1. Disclosures for Virginia Broudy, MD
In compliance with ACCME policy, ASH requires the following disclosures to the session audience:
Research Support/P.I.
Not applicable
Employee
Consultant
Major Stockholder
Speakers Bureau
Honoraria
Membership in Advisory Board
Presentation includes a description of the following off-label use of a drug or medical device
51st ASH Annual Meeting ♦ New Orleans, LA

2. Teaching Hematology to Second Year Medical Students
Virginia C. Broudy, MD
University of Washington

3. Why Survey Hematology Course Directors?
Instructional methods changing
Impact of FEC reporting on time distribution of NIH-funded faculty
Help course directors negotiate for resources

4. Goals of Survey of Hematology Course Directors
Define structure and content of course
Understand challenges that course directors face
Identify innovative teaching methods and resources to share

5. Survey Of Hematology Course Directors
125 accredited US medical schools
85 hematology course directors identified and received paper-based survey
58 returned survey
Dates of survey

6. Survey Questions Class structure and content Teaching methods
Resources to support the course

7. Subspecialty of Hematology Course Director
Hematology/Oncology 21
Hematopathology 8
Pediatric Heme/Onc 3
Pediatric Hematology 1
Anatomic/Clinical Pathology 1
Oncology 1

8. What is your typical class size?

9. How many total class hours are you given to teach your hematology course?

10. What proportion of course hours is used for lectures?
< 25% 4 courses
26-50% 24 courses
51-75% 20 courses
76-100% 5 courses

11. “I think we spend too much time in formal lectures and should use more of our allotted time in small group interactive case discussions. When I see students on the wards, that is what they remember from our course.”

12. Do you use web-based programs to teach hematology?
36 of 58 course directors used web-based programs
10 course directors used the ASH Hematology Teaching Cases at
21 used computer-based programs to teach morphology

13. “We have a patient come to class each morning
“We have a patient come to class each morning. His/her physician helps the student interview the patient. This is followed by a short formal discussion of the problem. The students love having a chance to learn from real patients.”

14. How many faculty teach at least one hour in the course?

15. Does your medical school provide a budget for your course?
13 of 57 course directors had a budget
Median budget was $1500
3 of 57 course directors received salary support, averaging 5% of salary

16. What obstacles did you encounter?
Difficulty recruiting instructors, 25 of 57 course directors
RVU pressure
Research commitments
Lack of incentive to teach
Perception that teaching plays little role in promotion
A core set of objectives should be developed

17. Summary
Remarkable diversity of time allotted to teach hematology: 8 to 74 hours
Lectures comprised 50% of course time
Influx of patient-centered learning
Interview in front of class
Case discussions in small groups or PBL
Growth in internet-based teaching programs (36 of 58 course directors)
Declining volunteerism among faculty for medical student teaching

18. Thank you to Scot Hickman
Washington University Medical Service
Veterans Affairs Medical Center