News

IAMSE Fall 2017 WAS Session 5 Highlights

In case you missed yesterday’s Webcast Audio Seminar Series, here are the highlights of the session:

Lessons from the Design and Implementation of a Pediatric Critical Care and Emergency Medicine Training Program in a Low Resource Country— The South American Experience
Presented by Michelle Grunauer M.D. Ph.D.
October 05, 12 PM EST

Why do we prolong the survival of our critically ill patients?

  • Children’s rights
  • Health equity
  • Social justice

The lower the number of beds, the higher the mortality rate!!

The Family-Centered Model of Care

  • Shared decision-making model
  • Multidisciplinary meetings that involve the family
  • Consistency in communication and interculturality
  • Honesty
  • Presence of the family during rounds and CPR
  • Flexible and constant visits
  • Support for the family before, during and after the patient’s discharged or death.

Integrated Model of Care

  • Critical care + Palliative Medicine
  • Pediatric Palliative Care (PPC)

Pediatric palliative care prevents, identifies and treats the suffering of children with serious illnesses as well as that of their families and the teams that care for them.

Pediatric palliative care is appropriate in whatever stage of the disease, and it can be applied in conjunction with treatment directed at curing the disease.

Goal of the Study

  • All children were admitted to the program (integrated model of care) regardless of their prognosis.
  • To provide the best evidence-based, most cost-effective medicine focused on the conservation of resources in a socially responsible way.

How can the quality, sustainability and the impact be maintained?

  • Combined the Advance Pediatric Life Support (APLS) with the integrated model of care.

This program resulted in stronger, more cohesive Pediatric Intensive Critical Unit (PICU) teams with improved resuscitation times and coordination during simulation rounds.

Hospitals that implemented the program had a decreased in mortality rates.

Be sure to save the dates for the Winter 2018 WAS on Competency-based Education: Where are we now and where are we going? The series will begin January 11 and continue through February 8. We hope to see you there!

IAMSE Manuals Available for Purchase

As you may know, IAMSE has published two how-to manuals: the How-To Guide for Active Learning and the How-To Guide for Team-Based Learning as well as a Japanese Translation of the How-To guide for Team-Based Learning.

How-To Guide for Active Learning: This manual is a compilation of teaching strategies in active learning to adapt to your own large group settings. Each chapter is a specific description of a strategy written by authors who are experienced in using the strategy in a classroom environment with students. The Manual chapters are designed to be accessible and practical to the reader. The manual is edited by Alice Fornari and Ann Poznanski.

How-To Guide for Team-Based Learning: This “How-To” Guide for Team-Based Learning is a manual that provides an overview of the fundamental components TBL and serves as a blueprint for instructors considering using this technique. The manual also identifies factors that will facilitate or sabotage a successful implementation of TBL. Authored by Ruth Levine and Patricia Hudes, both internationally recognized experts in the field of TBL.

How-To Guide for Team-Based Learning Japanese Translation: IAMSE is proud to announce that we now have a Japanese translation of this “How-To” guide! The How-To Guide for Team-Based Learning was authored by Ruth Levine and Patricia Hudes and translated by Yukari Igarashi, Mariko Iida, Yoko Shimpuku, Yoichiro Miki, and Hiromi Seo.

If you’d like to purchase a digital copy of one or both of these manuals, please visit the IAMSE store here. Each manual is $5 for members or $10 for non-members. Please note: These manuals are for individual use only.

IAMSE – Call for Board of Directors Nominations – Deadline 11/20!

It’s time once again to begin thinking about selection of those to serve on the Board of Directors of the International Association of Medical Science Educators (IAMSE).

IAMSE is currently seeking nominations and self-nominations of candidates from across the membership. International members are particularly invited.

The Board of Directors is the governing body that determines the direction of IAMSE and all our various programs and activities.

This Spring, four of the Director positions become subject to election and the formal “job descriptions” for IAMSE Director are posted here.

What is the role of a Board Member? The Board Member is expected to be an advocate for the organization and to bring fresh ideas to IAMSE. In addition, each Director will be in charge of an IAMSE-sponsored project.

