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Disruptive Innovation
October 24, 2012
Dan Hunt, MD, MBASenior Director, Accreditation Services
Association of American Medical Colleges
Disruptive Innovations Hunt’s Regional Campus Pyramid
Governance
Policy
Personnel
Respect
Curriculum Forces Site of Training
EducationalProgram
Basic Science
University Salary
Located
in
Academic MedicalCenter/Hospital
Regional Campus Evolution
Academic Physicians
Accreditation/Licensing
Located in
Involvement Outside of theAcademic Center
Ambulatory Clinic
Family Medicine
Curriculum Forces Site of Training
EducationalProgram
Basic Science
University Salary
Academic Physicians
Accreditation/Licensing
Ambulatory Clinic
Community Physicians
Academic MedicalCenter/Hospital
Increase class size $
=
Community Physician Input
CommunityPhysicians
Academic MedicalCenter/Hospital
Clerkship
Second Year
CommunityPlacement
ClerkshipClerkship
Curriculum Forces
EducationalProgram
Basic Science
Academic Physicians
Accreditation/Licensing
Site of Training
Clerkship
Community Based
Educators
=
Community Stakeholder Input
Community Placement
Integrated Third Year
First & Second
Year
Increase class size $
CommunityPhysicians
Curriculum Forces
EducationalProgram
Basic Science
Academic Physicians
Accreditation/Licensing
Comm
unity
Stake
holder
s
Site of Training
AcademicCenter/Hospital
Fourth Year
Community Based Educators
Disruptive Innovations The Regional Campus Pyramid
Governance
Policy
Personnel
Respect
“Stifling innovation”, no input on committees, sharing tuition, “face” in community
The Regional Campus Pyramid
Governance
Policy
Personnel
Respect
Hiring the empire builder instead of the team player
The Regional Campus Pyramid
Governance
Policy
Personnel
Respect
No checks and balances across sites
The Regional Campus Pyramid
Governance
Policy
Personnel
Respect
Absence of clear decision making process over campus activities
Disruptive Innovations: Part 2Clay Christensen
Disruptive Mini-mill Steel Technology
Rebar
Bars and Rods
Structural Steel
Sheet Steel
Profi
t Mar
gin
Disruptive Mini-mill Steel Technology
Rebar
Bars and Rods
Structural Steel
Sheet Steel
Profi
t Mar
gin
Quality of Mini Mill Steel
Disruptive Mini-mill Steel Technology
Rebar
Bars and Rods
Structural Steel
Sheet Steel
Profi
t Mar
gin
Quality of Mini Mill Steel
Disruptive Mini-mill Steel Technology
Rebar
Bars and Rods
Structural Steel
Sheet Steel
Profi
t Mar
gin
Quality of Mini Mill Steel
Disruptive Mini-mill Steel Technology
Rebar
Bars and Rods
Structural Steel
Sheet Steel
Profi
t Mar
gin
Quality of Mini Mill Steel
Up-market Drift Creates a Vacuum
• Expedited when “customers” are migrating up• Expedited when up-market means better
profit margins• Difficult to reduce costs and create a less
expensive product by the “successful” industry
Nature abhors a vacuum and will find a way to fill it
Migration of medical students into more advanced specialties
Primary
Secondary
Tertiary
Sub Specialty
Profi
t Mar
gin
"When Nurses want to be called Doctor”New York Times 11/2/2011
So the Question is not “Should we use innovative curriculum?”……
It is “To what end do we use it?”
