Professional Documents
Culture Documents
Spring 09 Newsletter
Spring 09 Newsletter
CurrMIT Training
September 10-11
In this issue… See page 8 for details
Commentary.…………….….2
Med Ed Innovations…….….3 Grant Proposal Workshop
Evidence Based Med……....3 Effective In-Training Feedback
September 25-26
New Microsurgery Lab…....4
What Else is New……………5 See page 8 for details
Student Corner.……..……...7
Education Day...……………9
Commentary:
Research Opportunities.....10
OME Updates.…………….11
Upcoming Events…………11
Call for Submissions…..…12
OME Newsletter, Fall 2008 2
Why Connect Undergraduate preparation for medical school seems desirable and
more acceptable from the perspective of medical
Public Health with Medical educators, college educators, and students.
Education? The success of this competency-based alternative
requires
Excerpted from Academic Medicine, Vol. 83, • defining competencies or learning outcomes that
No. 4, April 2008 candidates for medical school need to achieve and
Almost a decade ago, the AAMC encouraged the providing a testing mechanism to ensure fulfillment;
inclusion of a population health curricula as part of the and
four years of medical school. The Healthy People • articulating these competencies with curricula in
Curriculum Task Force, consisting of representatives medical school that build on basic understandings,
from seven clinical health professions educational reinforcing the curricula throughout the four years
organizations, including allopathic and osteopathic of medical school, and viewing these competencies
medicine, has since produced the Clinical Prevention and as an inherent part of the education of physicians.
Population Health Curriculum Framework. This
framework includes specific recommendations for
teaching the evidence base for medical practice, clinical How Can Competencies Serve as the
preventive services and health promotion, health systems, Basis for Connecting Evidence-Based
and health policy and community aspect of practice as
part of the basic degree programs of clinical health Public Health and Medicine?
professions including medicine. Data from the AAMC
and an article by Garr and colleagues suggest that Evidence-based public health needs to be solidly
medical schools are doing an increasingly good job of grounded in epidemiology. Population Health
teaching clinical prevention and health promotion. The Education Although epidemiology may be taught
larger issues of instructing students about health merely as a technical skill, it can and should be used
systems, health policy, and other aspects of population to develop in students a population or big-picture
health fare less well. In addition, a recent study of perspective on health issues. These are foundations
residents from Yale indicates that their knowledge for teaching evidence-based medicine as well
of study design and statistical analysis is inadequate for as evidence-based public health. The
reading the medical literature. The authors attribute this recommendations of the Consensus Conference
to inadequate, elementary, and one-shot include a series of competencies that may serve as the
introductions of study design and data analysis to medical basis for connecting undergraduate public health
students. They recommend that a more sophisticated and education with medical education.
integrated approach be incorporated into expanded
teaching of evidence-based medicine. Teaching evidence- The Curriculum Guide also provides
based public health to undergraduates should recommendations on structuring curriculum to
make it far easier to teach evidence-based medicine to achieve a coherent approach to evidence-based
medical students and residents. Under the assumption that thinking, including fostering “enduring
there is and will be only be a limited amount of time in understandings” or concepts designed to be carried
medical school to achieve these goals, an alternative is to away from the curricula and incorporated into future
bolster these efforts with adequate preparation as part of education and practice. The Web-based Curriculum
undergraduate or college education. One approach is to Guide is being developed as an ongoing joint project
rely on a growing list of prerequisite courses for medical of APTR and AAC&U, and it is available at
school. Given unlimited time for medical school (www.teachpublichealth.org). Thus, with the rapid
preparation, a comprehensive list of prerequisite courses growth in undergraduate courses in public health
might be desirable. However, given the competing and epidemiology, it is will soon be possible to use
demands of undergraduate education, we believe this educational content as solid grounding for
that the alternative of defining competencies in evidence- medical education.
based public health as well as other key areas of
Teaching of evidence-based public health as
preparation for medical school will greatly enhance a
OME Newsletter, Fall 2008 3
coherent approach to teaching evidence-based medicine focused on such new hot topics as problem-
in the four years of medical school. Students who come based learning, team-based learning, student
to medical school with skills for reading the research remediation and retention, cultural competence
literature, an appreciation of the determinants of disease, and diversity. The vast majority of sessions
and an understanding the structure of the U.S. health care described new programs for students or
system will be better prepared to incorporate
residents, discussed whether or not program
evidence-based thinking and a population perspective
into their education. Medical education built on goals and objectives had been met, and indicated
this foundation should provide invaluable service to any revisions necessary for the program or
students, the medical profession, and society at large. intervention to continue within the curriculum.
