Immersion Phase Class of 2019 - cdn.vanderbilt.edu · – ACE in panel-based care (student selects...
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Immersion Phase Class of 2019 Feb 15, 2017
Transcript of Immersion Phase Class of 2019 - cdn.vanderbilt.edu · – ACE in panel-based care (student selects...
ImmersionPhaseClassof2019
Feb15,2017
MeetingGoals
• DescribetheImmersionPhaseoverarchinggoalsandcoursetypes
• Viewthegraduationrequirements• DiscussLC,ResearchandFHDrequirements• Discusstheupcomingtimeline
Individualization
Sandeep JainMedical Scholars Program
15-16
16-17
July
Jan
July
May
RES IMM: Ethics
Ethics in Healthcare
AI: Ped Med
AWAY: Med
ISC: Global Health
ISC: Sex Med & Fertility
ACE: Adoles Med
ISC: Diabetes
ISC: Inj Repair & Rehab
RES IMM: Clin & Trans
RES IMM: Clin & Trans
RES IMM: Clin & Trans
ISC: Addiction
ACE: Adv Clin Anesth
ACE: EM
ISC: Critical Illness
AE: Special Studies
AWAY: EM
AWAY: EM
ACE: Prim Care
ISC: Med Imag & Anatomy
ACE: Pall Care
AI: Med VU
ACE: Ophthalmology
16-17July
May
15-16July
ACE: Peds Cardio
ACE: Otolaryngology
ACE: Plastic Surg
RES IMM: Clin & Trans
RES IMM: Clin & Trans
RES IMM: Clin & TransRES IMM: Clin & Trans
ACE: Neurosurg
ISC: Critical ILLNESS
AWAY: Otolaryngology
ISC: Med Imag & AnatomyAWAY: Otolaryngology
ISC: Immunity & Infections
ISC: Addiction
AI: Surg VAH
ACE: ShadeTree
ISC: Critical Illness
ACE: EM
ACE: Med Ethics
ACE: Primary Care
ACE: Rheum
ACE: ShadeTree
ACE: Diag Radiology
15-16July
RES IMM: Ethics
RES IMM: Ethics
May
16-17July
MultipleDisciplines
SingleDiscipline
“Classroom”Based
WorkplaceBased
Structured,predictableFormal,prescribedProtectedtime“HowdoIbuildenduringconceptualscaffolds?”
Learningobjectivesaimedatbuildingstandardizedscaffolds,basedontheidealandtheidealized
AdvancedElectives
Learningobjectivesareidiosyncratic,personalized,basedontherealandpragmatic
Complex,unpredictableInformal,responsiveOpportunistic“HowdoIconvertexperienceintodeeplearning?”
ActingInternships
AdvancedClinical
Experiences
IntegratedScienceCourses
CoursesDesignedtoMeetPhaseGoals
Founda'onal)science)knowledge)during)meaningful)
clinical)engagement
Clinical)skills
Prac'ce7based)learning))skills
Readiness)for)intern)role/residency
Knowledge)and)skillsregarding))scholarship
Knowledge)and)skillsregarding))leadership
Professional)development
ISC AI
ACE
Res
FHD
LC
Courses Designed to Meet Phase Goals
Non-clinicalElectivesAdvancedElectives
CoursesDesignedtoMeetPhaseGoals
Founda'onal)Science)Knowledge)during)meaningful)
clinical)engagement
Clinical)skills
Prac'ce9based)learning))skills
Readiness)for)intern)role/residency
Knowledge)and)skillsregarding))scholarship
Knowledge)and)skillsregarding))leadership
Professional)Development
ISCAI
LC
FHD
Non-clinical Electives
ACE
Res
AdvancedElectives
C2.0ImmersionPhaseRequirements
Minimum C2.0 Requirements (in Months)
On-Campus
4 Integrated Science Courses (ISCs)
1 Acting Internship (AI)
4 Advanced Clinical Electives (ACEs)
On-Campus or Away
(away with approval)
3 Research Immersion
3 Competency and Interest-Driven Rotations#
(can be ISCs, ACEs, AIs or Electives)
15 required monthsMust include:
1 Primary Care course (either ACE or ISC)1 Acute Care course (EM or ICU-based course)
4+2+1 (7 total) Flex months (4 + 2 month for Step 1 + 1 month for interviews)
ISC,ACEandAIgrading=H/HP/P/FStudentscanregisterforupto19months#Atleastonemustbeclinicalrotation.