What is the time commitment for the Board Member? The term is for three years, renewable once. Board meetings are held via conference call every two months, with additional business conducted through e-mail.

If this opportunity to expand your influence in medical education while advancing the work of IAMSE fits your personal career goals, then the Nomination Committee invites you to submit your nomination for Board of Director.

To submit your nomination or self-nomination by November 20, 5 PM ETplease click here!

We look forward to hearing from the IAMSE membership and thank you for your continued commitment to the IAMSE mission.

IAMSE Fall 2017 WAS Session 4 Highlights

In case you missed yesterday’s Webcast Audio Seminar (WAS) Session, here are the highlights of this session:

Challenges and Opportunities for Medical Schools in Africa
Presenter: Quentin Eichbaum, MD, PhD, MPH, MFA
September 28, 12 PM EST

  • Africa is large and complex that includes wide spectrum of geographies, economies and cultural difference, including over 1000 different languages and dialects.
  • No One Size Fits All
  • Global health is central in Africa and what they have constructed.
  • Competency-based education model or backwards design.
  • Three key concepts: Context Global- local; Interdependence in Education; Transformative learning.
  • Medical Education Partnership Imitative (MEPI) is no longer replaced with AFREhealth in conjugation with Consortium of Universities for Global Health (CUGH).

Challenges facing New Medical Schools in Africa

  • Standards/accreditation
  • Admissions
  • Assessment and evaluation
  • Curriculum

The Problems

  • Insufficiently inclusive of input from LMICs.
  • Insufficiently context specific
  • Unresolved “individualist/collectivists disjunction
  • Inadequate assessment methods

Conclusions

  • Africa – a large place with complex cultures, policy legacies (colonialist & other)
  • Medical education in Africa spans a wide range of resources and modalities in pedagogy, standards/accreditation, curricula, admissions, assessment and evaluation
  • Key concepts in global education – contexts, interdependence – Consortia, alliances, networks–MEPI, Consortium of New Southern African Medical Schools (CONSAMS), AFREhealth, CUGH – Role of “global health” in driving change global education, research – Risks of exporting ‘Western’ education into local African contexts
  • Problem with competencies in African ‘collectivist’ settings
  • Ethics of research; capacitation; science vs humanities

For more information on the next session or to register, please click here.

IAMSE – Share Your IAMSE Photos With Us!

Did you know that you can share photos with the IAMSE membership?  Share your IAMSE photos on the IAMSE Member’s Site!

To share you images, visit the IAMSE Member Community found here. From here, you can click the “Upload a Photo” link on the right-hand side of the page to upload your photo(s). Please note: if you are not already logged in to the Member’s Site, you will be prompted to log in before you can access this page.

Any IAMSE Members can view these photos. If you have any questions about sharing your photos or have any trouble doing so, please contact the IAMSE Admin Office via email at support@iamse.org.

IAMSE – Call for 2019 Program Committee Volunteers

The time has come to begin planning the 2019 Annual IAMSE Meeting! The first step in the process is to form the Program and Review Committees.

We are seeking a broad representation of professional educators, basic scientists, clinical scientists, and instructional technologists from around the world. The role of the Program Committee is to establish a theme and schedule for the program, select and invite pertinent speakers, and collaborate on various tasks as needed in order to provide the membership with an outstanding annual meeting. The Review Committee, which will work with the Program Committee, will oversee the abstract review and selection process. Your availability for a one-hour monthly phone meeting and ready accessibility by email from January 2018 through the program in June 2019 is expected, in addition to great ideas and a collegial spirit! The names of participating members will be credited in the conference program.

If you would like to be considered for a position on this Committee please send a brief statement of your interest and qualifications to brandi@iamse.org by October 15. We would like to complete selections by December 1 so we begin our meetings by phone in January 2018.

We hope that you will consider becoming involved in this important and collegial work.

For additional information or questions please contact brandi@iamse.org.