A population perspective on health issues and an Topics included diagnostic tool training,
evidence-based approach to practice should be part of the OB/GYN, Family Medicine, Oral Health, and
education of all future physicians, starting at the college End of Life Care.
level and continuing throughout the four years of medical
school and beyond. An undergraduate public health Some of the more fascinating sessions discussed
curriculum grounded in epidemiology provides a natural the linking of patient outcomes to curriculum
way to introduce premedical students to key concepts that
intervention, the need for more publishing and
they can use throughout their education and practice of
improved methodology in the field of medical
medicine. Early experience strongly suggests that
students are voting for undergraduate courses in public education, the use of problem-based learning to
health and epidemiology with their course registrations. It improve clinical reasoning among third and
is time for medical and undergraduate public health fourth year students, collaboration in the clinical
educators to work together to strengthen the connections setting, interactive workshops on informal
between college and medical school. learning and qualitative methods, and a very
entertaining discussion on the future of medicine
by Nancy Nielsen, M.D., current president of the
Innovations in Medical Education American Medical Association.
For more information on the conference or to
Conference 2009 view the proceedings, please contact Philip
Walker, pwalker@tulane.edu or 504-988-2410.
A Review by Philip Walker
http://www.usc.edu/schools/medicine/departments/medical_ed
ucation/upcomingconf.html
EBM
The Innovations in Medical Education Conference is During the Spring semester, the Office of Medical
an annual two-day event hosted by the University of Education initiated an Evidence-Based Medicine
Southern California’s Keck School of Medicine, seminar series. To date, sessions have been provided
Division of Medical Education. This year’s, the sixth by Pamela Wiseman, MD, of the Department of
annual, was held March 14-15, 2009 in beautiful Family and Community Medicine, and by Mr.
(and exceptionally clean) Pasadena, California. Neville Prendergast and Mr. Philip Walker of the
Matas Library.
While the University of California System
dominated the attendee and presenter lists, there The final EBM seminar for this semester will be held
were a few from as far away as New York and on Wednesday, May 13, in the school of Medicine,
Rm. 1558, at 1430 Tulane Avenue. In this final
everywhere in between. Presenters had the option to session of the academic year, Dr. Wiseman will
present in categories such as: Educational present on point of care applications of EBM, and
Innovations Research; Brief Communications on Mr. Prendergast will describe First Consult as a point
Innovation; Cool, New and Far-Out Ideas, and a of care resource.
Poster Session. Sessions were quite varied. Many
OME Newsletter, Fall 2008 4
Graduate Studies in Pharmacology. NDOGS, consisting We’ve increased the number of desktop computers
of directors of Pharmacology graduate available for public use within the Library. All of the
programs and department chairmen, meets every two computers are less than a year old and have the
years to discuss graduate and postdoctoral training in following applications installed: Productivity
Pharmacology. Next year the organization will expand to Software: Adobe Acrobat Professional, MS Office
include Physiology graduate directors as well. For 2007 Enterprise, Photoshop Elements. Medical
information contact Dr. Craig Clarkson Science Software: Bones of the Skull, Brainstorm,
(cclarks@tulane.edu) or visit the NDOGS website. EpiInfo, ISIS Draw, MacBaby, SciFinder Scholar,
http://www.aspet.org/ndogs/index.html with LSU on 4/23 Virtual Radiograph. Public Health Statistical
Software (available on a limited number of
computers): SAS, SPSS, STATA, ARC-GIS.
What’s New in the Matas Rooms on the mezzanine level of the library may be
Library? reserved for certification exams or presentations;
email medref@tulane.edu for further information.
The Matas Library has a new director, Neville We offer flatbed scanning and color printing in room
Prendergast, who assumed library leadership here at M209.
