FACULTY DEVELOPMENT Kalli Varaklis, MD, MSEd Outline Why Faculty - - PowerPoint PPT Presentation

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FACULTY DEVELOPMENT Kalli Varaklis, MD, MSEd Outline Why Faculty - - PowerPoint PPT Presentation

FACULTY DEVELOPMENT Kalli Varaklis, MD, MSEd Outline Why Faculty development? What is faculty development? How to: Start putting together a comprehensive approach to a faculty development curriculum The Maine Medical Center


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FACULTY DEVELOPMENT

Kalli Varaklis, MD, MSEd

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Outline

 Why Faculty development?  What is faculty development?  How to:

 Start putting together a comprehensive approach to a

faculty development curriculum

 The Maine Medical Center experience

 MMC Institute for Teaching Excellence (MITE)

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Why faculty development?

 Skills to be a good core faculty are not consistently

learned in college, medical school or residency

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Why? Because they said so.

 “Program leadership and core faculty members

must participate in faculty or leadership development programs relevant to their roles in the program”

 “All faculty member involved in the education of

residents should participate in programs to enhance the effectiveness of their skills as educations, based

  • n their roles in the program”

ACGME Common Program Requirements

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Why else….. ?

 Lack of faculty development opportunities are related

to job satisfaction in academic medicine

 Absence of faculty development programs was cited as a

predictor of “serious intent to leave” (faculty at academic medical center), OR=3.30, CI 2.0,4.6)

 Qualitative study looking at the short and long term

effects of a 9 month faculty development program aimed at improving teaching skills:

 82% of participants reported significant positive

improvement on their professional life (and 49% noted an improvement in their personal life!)

Lowenstein et al, 2007

Knight AM, 2007

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Why else….. ? It works.

 Introduction of a “Junior Faculty Development Program”

at Penn State COM

 Two part project

 Curriculum in research, education, clinical development and

career development

 Mentoring of an individual project by a senior faculty

 Highly rated by participants  Increased perception of own ability  Increased number of completed tasks on academic

development plan

Thorndyke LE, et al, 2006

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What is Faculty development?

 Faculty development is a process by which medical

faculty work systematically to improve their skills

 Work  Systematically  Skills  Most successful when BOTH the individual’s goals

are being met and the goals of the organization are being met

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Where do you even start??

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 Step by step approach  Maine Medical Center experience as an example

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Curriculum Development 6‐Step Approach

  • 1. General Needs Assessment
  • 2. Needs assessment for learners
  • 3. Goals and Objectives
  • 4. Educational Strategies
  • 5. Implementation
  • 6. Evaluation
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Step 1: General Needs Assessment

 “We need a faculty development plan”

 Define scope, for whom?

 MMC

 Centralized  Strategically-planned (3 phases)  Centralized  Coordinated, organized infrastructure for all faculty at

MMC and across the state of Maine

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Curriculum Development 6-Step Approach

1.

General Needs Assessment

2.

Needs assessment for learners

3.

Goals and Objectives

4.

Educational Strategies

5.

Implementation

6.

Evaluation

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Step 2: Needs assessment for learners

 What do your faculty need? What do you want

them to have?

 Clinical, ACGME core competency-based, Medical

Education,

 Survey stakeholders  Look at ACGME specialty-specific competencies  CLER, Quadruple Aim, Quality Improvement, Patient Safety

 Look in the literature Harris DL et al, 2007

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Step 2: Needs assessment for learners

 Consider introduction of an Academic Development

Plan for your faculty

 Define desired focus  Personal and professional goals

 Short term and long term

 Enumerate strengths, define areas of needed

development

 And how to achieve them  Best done with mentoring

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Step 2: Needs assessment for learners

 MMC

 Went to the literature for published medical education

competencies

 Multiple focus groups with varying stakeholders  Added everything non-clinical the steering committee

thought was important:

 Teaching  Feedback and Evaluation  Medical Education Research  CLER, Quadruple Aim, QI, Population Health

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Curriculum Development 6-Step Approach

1.

General Needs Assessment

2.

Needs assessment for learners

3.

Goals and Objectives

4.

Educational Strategies

5.

Implementation

6.

Evaluation

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Step 3: Goals and Objectives

 Linked to each of the educational needs  Can frame in different ways:

 Knowledge  Skills  Attitudes

 Example: Teaching in OR

 Faculty will understand importance of and the different

strategies for teaching in the OR, utilize the BID teaching method and consistently teach in every operative procedure

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Curriculum Development 6-Step Approach

1.

General Needs Assessment

2.

Needs assessment for learners

3.

Goals and Objectives

4.

Educational Strategies

5.

Implementation

6.

