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Getting the Call from

Stockholm: My Karolinska

Institutet Experience

David M. Irby, PhD

Stockholm, SwedenOctober 30 November 5, 2010

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Preview

The KI Prize, Award Winners and

Nominations

Schedule of week Talks and Ceremonies

Reflections

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Award Winners

The Prize is awarded every other year

2004 Hank Schmidt (first recipient)

2006 Ron Harden

2008 Geoff Norman

2010 David Irby and Richard Reznick

The prize is made possible through

financial support from the GunnarHglund and Anna-Stina Malmborg

Foundation.

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Nominations

It took four nominations (8 years)

Focused on my research on clinical teaching and

development of teacher rating forms

KI selection committee

Reviews nominations

Reads research of nominees

Consults with medical educators internationally Evaluates quantitative impact of work

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Notification

Called at home in April 2010

Announcement embargoed until AMEE

Conference in Glasgow in September2010 following my talk

Asked to give two talks

Prize award talk on my scholarly work

Talk on lifelong learning for KI Symposium

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Schedule in Stockholm

Saturday - arrive, sight seeing

Sunday sight seeing

Monday press interview, sight seeing

Tuesday press interviews, awards Talk

in Nobel Forum and Awards dinner

Wednesday - Awards Ceremony

Thursday - Symposium on lifelonglearning

Friday - flew to AAMC

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The Grand Hotel - Stockholm

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Roof view from Palace Hotel

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The Palace across from the hotel

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Interview with the Press

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Award Presentation on Tuesday

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Rethinking Clinical

Teaching

from the Ground Up

David M. Irby, PhD

Karolinska Institutet

November 2, 2010

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Acknowledgements/Appreciations

Karolinska Institutet

Professors Gunnar Hoglund and Anna-

Stina Malmborg

My colleagues, especially at UW & UCSF

My family

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My Research on Clinical Teaching

Theories of Learning Research Questions

Behavioral 1970- What do effective clinical teachers do?

How can teaching be measured and

improved?

Cognitive 1990- How do clinical teachers reason?

What do clinical teachers know?

What are best teaching practices?

Sociocultural 2000- How do learners participate in work?

What are the social, cultural and

organizational dimensions of participation?

Wilkerson & Irby. Acad Med. 1998

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Awards Ceremony on Wednesday

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Awards Presented by KI President

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Award Shared with Dr. Richard

Reznick, Surgeon from Canada

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Reception with Dr. Reznick and

Dr. Ponzer, KI Dean

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Reception: Keara, Leah, Dave,

Janet Irby

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Partying Late into the Night

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Symposium on Lifelong Learning

Morning presentations on lifelong

learning

Dr. Hank Schmidt on learning

Dr. Richard Reznick on simulations

Dr. David Irby on clinical learning

Dr. Geoff Norman on clinical reasoning

Afternoon Workshops on each topic Evening reception and dinner

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Lifelong Learning inClinical Settings

David M. Irby, PhD

Karolinska Institutet

November 4, 2010

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Preview

What are ourassumptions aboutlifelong learning?

How can wereconceptualize it inclinical settings?

How can we foster it?

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Model of the Self-regulating

Professional

Physician

Reflect on performance to

identify gaps

Self-assess weaknesses

Redress weaknesses

through learning

Incorporate newknowledge into practice

Regehr, Mylopoulos. J Cont Ed Health Prof. 2008

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Model Unsupported in Literature

Ignore or discount feedback that

challenges positive self-concept

Over estimate their abilities

Gravitate toward learning areas of

strength not weakness

Learning of new knowledge rarely

translates into changes in practice

Regehr, Mylopoulos. J Cont Ed Health Prof. 2008

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Question

If model doesnt work,

why arent more

physicians incompetent

and out-of-date?

They must be learning

but how?

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Model of Lifelong Learning in

Clinical Settings

Individual

Community

Of Practice

Organization

/Systems

Self-reflection

Self-assessment

Selfregulation

Self-directed learning

Engagement and motivation

Relationships &

communication

Participation

Affordances & resourcesStandards & structure

Culture & values

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Dinner Thursday: Dr. Schmidt

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Dinner at Swedish Medical Society

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Flying Home on Cloud Nine

Geoff Norman: It is so much better than you can even imagine.

David Irby: It was a magical experience.