Tulane in January of 2009. Prior to arriving at Tulane,
Mr. Prendergast was the Associate Director for Health In case you have not seen the newly renovated
Information Resources at the Becker Medical Library at Rudolph Matas Library, please stop by and take a
Washington University School of Medicine in St. Louis. tour. It has a bright, open, and clean new look. A
Under Mr. Prendergast’s leadership, strategic three year long time dream to renovate the library was realized
planning has begun and a number of innovations have with a donation from a former student, Dr. James R.
already been implemented. There is a new Matas Doty. Dr. Doty is a neurosurgeon currently
Liaison Program to establish a clear channel of practicing in Mississippi. He remembered getting
communication between the academic and research research help from the library staff, among other
components of the Health Sciences and the Matas memories of his time at Tulane, and he wanted to
Librarians. There is also development underway for a give back to the school. The library did not change
new library website with instant messaging to be made in size but it looks larger due to the new service desk,
available and a new cross-database search engine (called improved lighting, ceiling tiles, carpeting, window
MetaLib). shades, and fresh bright paint. The main entrance is
much more inviting with the turnstiles removed and a
For PubMed users, the Matas Library is happy to new door. Comfortable furniture was donated by the
announce that the TULink (green icon) is now available. Tulane University Health Sciences Center Auxiliary.
Full text access, catalog access for print, and Interlibrary Probably the biggest change is the 24-hour access
Loan request may be initiated from this icon. Please let door with ID card-swipe access. The 24/7 area also
us know if you have problems or questions regarding this has two new group study rooms with whiteboards.
newly implemented feature in PubMed. PubMed More computer stations were recently added and an
seminars will be scheduled on a regular basis to inform outside phone has been made available in the
users about upcoming changes in the interface. commons area with coffee and popular reading
materials.
The Matas Librarians are also working toward
developing subject guides in all of the health science The results of the renovation have been exactly what
disciplines that are part of the curriculum and research was intended-- an increase in library usage. Students
initiatives at Tulane. Please review the new “Subject can study in the late hours and print off class notes
Guides” on our website. Hopefully the guides will assist before an early morning class begins. All are
users to locate current journals in specific specialties. welcome to relax in the commons area to read and
Please let us know your suggestions to improve the use the computers or ask a librarian for help. The
Subject Guides. library staff would like to express their gratitude to
all the donors and those who worked to make
possible the new Rudolph Matas Library--a dream
OME Newsletter, Fall 2008 6
realized, and a major improvement for Tulane University Louisiana, contact us. Email: tulaneroi@tulane.edu
Health Sciences Center. Office: (504) 988-2838.
professionals. The General Surgery, Internal Medicine The 200-seat facility is high tech and completely
and Pediatrics clerkships all visited the Sim Center during digital. It can be divided to accommodate two groups
the most recent rotation to practice procedural skills like of 100 students on each side. Seating is provided,
lumbar puncture, central line placement and neonatal small group-style, in tables of six. Power outlets are
resuscitation. Fourth year medical students preparing for distributed throughout, and internet access is totally
an Internship in OBGYN also came to the Sim Center to wireless. Both sides offer the same remarkable
practice delivery skills using the NOELLE birthing features: high-quality speakers and sound system,
simulator. Learners from Tulane University and Tegrity, audience response systems, six portable
Hospital, Delgado Charity School of Nursing, and Xavier microphones for audience use, and a tablet-PC
University College of Pharmacy have participated in feature that allows the instructor to walk around the
TeamSTEPPS, an evidence-based teamwork program room while controlling all the technology and having
designed to improve communication and teamwork skills what is written appear immediately in front of
among health care professionals. Recently, the Sim everyone.
Center organized a Rapid Response Team Training
course for Tulane medical students and residents, and Introductory sessions have been offered to familiarize
Delgado nursing students. In addition to the trainings faculty with TBL center facilities and operation. In
organized by the Sim Center, Tulane Life Support now addition, “TBL 101” sessions have been held to
holds BLS, ACLS, PALS and ATLS courses in the provide faculty with the basics of implementing
facility. The Sim Center has also hosted tours, meetings, TBLs throughout the curriculum. A“TBL 102”
and a CME conference on thyroid and parathyroid training is scheduled for June 12, conducted by a
diseases. member of the National Team Based Learning
Collaborative (details follow).
To schedule training, a meeting, or a tour at the Sim
Center, call 504-988-9150, email simcenter@tulane.edu
or visit the website http://simcenter.tulane.edu/.
Upcoming
Events:
New TBL Center Opens “TBL 102”
Named for famed surgeon and Tulane SOM alumnus, Dr.
Michael DeBakey, the DeBakey Educational Workshop
Center, located on the 2nd Floor of the Murphy Building Scheduled
on S. Robertson St., opened for classes on May 11, 2009.
