FACULTY DEVELOPMENT Kalli Varaklis, MD, MSEd Outline Why Faculty - - PowerPoint PPT Presentation
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
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)
Why faculty development?
Skills to be a good core faculty are not consistently
learned in college, medical school or residency
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
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
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
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
Where do you even start??
Step by step approach Maine Medical Center experience as an example
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Step 5: Implementation
Marketing – on everything you offer
Name Logo Mission
Pediatric Faculty Development (PDF)
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
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
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
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?
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
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
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
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
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
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
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
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
Medical Education Outreach
- Monthly Teaching Tips
- Sent to all Program Directors, core faculty, medical
student preceptors, anyone who signs up
- ONE PAGE quick tip
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
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
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
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
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
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
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
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
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
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
Tools for Advancement
Preparing or updating CV
TUSM format
Developing a teaching portfolio
Template and instructions
Teaching Portfolio
Tools for Advancement
Writing letters of
recommendation
Mentoring
How to give and how to
get it
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
Questions?
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
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?
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
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
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
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