Gen XYZ to Gen MD: Can the tools of the High Tech Generation make better Doctors

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Gen XYZ to Gen MDCan the tools of the High Tech
Generation make better Doctors?

• Mary Ann Hopkins, MD
• NYU School of Medicine
• April 11, 2007

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In order to answer this question

• Look at the changes that are occurring
• Look at the tools that are out there
• Learn how to integrate technology into education
• Why this is so important to me

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Popular Mechanics Magazine, 1954
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A multitude of changes

• Educational Theory
• Nature of Medical Practice
• Information and Communication Technology (ICT)

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Changes in Educational Theory

• Principles of adult learning adults learn best
  
• When the context is important to them (situated
  learning)
• When they have control over their own learning
  objectives
• When they have a safe environment in which they
  can fail
• When they receive relevant and timely feedback

Whitman N, Lawrence P. Surgical Teaching. 1991
Bain K. What the Best College Teachers Do. 2004
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Changes in the Culture of Medicine

• Decreased patient length of stay
• Resident work hour restrictions
• Fragmentation and specialization of medical care
• Faculty constraints
• Explosion of knowledge

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Changes in ICT

• Introduction of the Internet
• Faster more portable platforms, multi media
• Integrated learning management systems
• Physical computing (eg. simulators)
• Intelligence/push technology
• It is the medium which defines the lives of the
  next generation

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What is now available

• Traditional teaching tools (access to primary and
  other resources)
• Evaluation and assessment immediate feedback
• Simulators/ immersive environments
• Web 2.0 (social networking sites, Wikkis)
• Gaming technology

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Educational needs drive technological innovation.

• Never vice versa!!!!

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Pitfalls of Technology

• Students will no longer read text books!
  Professors are going to be replaced by machines!
• What is the source of the content? Is it peer
  reviewed? Is there a conflict of interest?
• Often confined to a limited workspace (library,
  workstation, office)
• Technology distracts from the most important
  aspect of medicine the patient doctor encounter

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Advantages of ICT

• Anytime, anywhere
• Standardized, peer reviewed, easily updated
• Scalability
• Multi media (video, sound, animation, etc.)
• Learner driven/centered
• Information interconnectivity (hyperlinks)
• Push technology
• Interactivity
• Gaming, assessment and immediate feedback

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How to integrate technology into medical education

• Identify your needs
• Identify the tools
• Computer Assisted Learning (CAL)
• Free students to be at the bedside
• Use as adjunct to small group setting
• Dont replace the lecturers but allow them to
  change their format

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Plan for integrationThe 6 core Competencies

• Patient Care
• Medical Knowledge
• Practice Based Learning and Improvement
• Interpersonal and Communication Skills
• Professionalism
• Systems-based Practice

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Patient Care

• Ideal role for simulators
• Video game - shows ability to gather information,
  develop hypotheses and treatment plans, etc

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Partial Task SimulatorsExpensive
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Partial Task SimulatorsCheap
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Medical Knowledge

• Integrated educational tools
• WISE-MD
• APDS lecture series
• AccessSurgery
• BeST Resident

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www.apds.org
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www.apds.org
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www.apds.org
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Practice Based Learning and Improvement

• Evidence Based Reviews in Surgery (EBRS)
• EBM bedside rounds with PalmPilots

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Thank you University of Washington!
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Interpersonal and Communication Skills

• SimMan ideal for evaluation of team dynamics
• University of Florida/Medical College of Georgia
  virtual OSCE
• Cyber Classroom on line discussion board

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Harvard Medical School
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University of Florida/Medical College of Georgia
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Professionalism

• ACS Professionalism in surgery

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Systems-Based Practice

• GME core curriculum/U of Illinois at Chicago
• GME today

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GME Core CurriculumUIC College of Medicine
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• And now, for something completely different.

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Thank you
Mary Ann Hopkins, MD mahopkins_at_med.nyu.edu