The Enduring Concepts Work Group

Discussions

Overview of Curriculum 2.0

The purpose of the Curriculum 2.0 project is to develop a new model for educating physicians that, in a nutshell, is more efficient, effective, and flexible. Ultimately we desire physicians that matriculate through our system to be capable of work that:

  1. Provides patient care
  2. Produces inquiry, innovation and improvement
  3. Engages with the larger community
    (refer to Irby_Cooke_OBrien.pdf)
Beginning with the end in mind, we are focused on producing three overlapping phenotypes-Physician Scientist, Physician Educator, and Physician Leaders. This is the beginning, and the timeline has three phases.

  1. Planning from 2010 through 2015
  2. Implementation from 2012 (first class) through 2016
  3. Transition period from 2010 to 2015 (first class integrated track graduates)
  4. Ongoing improvement starting in 2012
The near term milestone driving our planning is to have a first draft letter of intent to the LCME in January 2011.

First Cycle of Work: Articulating the Enduring Concepts

Topic: Enduring Concepts to be Included in Foundations Year (includes Foundations of Medicine and Academic Year One of both the Interprofessional Continuity Clinical Experience and the Mentoring & Professional Development Colleges).

Academic_Flow_Chart.jpg

Charge: This Work Group’s charge is to define the concepts that must be learned in the first Foundations year to prepare students for the remainder of their medical education and life as a physician. This work group is comprised of three independent teams that will each work over a two-month period to produce recommendations. Recommendations from each team will be reported out at an all day meeting in early November.

Assume students entering the Foundations Year are selected using current methods. Student successfully completing the Foundations Year will move into the Core Clinical Year and finally the two Immersion Years. Another work group is defining the Core Clinical Year. Assume for your work the Core Clinical Year will provide exposure in internal medicine, surgery, obstetrics and gynecology, pediatrics, psychiatry, neurology, emergency medicine, and primary care.

Goals: The goals of each team in this work group are to make recommendations on the content of the “Foundations Year” that:
  1. List and describe the criteria that your team used to decide why a concept was “in,” or was “out” as a foundation that endures throughout the student’s professional life.
  2. List and define the concepts to include in the Foundations Year. Think broadly, including not only science but also content in areas such as organizational behavior, communication skills, ethics, systems of care, preventive health, and statistics. Additionally, think of the technical skills needed to have a meaningful clerkship in medicine during the core clinical year.
  3. For each content item define the depth of exposure needed to prepare a Foundations Year student for their future work. Focus on the balance between depth and breadth, keeping in mind that there will be a rich menu of electives in the emersion years. The model designed by Wiggins and McTighe may serve as a guide (figure below)

    Enduring_Concept_Diagram.jpg
  4. Indicate any core content that is not necessary for the first year but must be included at some later point in the curriculum.
  5. Identify any adaptations to the current student selection criteria that would ensure a more qualified candidate for the Foundations Year.
Schedule: The milestones for this work group include:
  1. Work Group Charter Meeting completed by 9/15
  2. First Team meetings by 9/22
  3. Steering Committee mid-cycle update 10/13 (3 weeks)
  4. Final recommendations team report by 11/3 (3 weeks)
  5. Work Group collaboration session by 11/10

Quantitative Methods Recommended for Coverage in Undergraduate Medical Education

Topic attachments
I Attachment Action Size Date Who Comment
Irby_Cooke_OBrien.pdfpdf Irby_Cooke_OBrien.pdf manage 248.3 K 06 Oct 2010 - 13:45 MarignyBoyd Irby, Cooke, and O'Brian, 2010
Topic revision: r10 - 01 Nov 2010, FrankHarrell
 

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