C2.0ImmersionPhaseRequirements
Impact of Increasing Research Months
3 months of research: Complete 15 course requirements
To extend research beyond 3 months:Student must be in good academic standing and complete an approval process
4 months: Students utilize one flex month
5 months: Students utilize one flex month and may choose to utilize an additional flex month or waive one competency/interest-driven rotation
6 months: Students utilize one flex month and may choose to utilize additional flex months or waive competency/interest-driven rotation (max of 2 competency/ interest-driven rotations can be waived; must still complete required 10 clinical months)
IntegratedScienceCourses1) Cancer:ClinicalandMolecular-basedApproachestoDiagnosisandTreatment2) CardiovascularDiseases3) CriticalIllness4) CommunityHealthcare5) DiabetesMellitus6) EmergencyCare:CelltoSystemScience7) GlobalHealth:DeliveringPrimaryCareinResource-LimitedSettings8) GettingHooked:ImmersioninAddiction9) HealthyAgingandQualityDying10) ImmunityandInfectionsintheImmune-compromisedHost11) InfectiousDiseases12) Injury,Repair,andRehabilitation13) MedicalImagingandAnatomy14) TheSkinnyonObesity15) SexualMedicineandReproductiveHealth
Working-Learning Health System Pilot Experience
• Longitudinal immersive experience in which interprofessional team of students from multiple professions, residents and faculty provide comprehensive clinical care and care navigation to panel of patients/families
• Three experiences done in parallel over 3 months (must do all three):
– ISC in health systems science (includes QI project and leadership skills seminars)– ACE in population health– ACE in panel-based care (student selects clinic at: Mercury Courts, Familiar Faces, Pediatric
Pulmonology, or General Pediatrics)
• Students are eligible for QI Advanced Track credit• Meets primary care requirement (except Pediatric Pulmonology Clinic)
• Three-month blocks start May 2017, Sept 2017, Feb 2018, and May 2018• Information session to be scheduled for March – watch your email!
For more information now, contact [email protected]
LearningCommunities
LearningCommunities• MeetingthroughouttheImmersionPhase• 8LCunitsover22-monthphase
• Continuedfocuson– Developmentasprofessionals
• Increasedfocuson– Developmentasleaders
LearningCommunities1) AppliedEthics2) LifelongLearning3) SituationalLeadershipandDiagnosing4) ProblemSolving5) PrioritySetting6) ChangeManagement7) DealingwithAmbiguity8) LeadingandManagingUp
LearningCommunities• 8units
– Mondaysfrom1-3and3-5pm– 6– 8hourseffortperunit
(2ofthosehoursinfacetofacesession)• Monthsoffered:
– Sept&Jan:Units1&2– Oct&Feb:Units3&4– Nov&March:Units5&6– Dec&April:Units7&8
• 3rd Monday:face-to-facemeeting• Pass/Fail
InquiryProgram
InquiryProgram:CoursesDuringtheImmersionPhase
InquiryProgram:PLAN
• SeptemberorMarch,Tuesdays,1pm– 5pm• DevelopingaResearchProjectPlan
– WorkwithSGFduringclass– Workwithmentorsoutsideofclass
• Setupyourmeetingsbeforeyouleave
• Specificcompetencies:– Understandtheresearchprocess– Identifyandformulateastructuredresearchquestion– Identifymajorresearchstudydesigns– Understandbasicprinciplesofmeasurementanddataanalyses– Understandbasicprinciplesfortheinterpretationofresearchfindings– Understandbasicprinciplesofeffectivescientificcommunication
InquiryProgram:ResearchImmersion
• ImplementaResearchProjectPlan– Workingwithamentor(andpossiblyaresearchteam)– WorkingwithAreaexperts(ResearchDirectors)
• Fulltime,immersiveexperience• 3– 6blocks• 2OMSRmeetingsperblock• 1(+)AreaMeetingperblock• Engageinactivitiestosupportyourunderstandingof
researchandthefieldyou’vechosen(e.g.,Areameetings,co-curriculars)
InquiryProgram:ResearchImmersion
Bytheendofthecourse,studentswillbeabletodemonstratethefollowingspecificcompetencies:
– Analyzeresearchfindingsandidentifyfutureresearchfindings– Appreciatetheprinciplesofresponsibleresearch– Understandtheresearchprocessandappreciatethecloseconnection
betweenresearch,clinicalpractice,andpopulationhealth– Understandbasicprinciplesofeffectivecommunicationofresearch
