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Make Your Work Count Twice:Scholarship Opportunities forClinician-Educators
Carlos Estrada MD MS 1 2 (cestrada@uab edu)Carlos Estrada, MD, MS 1,2 ([email protected])
Analia Castiglioni, MD 1,2 ([email protected])
Eva Aagaard, MD 3 ([email protected])
Steve Haist, MD 4 ([email protected])
Ryan Kraemer, MD 1,2 ([email protected])
Jason Morris, MD 1,2 ([email protected])
Lisa Willett MD 1 (lwillett@uab edu)Lisa Willett, MD ([email protected])
1 The University of Alabama at Birmingham, 2 Birmingham VAMC, 3 University of Colorado, 4 National Board of Medical Examiners
http://www.dom.uab.edu/2011/09/presentations-1st-annual-education-summit
Objectives
To list specific strategies to promote scholarship
To identify ONE scholarship opportunity to implement within 6 monthsmonths
2
2
Outline
Introduction, scholarship … 10 min Barriers … 10 min Promoting scholarship … 15 min Examples … 5 min Scholarship “prescription”… 30 min Conclusions … 5 min
3
4
3
Stages of Change Model
Don’t have a problem
Smoking
Thinking about quitting
Want to quit
Q it
5
British J Addiction. 1992;87:825-835.
Quit
Don’t want to go back
Stages of Change Model
Don’t want to
Scholarship
Perhaps I should
Want to
D it
6
British J Addiction. 1992;87:825-835.
Do it
Keep on doing it
4
Scholarship – CategoriesUASOM Promotion Tenure Guidelines
Discovery
Teaching
Applicationpp
Integration
7Glassick CE, et al, Scholarship Assessed: Evaluation of the Professoriate. Carnegie Foundation for the Advancement of Teaching, 1997.
Scholarship – CategoriesUASOM Promotion Tenure Guidelines
Discovery. Creates new knowledge
Teaching. Transmits knowledge to maximize learning, further inquiry
Application. Identifies and evaluates strategies to implement new knowledge
Integration. Identifies and builds links across disciplines (broader context)
8Glassick CE, et al, Scholarship Assessed: Evaluation of the Professoriate. Carnegie Foundation for the Advancement of Teaching, 1997.
5
Scholarship – CategoriesUASOM Promotion Tenure Guidelines
Discovery. Creates new knowledgeEducational research
Teaching. Transmits knowledge to maximize learning, further inquiry
Application. Identifies and evaluates
Faculty developmentCurriculum developmentAwards, CME, mentorship
Case reportQuality/ safety
strategies to implement new knowledge
Integration. Identifies and builds links across disciplines (broader context)
9Glassick CE, et al, Scholarship Assessed: Evaluation of the Professoriate. Carnegie Foundation for the Advancement of Teaching, 1997.
Quality/ safetyLearner evaluations
Narrative reviewTextbookClinical pathways
Barriers
10
6
Barriers
What barriers areWhat barriers are in your way to foster/ conduct
scholarship work?
Barriers
Interest Critical mass Passion Skills Space Time
Data management Funding IRB Mentorship
Training Recognition …
12
Research assistant Stat support …
7
Promoting Scholarship
13
Promoting Scholarship
What workedWhat worked for you?
- Barrier- Successful- Successful
8
Promoting Scholarship
Start small Block time each week Align with passion Align with activity (teaching, patient-
care, curriculum, innovation, QI/ safety)
Ali ith ibiliti ( i Align with possibilities (review, case-report, datasets, evaluations)
Identify collaborators (local, external) Think about scholarship 15
Adapted from Career Success for Clinician Educators, Acad Int Med Meeting (AIMM), 2010http://www.im.org/Meetings/Past/2010/AIMW10/Presentations/Documents/AIMW10%20Joint%20Sessions/JWS%20104_Spencer.pdf
Examples
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9
Examples
Curriculum innovation (AMR)
Case report
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Example #1Curriculum Innovation
Morning report: case-based, resident presentation, discussion Inpatient topics Ambulatory curriculum (AMR)
Is it working? Is it working? Graduating residents, single question AMR curriculum innovation …
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10
Example #1Curriculum Innovation
19J Grad Med Edu. 2011;32:167.