IAMSE – Publications Committee MSE Article Review

This month the IAMSE Publications Committee is delighted to provide a short review of an article published in the archives of Medical Science Educator (MSE). The review recognizes The Impact of Integration of Self-Tests into a Pre-Clerkship Medical Curriculum, which was published in MSE Volume 27, issue 1, pp 21-27, in March, 2017 [https://doi.org/10.1007/s40670-016-0351-7]. In this study Baatar et al. measured the performance of first year medical students (n = 107) on both formative and summative examinations. Students were provided unrestricted access to basic science self-tests (STs) prior to each of 5 formative examinations on the subject. Participants that used STs performed better on 4 out of 5 formative exams. All students that participated in 5 STs had significantly higher mean scores on the subsequent summative evaluation examination than students that did not participate, 86% ±8 versus 76% ±14 respectively. The data suggests that the use of prior STs improves student performance overall and especially on major/summative examinations. The authors note that “A multiple regression analysis showed that the number of STs used was a significant positive predictor of the summative examination score.” In reviewing the mean of ST scores there was a significant improvement in test score means from the first attempt to the 11th attempt. The comments from students that participated in the addition of STs to course learning materials were positive. An article by Kornell et al. (J. Exp. Psychol Learn Mem. Cogn., Volume 35, issue 4, pp 989-998, in July, 2009 demonstrates that retrieval attempts enhance learning, i.e., that “taking challenging tests – instead of avoiding errors – may be one key to effective learning.” These studies and others suggest that retrieval practice in the form of STs may play a critical role in meaningful learning and long-term retention.

IAMSE Fall 2017 WAS Session 3 Highlights

In case you missed yesterday’s Webcast Audio Seminar (WAS) Session, here are the highlights of this session:

Global healthcare overview of European model
Presenter: Jen Cleland, BSc (Hons), MSc, PhD, D Clin Psychol:
September 21, 12 PM EST

Medical education challenges: attracting the “Generation Y” workforce

Influences on medical careers decision making process such as:

  • Gender
  • Individual preferences/fit
  • Exposure/experience
  • Wish for work/life balance
  • Medical school

Their approach

  • Discrete Choice Experiment (DCE)
  • Health economics
  • Personal preferences
  • Quantifiable in monetary terms

Characteristics of Trainee (resident or student of DCE)

  • Familiarity with hospital
  • Geographical location
  • Opportunities for partner/spouse
  • Potential earnings
  • Clinical/academic reputation
  • Working conditions

Other items were more important than location, location, location. These are good working conditions and opportunities for partners/spouses.

In the end, working conditions were the key to trainee and final year medical student career decisions.

What is being done to improve working conditions?

The current medical students want:

  • A good team
  • To feel valued
  • Have a sense of belonging
  • Receive more positive feedback
  • CPD opportunities
  • Both full and part time work.

“A European Case Study of Rural Health System Strengthening through Rural Medical Academy Development”
Dr. Méabh Ni Bhuinneáin: MD FRCOG MRCPI MICGP MSc Public Health

What are your learning objectives for rural health system strengthening?

Are you committed? Can you provide justification? Are you able to apply, reinforce and provide clarification for your ideas?

Underlying dimensions of social disadvantage

  • Demographic decline
  • Social class deprivation
  • Labor market deprivation

Global Inequities

  • Rural poverty indicators
  • Rural health needs
  • Reproductive health indicators

WHO Health Workforce Strengthening: “To expand, strengthen and orient health professional training institutions, in terms of quantity, quality, and skill mix to be relevant to the implementation of the transformative scaling up of health professionals.”

WHO Global Code of Practice on the International Recruitment of Health Personal: “An adequate and accessible health workforce is fundamental to an integrated and effective health system and for the provision of health services.”

Moving towards a Student-Centered Academy
Learning environment
Pastoral, social and self-care
Faculty sensitization and development
Organizational development
Use of improvement methods
Measurement
Governance – towards full student representation
Community engagement

Ending question: How does reciprocity/mutuality work in reality?

For more information on the next session or to register, please click here.

