1. Graduate School of Medicine University of Wollongong Professor John Bushnell Director of the Graduate Medical Programme Deputy Dean Building a constructive environment for teaching and learning

3. Graduate School of Medicine University of Wollongong

4. Our vision The UOW Graduate School of Medicine leads development and implementation of strategies that effectively address the shortage of medical practitioners in regional, rural and remote Australia

5. Graduate School of Medicine University of Wollongong Plan B

6. Graduate School of Medicine University of Wollongong Defining Our Goals

7. Medical students generally want to focus on high tech drama

8. Graduate School of Medicine University of Wollongong But other things are important too…..

9. Educational Outcomes: the Goals Expert, knowledgeable clinicians in all branches of medicine Practice patient centred, evidence based, cost- effective medicine Reflective practitioner / self-correcting Caring, empathic, culturally appropriate Skilled communicators Teamwork Socially responsible, committed to reducing inequity of health care, esp. in rural Australia

10. Educational Processes: the Philosophy Students are adult learners bringing life experience and broad range of educational backgrounds Clinical context drives need for learning Clinical competence requires early exposure, frequent repetition, observed practice Clinical problem-solving requires active engagement, critical thinking, sound grasp of science, frequent rehearsal Attitudinal and behavioural aspects of care are important

11. A spiral of learning

12. Course structure Defined set of learning outcomes 93 clinical problems –Problem blueprints Spiral curriculum Four “phases”

13. Personal and Professional Development Patrick Jones Lectures Electrical activation of the heart Lifestyle + coronary heart disease Anatomy lab dissection The Heart and Pericardium GIL/GOALs Histology/Pathology Endomyocardial biopsy Clinical Skills Centre History taking (focus causes of chest pain) Clinical Demonstrations Palpitations Lectures Importance of evidence-based practice Sm Group Workshops Identifying and critiquing medical literature Intensive Clinical Experience Nurse/allied health/community GP + Hospital Placement Understanding the clinical environment e.g.

14. Graduate School of Medicine University of Wollongong This requires staff to have interaction, communication, mutual respect and a commitment to teamwork

15. Graduate School of Medicine University of Wollongong Sounds like your staff……?

16. Graduate School of Medicine University of Wollongong How do we capture and reinforce what is already there….. … And how do we build and develop attributes in staff who lack them?

17. Achieving consensus about aims educational goals and processes Extensive discussion Modelling collaborative-participatory style Planned process of inducting new staff

18. Graduate School of Medicine University of Wollongong Peer Review Voluntary process for frequent iterative review of teaching delivery and electronic curriculum materials

19. Graduate School of Medicine University of Wollongong Strong united senior management Clarity about what we want Commitment to achieving consensus Flexibility to “roll” with resistance

20. Graduate School of Medicine University of Wollongong Challenges Incoming staff Geographic diversity School vs UOW agenda Working with 4 other Universities