Effects of Incorporating Ignatian Values into Continuing Medical Education

Sally C. O’Neill, PhD James Clifton, SJ Lee E. Morrow, MD Mark A. Malesker, PharmD Jeff Klein

Plan of Action Explain the reason for applying for the grant Explain the reason for applying for the grant Define design of project Define design of project Clarify the steps involved to accomplish goals of the grant Clarify the steps involved to accomplish goals of the grant Discuss results of project Discuss results of project Identify future strategies Identify future strategies

Purpose-Why Applied Ignatian Values are complex but include constructs such as: Ignatian Values are complex but include constructs such as: Caring for the whole patient Caring for the whole patient Special Consideration for those most in need Special Consideration for those most in need Continually striving to do more and to do better Continually striving to do more and to do better Concern for justice Concern for justice

Purpose (con’t) Although a mission of Jesuit medical schools is to incorporate these values into continuing medical education, systematic tools specifically addressing these concepts are lacking Although a mission of Jesuit medical schools is to incorporate these values into continuing medical education, systematic tools specifically addressing these concepts are lacking

Purpose (con’t) We are actively assessing the utility of a structured intervention on the inclusion of Ignatian values into continuing medical education. We are actively assessing the utility of a structured intervention on the inclusion of Ignatian values into continuing medical education.

Design of Project-Method This was a Pre/post-intervention study This was a Pre/post-intervention study The intervention consisted of written materials and a video which are reviewed during the planning process. The intervention consisted of written materials and a video which are reviewed during the planning process. These tools were incorporated into routine use for programs scheduled to begin after January 1, 2010 These tools were incorporated into routine use for programs scheduled to begin after January 1, 2010

Steps Involved Identified a Committee Identified a Committee Identified areas that needed updated to include information on Ignatian Values Identified areas that needed updated to include information on Ignatian Values Mission Statement-enhance information stated Mission Statement-enhance information stated Planning Meeting Agendas Planning Meeting Agendas Continuing Medical Education application Continuing Medical Education application Information to presenters Information to presenters Evaluations Evaluations

Committee Mark Malesker, Pharm DLee Morrow, MD, MSc Sally C. O’Neill, PhDJeff Klein, BSBA Not Pictured: Fr. James Clifton

Mission Statement Updated Mission Statement to include: Updated Mission Statement to include: In order to advance the Ignatian mission of the University and its CME Division and to differentiate Creighton’s continuing medical education offerings, CME will work to assist all involved in planning and presenting CME programs to identify and include explicitly Ignatian themes and values in their programs, where appropriate. In order to advance the Ignatian mission of the University and its CME Division and to differentiate Creighton’s continuing medical education offerings, CME will work to assist all involved in planning and presenting CME programs to identify and include explicitly Ignatian themes and values in their programs, where appropriate.

Planning Meeting Agendas Initial Planning Meeting: Initial Planning Meeting: Creighton University in Community – How to incorporate Ignatian Values into the program Creighton University in Community – How to incorporate Ignatian Values into the program Post-Conference Meeting: Post-Conference Meeting: How did we incorporate the Ignatian Values into the program? Did they apply to this program? Did they make a difference and if so, what were the differences? How did we incorporate the Ignatian Values into the program? Did they apply to this program? Did they make a difference and if so, what were the differences?

Continuing Medical Education Application How were Ignatian Values integrated into this activity? How were Ignatian Values integrated into this activity? Patient cases Patient cases Therapeutic discussion Therapeutic discussion Content to include Ignatian Values Content to include Ignatian Values Updated presentation to include Updated presentation to include Included as an objective Included as an objective Initial contact to faculty Initial contact to faculty Patient education Patient education Included Web link in conference materials Included Web link in conference materials Other_________________ Other_________________

Information to Presenters Presenter letters have been changed to encourage inclusion of Ignatian Values in their presentations. Presenter letters have been changed to encourage inclusion of Ignatian Values in their presentations. A summary sheet is included in the letter A summary sheet is included in the letter A video recording of Fr. Clifton and committee members discussing Ignatian Values and how they can be integrated into Continuing Medical Education is on the Division’s website and the link is provided to presenters. A video recording of Fr. Clifton and committee members discussing Ignatian Values and how they can be integrated into Continuing Medical Education is on the Division’s website and the link is provided to presenters.

Evaluation A variety of evaluations are used: A variety of evaluations are used: Faculty/presenters Faculty/presenters Planning committee Planning committee Course Directors Course Directors Attendees Attendees Online immediately following the program Online immediately following the program Post-conference questionnaire 4-6 weeks following program Post-conference questionnaire 4-6 weeks following program

Faculty/Presenter/Moderator/Panel Member Evaluation Faculty/Presenter/Moderator/Panel Member Evaluation

Planning Committee

Course Directors (Same as Planning Committee)

Attendees-Immediate

Results of Intervention Only 12.2% of Continuing Medical Education content during calendar year 2009 contained content relevant to Ignatian values. Only 12.2% of Continuing Medical Education content during calendar year 2009 contained content relevant to Ignatian values. Public health and psychiatry conferences were most likely to include these concepts. Public health and psychiatry conferences were most likely to include these concepts.

Results (con’t) Preliminary data from calendar year 2010 shows that 32.6% of planned Continuing Medical Education content intends to incorporate Ignatian values. Preliminary data from calendar year 2010 shows that 32.6% of planned Continuing Medical Education content intends to incorporate Ignatian values. A significant shift to include such material was seen within several specialties: pediatrics, critical care, and surgery. A significant shift to include such material was seen within several specialties: pediatrics, critical care, and surgery.

Conclusions An educational intervention, coupled with simple process changes, can effectively altar continuing medical education program planning to incorporate core values reflective of an institution’s statement An educational intervention, coupled with simple process changes, can effectively altar continuing medical education program planning to incorporate core values reflective of an institution’s statement

Future Strategies Information will continue be used to improve: Information will continue be used to improve: Conference content Conference content Conference design Conference design Patient care for all health sciences focusing on Ignatian values Patient care for all health sciences focusing on Ignatian values A permanent component of evaluation process A permanent component of evaluation process