IAMSE Fall Web Seminar Series – “Lessons from the Design and Implementation of a Pediatric Critical Care and Emergency Medicine Train”

Lessons from the Design and Implementation of a Pediatric Critical Care and Emergency Medicine Train
Presenter: Michelle Grunauer
October 5, 12 PM ET

For more than 60 years, the world has recognized the need for pediatric critical care (PCC). Today, most low- and middle-income countries (LMICs) still lack access to pediatric intensive care units (PICUs) and specialists, resulting in high rates of morbidity and mortality. These disparities result from several infrastructure and socioeconomic factors, chief among them is the lack of trained PCC and emergency medicine (PCCEM) frontline providers. In this seminar, we describe a continuing medical education model to increase frontline PCC capacity in Ecuador. The Laude in PCCEM is a program created by a team of Ecuadorian physicians at the University San Francisco de Quito School of Medicine. The program is aimed at providers with no formal training in PCC and who, nonetheless, care for critically ill children. The program resulted in stronger, more cohesive PICU teams with improved resuscitation times and coordination during simulation rounds. In hospitals that implemented the program, we saw decrease PICU mortality rates. Our aim is to identify the opportunities and challenges learned and to offer lessons for other countries that use similar models to cope with the lack of local resource availability.

For more information and to register for the Fall 2017 Audio Seminar Series, please click here.

IAMSE Call for Connects Announcements – Deadline October 3

The next issue of the electronic membership newsletter of the International Association of Medical Science Educators (IAMSE), IAMSE Connects, will be published in October. The purpose of this newsletter is to connect the IAMSE membership with information, opportunities, resources and each other.

We are very pleased to dedicate one section of this newsletter to recognize the professional accomplishments of our members but we need your help! Have you received awards or promotions or landed a great new job in the last year? We would like to know about it and celebrate your accomplishments in our newsletter.

Please send your news to Brandi Hinkle at brandi@iamse.org or submit it online here for inclusion in the next edition. Sorry, we can only include professional accomplishments in the newsletter, but welcome you to share your personal news on the IAMSE Facebook page! Thanks for your help!

Deadline: October 3, 2017.

IAMSE – Call for Educational Scholarship Grant Applications – Due December 15!

The International Association of Medical Science Educators (IAMSE) wishes to encourage and support scholarship in medical science education, and therefore announces the 2018 educational scholarship grant program. 

All IAMSE members are eligible to submit a grant proposal. Preference will be given to new projects, and must be relevant to the mission of IAMSE. The results of funded projects must be presented at a future IAMSE meeting. The initial funding award will be announced via email, and at the 2018 IAMSE meeting.

Applications are to be submitted on the submission page found here by December 15, 2017. You can find more information on grant proposals here.

All information regarding the IAMSE Educational Scholarship Grant, including the application process, eligibility, proposal format, and evaluation criteria can be found on the IAMSE website.

IAMSE Fall 2017 WAS Session 2 Highlights

In case you missed yesterday’s Webcast Audio Seminar (WAS) Session, here are the highlights of this session:

The Future of Family Medicine – In China
Presenter: William J. Burke, D.O., FACOFP
September 14, 12 PM EST

Objectives:

  • Discuss the background leading to an emphasis on the development of primary care.
  • Share the International Primary Care Educational Alliance (IPCEA) journey in China
  • Discuss Healthy China 2020/2030

The purpose of IPCEA is to advance the recognition and development of primary care medicine as the foundation required to provide timely and appropriate access to quality, cost-effective, humanitarian health care for all people of the world.

Physician Training Today in China

  • Complete K -12 in High School
  • Matriculate into Medical School right after High School
  • Complete residency of 5, 7 or 8 years
    • Bachelor’s Degree after 5 years
    • Master’s Degree after 7 years
    • D. after 8 years
    • Both 7 and 8-year degree involve research
    • All degrees include a 1 year Clinical year similar to our 3rd year clerkship year

Dilemma in China

  • Access
  • Quality
  • Cost
  • Lack of Insurance Coverage
  • Rising Cost of Healthcare
  • Lack of Confidence in Community Clinics and Small Hospitals

Solutions

  • New Government Focus
    • Make people-centered health care a priority
  • Increased Tax Base
  • Increased Government Funding for Universal Basic Healthcare
  • Decision to turn to Primary Care and the Partnership with IPCEA
  • Goal to have 300,000 new and re-trained Family Medicine Doctors by 2020.
  • Increase the number of Community Health Centers and Community Health Stations.

For more information on the next session or to register, please click here.