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TBL in the Medical School Admissions Process

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1 TBL in the Medical School Admissions Process
Vancouver, Canada 2007 TBL in the Medical School Admissions Process Sandy Cook, PhD Associate Dean, Curriculum Robert Kamei, MD Vice Dean, Education

2 Agenda Introductions: Sandy Background: Bob
Brief description of Singapore Duke-NUS Graduate Medical School Why TBL was chosen A brief description of the curriculum Other interesting facts about the GMS What we did with Admissions and why?: Sandy What we found What we can use your help with: Sandy and Bob The GMS is unlike any other medical school, with unique purpose, curriculum; preparing students for a career in the cutting edge of medicine Introductions Background: Duke-National University of Singapore Graduate Medical School? History of the GMS How does it differ from other medical schools in Asia Brief description of Singapore and the National University of Singapore Why was Team Based Learning chosen as an educational paradigm? A brief description of the curriculum Questions about students in Asia Quote from Eugene Stead Other interesting facts about the GMS Incoming Students Education faculty Facilities

3 Dr. Sandy Cook Associate Dean, Curriculum Dr. Robert Kamei Vice Dean, Education

4 Southeast Asia 20th smallest country, 250 sq miles
6,430 People/Sq Km, 2nd most densely populated

5 Singapore


7 History of the GMS The beginnings of the Duke-NUS Graduate Medical School Singapore can be traced to 2000, when Singapore launched an ambitious Biomedical Sciences Initiative designed to make the country the biomedical hub of Asia and to attract both research and health sector manufacturing capabilities to Singapore. Hx of GMS began 6 years ago with the plan for Singapore (a country with few natural resources other than the intellect of it’s citizens) to develop world expertise which will be an economic driver in the future

8 Commitment to Physician Scientists
“Creating and attracting research talent is crucial to Singapore’s drive to become a knowledge-based economy” according to members of the Research Innovation and Enterprise Council, or RIEC, chaired by Prime Minister Lee. (Channel News Asia; 6/7/06) “Over the next 5 years, 1.4 billion will be set aside to fund the development of 3 areas of R&D that will drive Singapore’s economic future.” Biomedical science, environmental and water, interactive and digital media “In the area of biomedical research, in which the country has been actively involved, the focus would be on the second phase of translating basic research to clinical applications” (Today On-line; 8/7/06) This drive for creating Singapore as a biomedical hub has the attention of the highest levels of government and with great investment

9 From the Test Tube to the Bedside -- the GMS mission
To this effort, Singapore found that it had outstanding clinicians trained at NUS, Started recruiting in the best scientists from around the world. Realized it needed a new type of physician to make this all work to become an economic future of the country. Since this is a rare breed of individual, decided it needed to train it own. Translational science Disease-oriented science Patient-oriented science Population-oriented science Clinical trials Outcomes research Health services research

10 National University of Singapore

11 Duke University School of Medicine Durham, North Carolina
With Duke University, one of the top medical schools in the US, well known for it’s unique education and ability to train clinician scientists

12 Typical Educational Paths
USA Singapore Kindergarten Elementary School Middle School High School Undergrad University Medical School Internship & Residency Fellowship (optional) Attending Physician 5 yrs 6-11 12-13 14-17 18-21 22-25 26-on 5-6yrs 7-12 13-16 17-18 19-23 24-25 25-on Kindergarten 1 & 2 Primary 1–6 Secondary 1–4 High School University (Medical School) Internship Medical Officer Post Grad Specialization Registrar Consultant Senior Consultant With Duke comes the US style of medical education; graduate education Undergraduate major can be in any field (art, music, economics, as well as sciences, engineering) But must get prerequisites in sciences to be prepared for a rigorous study of medical sciences


14 First-year Courses Molecules and Cells
Biochemistry, Immunology, Cell Biology Normal Body Anatomy, Physiology, Histology Brain and Behavior Behavioral Medicine, Neuro-anatomy, Neuro-Biology Body and Disease Pathology, Microbiology Practice Course History Taking, Physical Examination, Presentation skills

15 “The learning process can be divided into the accumulation of bits of information (memory) and the movement of this into patterns (thinking). The compulsive learner is incapable of thinking. There is always another bit to be memorized and, if they are all learned, there is little time to rearrange the bits. It is also clear that without any bits there is no thinking.” Eugene Stead, MD Chair, Department of Medicine

16 Why TBL? Singaporean/Asian Students excel in knowledge/test taking
To accomplish the mission of the GMS requires attention to “Thinking skills” Break down “teacher centered” education to encourage spirit of inquiry

17 GMS Education Team Dr. Doyle Graham Dr. Patrick Tan Dr. Frank Starmer
Associate Dean, Learning Technology Dr. Doyle Graham Course Director, Body and Disease Dr. Patrick Tan Course Director, Molecules and Cells

18 Some facts about our 26 students….
Age: Average (25 yrs) Range: (21 to 31 years) Gender: Male (7) Female (19) Nationality: Singapore (18) American (2) Indonesia (2) British (1) Malaysia (1) Philippines (1) India (1)

19 Undergraduate institutions:
Singapore (15) National University of Singapore, Nanyang Technological University United States (9) Brown University, Cornell University, Dartmouth College, Davidson College, Emery University, Pomona Claremont College, UC Berkeley, University of Michigan, Utah State University England (1) Oxford College Australia (1) University of Sydney

20 Undergraduate degrees
Biology/Life Sciences (14) Engineering (Mechanical, Bioengineering) (5) Pharmacy/Pharmacology (4) Computer Science (2) Chemistry (1) Graduate degrees Masters Degree (4) PhD (1)

21 Interim Teaching Facility

22 Singapore General Hospital KK Women’s and Children’s Hospital
Fortunate that the clinical teaching will be at SGH and KKH, largest medical training facility in Singapore

23 PERMANENT FACILITY 2 towers, state of art research labs and teaching facilities Open 2009

24 Duke – NUS Graduate School of Medicine Singapore
CPG – Hillier Team

25 Duke – NUS Graduate School of Medicine Singapore
CPG – Hillier Team


27 Briefing at a GMS Applicant Interview Day
Located in North Carolina Briefing at a GMS Applicant Interview Day

28 Located in North Carolina
The Interview

29 Scene at a GMS Team Learning Session
Located in North Carolina Scene at a GMS Team Learning Session



32 Dr. Pat Casey Senior Vice Dean: Research
Dr. Ranga Krishnan Vice Dean, Clinical Research

33 “I have never tried to convert medical students into textbooks
“I have never tried to convert medical students into textbooks. If we did, we would clearly be forced to lower tuition since the best composite of medical knowledge can be purchased for about $150” Eugene Stead, MD

34 A New Breed of Physician:
Well trained to care for patients Physician Scientist: able to contribute to the advance of knowledge Critical thinker, does not simply accept conventional wisdom Looks at old problems in new and creative ways Has a Pioneering spirit, willing and interested in blazing a new trail in science & in one’s professional career

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