1.On the whole, medical student educationis very good and no significant changes are necessary. 2. On the whole, medical student education is sound and requires only minor changes. 3. Medical students education today has many good attributes but needs fundamental reform. 4. There is so much wrong with medical student education today that thorough reform is needed.
JAMA 1991 1.67.8% of 121 M.D. Deans - fundamental changes necessary 2.27.3% - minor change 3.5% - through reform How would they vote today?
The Case for Change 1.Internal and external dissatisfaction with medical schools 2.Challenges to the traditional scope of practice 3.Increased public awareness 4.Development of alternative models for medical education
The Case for Change 5.The Information Revolution 6.The Human Genome Project 7.The Quality Movement 8.Population-based care 9.Rapid advances in medical knowledge 10.Cultural competence and diversity
Are we able to change? 1.Bloom - 1988 2.Christakes - 1995 3.Regan - Smith - Reform Without Change: Update 1998
Medical Education in the Future 1.Student rather than teacher centered 1.1Emphasis on student learning rather than teaching 1.2Focus on student rather than faculty productivity 1.3Change from faculty disciplinary interest to what students need to know
Medical Education in the Future 1.4Focus on student learning styles rather than faculty teaching styles 1.5Change in focus from classroom teaching to student learning
Medical Education in the Future Changes in basic science education 1.Emphasis on principles 2.Integration across entire curriculum
Medical Education in the Future Cognitive Science findings integrated. Expertise is: 1.Problem-specific 2.Knowledge (not skills) based 3.Predicated upon learners ability to transform information
Medical Education in the Future Importance of Technology 1.Biomedical information 2.Simulators and simulations 3.Artificial intelligence 4.CAI
Medical Education in the Future Significant changes in the process of medical education 1.Lectures decreased 2.Students as instructors 3.Use of small groups 4.Teachers as facilitators
Medical Education in the Future 5.Changes in evaluation methods 6.Texts updated 7.Information management skills 8.Interactive laboratories and clinical simulations
Medical Education in the Future 1.Provide patient-centered care 2.Work in interdisciplinary teams 3.Employ evidence-based practice 4.Apply quality improvement 5.Utilize informatics