career development & mentoring of the clinician educator › micu › paccm_fellows_ed_2017 ›...

CareerDevelopment&MentoringoftheClinicianEducator

PatriciaKritekMD,EdM

ProfessorDivisionofPulmonary,Cri:calCareandSleepMedicine

UniversityofWashington

Ihavenofinancialconflictstodisclose

Iamapowerpointminimalist

Iwouldliketoencouragediscussion

GoalsforToday

Whataretherolesofaclinicianeducator?

Howshouldwepreparephysicianstobeclinicianeducators?

Howshouldwesupportandmentorclinicianeducators?

TheEmergenceoftheClinicianEducatorCareerPathway

1996–45%ofUS/CanadianmedicalschoolshaveCEtrackforpromoPon

1997–DepartmentofMedicineChairsàCEpromoPondeterminedbyteachingandclinicalskills

2000’sàEvolvinghealthcareworldrequiresdifferentcliniciansandeducators

2010’sàClinicianEducatorPeerGroups&Resident/Fellowtracks

Atasoyluetal.JGIM2003;18(9):711-716.WeinbergerS.TACCA2009;120:239-248.Beasleyetal.JAMA1997;278(9):723-728.

RolesofaClinicianEducator

Clinician Teacher

Scholar Leader

DiversityofLearners

Housestaff&Fellows

Peers

PaPents&Families

MedicalStudents

MulPpleTeachingVenues

LargeGroupSmallGroup

OnRoundsInClinic

CoachingandEvaluaPon

Coaching EvaluaPon

Discussion

RealPme

FormaPve

ComparaPve

SummaPve

CoachingàconPnuousskillbuildingEvaluaPonàdemonstrateexcellenceforpromoPon

Geracietal.AJM.2010;123:869-872.


Clinician Teacher

Scholar Leader

Scholarship–ClinicianEducator

PhysicianScienPst

•  ResearchpublicaPons• Grantfunding•  Invitedlectures•  StudysecPonparPcipaPon

ClinicianEducator

•  Curriculumdevelopment

•  EducaPonresearch• WriPngonteaching•  CMEonteaching/educaPon

Barachietal.AcadMed2000;75:899-905.Simpsonetal.AcadMed1999;74:1296-1299.

OneApproachtoTranslaPon

Understandthe

literature

Performaneeds

assessment

PlantheeducaPonaliniPaPve

Studytheimpact

AnderandLove.WJEmergMed2017;18:1-23.

Submitforpeer-reviewedpublicaPon

VenuestoTranslateWorktoScholarship

hips://www.aamc.org/download/456646/data/annotated-bibliography-of-journals-march-2016.pdf

Developclinicalnichetoalsobuildscholarship


Clinician Teacher

Scholar Leader

TeachingLeadershipRoles

UME

• Preclinicalcoursedirector

• Collegementor• Clerkshipdirector

• Directorofassessment

• DeanofCurriculum

GME

• Residencydirector

• Fellowshipdirector

• GMEleadership• DesignatedinsPtuPonalofficial(DIO)

CME

• Localfacultydevelopmentworkshops

• Regional/naPonalboardrevieworCMEcourses

• DeanforCME

Steinertetal.MedTeach.2012;34:483-503.

LeadershipRolesinPulmonaryandCriPcalCareMedicine

UME

•  Respiratoryphysiologycourse

•  Pulmonaryclerkship

•  CriPcalcaresub-internship

•  CommunicaPonskillselecPve

GME

•  Pulmonaryfellowshipdirectorandassociatedirectors

•  GMEDirectorofQualityandSafety

•  ResidencyAPDforProceduralEducaPon

CME

•  CriPcalCareBoardReviewcourse

•  ChairofeducaPonortrainingcommiieesinATS/CHEST/SCCM

•  BronchoscopyCMEcourse

GoalsforToday




CurrentStateforClinicianEducators

LimitededucaPononteaching

WorriedaboutPme

management

LesslikelytohaveidenPfied

amentor

Challengedtoengageinscholarship

Evolvingacademiclandscape

McCulloughetal.AdvMedEd.2015;6:45-54.Chewetal.AcadMed2003;78:652-653.

Knowledge&SkillsforClinicianEducators

Teachingskills–mulPplemodaliPes

Curriculumdesign&implementaPon

TranslaPontoscholarship

Adultlearningtheory

Learnerassessment

Leadership&mentoring

Searleetal.AcadMed.2006;81:936–940.

EducaPonalOpportuniPesTrainingTrack

LocalTeachingCME

EducaPonFellowships

DegreePrograms

h5p://pre.ame.pi5.edu/abouth5ps://www.icre.pi5.edu/degrees/ms_meded.html

AcademyofMedicalEducators

MastersinScience–MedEd

NaPonal/InternaPonalResources

HarvardMacyInsPtute–mulPpleprograms

StanfordSchoolofMedicineClinicalTeachingProgram

CarlJ.Shapiro/BIDMCPrinciplesofMedicalEducaPonCourse

AssociaPonofMedicalEducatorsofEuropeonlinecourses

Geracietal.AJM.2010;123:869-872.Robertsatal.AnnalsATS.2014;11:254-260.

ThreeYearCEFellowshipTrack

Year1ClinicalrotaPons(sameasother

fellows)

Findmentorearly

Year2MedicalEducaPon

training

Limitedclinicalwork–3months

Earlyscholarlywork

Year3Increasedclinicalwork(8-9months)

FocusonareaofclinicalexperPse

ComplePonofscholarlywork

OngoingTeachingExperiencesAdamsonetal.AnnalsATS.2015;12:480-485.

