Applying Advances Rosalyn P. Scott, MD, MSHA Professor of Surgery Wright State University Boonshoft School of Medicine

GME Challenges We Face Teach curriculum effectively Assure equivalent experience despite rotating at different hospitals Assess readiness for increased responsibility/performing procedures Distinguish service from education Develop team skills Develop lifelong learning strategies Accommodate life events

Curriculum What are the opportunities in our system to convey principles mandated by curriculum? What are the competencies associated with what learners need to know? –Developing an (e-)portfolio for each trainee/level of training Mapping & Distributing Competency- based Curricula: Tools and Techniques (John Voss) –Used by faculty now –Interested in expanding this to learners

Equivalent Experience How patient exposure at a VA hospital with a suburban hospital? –Virtual patients –Guided care of virtual patient can enhance outcomes Simucase: Interactive Virtual Patients to Improve Clinical Reasoning (Tim Willet) –Determine knowledge gaps Self-Assessment within a Learner- Prescribed CME/CE Curriculum (Destry Sulkes)

Assess Readiness Track performance –Automatic Capture of Clinical Notes (Anderson Spickard) Simulation vs. clinical experience –What experience correlates with being safe? Achieving mastery? –Assessment tools – Peter’s triangulation between teacher, learner and skill Individual as part of a team –Darrell Kirch spoke of the need for a new culture in healthcare fostering collaboration and transparency

Distinguish Service from Education Impact of 80 hour work week on clinical experience and service “needs” of hospital Promoting team care –Unconference on Transforming Medical Education - how assess individual in a team –Break down silos of professional education –Mapping competencies across curricula may be key to seeing opportunities

Lifelong Learning Strategies Nimble Learning During Life Events Establish patterns during residency that prepare learners for MOC/CPD –Steve Clyman, Cary Sennet and others spoke about ongoing physician evaluation and portfolios How can we continue learning during life events? –Webcast conferences, grand rounds,etc. –E-learning –Virtual patient experiences –Virtual participation in patient care