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Transcript of Faculty Development
Developing a Center of Academic Excellence
December 17, 2013
Francis Chu, MD
Asst Program Director
Family Medicine Residency
Remember a Teacher
Who Made an Impact on You
What did they do?
Why did it impact you?
How has it changed you?
The Mediocre Teacher Tells
The Good Teacher Explains
The Superior Teacher Demonstrates
The Great Teacher INSPIRES
William Arthur Ward
Where Are We Headed?
in IM, Surgery, Ortho
(others to come?)
UCR Medical Students
(LACE and in 2 years -
Where Have We Been?
20 Years of Family
Few Medical Students
& Affiliated Residents
A Teaching Hospital
Alphabet Soup: ACGME, AOA and LCME
Accreditation Council for Graduate Medical Education (ACGME)
Liaison Committee on Medical Education (LCME)
NAS - the NEXT Accreditation System
RRC - Residency Review Committee
PD - Program Director
CCC - Clinical Competency Committee
PEC - Program Evaluation Committee
Clustered standards and
Web Based Accreditation
Sponsored by the Association of American Medical Colleges (AAMC)
Sponsored by the AAMC, ABMS, AHA, AMA and CMSS
+ non-voting DHHS rep
ACGME Core Competencies
Systems Based Practice
Faculty Development an
Essential Element in the
Training of Future Physicians
May 2011 Report
Are You Willing to Work to Become
the Teacher You Want to Be?
American Osteopathic Association (AOA)
Osteopathic Postdoctoral Training Institutions (OPTIs)
Currently the AOA has not aligned its standards with the new ACGME NAS (ongoing negotiations occuring)
What kind of teacher do you want to be?
Minimum requirements for active faculty members.
All physicians should have a basic understanding
of Graduate Medical Education (GME - Residency Training) and Medical Student teaching.
Dr. Rajaratnam and Dr. Flowers
both have the vision that RMC should
become a Center of GME Excellence
Areas for Faculty Development
Practice Based Learning
Research / Scholarly Activity
What Constitutes Scholarly Activity?
Old Way vs. New Way:
Good / Bad Resident
Objective measures of performance
Now Let's Talk Milestones!
Choose a milestone on the table that is applicable to you and...
Levels of Learners
Expert / Mastery
William Arthur Ward (1921-1994), Author, Educator, Civic and Church Leader
The Next GME Accreditation System — Rationale and Benefits
Thomas J. Nasca et al., NEJM 366;11 March 15, 2012 pp. 1051-1056
The Josiah Macy Jr. Foundation May 2011 "Ensuring an Effective Physician Workforce in America: Recommendations for an Accountable Graduate Medical Education System. October 2010 Conference Report"
LCME New Standards for 2015 http://www.lcme.org/2015-reformat-project.htm
ACGME website: Competencies and Faculty Development requirements (found in Common Program Requirements), NAS, and Milestones
Dreyfus, Stuart E.; Dreyfus, Hubert L. (February 1980). A Five-Stage Model of the Mental Activities Involved in Directed Skill Acquisition
Assessment Survey Taken from Indiana University School of Medicine Department of Family Medicine Faculty Development Needs Assessment - Self Assessment Version (M. Dankoski, PhD. 3/4/2005
no experience, no discretion, following rules
limited perception, lack of prioritization
analysis, planning, perception of action/result
holistic view, adaptation to situation
intuitive responses, new situations/problems
Explain to your partner why you rated yourself at that particular level .
What are some difficulties of rating someone based on Milestones?
Future Evaluations Divided into Competency areas and Milestones paired with Learner Levels
A Matrix of Evaluation Elements
Jump into the middle of things, get your hands dirty, fall flat on your face, and then reach for the stars.
- Ben Stein
Riverside Medical Center
Faculty Development Program
Levels of Learner
Great Teachers - INSPIRE
Who's Your Inspiration?
Harness that inspiration to take your teaching to the next level
RMC is turning into an Academic Medical Center
UCR School of Medicine
ACGME, AOA, LCME
Focus on Level of Learner
Milestones for Evaluation
Requirements for Teaching
TRANSFORMING RMC INTO A
CENTER OF GME EXCELLENCE
Raising the Standard for Teaching
Pedagogy vs Androgogy