Presentation

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Page 1: Improving Health Through Medical Education

Improving Health Through Medical Education

David G. Nichols, MDJohns Hopkins University

School of Medicine

Johns Hopkins Medicine International Partners Forum“Innovations in Education and Simulation”

October 2, 2012

The JH Swami Institute for International Medical Education

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SIIME improving health through education…

• Needs

• Methods

• Outcomes measurement

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SIIME improving health through education…

• The needs

• The methods

• The outcomes

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Worldwide:• 2420 medical schools• 467 depts/schools of public health• Indeterminate number of nursing schools• 1 million doctors, nurses, midwives, public health

professionals graduate annually

Frenk J, The Lancet 2010; 376: 1923-1958.

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New medical schools (public and private) in India (A) and Brazil (B).

Frenk, Lancet 2010

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Density of Medical Schools by Region

Frenk, Lancet 2010

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Frenk, Lancet 2010

World Map Resized by Population, Burden of Disease, Number of Med Schools, and Provider Workforce

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Why do countries contact SIIME?

• Better trained doctors Improved health for the population

• Biotechnology as economic engine• The Hopkins Model

– The Academic Medical Center (close link between school and hospitals)

– Excellence in tripartite mission• Exposure to advanced curricula (Genes to Society)• Research collaborations

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Curricula shaped by the genome and complex chronic disease

Genome sequencing

Chronic disease prevalence

Diabetes, Cardiovascular Disease, Cancer, Depression, Arthritis, Alzheimer’s Disease, Glaucoma, COPD, etc. etc.

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GTS Principle I: Phenotype is determined by internal and external factors

Society

Environment

Phenotype (Person)

Organ physiology

Cell biology

Genomics Polygenic, Family hx

Crystalline changes

Abnl lens cell architecture

Myopic shift

Cataract, vision loss

Poor education, poverty

Age, UV light, smoking

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SIIME improving health through education…

• Needs

• Methods

• Outcomes measurement

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What SIIME does…

• Malaysia project• Consultations

– Curriculum– Education resources– Education building design

• Innovative educational strategies• Education and biomedical research grants to support international

medical• Training for international faculty • Access to JHUSOM Genes to Society curriculum

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Armstrong Building Tour and Initial Review of Services

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The Building Organization: Affinity + Interaction

Anatomy

Teaching Labs

Colleges

Case Study

Computing

Colleges

Lobby Prefunction

Advising

Auditoria

Anatomy

Teaching Labs

Learning Studio

Wenz Cafe

Classroom

Classroom

Classroom Commons

SGR

SGR

Prefunction

Commons

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Classroom Teaching Labs36 Person Teaching Labs w/ Computers – Teams of 2p, 3p or 6p

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Central Colleges Commons: Student Crossroads

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Johns Hopkins Simulation Center: Simulation OR

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Consultation and Faculty Training Proposals

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Perdana University Graduate School of Medicine – Class of 2015

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Clinical Case Conference

Makerere University Medical School Kampala

Johns Hopkins Medical School Baltimore

Students Learn Together

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SIIME improving health through education…

• Needs

• Methods

• Outcomes measurement

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The Education Cycle

The Assessments• Practice • Knowledge • Quality• Performance

The Instruction • Clinic/classroom• Simulation• On-line

The Activity• Licensure (MOL)• Certification (MOC)• Credentialing

The Outcome• Patient health• Team performance• Practice efficiency