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CareerDevelopment&MentoringoftheClinicianEducator
PatriciaKritekMD,EdM
ProfessorDivisionofPulmonary,Cri:calCareandSleepMedicine
UniversityofWashington
Ihavenofinancialconflictstodisclose
Iamapowerpointminimalist
Iwouldliketoencouragediscussion
GoalsforToday
Whataretherolesofaclinicianeducator?
Howshouldwepreparephysicianstobeclinicianeducators?
Howshouldwesupportandmentorclinicianeducators?
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
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.
RolesofaClinicianEducator
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
RolesofaClinicianEducator
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
Whataretherolesofaclinicianeducator?
Howshouldwepreparephysicianstobeclinicianeducators?
Howshouldwesupportandmentorclinicianeducators?
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
Whataretherolesofaclinicianeducator?
Howshouldwepreparephysicianstobeclinicianeducators?
Howshouldwesupportandmentorclinicianeducators?
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!
pkritek@uw.edu
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.
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