Example #2Case
46-year-old man, fever, cough, d R l iti h t idyspnea, R pleuritic chest pain
Past history: hypertension, smoking, alcohol, recurrent pneumonia (last 1 month prior)
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J Gen Intern Med. 2006;21:C1-3.
Publish a Case Reportin 8 Steps
1. Retrieve information1. Retrieve information2. Identify journal3. Redo literature search4. DO FIRST DRAFT !5. Overcome barriers6. Revise, get feedback7. Submit8. Deal with rejection, resubmit
http://www.sgim.org/userfiles/file/AMHandouts/AM08/WD07%20Landry.pdf
12
Scholarship Prescription
23
Scholarship PrescriptionWhat do you plan to do?
Identify ONE activity that can lead to scholarship
How might this activity lead to scholarship?
What would I do next? Who can help me? What can I do within 6 months?
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13
Scholarship Prescription
Activity?y
Do next? Who can help?
25
ConclusionsTake Home Points
What did I learn today?y
What do I want to do / learn?
26
14
Objectives
To list specific strategies to promote scholarship
To identify ONE scholarship opportunity to implement within 6 monthsmonths
27
Faculty Development Opportunity1ST Annual Education Summit
Who Should Attend?Department of Medicine Clinical Faculty
Where? West Pavilion Conference Center
When? Friday, September 23, 2011
8:00 AM – 4:00 PM
Workshops to Enhance Teaching Skills and
Strategies for Clinician Educators
RSVP to Karen Whited at [email protected] by Sept 1st, 2011
http://www.dom.uab.edu/2011/09/presentations-1st-annual-education-summit
15
Selected References
Geraci SA, Babbott SF, Hollander H, et al. AAIM Report on Master Teachers and Clinician Educators Part 1: needs and Master Teachers and Clinician Educators Part 1: needs and skills. Am J Med. 2010;123:769-773.
Geraci SA, Kovach RA, Babbott SF, et al. AAIM Report on Master Teachers and Clinician Educators Part 2: faculty development and training. Am J Med. 2010;123:869-872.
Geraci SA, Devine DR, Babbott SF, et al. AAIM report on master teachers and clinician educators Part 3: finances and resourcing. Am J Med. 2010;123:963-967.
Geraci SA Hollander H Babbott SF et al AAIM report on Geraci SA, Hollander H, Babbott SF, et al. AAIM report on master teachers and clinician educators part 4: faculty role and scholarship. Am J Med. 2010;123:1065-1069.
Geraci SA, Buranosky R, Babbott SF, et al. AAIM report on master teachers and clinician educators, Part 5: Academic documentation and tenure. Am J Med. 2010;123:1151-1154.
29
Selected Resources
AAIM #4. Faculty Role and Scholarship (AJM)
Designing clinical research (book)
Publish a case report (8 steps, handout)
MedEd Portal (AAMC peer-reviewed clearinghouse)
Career Success for Clinician Educators (AIMM)
Publication venues (C-E, Quality/Safety) Medical Education Really Good Stuff Other scholarly examples Medical Education Really Good Stuff. Other scholarly examples.
Kraemer R, Estrada CA. Journal Venues for Clinician-Educators. SGIM Forum. 2011;34(6):8,16. http://www.sgim.org/userfiles/file/SGIM%20June%202011%20Web.pdf
Peña A, Taylor BB, Patrician P, Estrada CA. Journal Venues for Safety and Quality Improvement Publications. SGIM Forum. 2011;34 (8):10-11. http://www.sgim.org/userfiles/file/SGIM%20August%202011%20Web(1).pdf
30
17
Hulley SB. Designing clinical research. Lippincott Williams & Wilkins (2007).
