1. Medical Education Update 2003 SOM Retreat Stanford School of Medicine Leadership Retreat January 30 - February 1, 2003 Medical Education Status Report

2. Medical Education Update 2003 SOM Retreat Major Accomplishments 2002 Developed a highly productive working relationship between the Faculty Senate and the Dean’s office Made important headway in establishing a new curriculum for September 2003 with agreed objectives to: –Better integrate basic and clinical sciences (translational curriculum) –Develop and foster student scholarship and community activism Created a committee on evaluation and advising with major objectives: –To review and improve evaluation process –To ensure faculty and student engagement in the evaluation and advising process Developed new advising program for students.

3. Medical Education Update 2003 SOM Retreat Objectives for 2003 Curriculum –Institute first year of the new curriculum –Institute scholarly concentrations Develop mechanisms to facilitate and foster teaching –Improve existing education support –Fund raising for teaching –Changing the “culture” of medical education Develop CME program –Financial solvency –Proactive service to the Stanford community and beyond

4. Medical Education Update 2003 SOM Retreat Residency and beyond Undergraduate Year Scholarly track Basic science Clinical Clinical research Molecular medicine Community serviceBiotechnology Health economics Proposed curricular structure

5. Medical Education Update 2003 SOM Retreat Salient features of new curriculum New courses –Fundamentals of molecular sciences (first year) –Advances in applied biomedical sciences (second year; with grad students) Eliminated biochemistry and molecular biology Decreased classroom time Utilize new technologies (anatomy, nutrition) Better sequencing Allied clinical sciences with basic sciences Longer school year Clinical clerkships start earlier

6. Medical Education Update 2003 SOM Retreat Salient features of new curriculum Required basic science curriculum to be added to previous “clinical years”. Some strategies: –Required courses Clinical research, health care financing Applied genomics –Selective courses –Embedded science within clerkships Enhanced orientations Basic science attendings/basic science clerkship Required student assignments

7. Medical Education Update 2003 SOM Retreat Principles of scholarly concentrations Medical school “major” required of all students Two options –Original research option (will likely require 5+ years curriculum) Curriculum within a discipline –Existing courses –Newly developed course Attendance at seminar/journal club Conduct of of significant scholarly work (funded for equivalent of 2 years half time) –Investigative option (can be done within 4 year curriculum) Curriculum as above Original “term paper”

8. Medical Education Update 2003 SOM Retreat Logistics of scholarly concentration Timing –Students should try to select by third quarter of first year –Requirements can be completed throughout the student’s tenure at Stanford Funding –Medical scholars will fund students (in Original Research option) and administration –Dean’s office will fund faculty leadership Embedded flexibility –Students can develop independent scholarly concentration Administration –Scholarly concentration ad hoc subcommittee to faculty senate –Committee intersections with Med Scholars committee and Office of Medical Education

9. Medical Education Update 2003 SOM Retreat RFP for scholarly concentrations Title of program Designated director General program description and rationale List of mentors and number of student research slots available Curriculum components Description of integration with graduate programs Description of interdisciplinary or bench-to-bedside nature of proposal Method of evaluation Degree offered for research option (if any)

10. Medical Education Update 2003 SOM Retreat Scholarly concentration deadlines  January 15, 2003-Release/Distribution of RFP  February 7, 2003-Letters of Intent Deadline  February 21, 2003-Consolidation of SC’s  April 1, 2003-Proposals Deadline  April 15-18, 2003-Meetings with Committee  April 30, 2003-Notification of Results of Competition  October 1, 2003-Initiation of Scholarly Concentrations.

11. Medical Education Update 2003 SOM Retreat Curriculum Name?

12. Medical Education Update 2003 SOM Retreat Facilitate and foster teaching Improve current support Develop endowment Change culture of education

13. Medical Education Update 2003 SOM Retreat Facilitating and fostering teaching Committee on teaching facilitation Improve current support for teaching. –Operating budget changes to directly fund teaching and scholarly concentration directorships –Develop A&P process so that teaching has a more recognizable role in promotion –Promote pedagogical tools: SUMMIT Standardized patients Pedagogical course Center for Teaching and Learning

14. Medical Education Update 2003 SOM Retreat In an effort to improve medical teaching in an era when research is king and technology and societal changes are dramatically revising what it means to be a doctor, Harvard Medical School is launching an organization to recognize and support its best teachers and to innovate in medical education. Harvard Gazette Facilitating and fostering teaching Fund raising for education

15. Medical Education Update 2003 SOM Retreat Facilitating and fostering teaching Fund raising for education SMILE building Development of endowment for: –Dedicated teaching salaries –Building educational technologies –Student research support –Financial aid

16. Medical Education Update 2003 SOM Retreat Facilitate and fostering teaching Changing the school culture Emphasize “rigor” Improve evaluation of students and faculty Concentrate major teaching roles in a few hands –Need to cover “non-research” topics –Need to have name associated with course material Broaden other teaching roles –“Famous names” giving lectures in topics of interest –Expanding teaching by basic science and clinical post-docs –Taking seriously voluntary Clinical Educator role –Use of basic science attendings Decrease medical student teaching Achieve consensus on educational uses of technology

17. Medical Education Update 2003 SOM Retreat CME Mission To providing medical education programs that are responsive to the needs of physicians and that offer opportunities for ongoing intellectual stimulation and professional renewal.

18. Medical Education Update 2003 SOM Retreat CME Has the potential to: –Provide significant added value to our faculty at Stanford –Serve as a link to the community –Serve as a marketing tool for the hospital CME program lacks: –Visibility –Vigor –Money

19. Medical Education Update 2003 SOM Retreat CME goals for 2003 Identify new director Establish a faculty advisory board Work with departments, divisions and hospitals to identify educational objectives Integrate with information technologies to provide online and other IT based program Establish better reimbursement strategy for ongoing activities

20. Medical Education Update 2003 SOM Retreat Summary Much progress over the last year; a lot ahead. Education of students and faculty as galvanizing force for school Need department support to make this a successful endeavor. Expect evolution (punctuated equilibrium); not everything will work exactly right from day one.

21. Medical Education Update 2003 SOM Retreat Leadership in education Oscar Salvatierra Theodore Sectish Neil Gesundheit Bert Glader Parvati Dev Gary Schoolnik Betsy Moreno Committee members