proposalsandfindings– Understandbasicprinciplesofmeasurementanddataanalyses– Testastructuredresearchquestion– Applyelementsofresearchtoanindividualresearchproject– Advance,documentandreportonaresearchprojectwithmentor
supervision
FoundationsofHealthCareDelivery(FHD)ImmersionPhase—
YearsIII&IV
FHDwillintegratestudentsintoclinicalteamstocareforindividualpatientswhilelearningaboutthelargercaredeliverysystem.Byimmersingstudentsinalongitudinalexperience,thecoursewill:
• Prepareprofessionalswithsystemslevelskillsnecessarytoprovidecarethatissafe,effective,patient-centered,timely,efficient,andequitable
• Integratehealthsystemssciencewithclinicalcare• Cultivaterespectfulprofessionals
FoundationsofHealthCareDelivery:CourseGoals
FoundationsofHealthCareDelivery
Year1:Foundationsof
MedicalKnowledge
Year2:FoundationsofClinicalCare
Years3&4:Immersions
TheHealthCareTeamThePatientWithinCareMedicationReconciliation
PatientEducation&HealthCoachingIntroductiontoPatientSafety
SocialDeterminantsofHealthAdvocacy
TransitionsofCareHighValueCareSettingsofCare
QualityImprovementPatientSafety
AdvancedCommunicationInterprofessionalEducation*AdvancedPopulationHealth
*VPILstudentsfulfilledrequirementduringyears1&2
ImmersionCourseTopics
1. AdvancedCommunication:– Overcomingbarriers&personalizingcommunication
(AC1)andskillsfordisclosure&professionalism(AC2)2. InterprofessionalEducation:
– Theprofessions(IPE1)andteam-basedcare(IPE2)3. QualityImprovement(QI1-3)4. PatientSafety(PS)5. AdvancedPopulationHealth
– Economics,Policy,andPublicHealth&Prevention
FHDImmersionCourseInformation• 6unitsasaclassduringthreeone-weekintersessions
AC2andIPE1(3rd yearspringintersession)
2
HCE&HCP(4th yearwinterintersession)
3
AC1andPHP(IntrotoImmersionPhaseweek)
1
FHDImmersionCourseInformation• 6unitsasaclassduringthreeone-weekintersessions• 5unitslongitudinally,mostlyduring3rd year
– Pairedwithaprimaryrotation– Tuesdaysfrom1-5pm– 20hourseffortperunit– Primarilyself-directed,asynchronouslearning– Oneortwoface-to-facemeetings(variesbycourse)
AC2andIPE1(3rd yearspringintersession)
2
HCE&HCP(4th yearwinterintersession)
3
AC1andPHP(IntrotoImmersionPhaseweek)
1
*SuchasNicaragua,ShadeTree,VPIL,orotherapprovedinterprofessionalexperience
QI1-3/PSlongitudinallyduring3rd yearIPE2 fulfilledeitherviaonemonth
longitudinalorotherapprovedexperience*
4
FHDImmersionCourseInformation• 6unitsasaclassduring3one-weekintersessions• 5unitslongitudinally,mostlyduring3rd year
– Pairedwithaprimaryrotation– Tuesdaysfrom1-5pm– 20hourseffortperunit– Primarilyself-directed,asynchronouslearning– Oneortwoface-to-facemeetings(variesbycourse)
• Pass/Fail• CanfulfillIPE2viaonemonthlongitudinalORother
approvedexperience– Nicaragua,ShadeTree,VPIL,etc
• MultiplepathwaystofulfillQIrequirements– QI1-3viathree1monthlongitudinals– QIAdvancedTrack(self-pacedproject)
FHDImmersionCourseInformationhttps://medschool.vanderbilt.edu/fhd/fhd-immersion-phase-courses
• Lotsofadditionalinformation:– CriteriaforQI-AdvancedTrackprojects– Immersioncourseprerequisitesandpairingsuggestions
– DualdegreeequivalenciesforMBA/MPHstudents– Linkstoallsyllabi– WikiofQIprojects– Coursepolicydetails(add/drop,groupwork,etc.)
FHDQuestions?• [email protected] [email protected]
CourseDirectors:
JesseM.Ehrenfeld,M.D.,M.P.H.DepartmentsofAnesthesiology,Surgery,BiomedicalInformatics,&
HealthPolicy
JenniferK.Green,M.D.,M.P.H.DepartmentsofInternalMedicine&
Pediatrics
HeatherA.Ridinger,M.D.DepartmentofInternal
Medicine
CeceliaTheobald,M.D.,M.P.H.DepartmentofInternalMedicine
LightHall333https://medschool.vanderbilt.edu/fhd/
AdministrativeStaff
ProgramManagerHeatherLaney
ProgramCoordinatorErnestGuerra
ProgramCoordinatorEricHuffman
CareersinMedicinehttps://medschool.vanderbilt.edu/cim/pathway-match
VMS2 Registration Timeline
March April May June July
ImmersionPhase2017-18begins
RegistrationreopensforALL
April27atmidnight
RegistrationopensforrisingVMS3April17at6pm
RegistrationopensforrisingVMS4April10at6pm
RegistrationopensforrisingVMS4MSTPsApril3at6pm
4/3 4/10 4/17 4/27
How-toRegisterMeeting
March30at5pmLH202
3/30
CareersinMedicineISCFair
March9at5pmLH202
3/9
RisingVMS3IPRequirements
Meeting
Feb2/15