Dr. DeBakey was instrumental in relocating Tulane’s Advanced training for
medical program to Baylor SOM for the academic year Tulane faculty who have
following Hurricane completed the TBL 101
Katrina. The center will sessions, will be provided
be used as the primary T2 via a special workshop on June 12, 2009, given by
teaching site, and will be Ruth Levine, MD, a member of the National TBL
available for T1 course Collaborative and the faculty of UTMB (Galveston).
directors and faculty to
conduct sessions Dr. Levine has used TBL in the Psychiatry clerkship
using active learning since 2002, in the Neuroscience and Human Behavior
formats. course since 2003; and has provided numerous
workshops on the use of Team-Based Learning in
The facility is designed to stimulate active learning, even medical student and resident education. She conducts
in large groups, and to enhance the learning process. research in team-based learning and has several
While the room can be used for traditional lectures; it is publications documenting the impact of team-based
primarily intended to support Team-Based Learning, learning on student NBME test scores.
JiTT, and other modern and highly effective new
approaches to medical education.
OME Newsletter, Fall 2008 8
Tulane to Host 2010 GRIPE Meeting the Association of Pathology Chairs/Course Directors
section of GRIPE.
The Winter 2010 GRIPE Meeting (January 14-17) will be
hosted by Tulane University Medical Center, Department The mission of the Group for Research in Pathology
of Pathology and Laboratory Medicine, Dr. Byron Education is to advance the quality of pathology
Crawford, MD. education through scholarly research and activities
Registration will be available in Fall, 2009. related to the definition of educational objectives
Reservations: Ritz Carlton Hotel, New Orleans, appropriate to the learner, the development of
Louisiana. $179 s/d expires December 23, 2009. effective modern teaching and learning techniques,
1-800-826-8987. NEW! and the accurate assessment of learner performance.
GRIPE's membership includes 78 institutions and
Resident Scholarship Application Form for 2010 GRIPE 236 individuals representing many different
Meeting countries.
Call for Proposals for 2010 GRIPE Meeting - NEW!
Craig Clarkson, PhD
On April 22-24, TUSOM and LSUHSC co-hosted the
CurrMIT Training biennial NDOGS conference - National Directors of
Graduate Studies in Pharmacology. NDOGS,
A special program offered by AAMC consisting of directors of Pharmacology graduate
representative, Terri Cameron, will assist programs and department chairmen, meets every two
departments with compiling their course/clerkship data in years to discuss graduate and postdoctoral training in
AAMC’s CurrMIT electronic database for export to the Pharmacology. Next year the organization will
LCME forms required for our accreditation site visit in expand to include Physiology graduate directors as
2011. Cameron will also update administrators on the well. For information contact Dr. Craig Clarkson
CurrMIT functionality. This two-day event will be held (cclarks@tulane.edu) or visit the NDOGS website.
September 10-11, 2009 in the SP Center on Poydras St. http://www.aspet.org/ndogs/index.html with LSU on
from 9 am-4 pm. 4/23
Dr. Crawford is also current president of the Group for Excerpted from kbrannon
Research in Pathology Education (GRIPE), and Chair of http://tulane.edu/news/newwave/012809_nola_free_c
linic.cfm
OME Newsletter, Fall 2008 9
Dr. Benjamin P. Sachs, dean of the School of Medicine FURTHER EVIDENCE (2008) of the dangers
and senior vice president of Tulane University, presented of exposure to night light comes from research
the award to McSwain and also honored this year’s published in Chronobiology International.
finalist, Dr. Elma I. LeDoux, associate professor of
medicine. Exposure to light at night is the most powerful factor
McSwain, a professor of surgery, served as trauma in breast cancer besides genetic defects, according to
director at Charity Hospital in New Orleans, worked with a University of Haifa study. The researchers suggest
the U.S. Department of Defense to develop the Combat that people stop using computers and watching TV
Casualty Care program for wounded servicemen, and late at night, and refuse to do shift work. It is
assisted with development of a Pre-Hospital Trauma Life advisable to close the shutters when you go to bed,
Support program. This program has since trained more wear eye shades if you can't darken the bedroom,
than half a million people in 45 countries and is avoid night lights and lower lights in working
considered the world standard for pre-hospital trauma environments after sunset.
care. Retrieved from
Education Day showcases innovative developments in the http://www.jpost.com/servlet/Satellite?cid=12035185
classrooms of SOM educators. According to Annie 56682&pagename=JPost%2FJPArticle%2FShowFull
Daniel, assistant professor of clinical medicine and
director of the Office of Medical Education, “The
education part is the teaching part — but the scholarship
part goes a little bit further, because you are not only DID YOU KNOW that . . .