GoalsforToday




FundingofClinicianEducators

Clinicalrevenue

• Moreclinicalwork

• MoreteachingservicePme

•  IndirectmedicaleducaPon(IME)allocaPon

AdministraPveroles

• EducaPonleadershipposiPons(e.g.GMEprogramdirector)

• Clinical/hospitaladministraPveroles

Philanthropy&Grants

• GeneralmedicaleducaPon

•  SpecificiniPaPvesforeducaPon(e.g.,ethics)

• Clinicalfocuses(e.g.,paPentsafety)

Geracietal.AJM.2010;123:963-967.Zeideletal.AJM.2005;188:557-564.

SpecificExamples

MayoclinicàClinicianeducatorawardprovides10%Pmeand$10,000

KansascreatedasystemofeducaPonvalueunits(EVU)

UniversityofWashingtonpreviouslyallocated20%FTEasscholarlyPme

BethIsraelDeaconesscreatedaCenterforEducaPon–combineshospital,medicalschoolandphilanthropicfunds

Viggianoetal.AcadMed.2000;75:940-943.SPtesetal.AcadMed.2005;80:1100-1106.Sheffieldetal.JGIM.1998;13:406-409.Schwartsteinetal.Acad.Med.2008;83:550-559.

MentorshipIsAChallenge

CEsarelesslikelytofeelmentoredthanphysician

scienPsts

TherearefewerprofessorlevelCEsinmostdivisions

Pathwaystoacademicsuccessarelesswellestablished

Chewetal.AcadMed2003;78:652-653.

Mentoring

IndividualMentor

ClinicianEducatorwithrelevantexperPse

Meetatleastmonthly

MentoringCommiiee

3-5facultymembers

MeetsQ6months

CreaPngaClinicianEducatorGroupisanotherpathwaytomentorship

Beckmanetal.MedTeach.2009;31:518–521.

IndependentDevelopmentPlan(IDP)

IDP–OneYearPlanning

SpecificObjec:ves

AchievementStrategy

Benchmark/Milestones

MentorforthisAc:vity

Clinical

Teaching

Scholarship

AdministraPon

Threetofiveyearvision&goals

Significantaccomplishmentsinlastyear

MentoringOutsideoftheDivisionWalls

PromoPonofClinicianEducators

ClinicianEducatortracksandcriteriavarywidelybetweeninsPtuPons

Osennon-tenureorclinicalpathwaysforclinicianeducators

IncreasingeffortsnaPonallytocreateparityoftracks

Geracietal.AJM.2010;123:1151-1154.

PotenPalCriteriaforPromoPon

Category Quan:ty QualityEngagementwith

Educa:onCommunity

Teaching

•  Teachingrole•  Howlong•  Where•  Numberandleveloflearners

•  Awardswithcriteria

•  EvaluaPonbystudents,peers

•  Evidenceoflearning

•  InvitaPonstopresentteachingapproach

Curriculum

•  RoleandcontribuPon

•  DescripPonofcurriculum

•  LearnerreacPonsorraPngs

•  Impactonlearning

•  EvaluaPonbypeers

•  InsPtuPonsadopPngthecurriculum

•  Acceptanceinpeer-reviewedrepository

Simpsonetal.MedEd.2007;41:1002-1009.

PotenPalCriteriaforPromoPon

Category Quan:ty QualityEngagementwith

Educa:onCommunity

Mentoring/Advising

DescripPonofrelaPonshipwithmentee

•  EffecPvenessraPngs

•  OutcomesofrelaPonship

PublicaPonsorinvitedpresentaPonsonmentoring

Leadership

•  ProjectdescripPon

•  LeadershiproleandduraPon

360-degreeleadershipevaluaPonwithpeercomparisons

Work-relatedpublicaPons

LearnerAssessment

•  Assessmentgoals•  Numberofitems,

learnersassessed•  Frequencyofuse

•  Measuresofreliability

•  Measuresofvalidity

PresentaPonsorpublicaPonsaboutinnovaPvetesPngorassessmentstrategy

Simpsonetal.MedEd.2007;41:1002-1009.

TeachingPortolios

Simpsonetal.MedEduc.2009;78:1002-1009.LubitzRM.JGIM.1999;12:S71-S78.

AAMC

• Teaching• Curriculumdevelopment

• Advising&mentoring• EducaPonaladministraPon

• Learners’assessments

SGIM

• EducaPonalmethodsandteaching

• ClinicalpracPceapplicaPon

• IntegraPon

UWTeachingPortolioTemplate

1.  ExecuPveSummary2.  PersonalInformaPon 3.  TeachingPhilosophy 4.  TeachingAcPviPesandRoleasanEducator5.  ProfessionalDevelopmentinEducaPon6.  Regional/NaPonal/InternaPonalRecogniPon7.  Mentoring 8.  EducaPonalAdministraPonandLeadership9.  HonorsandAwardsinEducaPon

hips://medicine.uw.edu/sites/default/files/HOW%20TO%20CREATE%20A%20TEACHING%20PORTFOLIO.pdf

TakeHomes

ClinicianEducatorsneedclinicalexperPse,teachingskills,scholarlyoutputandleadershiproles

SuccessasaClinicianEducatorrequiresinvestmentintrainingadiversesetofskills

Support(fundingandmentorship)iscriPcalforthedevelopmentofClinicianEducators

Thankyoufortheinvita:ontovisit!

[email protected]

AddiPonalResources

Miloslavskyetal.JGME.2015;7(2),281-2.

Smithetal.AcadMed.2014;89(6):888-91c.

Robertsetal.AnnalsATS.2014;11(2):254-9.

Hilletal.MedEduc2009;43(12),1129-40.

Wamsleyetal.JGIM.2004;19(5pt2):574-81.

career development & mentoring of the clinician educator › micu › paccm_fellows_ed_2017 ›...

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