33
Title
Research questionFINERFeasible Interesting Novel Ethical Relevant
Study Outline
Feasible, Interesting, Novel, Ethical, RelevantSignificance / background
Previous research, known, limitations, magnitude.
DesignTime frame, epidemiological approach.
SubjectsSelection criteria (inclusion/ exclusion)S li / it t /
3434
Sampling / recruitment / nVariables
Predictor, confounder, outcome
Statistical issuesHypothesis, sample size, analytic approach
Stephen B. Hulley, et al. Designing Clinical Research. Lippincott 2007
18
Publish a case report
35
http://www.sgim.org/userfiles/file/AMHandouts/AM08/WD07%20Landry.pdf
Publish Curriculum
36
http://www.sgim.org/userfiles/file/AMHandouts/AM05/handouts/WG06.pdf
19
Develop Curriculum
37
http://www.sgim.org/userfiles/file/SC04_Kern_David_201191.pdf
Curriculum Evaluation
38
http://www.sgim.org/userfiles/file/AMHandouts/AM08/PR09%20Curriculum%20Evaluation%20Workshop%20version%204%206%2008.pdf
21
Career Success for Clinician Educators
41http://www.im.org/Meetings/Past/2010/AIMW10/Presentations/Documents/
AIMW10%20Joint%20Sessions/JWS%20104_Spencer.pdf
Analia Castiglioini, MD
Medical EducationReally Good Stuff (500 words, peer-reviewed)
Med Educ. 2009;43:1087 Med Educ. 2009;43:1105-6.
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2923/homepage/really_good_stuff_guidelines_for_authors.htm
22
Publication Venues
http://www.sgim.org/userfiles/file/SGIM%20June%202011%20Web.pdf
http://www.sgim.org/userfiles/file/SGIM%20August%202011%20Web(1).pdf
Other Scholarly Examples
Ruiz J, Wallace EL, Miller DP, Loeser RF, Miles M, Ruiz J, Wallace EL, Miller DP, Loeser RF, Miles M, Dubose TD, Lichstein PR. A comprehensive 3-year internal medicine residency research curriculum. Am J Med. 2011;124:469-73.
Wofford JL, Kimberly JR, Moran WP, Miller DP, Hopping JL, Pedley CE, Messick CH, Lichstein PR, Velez R. It's in the cards: a practice-friendly, real-time data collection strategy for quality improvement. Jt Comm J Qual Patient Saf. 2005;31:54-8, 1.
U R G JE Ed d WH H b JD Ursprung R, Gray JE, Edwards WH, Horbar JD, Nickerson J, Plsek P, Shiono PH, Suresh GK, Goldmann DA. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14:284-9.
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Make Your Work Count Twice:Scholarship Opportunities forClinician-Educators
Carlos Estrada, MD, MS [email protected]
Professor of MedicineGeneral Internal Medicine
Birmingham VAMC National Quality Scholars Program g Q y gwww.vaqs.org
Presented at the 1st Educational Summit, UABhttp://www.dom.uab.edu/2011/09/presentations-1st-annual-education-summit
Make Your Work Count Twice:Scholarship Opportunities forClinician-Educators
A li C ti li i MD 1 2 ( ti l@ b d )Analia Castiglioni, MD 1,2 ([email protected])
Jason Morris, MD 1,2 ([email protected])
Deepa Bhatnagar, MD 3 ([email protected])
Ryan Kraemer, MD 1,2 ([email protected]).
Lisa Willett, MD 1 ([email protected])
Carlos Estrada MD MS 1,2 (cestrada@uab edu)Carlos Estrada, MD, MS , ([email protected])
1 The University of Alabama at Birmingham, 2 Birmingham VAMC, 3 Tulane University
Presented at SSGIM Meeting, Feb 2012http://www.dom.uab.edu/2011/09/presentations-1st-annual-education-summit