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Do you have information that you think should be included in our Learning and Teaching Newsletter? Have you recently contributed to educational literature? Do you have teaching tips that you would like to share with us? Contact Assistant Dean for Learning and Teaching Dr. Carla Lupi, or Curriculum and Faculty Development Coordinator Christian Castro with any ideas or feedback on this newsletter, or if you would like to make a contribution yourself. Dr. Carla Lupi: [email protected] Christian Castro: [email protected] Learning and Teaching Newsletter Welcome to the Division of Learning and Teaching here at the FIU Herbert Wertheim College of Medicine. Our mission is to support faculty, students, and staff in their efforts to create the conditions for meaningful and effective learning – learning that enables our students to acquire the knowledge, skills and habits of mind and heart required of highly competent and socially-responsible physicians. Toward that mission, both communication and resources are key elements. An educational community—grown from the sharing of ideas and feedback across classes and clinical courses, medical specialty and scientific disciplines, and the larger campus and the COM—is essential to efficiently becoming the best teachers and learners possible. This newsletter offers resources developed here at FIU, as well as links to the rich network of others in both medical education and education at large, updates on the FIU COM curriculum, educational tools and innovations at the COM, and announcements and summaries of local and national faculty development activities. “It was wonderful to have worked with private practice internist Dr. Rosa Garcia. Her teaching style and interest in developing my knowledge and skills as a future physician left a strong impression on me. On my first day with Dr. Garcia, we reviewed a list of important, hi-yield internal medicine topics; she had already scheduled several patients with relevant conditions for me to see in the coming weeks. We began each session with a review of several topics over afternoon tea, prior to seeing patients. Dr. Garcia prepared thoroughly for these reviews: she would read the required chapters from our Internal Medicine textbook and know precisely what information to discuss with me, pushing me to apply knowledge to the clinical context. Dr. Garcia would also find supplementary evidence-based articles for our review, which furthered my understanding of the pathophysiology, clinical manifestations, and management of various conditions. I greatly appreciated Dr. Garcia’s interest in teaching and the effort she put into ensuring that I had a productive rotation with her. I am lucky to have left my Internal Medicine rotation with an incredible learning experience, and more importantly, a mentor with whom I still meet for afternoon tea.” This Edition’s Teaching Tip What to do with an incorrect answer… Turn it into an educational opportunity in 5 easy steps! #1: Before saying “right” or “wrong”, ask if others agree. #2: Make it okay to be wrong- “I can see how you could think that, confuse those ideas, come to that conclusion...I’ll bet others in the class thought the same…” #3: Ask him/her to articulate his/her reasoning for that possibility. #4: Create discussion: ask someone else in the class to respond, add to, help out. #5: Finish up with your teaching points. My Experience in Clinical Rotation Anu Kotha, MS3, Class of 2013 Clerkships at the FIU Herbert Wertheim College of Medicine By Steven O. Evans, Senior Clerkship Coordinator Starting an entire college of medicine from the ground up requires numerous parts to come together and work synchronously. The clerkships demand a special challenge because of the individualized student learning experiences and the numerous clinical sites. A key to the success at the FIU HWCOM has been the teamwork of all members involved in this process. Medical students, community faculty preceptors, hospital staff, clerkship directors and coordinators, college support staff and administrators, student affairs officers, and the entire FIU community have formed new social and professional networks to create the necessary clinical learning environments. We have all formed partnerships that span two counties in south Florida and include over ten medical facilities. Each person’s involvement has contributed to the success of the clerkship experience for the students of the FIU Herbert Wertheim College of Medicine. This teamwork and effort will continue to produce a positive learning environment for both the clerkship rotations and the entire medical school.

Learning and Teaching Newsletter

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Our mission is to support faculty, students, and staff in their efforts to create the conditions for meaningful and effective learning – learning that enables our students to acquire the knowledge, skills and habits of mind and heart required of highly competent and socially-responsible physicians.

