Medical Education 2020

The Med-School The Teacher The Student

The Factors Which Will Drive Changes

(1) development of technical aids & ICT(2) evolution of pedagogical concepts(3) changing demands for medical services(4) increasing competition among schools (5) call for TQM (total quality management) by the accreditation systems

Why Change? – a 20-year old in 2020

• Used a computer before starting kindergarten

• Spend 20,000 hrs. watching interactive TV and movies

• Send 200,000 emails/texts

• Uses a technology no one today has predicted in 1980

These young people were born into a digital world where they expect to be able to create, consume, remix, and share creations.

-PEW Internet Project

How will you engage them?

How will you know what they are learning?

Teacher’s Roles Today - (Harden)

(1) Information provider (2) Resource developer(3) Planner (4) Assessor - Evaluator(5) Facilitator-Mentor (6) Role model

1. Information Provider• easy access to information will leave

didactic presentation, which has a transfer-loss of >90% a “no-go”

• Increasing number of “open-access” lectures by the best specialists in the field – free & on-demand (e.g., pitts.edu)

• Role will change from a “Sage on stage” to a ‘Guide by the side’

Information Provider – Clinical & Practical

• teacher role in providing practical & clinical information will also be challenged

• multimedia programs e.g., virtual patients, for self-instruction in physical examination, surgical maneuvers and laboratory procedures

• The teacher will be needed for supervision of learning on real patients

2. Resource Developer

• Text-books will seamlessly connect to internet• the same resources will be used worldwide *• increasing demand for the best teachers who

combine deep knowledge of their discipline with expertise in E-education

• remaining teachers will prepare syllabi, study guides & handouts

* ‘Supercourse’ Lectures on Epidemiology & Public Health (DVD & Internet)

(3) Planner

• more centralized planning on a global or regional scale (“internationalization”)

• will have to be done by teachers, even if only a small group of representatives

• remaining teachers will plan local courses, electives, teaching hours, and student exchange programs

(4) Assessor - Evaluator

• will increase greatly in the future• Systematic Outcomes assessment will be in

place for TQM (total quality management)• participation of teachers in – benchmarking of schools, – accreditation of programs, and – quality assurance

(5) Facilitator – Mentor

• Will increase, although many of these contacts might be via E-media and not directly

• personal involvement and guidance (mentoring) will be needed to add humanity to education, which will be overwhelmed by technology

(6) Role model

• Doctor-Patient relationship is intensely personal

• Good role-models will always be needed to guide the young impressionable medicos to ethical and humanistic handling of patients

Summary

• stratification might occur among the profession revealing the top educationists who act on a global/regional scale and local teachers with more restricted responsibilities

• the medical teacher will survive as long as there are candidates willing to study medicine

Ref - J Mirecka, The medical teacher in the year 2020, Medical Teacher, Vol. 22, No. 5, 2000