teaching, but you are thinking about how you are We live in “Cancer Alley” — the Mississippi River
teaching, about what it takes for students to actually learn area between Baton Rouge and New Orleans is home
the content, what you can do differently to help students to more than a hundred chemical plants and oil
retain the information, understand it, or apply it.” refineries. So far, no link has been documented
between the local industry and occasional reports of
rare-cancer clusters along Cancer Alley. However,
OME Newsletter, Fall 2008 10
Louisiana does have a major cancer problem. In 2005, the play a key role in improving health professions
state had 214.9 cancer deaths for every 100,000 people. education at their schools. The program is designed
The national average is 184.1. to teach education methods and leadership skills, as
well as to develop strong professional bonds with
In response, Maureen Lichtveld, head of Tulane other health professions educators around the world.
University's department of environmental health sciences,
If you are interested in applying, go to:
and her colleagues, have created an environmental
https://faimeronline2.ecfmg.org/
oncology program. The program includes faculty
members from Tulane's expanding cancer center, from Retrieved from:
Louisiana State University in Baton Rouge, and from http://www.faimer.org/education/institute/index.html
Xavier University in New Orleans.
Where from?
The Bill and Melinda Gates Foundation’s The public
program – The internet
The government
Grand Challenges in Global Health: Regulating Agencies
Explorations offers seed grants of up to $100,000 for
research on new tools to fight 11 diseases that result in
millions of deaths annually in developing countries. Why?
Increasing information access
This accelerated grant program requires only a two-page
Change in public’s expectations
application, and no preliminary data is needed. Anyone
with an innovative idea can apply online. Grant Changes in student characteristics
recipients are chosen approximately four months after the Changes in culture of teaching and learning
submission deadline, and initial grants of $100,000 are
awarded twice yearly. Successful projects may be Look for more information about this topic in the
selected for follow-up grants of up to $1million or more, Fall 2009 OME Newsletter.
and might result in a Grand Challenges project.
The Foundation’s Global Health Funding Priorities
include:
“10 Megatrends in Medical Education”
Globalization
Diarrhea
Simulation
HIV/AIDS
Rising Cost of Medical Care/Education
Malaria
Redefining Desired Traits for Physicians
Maternal, Newborn, & Child Health
Continuous Measurement of Core
Neglected Diseases
Competencies
Nutrition
Interdisciplinary/Interprofessional Education
Pneumonia & Flu
Med Ed as Part of the Health Care Enterprise
Polio
Life-Long Learning & Professional Support
Tobacco
Increasing Education in the Ambulatory
Tuberculosis
Setting
Vaccines
Technological Innovation
For more information, go to:
http://www.grandchallenges.org/Explorations/Pages/Intro Medical Education is experiencing a paradigm shift.
duction.aspx Over the past decade, physician educators and basic
science educators have labored to adapt to changes in
OME Newsletter, Fall 2008 12
curricula, teaching styles, and expectations. These features short articles summarizing research
changes, reflected in the “Megatrends” listed above, have on current issues, concerns, and innovations
come about in response to increasing public demand for in medical education
improvement in physician performance and offers guest commentaries on relevant topics
accountability and demands for greater fiscal productivity in medical education
to help sustain the healthcare enterprise. These and other
factors have influenced AAMC and AMA policy with
regard to educational approaches, measurements, costs, The editor welcomes short articles from the faculty
goals, and professional self-monitoring requirements. that introduce or inform others about a unique
1
Lazarus, C. J. (2009). Ten megatrends in medical teaching strategy or method currently being used for
education. Academic Physician and Scientist, January. teaching. Submissions may include:
Look for more information about this topic in the Fall Announcements
2009 OME Newsletter. Short medical education articles (up to 500
words)
Teaching Strategies and Tips
Descriptions of research in progress
Call for Submissions: Reviews of research
Book reviews
OME Newsletter Letters to the editor or faculty
Events of interest
Fall 2009 Research ideas for collaboration
Publication notices and requests
The Office of Medical Education Newsletter is published
twice a year as an Adobe Acrobat file delivered by email
and posted on the OME website: Materials/manuscripts should be submitted in
http://www.som.tulane.edu/ome/ Microsoft Word (hard copy or email) to:
Trenise Thomas
Executive Secretary
Phone: (504) 988-6600
Email: tthomas1@tulane.edu