Evaluation

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Step 4: Educational strategies

 WHO is going to teach?  HOW are you going to teach the content?  WHERE are you going to house the material?  WHO is going to manage the content, system?  Teaching in the OR example:

 E-learn on the website, video, one-page printed reminder

  • n-line, linked research papers

 Faculty available on Speaker’s Bureau, to come and give a

more in-depth Grand Rounds

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Step 4: Educational strategies

 HOW are you going to teach the content?  Likely need many different approaches:

 Web-based e-learns, webinars, videos  Live lectures (Grand Rounds, seminars, case

conferences)

 Observation, reflection  Simulation  Passive vs Active

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Step 4: Educational strategies

 MMC Principles

 Offerings need be of high quality and need to add value to

the educational mission

 Need tiers of offerings, menu of options  Develop learning communities and cohorts of learners  Tailor offerings to different learning styles  Offer certificates and highlight achievements and awards  Offer some mechanism for faculty to assess gaps in their

educational needs

 Offer CME

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Curriculum Development 6-Step Approach

1.

General Needs Assessment

2.

Needs assessment for learners

3.

Goals and Objectives

4.

Educational Strategies

5.

Implementation

6.

Evaluation

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Step 5: Implementation

 Identify Needed Resources

 Expenses

 Time for whoever is developing/overseeing the curriculum!  Web management support  Project/Program Manager salary  Annual conference expenses, lunch and learns

 Potential income

 Charge for some activities  Support from Medical Staff  ?Grants

 Faculty

 Steering committee  Teachers  Speakers for Speakers’ Bureau

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Step 5: Implementation

 Where to house the curriculum?

 Intranet page  Shared document system (ie: Googledocs, Sharepoint)  Website

 Shop around for different website management companies  Make sure your project manager has solid understanding of

websites

 Make sure that your institution’s IT is involved early  To log in or not to log in??

 Support for problems  Ability to track usage

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Step 5: Implementation

 Marketing – on everything you offer

 Name  Logo  Mission

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 Pediatric Faculty Development (PDF)

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Step 5: Implementation

 Lead-time

 One year of planning and executing  Steering committee with broad representation from

education and sponsoring institution

 Phases of implementation

 Phase I: on-line content, Speaker’s Bureau, Monthly tips,

Journal club blog, advertising, clinical teaching certificate

 Phase II: Academy, Evaluations  Phase III: Outreach, ?Master’s Medical Education

 Deadlines

 July 1st, 2016

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Step 5: Implementation

 MARKETING

 Stakeholders

 Hopefully they have already heard about the plan, already

have buy-in

 Consider offering to senior residents as well

 Talking tour  E-news  Go to program directors, Chiefs, faculty development

champion

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Curriculum Development 6-Step Approach

1.

General Needs Assessment

2.

Needs assessment for learners

3.

Goals and Objectives

4.

Educational Strategies

5.

Implementation

6.

Evaluation

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Step 6: Evaluation

 Decide in advance how you are going to evaluate

your curriculum and delivery system

 What are your desired outcomes?

 Improved teaching? Evaluation?  Faculty satisfaction?  Accreditation metrics?

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Step 6: Evaluation

 Evaluation from users/consumers/students  Traffic on a website  Post-curriculum examinations  Competency assessments  Participation in in-person offerings  Pick your metrics in advance

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MMC Institute for Teaching Excellence

Online Learning:

  • Faculty Resources

Recognition & Promotion:

  • Teaching Awards
  • Spotlight on Teaching

Excellence

  • Academy of MITE
  • Tools for Advancement

Conferences, Workshops & Certificates:

  • Programs & Certificates
  • Academy of MITE

Med Ed Outreach:

  • Monthly Tips
  • Speaker’s Bureau
  • Med Ed Grand

Rounds Scholarly Activity:

  • Speaker’s Bureau
  • Journal Club Blog
  • MEORG
  • Education Innovations

grant

MMC Institute for Teaching Excellence

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MITE Executive Committee

Scholarly Med Ed Research Scholarly Activity Support Scholarly Med Ed Research Scholarly Activity Support

MEORG Group Manuscript Peer Review Academic Promotion Enhance scholarly activity: curriculum and resources

Programs & Certificates: Curriculum Educational Offerings Academic Support Programs & Certificates: Curriculum Educational Offerings Academic Support

Clinical Teaching Certificate Faculty & Resident Faculty Development Conference Medical Education Grand Rounds Speakers Bureau Online Resources Faculty On-boarding

Awards & Recognition: Communication Faculty Recognition Awards & Recognition: Communication Faculty Recognition

Interprofessional Award for Teaching Excellence Advocate for faculty recognition through local, regional and national awards Communicate/ market Teaching Awards Communicate/ Market grants awarded

