How to Get Your Career Going as a Clinician-Educator Patricia Thomas, MD Associate Professor of Medicine Associate Dean of Curriculum.

How to Get Your Career Going as a Clinician-Educator

Patricia Thomas, MD

Associate Professor of Medicine

Associate Dean of Curriculum

With apologies to Dr.Susan MacDonald

“Navigating the Promotion Process”

What is a Clinician Educator?

• Faculty member whose scholarship is not dependent on research, although may do research

• <50% of salary support comes from external funding

“cE” vs. “Ce”• cE: Scholarship related to educational issues,

innovations in medical education, educational research.

• Ce: Scholarship related to clinical practice, but documented excellence in teaching.

Expanded Definition of Scholarship

• Scholarship of Discovery: elucidation of new knowledge

• Scholarship of Application: building bridges between theory and practice

• Scholarship of Integration: creative synthesis or analysis, looking for connections across disciplines

• Scholarship of Teaching

Documenting Scholarship Excellence:The Glassick Criteria

1. Clear Goals and Aims

2. Adequate Preparation

3. Appropriate Methods

4. Significant Results

5. Effective Dissemination

6. Reflective Critique

Skills Necessary to the CE*

1. Teaching and Learning

2. Curriculum Design

3. Assessment

4. Leadership

5. Information Technology

* E. Armstrong, Director of Harvard Macy Institute

Instructor Level

Non-CE• Pose questions• Develop expertise• Learn how to obtain

funding• Identify important areas• Self-management (Time

management)

Clinician Educator(Adequate Preparation)• Teaching Skills

– Public speaking– Small group facilitation– One-on-one precepting– Writing for publication

• Education Expertise• Clinical Expertise

Teaching Skills Courses

Locally:– JHU Faculty Development Program (K.Cole)*

• Teaching Skills• Curriculum Development

– Office of Faculty Development* (flier)• “Speak Like a Pro”

– Homewood: Center for Educational Resources

– JHU Graduate School of Education *www.hopkinsmedicine.org/fac_development

Teaching Skills Courses

Regional/National– Evidence-based Medicine (McMasters)– Teaching Geriatrics (UCSF)– Healthcare Communication (Bayer Institute)– Professional societies: Surgeons as Educators

Course (American College of Surgeons)

– Harvard Macy Institute (2 week courses)

Fellowship Training(cE)

• Medical Education Fellowship (GIM)• Stanford Fellowship in Medical Education• Rabkin Fellowship in Medical Education• Surgical Research Education Fellowship

(American College of Surgeons)

Additional Degrees (cE)

• Masters in Education (M.Ed.)• Masters in Medical Education (M.Ed.)

– Univ. of Pittsburgh– Univ. of Cincinnati– Univ. of Michigan– Univ. of Southern California– Univ. of Southern Illinois (online or residential)

• Masters of Science– Masters of Science in Education with a concentration

in Technology in Education

Clinician Educator: Instructor Level

1. (Adequate Preparation)

2. Start your Educator (Teaching) Portfolio (Significant Results & Reflective Critique)

3. Identify mentor(s) – (Hint: May not be in your division)

4. Volunteer to teach! (Impact)

Contents of the Educator Portfolio

• Evidence of quantity of teaching effort

• Evidence of impact

• Evidence of scholarship– Scholarly teaching: using best practice– Teaching scholarship: discovering best

practice

Resources

• The Silver Book

• “Advancing Educators and Education: Defining the Components and Evidence of Educational Scholarship”– Summary Report and Findings From the

AAMC Group on Educational Affairs Consensus Conference on Educational Scholarship

– Available at www.aamc.org

Educator Portfolio Content*

• Philosophy Statement• Teaching Activity Report• Curriculum Development• Assessment of Learner Performance• Adviser and Mentor• Educational Administration• Public Expression of Scholarly Activity

*Steps and Example content are in the “Silver Book”

Start Here!