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Do you have information that you think should be included in our Learning and Teaching Newsletter? Have you recently contributed to educational literature? Do you have teaching tips that you would like to share with us? Contact Assistant Dean for Learning and Teaching Dr. Carla Lupi, or Curriculum and Faculty Development Coordinator Christian Castro with any ideas or feedback on this newsletter, or if you would like to make a contribution yourself. Dr. Carla Lupi: [email protected] Christian Castro: [email protected]

Learning and Teaching Newsletter

Welcome to the Division of Learning and Teaching here at the FIU Herbert Wertheim College of Medicine. Our mission is to support faculty, students, and staff in their efforts to create the conditions for meaningful and effective learning – learning that enables our students to acquire the knowledge, skills and habits of mind and heart required of highly competent and socially-responsible physicians. Toward that mission, both communication and resources are key elements. An educational community—grown from the sharing of ideas and feedback across classes and clinical courses, medical specialty and scientific disciplines, and the larger campus and the COM—is essential to efficiently becoming the best teachers and learners possible. This newsletter offers resources developed here at FIU, as well as links to the rich network of others in both medical education and education at large, updates on the FIU COM curriculum, educational tools and innovations at the COM, and announcements and summaries of local and national faculty development activities.

“It was wonderful to have worked with private practice internist Dr. Rosa Garcia. Her teaching style and interest in developing my knowledge and skills as a future physician left a strong impression on me. On my first day with Dr. Garcia, we reviewed a list of important, hi-yield internal medicine topics; she had already scheduled several patients with relevant conditions for me to see in the coming weeks. We began each session with a review of several topics over afternoon tea, prior to seeing patients. Dr. Garcia prepared thoroughly for these reviews: she would read the required chapters from our Internal Medicine textbook and know precisely what information to discuss with me, pushing me to apply knowledge to the clinical context. Dr. Garcia would also find supplementary evidence-based articles for our review, which furthered my understanding of the pathophysiology, clinical manifestations, and management of various conditions. I greatly appreciated Dr. Garcia’s interest in teaching and the effort she put into ensuring that I had a productive rotation with her. I am lucky to have left my Internal Medicine rotation with an incredible learning experience, and more importantly, a mentor with whom I still meet for afternoon tea.”

This Edition’s Teaching Tip

What to do with an incorrect answer…

Turn it into an educational opportunity in 5 easy steps! #1: Before saying “right” or “wrong”, ask if others agree. #2: Make it okay to be wrong- “I can see how you could think that, confuse those ideas, come to that conclusion...I’ll bet others in the class thought the same…” #3: Ask him/her to articulate his/her reasoning for that possibility. #4: Create discussion: ask someone else in the class to respond, add to, help out. #5: Finish up with your teaching points.

My Experience in Clinical Rotation Anu Kotha, MS3, Class of 2013

Clerkships at the FIU Herbert Wertheim College of Medicine By Steven O. Evans, Senior Clerkship Coordinator

Starting an entire college of medicine from the ground up requires numerous parts to come together and work synchronously. The clerkships demand a special challenge because of the individualized student learning experiences and the numerous clinical sites. A key to the success at the FIU HWCOM has been the teamwork of all members involved in this process. Medical students, community faculty preceptors, hospital staff, clerkship directors and coordinators, college support staff and administrators, student affairs officers, and the entire FIU community have formed new social and professional networks to create the necessary clinical learning environments. We have all formed partnerships that span two counties in south Florida and include over ten medical facilities. Each person’s involvement has contributed to the success of the clerkship experience for the students of the FIU Herbert Wertheim College of Medicine. This teamwork and effort will continue to produce a positive learning environment for both the clerkship rotations and the entire medical school.