Academy Academy

Scholars Program Fellows Masters Academy Executive Committee Evaluation subcommittee

Education Leaders Education Leaders

Program Directors Clerkship Directors

IT IT

Applications: Canvas MITE/ MERC

MITE Organizational Structure

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MMC Institute for Teaching Excellence

 Purpose:

 to provide support for all faculty to excel as teachers,

scholars, mentors, leaders and role models, bolstering the culture of academic medicine at Maine Medical Center

 To offer support for faculty academic promotion and

serve as a vehicle for more recognition and rewards for faculty who demonstrate best practice in the domains

  • f teaching, mentoring, role modeling and scholarly

activity

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MMC Institute for Teaching Excellence

Online Learning:

  • Faculty Resources

Recognition & Promotion:

  • Teaching Awards
  • Spotlight on Teaching

Excellence

  • Academy of MITE
  • Tools for Advancement

Conferences, Workshops & Certificates:

  • Programs & Certificates
  • Academy of MITE

Med Ed Outreach:

  • Monthly Tips
  • Speaker’s Bureau
  • Med Ed Grand

Rounds Scholarly Activity:

  • Speaker’s Bureau
  • Journal Club Blog
  • MEORG
  • Education Innovations

grant

MMC Institute for Teaching Excellence

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Content

Clinical Teaching

 Teaching procedures  Clinical Reasoning  Teaching methods  Teaching with Technology  Teaching with social media  Time Management/Efficient Teaching  Simulation teaching  Art of documentation  Generational learning  Evidence based medicine principles

(balanced with art of medicine)

 Data Analytics - Introduction and

application

Evaluation best practice

 Milestones and measuring

competency

 Narrative evaluations 

CLER Competencies

 Patient safety  Transitions of Care  Supervision 101 - Trainees and mid-

level providers

 Performance improvement  Professionalism 

Basic Medical Ethics course

Service/Education balance

Quality Assessment

Fatigue awareness and mitigation

Quadruple Aim

 Population Health  Community Medicine  Maine’s healthcare needs  Advocacy  Cost effective care  Patient Experience  Shared Decision Making

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Content

Career Development

 Support for Academic Promotion  Lifelong learning skills  Maintenance of Certification  For new and established faculty,

collaboration

 Self-assessment to identify teaching

interests, strengths

 Communication  Inter-professional  Active listening 

Physician wellness and Resilience

Leadership

 Team Leadership  Team training  Interdisciplinary teams

Mentoring

 Mentoring/Coaching/Inspiration (for

learners, junior faculty, senior faculty)

 Peer mentoring  Role Modeling 

Research

 Medical Education Scholarly activity

support

 Culture of Inquiry/Curiosity

 Innovation

Role-specific faculty development

 New Faculty Orientation Curriculum  APD/PD curriculum  Serving on a CCC – what you need

to know

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MMC Institute for Teaching Excellence

Online Learning:

  • Faculty Resources

Recognition & Promotion:

  • Teaching Awards
  • Spotlight on Teaching

Excellence

  • Academy of MITE
  • Tools for Advancement

Conferences, Workshops & Certificates:

  • Programs & Certificates
  • Academy of MITE

Med Ed Outreach:

  • Monthly Tips
  • Speaker’s Bureau
  • Med Ed Grand

Rounds Scholarly Activity:

  • Speaker’s Bureau
  • Journal Club Blog
  • MEORG
  • Education Innovations

grant

MMC Institute for Teaching Excellence

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Medical Education Outreach

  • Monthly Teaching Tips
  • Sent to all Program Directors, core faculty, medical

student preceptors, anyone who signs up

  • ONE PAGE quick tip
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Medical Education Outreach

  • Speaker’s Bureau
  • Faculty who are willing to give Grand Rounds in a

specific setting on >40 relevant topics

  • Med Ed Grand Rounds
  • Monthly, hosted by a different department each month
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MMC Institute for Teaching Excellence

Online Learning:

  • Faculty Resources

Recognition & Promotion:

  • Teaching Awards
  • Spotlight on Teaching

Excellence

  • Academy of MITE
  • Tools for Advancement

Conferences, Workshops & Certificates:

  • Programs & Certificates
  • Academy of MITE

Med Ed Outreach:

  • Monthly Tips
  • Speaker’s Bureau
  • Med Ed Grand

Rounds Scholarly Activity:

  • Speaker’s Bureau
  • Journal Club Blog
  • MEORG
  • Education Innovations

grant

MMC Institute for Teaching Excellence

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Scholarly Activity

 Medical Education Research Outcomes Group

 Available to peer-review medical education research

for investigators

 Journal Club

 Article sent monthly, blog

 Education Innovations Grant

 Grants to support innovation in medical education

 Peer Manuscript review

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MMC Institute for Teaching Excellence

