academic. julian marsden

ACADEMIC HEALTH EDUCATION Building Quality Care from the Ground Up

February 27th, 2013

Julian Marsden MD FCFP(EM) Clinical Director, BC PSQC Clinical Professor, Dept. of Emergency Medicine, UBC

Patient who has been experiencing chest pain for the past 2 hours who looks unwell is being brought in by BC Ambulance to Emergency. There are 6 players in this improv:

– Paramedic – Patient – Nurse 1 (“the nice one”) – Nurse 2 (“the not so nice one”) – Junior physician – Student nurse (on first day of rotation)

Theory to Practice

VS.

VS.

Problem Based Learning vs. System Based Learning

“The Hidden Curriculum”

While I realize the importance of CQI and patient safety in this climate of health care delivery, my feeling is that the MD Undergraduate Program at UBC is overloaded with courses/programs designed to educate students on issues that are not strictly basic science or clinical. To them it feels like a series of soap box sermons and I tend to agree. Medical students first want to become competent clinicians and this is what gives them confidence and to some extent defines their identity. When the program hugely deviates from this core mission, the students get anxious and frustrated. This is not surprising, since credibility usually begins in the clinical or research arena.