Title: Creating the 21st Century Medical School: Technology Across the Curriculum
1Creating 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
http//www.med.fsu.edu/informatics/Workshops.asp
2Florida State University College of Medicine
November 2004
3First 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
4Community Based Model
Tallahassee
Pensacola
- Students are trained with community physicians in
their offices and in community hospitals.
Orlando
Sarasota
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6Goals 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
7Core Technology Supporting All Courses
- Standardizing hardware and software
- Centrally funded, supported and maintained
- Planned rotating upgrades
8CoM IT Section
- Help desk
- Database development
- Web design
- Video editing
- Tech support
- Network support
9Network Infrastructure
- CoM WAN
- Wireless access campus wide
- Technology enhanced classrooms
- Video conferencing
- File, Exchange, Web servers
- Active Directory
- MS SharePoint
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11Data Collection and Evaluation System
- Avantgo/M-Business Server
- SQL Server
- Arcstream system
- PDA and Web based
12- Web interface contains
- Encounter Entry and Reports
- Preceptor tracking
- Evaluation System
PDA Interface for Encounter Data Collection
13CDCS System
- Record student patient encounters
- Students evaluate courses
- Students evaluate speakers or lecturers
- Clinical faculty evaluate students on clerkships
- Surveys
14Student Wireless Laptops
- Dell D600
- Microsoft Office 2003 Professional
- Dorlands Medical Spellchecker
- Adobe PhotoShop Elements
- Endnote 9
- Norton Antivirus and Firewall
- AntiSpyware
15Student 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
16Student Entering Patient Data
17Fundamental Resources
- Blackboard
- All courses required to use
- CurrMIT
- Clinical Learning Center
- Planning phase Center for Clinical Simulation
- Virtual Medical Library
18Large Classroom
19Small Group Activity
20Individual Course Curriculum Resources
- Basic Science Courses
- Bacus Webslides
- Gold Standard Multimedia
- ADAM and Cross-sectional Anatomy
- WebPath
- LXR Testing Program
- Turning Point Audience Response System
21Replacing the Microscope
22Microanatomy
23Doctoring Course and CLC
- PDA references
- Streaming Videos
- Clinical Skills Teaching and Evaluation (CSTE)
System by EMS - Student Electronic Portfolios
- Practice Partner EMR
24Clerkships Yrs 3 4
- Med Cases
- DxR
- PDA resources
25Clinical Learning Center
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27Clinical 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
28Clinical 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
29Using Wireless Tablet PC
30Features of CLC
- Closed circuit digital video
- Faculty observe students
- Observer controlled cameras
- Digital video recording
31Observe and Evaluate
32Audio Video System
- Allows real time and digitally recorded
observation
33Performance Assessment Software
- EMS system
- Allows immediate feedback
- Provides statistical analysis and QA
- Tracks progress in professionalism and clinical
skills longitudinally
34Faculty Reviewing Videos
35Network 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
36Medical Informatics
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38Integrated Informatics Curriculum
- Integrated in all classes Yrs 1 - 4
- Adopted AAMC Medical School Objectives Project
Informatics Objectives - Adopted AAMC MSOP implementation ideal state
39AAMC MSOP Recommendations
40Assessment of Student Entry Computer Literacy
- Self assessment
- ProveIt skills testing
- Windows, Word, PowerPoint, Excel, Access, Typing
- Proposal competency demonstration requirement
41Director 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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43The 21st Century Virtual Medical Library
- 1st academic medical library created in 20 yrs
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4624/7 Access to Resources
- 270 eBooks and Webfeat
- 1400 eJournals (2.8M articles)
- Web-based course materials
- Evidence-based medicine resources
- 200 databases
- Disease, drug, and patient education resources
- Medical search engines
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48 Goals of Virtual Library
- Excellent service
- Collection relevant to curriculum research
- 90 electronic
- Instant, seamless access
49Core of Medical Community
Medical Curriculum
Regional Campuses
Student Communities
Virtual Medical Library
Medical Library
Laptop and PDA Reference Resources
Affiliated HospitalLibraries
50Connected by Technology