Online Learning:

  • Faculty Resources

Recognition & Promotion:

  • Teaching Awards
  • Spotlight on Teaching

Excellence

  • Academy of MITE
  • Tools for Advancement

Conferences, Workshops & Certificates:

  • Programs & Certificates
  • Academy of MITE

Med Ed Outreach:

  • Monthly Tips
  • Speaker’s Bureau
  • Med Ed Grand

Rounds Scholarly Activity:

  • Speaker’s Bureau
  • Journal Club Blog
  • MEORG
  • Education Innovations

grant

MMC Institute for Teaching Excellence

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Conferences, Workshops, Certificates

 Conferences and Workshops

 Stanford series teaching seminars  Wellness in Teaching  Writing and Publishing a great case report  Advancing Diversity an Inclusion in Academic Medicine  Program Director School

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Conferences, Workshops, Certificates

 Certificate Programs

 Open to all current faculty and clinical educators  Goal: to increase the knowledge , skills and

professional satisfaction of teachers of any background who teach in a clinical setting

 develop their clinical teaching skills and receive a

certificate in recognition of their achievement

 consists of 8 required workshops and 2 online activities  Reflection and teaching portfolio

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The Academy

 founded to promote, support and recognize excellence

in teaching in the continuum of medical education

 Scholars

 two year program intended for faculty who wish to enhance their

teaching, education research and administrative skills.

 Fellows

 recognized for their sustained excellence in teaching and their

educational leadership roles. Fellows of the Academy are elected to the academy for 5-year renewable terms

 Masters

 role models in medical education who have had a lasting impact

  • n education, and help steer the overall direction of the Academy
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MMC Institute for Teaching Excellence

Online Learning:

  • Faculty Resources

Recognition & Promotion:

  • Teaching Awards
  • Spotlight on Teaching

Excellence

  • Academy of MITE
  • Tools for Advancement

Conferences, Workshops & Certificates:

  • Programs & Certificates
  • Academy of MITE

Med Ed Outreach:

  • Monthly Tips
  • Speaker’s Bureau
  • Med Ed Grand

Rounds Scholarly Activity:

  • Speaker’s Bureau
  • Journal Club Blog
  • MEORG
  • Education Innovations

grant

MMC Institute for Teaching Excellence

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Recognition and Promotion

 Teaching Awards

 National and local departmental

 Spotlight

 On teaching, publications, successes

 Phase III

 Looking proactively at available national awards to

nominate faculty for

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Tools for Advancement

 Academic promotion

 Promotion guidelines  Local resources  Committee process – contact person  Preparation assistance

 http://careers.bmj.com/careers/advice/view-

article.html?id=1446 “Career development for academic medicine—a nine step strategy” Pololi, Linda

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Tools for Advancement

 Preparing or updating CV

 TUSM format

 Developing a teaching portfolio

 Template and instructions

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Teaching Portfolio

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Tools for Advancement

 Writing letters of

recommendation

 Mentoring

 How to give and how to

get it

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MITE Next Steps

 Community of educators  Additional certificate programs

 Quality improvement

 Resident participation in certificate programs  Master’s in Medical Education  Formal evaluation  Publication/presentation

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Questions?

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Career development for academic medicine—a nine step strategy

 Step 1 – clarify Governing Values

 What values are important?  family, intellectual satisfaction, job promotion, financial

security, autonomy, etc

 Step 2 – Prioritize the Values

 Which of the above are important  Think about longitudinal prioritization

 ie: 2-3 years to focus on clinical practice then…  ie: after kids go to college…..

Linda Pololi

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 Step 3 – Identify personal strengths

 Ask for help from mentors, students, peers

 Step 4 – What is your long-term goal?

 In 10 years – what would your dream job be?  What position?  What focus?

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 Step 5 – What are your short-term goal?

 In 1 year? In 2 years? In 5 years?  Done in the context of your 10 years goal

 Step 6 – Getting there

 What skills do you need to get there?  What tasks do you need to do?

 ie: publish, get grants, volunteer on international mission

trips, mentor a student, etc

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Teaching portfolio resources

 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC307

4905/ (start here)

http://www.rowan.edu/coopermed/faculty/pol icies/files/promotions/9.%20Teaching%20Dossier %201.23.12.pdf

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Put in example of publishing paper

 Step 7 – Develop a Learning Contract

 Objective for the defined learning task  Date for completion  Action steps – how are you going to achieve this?  What resources are needed?  Evaluation – how will you know that you achieved your

desired task?

 ie: published paper

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 Step 8

 Connect with your department leadership

 Present your plan – enlist their support  Double check availability of resources  Rinse and repeat

 For each of your tasks