Elaborating on a successful teaching method he developed with OB/GYN residents at Harvard, Dr. David Graham has created a popular online system to help FIU COM students learn radiology. Using the software program Articulate Quizmaker, he has devised for each organ system in period 1 a bank of 100 questions associated with radiologic imaging to help students learn in a self-directed and interactive way what he cannot teach in a few hours of lecture. These “hotspot” questions show an image of the chest, for example, ask the student to click on a structure such as the left ventricle or the aorta, and then tell the student whether the answer was correct. Students work through the quizzes at their own pace. Students reported that on their weekend ER sessions, the ER physicians were impressed at their knowledge of radiographic anatomy on a chest x-ray or CT in the first months of medical school. Dr. Graham has developed another set of quiz questions for the period 2 neuroscience course, and plans to develop materials for the clerkship year focusing on radiographic pathology, and finally create a virtual radiology elective for FIU fourth period students.

Available Resources

CENTER FOR THE ADVANCEMENT OF TEACHING We are fortunate to have the FIU Center for the Advancement of Teaching (CAT), headed by Leslie Richardson, as a resource to the College of Medicine. The CAT offers an ongoing series of seminars for faculty on every aspect of curriculum development on all three campuses. The website includes valuable information and perspective on student and course evaluation, teaching and learning methods, syllabus writing, and more. Visit the CAT website here: http://undergrad.fiu.edu/cat/

For a section of the Human Structure and Function course, class of 2014 student Christian Gutierrez developed a computer application that helped him and his peers memorize names and locations of body parts. The application proved to be especially helpful for the practical exams. Described by Christian, the program “takes a folder full of pictures specified by the user and shows each of them in a random order. The user has to type the name of the body part shown in the picture. If the user’s answer is incorrect, the program gives the correct option.” Christian originally wrote the program to help him efficiently use occasional free moments while working a job to memorize amino acids for one of his undergraduate courses. When he had to memorize body parts for HSF, he shared the program with the class.

A New Learning Tool from Student Christian Gutierrez

HW COM Faculty Development: Advancing FIU COM

Dr. David Brown is attending the National Institute of Program Director Development (NIPDD), a nationally recognized fellowship that provides a unique opportunity for its fellows to engage and learn from seasoned program directors, family medicine educators and other national leaders in family medicine. This time, Dr. Brown has the opportunity to work on a financial project and an academic project. The financial project involves working with West Kendall Baptist Hospital staff in the development of a residency program. The academic project deals with improving the NHELP curriculum.

Dr. Suzanne Minor attended the Medical Student Educators Development Institute (MSEDI) conference led by the Society for Teachers of Family Medicine (STFM) in January and April 2011. In addition to the workshops, Dr. Minor completed a longitudinal project (putting together the FM clerkship) with guidance from an assigned mentor. At the STFM conference in April, Dr. Minor and Dr. Camilo Mora had the opportunity to give a presentation about FIU HW COM’s 4-year Family Medicine curriculum, along with a group of other faculty from schools with longitudinal Family Medicine clerkships in different formats. The presentation was very well received.

Dr. Carla Lupi attended the Harvard Macy Institute Program for Educators in the Health Professions in January 2012. The program brings together medical educators throughout the US and other countries to deepen understanding of learning theories and research in medical education, and learn about innovations in health professions education.

HW COM Faculty: Contributions to the Educational Literature Dr. Carla Lupi “Objective Structured Clinical Examination: Contraceptive Counseling for Long Acting Reversible Methods.” MedEdPORTAL; 2011. “Conscientious Refusal: A Workshop to Promote Reflective and Active Learning of Ethics, Communication Skills and Professionalism”. MedEdPORTAL; 2012. B “Objective Structure Clinical Examination: Non-Directive Pregnancy Options Counseling with Communication and Ethical Challenges”. MedEdPORTAL; 2012. Dr. Suzanne Minor “Community Resources and Self-Assessment in the Family Medicine Clerkship.” Family Medicine Digital Resources Library; 2011. Available from: http://www.fmdrl.org/3373

A New Learning Platform from Dr. David Graham