Creating the 21st Century Medical School: Technology Across the Curriculum

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Creating the 21st Century Medical
SchoolTechnology Across the Curriculum

• Nancy B. Clark, M.Ed
• Director of Medical Informatics Education
• FSU College of Medicine
• Office of Medical Education

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First New Med School in 20 Yrs

• Strongly embrace the importance of
• Medical informatics
• Integration of hardware and software into the
  curriculum
• Cutting-edge technology
• Community-based model
• Yr 1-2 Tallahassee
• Yrs 3-4 Regional Campuses

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Community Based Model
Tallahassee
Pensacola

• Students are trained with community physicians in
  their offices and in community hospitals.

Orlando
Sarasota
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Goals of Technology Plan

• 24/7 access to library resources
• Created level technology playing field for all
  participants, all courses
• Enable
• Integration of technology into all courses
• In-house support for all equipment
• Communication between campuses

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Core Technology Supporting All Courses

• Standardizing hardware and software
• Centrally funded, supported and maintained
• Planned rotating upgrades

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CoM IT Section

• Help desk
• Database development
• Web design
• Video editing
• Tech support
• Network support

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Network Infrastructure

• CoM WAN
• Technology enhanced classrooms
• Wireless access campus wide
• Video conferencing
• File, Exchange, Web servers
• Active Directory

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Data Collection and Evaluation System

• Avantgo/M-Business Server
• SQL Server
• Arcstream system
• PDA and Web based

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• Web interface contains
• Encounter Entry and Reports
• Preceptor tracking
• Evaluation System

PDA Interface for Encounter Data Collection
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CDCS System

• Record student patient encounters
• Students evaluate courses
• Students evaluate speakers or lecturers
• Clinical faculty evaluate students on clerkships
• Surveys

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Student and Faculty PDAs

• Dell Axim X50 Pocket PCs
• Patient Encounter System (CDCS)
• Stedmans Medical Dictionary
• ePocrates Pro drug reference
• InfoRetriever evidence based info
• First Consult differential diagnosis
• Clinical Evidence EBM reference

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Student Entering Patient Data
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Student Wireless Laptops

• Dell D600
• Microsoft Office 2003 Professional
• Dorlands Medical Spellchecker
• Adobe PhotoShop Elements
• Endnote 9
• Norton Antivirus and Firewall
• AntiSpyware

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Fundamental Resources

• Blackboard
• All courses required to use
• CurrMIT
• Clinical Learning Center
• Virtual Medical Library
• Planning phase Center for Clinical Simulation

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Large Classroom
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Small Group Activity
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Individual Course Curriculum Resources

• Basic Science Courses
• Bacus Webslides
• Gold Standard Multimedia
• Cross-sectional Anatomy
• WebPath
• LXR Testing Program
• Turning Point Audience Response System

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Replacing the Microscope
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Microanatomy
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Doctoring Course and CLC

• PDA references
• Student Electronic Portfolios
• Streaming Videos
• Clinical Skills Teaching and Evaluation (CSTE)
  System by EMS

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Clerkships Yrs 3 4

• Med Cases
• DxR
• Practice Partner EMR
• PDA resources

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Practice Partner
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Clinical Learning Center
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Clinical Learning Center

• Simulated clinic 12 exam rooms
• Central control room
• Teaching and assessing clinical skills
• Yr 1 2 every other week
• Yrs 1-3, OSCE every semester

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Clinical Skills Education

• Medical history and physical exam
• Patient centered interviewing and communication
  skills
• Clinical reasoning skills
• Professional communications
• Documentation and case presentation
• Accessing electronic information at point of care

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Using Wireless Tablet PC
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Features of CLC

• Closed circuit digital video
• Faculty observe students
• Observer controlled cameras
• Digital video recording

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Observe and Evaluate
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Audio Video System

• Allows real time and digitally recorded
  observation

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Performance Assessment Software

• EMS system
• Allows immediate feedback
• Provides statistical analysis and QA
• Tracks progress in professionalism and clinical
  skills longitudinally

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Faculty Reviewing Videos
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Network Based CSTE

• Student Portfolios
• Video clips and progress notes tracked over time
• Allows self-assessment and in-depth feedback
• Tracks performance trends

• Standardized patient (SP) database
• Online SP application
• Case library
• Objective Structures Clinical Exam (OSCE)
  scheduling module

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Medical Informatics
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Integrated Informatics Curriculum

• Integrated in all classes Yrs 1 - 4
• Adopted AAMC Medical School Objectives Project
  Informatics Objectives
• Adopted AAMC MSOP implementation ideal state

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AAMC MSOP Recommendations
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Assessment of Student Entry Computer Literacy

• Self assessment
• ProveIt skills testing
• Windows, Word, PowerPoint, Excel, Access, Typing
• Competency attainment

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Director of Medical Informatics Education

• In Office of Medical Education
• Curriculum oversight
• Coordinate integration
• Teach Students
• Faculty Development
• Informatics Curriculum Advisory Committee
• Representation all departments
• Work closely with Directors of IT, Medical
  Library, and Faculty Development

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The 21st Century Virtual Medical Library

• 1st academic medical library created in 20 yrs

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24/7 Access to Resources

• 270 eBooks and Webfeat
• 1400 eJournals (2.5M articles)
• Web-based course materials
• Evidence-based medicine resources
• 200 databases
• Disease, drug, and patient education resources
• Medical search engines

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Goals of Virtual Library

• Excellent service
• Collection relevant to curriculum research
• 90 electronic
• Instant, seamless access

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Core of Medical Community
Medical Curriculum
Regional Campuses
Student Communities
Virtual Medical Library
Medical Library
Laptop and PDA Reference Resources
Affiliated HospitalLibraries
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Connected by Technology