Revolutionizing Education in Medicine: AACEM 2017

Revolutionizing Education using Alternative

Approaches

Michelle Lin, MDUCSF Professor of EM, Academy Endowed Chair for EM Education

Founder, Academic Life in Emergency Medicine@ M_Lin


Approaches

aliem.link/aacem2017



Medical education is at a critical fork in the road

It could be outsourced beyond the walls of

academia.

Medical Education: Before and now

Learner Educator

Institution Accreditation Body

Learner Educator


Learner Educator

Institution Patient

Learner Educator

Institution Patient

Learner 2.0 Educator



Institution Patient

Knowledge doubles every 12

hrs


Institution Patient


hrs


Institution Patient


hrs

Learner Educator


Learner Educator

Institution

= Education

Information

Delivery

Accreditation Body

Learner Educator

Institution

= Education

Information

Delivery

Accreditation Body

Learner Educator

Institution Patient

= Education

Information

Delivery

Learner Educator 2.0



Institution

≠ Education

Information

Delivery

X

Accreditation Body


Institution

≠ Education

Information

Delivery

X

15 min

Classroom

Accreditation Body


Institution Patient

≠ Education

Information

Delivery

X

15 min

Flipped classroomClassroom

Learner Educator

Institution1.0 and 2.0

Accreditation Body

Learner Educator


Accreditation Body

Learner Educator


Accreditation Body

Learner Educator

Institution1.0 and 2.0 Patient

Learner Educator

Institution Accreditation Body 1.0 & 2.0

Learner Educator

Institution

Poor measures of learner

competency

Strict, traditional criteria for “education”

initiatives Accreditation Body 1.0 & 2.0

Program-centric rather than

learner-centric

Learner 2.0 Educator 2.0

Institution 2.0 Accreditation Body 2.0



Clinician-educator

Educator-scholar

Digital innovator-educator

3 groups of people in education in 2009

Clinician-educator

Educator-scholar


Academic value


Clinician-educator

Educator-scholar


Academic value


Clinician-educator

Educator-scholar


Academic value

Who our LEARNERS were listening to in 2009

But then what happened?

Clinician-educator

Educator-scholar


Academic value

Who our LEARNERS were listening to in 2009

Emergence of social media in emergency medicine2002-2013

Cadogan M, et al. Emerg Med J. 2014 Oct;31(e1):e76-7.

Websites

Blogs

Podcasts


Academic value

Clinician-educator Educator-

scholar

Where are we in 2017?


Educator-scholar

Academic value

Clinician-educator



Academic value


scholar


Academic value


scholar




Academic value


scholar



Academic value


scholar



Academic value


scholar


Rise of social entrepreneurs in medical education

Examples of Innovation:Creative solutions to address pain points

1. Social media platforms are the modern version of textbooks for information delivery.

ScalableArchived

Push-pullableOpen access

Mobile responsiveEasy means to update

2. EM Foundations https://emergencymedicinefoundations.com/

3. EM Fundamentals http://emfundamentals.com/

4. Approved Instructional Resources (AIR) Series

National initiative to identify quality EM blog and podcast content for resident education by crowdsourcing experts

5. Chief Resident Incubator

Year-long virtual community of practice for EM chief residents for their professional

development

Year-long virtual community of practice for EM chief residents for their professional

development

5. Chief Resident Incubator

Future of Medical Education:

How do we support innovators and sustain

innovation within academia?

My vision for 2020



Learner 3.0Improve digital info

management, identify trustworthy

info

Institution 3.0

Educator 3.0

Accreditation Body 3.0

Educator 3.0Improve digital

literacy and competency. Go to where the learners

are.




info



are.

Patient 2.0Institution 3.0



info



are.

Institution 3.0Expand promotions

criteria. Avoid stifling innovations by claiming intellectual property.

Patient 2.0



info



are.

Accreditation Body 3.0

Eliminate time-based metrics; expand

definition of education



info

Institution 3.0Expand promotions

criteria. Avoid stifling innovations by claiming intellectual property.

Digital innovator-educator(social entrepreneur)

Academic value


scholar

My vision for 2020

Academic value


scholar

My vision for 2020


Academic value


scholar

My vision for 2020


Academic value



scholar

My vision for 2020

Academic value



scholar

My vision for 2020

Academic value



scholar

My vision for 2020

Medical education is at a critical fork in the road

It could be outsourced beyond the walls of

academia.

What is your vision for the future of education? Where should we target

our innovation efforts?

aliem.link/aacem2017

We cannot solve our problems with the same

thinking we used when we created them.

- Albert Einstein

Listen to your residents and junior faculty. They are the thought-leaders in ALiEM.


Approaches

