Curriculum Reform Initative2012-2015

STONY BROOK SCHOOL OF MEDICINE

CURRICULUM REFORM  INITIATIVE 2012-2015

 

Latha Chandran MD, MPH

 Feroza Daroowalla MD, MPH Howard Fleit PhD

And members of the Curriculum Evaluation Working Group

 

INTRODUCTION

•    The curriculum Committee in the SOM has adopted 14 principles to change the curriculum for the MD degree

•    The goal of the change is to enhance active learning, establish early professional identity formation, and develop physician competencies in an integrated and contextual manner while allowing for individualized learning experiences for the millennial student with access to unprecedented resources for learning

•    Many schools have changed their curriculum in this direction already

 

14 GUIDING PRINCIPLES FOR CURRICULAR REFORM

Teaching and its formats:

•     Provide high quality e- resources to students

•     Adapt existing institutional or other resources to create organized syllabus for every course

•     Increase use of interactive techniques during lectures

•     Offer at least half of a course in an active learning format. These may include TBL, CBL, PBL, Simulations, OSCEs, lab work, CPCs etc.

•     Support and train faculty and students in developing skills in new pedagogic approaches

 

Learning and its formats:

•     Shift the emphasis of the curriculum to student learning

•     Give students the primary responsibility of learning with faculty serving as facilitators

Curriculum and Evaluation:

•     Derive 50 +  10 percent of a student grade from a course using non MCQ methods

•     Mandate sessions involving active learning, involving three SOM competencies and using higher levels of learning in Bloom’s taxonomy

•     Use AAMC curriculum inventory standards to define our teaching and assessment methods

•     Use peer assessments as an integral component of assessment

•     Integrate basic/clinical and behavioral sciences from the beginning after a brief period of foundational courses by creating organ systems based interdisciplinary teams

 

Time frame:

•     Start clinical clerkships in March of Year Two and facilitate contextual reinforcement of basic sciences in the clinical years with “translation pillars”

•     Plan for adequate resources for the change and evaluate the outcomes of the change

 

ACTION PLAN

ACTIVE LEARNING FACULTY DEVELOPMENT

JAN- JUNE 2013

JULY 2013 

Need Faculty Development, Retreats
PLAN THE NEW CURRICULUM STRUCTURE

JAN - DEC 2013

DEC 2013 

LCME prep type approach

Retreats 


IMPLEMENTATION PLANNINGJAN- JUNE 2014Update policies, resources, websites
IMPLEMENTING THE NEW CURRICULUMJULY 2014

Prepare for overlap of Phase 1 and

Year two students in 2016

And phase II and year 3 in 2016

CLINICAL YEARS CHANGE PLANJAN 2017- SEPT 2017LCME visit 2018
CLINICAL YEARS CHANGE IMPLEMENTATIONMAR 2018?

ORGANIZATION OF PROJECT

 •     Curriculum Evaluation Working Group (CEWG) is the group that will present the proposals to the Curriculum Committee for final approval

 •     SEVEN subcommittees each with two co-chairs

 •     Each subcommittee has specific tasks and deadlines

 •     All documents available to all through a common share point

 •     Monthly reports to the CEWG from each subcommittee

 •     Some assistance from the Deans Office as needed

 •     All subcommittees will have student involvement

 

SUBCOMMITTEE WORK

 

•     Review the literature and other pertinent resources

•     Conduct a SWOT ( strengths, weaknesses, opportunities and threats) analysis

•     Develop a suggested action plan with specific realistic timelines and resource needs

•     Provide reports to the CEWG periodically

•     Anticipate occasional faculty retreats/workshops etc.

•     Every member of the team has valuable input to provide

•     Co chairs facilitate the discussion of all ideas to get to a strong outcome by the deadline

•     Ask one of us for help if needed….

 

SEVEN SUBCOMMITTEES

 

•     Subgroup One: Resources for Learning

•     Subgroup Two: Active Learning and Faculty Development

•     Subgroup Three: Student Learning and Peer Assessments

•     Subgroup Four: Integrated Curriculum

•     Subgroup Five: Clinical Experiences and Translation Pillars

•     Subgroup Six: Themes, Competencies and Intersession Topics

•     Subgroup Seven: Grading and Assessment of Students

 

CALENDAR

 

•     March 2013: Subcommittees complete pertinent review of the literature related to their topic

•     April 2013: What do we have at SBU and what do we want to query other schools about?

•     June 2013: What resources are available externally and what are our resource needs?

•     September 2013: RETREAT for exchange

•   How do we move forward?

•     December 2013: Hammering down details

 

LITERATURE REVIEW FORMAT

 

•    Each subcommittee will identify seminal papers for their topic

•    Provide annotated summary to CEWG

•    Collate Papers at the share point

 

SHARE POINT

•    All groups will post findings and material at the share point

•    Groups will have edit capacity for own subgroup material

  •   Edit privileges determined by each sub-group

  •   Separate powerpoint with screen shots available

 

SUBGROUP ONE:  RESOURCES FOR LEARNING

 

•    Co-chairs: Eisenberg, Hearing

•    Focus on:

•   Multimedia learning tools

•   E lectures

•   Syllabi

•   Open sourceware


SUB GROUP ONE TASKS

 

•      March 2013:

  •     Literature review for Phase One of New Curriculum (Month 1-18)

    •     use of external resources such as content lectures

    •    Hybrid use of external and home- grown resources

 

•      April 2013:

  •    Inventory and collect in-house resources, talks, videos etc.

  •     Identify technical or legal or other barriers with using external (out of school) resources (including cost barriers)

  •    Identify questions for outside schools on use of in-house and external resources

 

•      June 2013:

  •    Understand current student use of in house and external resources

  •     Inventory Med-Ed Portal and other on line repositories for potential useful resources- including commercial resources; identify state of the art textbook and other gold standard resources

 

•      September 2013:

  •     Identify faculty development and resource needs for courses and teachers to use external resources

  •     Identify student needs for home grown syllabi and learning style variations which may speak to use of external resources

  •     Develop a road map and uniform format for each course

 

  •      December 2013:

  •     Identify Best resources that meet new course curriculum after retreat