Teaching Activity Report

• Track:– Your learners– Your content area– Your evaluations (Significant Results)– JHUSOM Office of CME will track activities and

evaluations for CME talks– How did you change your teaching (Reflective

critique)– Where would you like to lead?

Dean/CEO

Educational Policy Committee (EPC)

(Chair, Vice Dean for Education)

Special Committees on Education

(Member, Vice Dean for Education)

SUBCOMMITTEES OF THE EPC

● Curriculum Reform Committee

●Clinician Educator Committee

● Student Assessment and Program Evaluation

● Year I Course Directors Committee

● Year II Course Directors Committee

● Clinical Clerkship Directors Committee

CURRICULUM SUPPORT SERIVCES

Associate Dean for Curriculum

P Thomas, MD

Office of Academic Computing

H Goldberg, PhD

Office of Medical Education ServicesCraig Bowen, Ph.D

Simulation CenterE Hunt, MD

Medical Student EducationalInfrastructure at JHUSOM

Assistant Professor

Non CE:• Clear area of

concentration• Present work & publish• Become nationally

recognized• Provide teaching &

service to the Dept.

CE:• Focus area of

concentration• What are important areas

for discovery/innovation?• Join professional

organizations & volunteer• Ask Director for

opportunities to talk, teach & write

• Manage your time & effort

Why join an organization?

• Develop expertise• Place to disseminate your work• Place to identify mentors• Place to discover collaborators (dissemination is

easier if it is multi-institutional)• Opportunity to develop regional and national

reputation: volunteer to work on meetings, review committees, etc.

• Can provide documentation of your leadership: Awards for educators: Self-Nominate

Medical Education OrganizationsWhich should you join?

• Who are your learners?• Do you represent a subspecialty?• Do you have an educational method of interest,

e.g. evidence-based medicine, simulation, medical informatics?

• Do you have a content area that crosses disciplines, e.g. preventive medicine or patient safety?

Medical Education Organizations

Organization Focus Publication

AAMC:

GEA

RIME

GSA

UME,GME,CME Academic Medicine

ACCME CME

ABSME Behavioral Sciences and Medical Education

Annals of Behavioral Science and Medical Education

AAME Medical Education in Europe

Medical Teacher

NBME Assessment (Stemmler Fund)

Specialty Medical Education Organizations

Alliance for Internal Medicine (SGIM,ACP, ASP,CDIM, APDIM)

Internal Medicine Journal of General Internal Medicine,

Annals of Internal Medicine

Council on Medical Student Edcuation in Pediatrics

(COMSEP)

Pediatrics Pediatric Educator

Association of Professors of Gynecology and Obstetrics

(APGO)

Obstetrics/Gyn

Women’s Health

Assoc. for Surgical Education

Surgery

Consortium of Neurology Clerkship Directors (CNCD)

Neurology

Society of Teachers of Family Medicine

Family Medicine

Ambulatory Medicine

Family Medicine

Examples of Content Medical Education Organizations

American Medical Informatics Association (AMIA)

Journal of the AMIA

Association for Teachers of Preventive Medicine (ATPM)

American Journal of Preventive Medicine

End of Life /Palliative Care Resource Center (EPERC)

Website

International Association of Medical Science Educators (IAMSE)

Association for the Study of Medical Education

Medical Education

Other Ways to Network

• Volunteer to be a reviewer for a journal

• Host a colleague at your institution, and volunteer to be invited to theirs

• Volunteer to be a peer-reviewer:– HRSA Bureau of Health Professions Grants– MedEdPORTAL

Effective Dissemination

• Publish in Medical Education Journal

• Publish in Specialty Journal

• Publish in Higher Education Journal

• Workshops at Professional Meetings

• MedEdPORTAL (www.aamc.org/mededportal)

Summary: How to Get Started

• Keep Glassick Criteria in mind• Balance volunteerism with need for protected

time to develop your enduring materials• Seek preparation• Reach outside of institution for mentors• Ask for recognition: Departmental or SOM

awards, opportunities to speak, etc.• Document your career in an Educator Portfolio