Digital Age of Medical Education

Susan DeMesquita, Ph.D. Professor and Chair Dept. Neuroscience and Physiology

Sint Maarten is 1,200 miles from Miami. (2.5 hour flight)

French and Dutch island of ~ 79,000 people sharing 34 sq. miles since 1648.

10 min commute by dinghy from MV Mariah to AUC

AUC campus

Instruction is classic didactic lectures given by full-time US faculty teaching upwards of 30 lectures three-times a year.

AUC has graduated a diverse group of 5,000 US and Canadian physicians during its 35 years of

continuous operation.

Although AUC students are more diverse than US medical schools, our students are performing at 96% first time pass rate similar to US medical schools.

• Students • Faculty • Classroom • Discussion

Overview of Talk: Digital age of medical education

students

classroom faculty

REAL SITUATION

INFORMATION TECHNOLOGY

STUDENTS

CLASSROOM FACULTY

Students 2014

“This is not your father’s Oldsmobile of a medical school class anymore,” Dr. Robert A. Witzburg, associate dean and director of admissions at Boston University School of Medicine.

Students 2014

• technically astute

• FAST/EASY access to digital factual information 24/7

• interconnected with each other

Students 2014

• information technology has made

memorizing vast amounts of content unnecessary

Students 2014

• students still need a solid

understanding of where and how all those facts can fit together forming the large picture – the framework

Students 2014

• with a good framework in place

students are poised to use the internet for problem solving, subject integration, and self-learning

Students 2024

2012 – tablets for all 6th graders in 18 schools in North Carolina.

2011 – Clintondale High School, north of Detroit, has “flipped” entire school to teaching outside the classroom using teacher produced videos – class time is now problem solving time.

Faculty 2014

• teaching medical students

not major priority • focus on teaching not rewarded

• faculty not encouraged to use new

digital teaching techniques:

Camtasia, tablet note annotation in class, audience clickers

Faculty 2014

• LCME push for active learning and

integrated teaching adding to faculty stress

• procurement of research funding critical to survival and mental health

Faculty 2014

• rare to find a faculty member

competent and capable of teaching physiology of an entire system

• in danger of losing the opportunity of

teaching student physicians how we physiologists think

• sage on the stage

Faculty 2024

• guide and builder of solid framework of concepts underpinning physiology for medical students

• empower students to apply digital world of facts to real problems

• vet sources of digital physiology information

Faculty 2024

• prepare 2014 graduate students for

the future of teaching medical students digitally

• encourage the innovator who is thinking outside the box of classic medical lecture technique

Faculty 2024

• medical lecture gone

• faculty engage and DIRECT working student groups by interactive digital means

- instant messaging -ADOBE connect

Faculty 2024 one sage to many screens

Faculty 2024 one sage to many screens

• recording entire lecture NOT the

goal

• produce high quality, reusable physiology teaching “shorts”

~ PIXAR shorts

Classroom 2014

• empty – students bored with passive

audience role

• students - if physically present are mentally GONE

• power point slide reading is DEADLY

Classroom 2014

• students are using digital devices to

monitor/record lecture.

• students are using digital devices to take and annotate lecture notes.

Classroom 2014

students surfing internet catch out-of-date faculty

Classroom 2014

• students surfing internet

finding videos on lecture topic discovering better images finding better explantations

Classroom 2014

• students surfing internet

streaming movies e-dating shopping face book – the class is

discussing the professor performance in real time

Classroom 2014

• students surfing internet

discover short educational clips &

tutorials:

Dr. John West – Respiratory Physiology - youtube - free

Classroom 2014

Classroom 2014

short educational clips &

tutorials:

Dr. Najeeb (400 hr for $99) www.drnajeeblectures.com

Classroom 2014

• rooms not ready for multimedia /

tablet annotation of notes / dynamic audience interaction with faculty

• audience response systems not dynamic for “on-the-fly” interrogation of medical students

Classroom 2014

MOOCs massive open online courses

Classroom 2014

MOOC for continuing medical education

Dr. Catherine Lucey Vice Dean of Education UCSF Medical School 28,000 student MOOC

Classroom 2014

MOOC is NOT well suited for basic medical education

Classroom 2024

• flipped = inverted = learn when

brain is ready NOT by class schedule

– video teaching shorts out of class – problem solving team work in class – peer-2-peer instruction – peer-2-peer grading – faculty = digitally present guide

Classroom 2024

• class attendance goes up as student

groups work together to solve problems in an interactive environment with faculty as guide

Classroom 2024

• students use electronic textbooks

• video / digital learning curriculum produced by physiologists (APS) or in-house faculty

• renal clearance with 9,314 likes

Classroom 2024

• virtual labs

• digital avatar physicians and patients

Classroom 2024

• Accredited Medical Online Curriculum

endorsements

AAMC / LCME APS

• supplement your med school curriculum

AMOC

Classroom 2024

• Accredited Veterinary Online

Curriculum endorsements

AVMA APS

• supplement your vet school curriculum

AVOC

what is your vision for medical education in 2024…..2034….. 2044???

APS digital legacy?

what is your experience in the 2013 classroom?