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Improving Health Through Medical Education
David G. Nichols, MD
Johns Hopkins University
School of Medicine
Johns Hopkins Medicine International Partners Forum“Innovations in Education and Simulation”
October 2, 2012
The JH Swami Institute for International Medical Education
Johns Hopkins Swami Institute for International Medical Education
2
SIIME improving health through education…
• Needs
• Methods
• Outcomes measurement
Johns Hopkins Swami Institute for International Medical Education
3
SIIME improving health through education…
• The needs
• The methods
• The outcomes
Johns Hopkins Swami Institute for International Medical Education
4
Worldwide:• 2420 medical schools• 467 depts/schools of public health• Indeterminate number of nursing schools• 1 million doctors, nurses, midwives, public health
professionals graduate annually
Frenk J, The Lancet 2010; 376: 1923-1958.
Johns Hopkins Swami Institute for International Medical Education
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New medical schools (public and private) in India (A) and Brazil (B).
Frenk, Lancet 2010
Johns Hopkins Swami Institute for International Medical Education
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Density of Medical Schools by Region
Frenk, Lancet 2010
Johns Hopkins Swami Institute for International Medical Education
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Frenk, Lancet 2010
World Map Resized by Population, Burden of Disease, Number of Med Schools, and Provider Workforce
Johns Hopkins Swami Institute for International Medical Education
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Why do countries contact SIIME?
• Better trained doctors Improved health for the population
• Biotechnology as economic engine• The Hopkins Model
– The Academic Medical Center (close link between school and hospitals)
– Excellence in tripartite mission
• Exposure to advanced curricula (Genes to Society)• Research collaborations
Johns Hopkins Swami Institute for International Medical Education
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Curricula shaped by the genome and complex chronic disease
Genome sequencing
Chronic disease prevalence
Diabetes, Cardiovascular Disease, Cancer, Depression, Arthritis, Alzheimer’s Disease, Glaucoma, COPD, etc. etc.
Johns Hopkins Swami Institute for International Medical Education
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GTS Principle I: Phenotype is determined by internal and external factors
Society
Environment
Phenotype (Person)
Organ physiology
Cell biology
Genomics Polygenic, Family hx
Crystalline changes
Abnl lens cell architecture
Myopic shift
Cataract, vision loss
Poor education, poverty
Age, UV light, smoking
Johns Hopkins Swami Institute for International Medical Education
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SIIME improving health through education…
• Needs
• Methods
• Outcomes measurement
Johns Hopkins Swami Institute for International Medical Education
12
What SIIME does…
• Malaysia project
• Consultations– Curriculum
– Education resources
– Education building design
• Innovative educational strategies
• Education and biomedical research grants to support international medical
• Training for international faculty
• Access to JHUSOM Genes to Society curriculum
Johns Hopkins Swami Institute for International Medical Education
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Johns Hopkins Swami Institute for International Medical Education
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Armstrong Building Tour and Initial Review of Services
Johns Hopkins Swami Institute for International Medical Education
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The Building Organization: Affinity + Interaction
Anatomy
Teaching Labs
Colleges
Case Study
Computing
Colleges
Lobby Prefunction
Advising
Auditoria
Anatomy
Teaching Labs
Learning Studio
Wenz Cafe
Classroom
Classroom
Classroom Commons
SGR
SGR
Prefunction
Commons
Johns Hopkins Swami Institute for International Medical Education
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Classroom Teaching Labs36 Person Teaching Labs w/ Computers – Teams of 2p, 3p or 6p
Johns Hopkins Swami Institute for International Medical Education
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Central Colleges Commons: Student Crossroads
Johns Hopkins Swami Institute for International Medical Education
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Johns Hopkins Simulation Center: Simulation OR
Johns Hopkins Swami Institute for International Medical Education
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Consultation and Faculty Training Proposals
Johns Hopkins Swami Institute for International Medical Education
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Perdana University Graduate School of Medicine – Class of 2015
Johns Hopkins Swami Institute for International Medical Education
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Clinical Case Conference
Makerere University Medical School Kampala
Johns Hopkins Medical School Baltimore
Students Learn Together
Johns Hopkins Swami Institute for International Medical Education
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SIIME improving health through education…
• Needs
• Methods
• Outcomes measurement
Johns Hopkins Swami Institute for International Medical Education
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The Education Cycle
The Assessments• Practice • Knowledge • Quality• Performance
The Instruction • Clinic/classroom• Simulation• On-line
The Activity• Licensure (MOL)• Certification (MOC)• Credentialing
The Outcome• Patient health• Team performance• Practice efficiency