Community, Diversity, & Equity
Concurrent Session A09Curricular Innovation: Changing the Paradigm
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Community, Diversity, & Equity
The Morehouse School of Medicine Adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of continuing medical education. Disclosure of the planning committee and faculty’s commercial relationships will be made known at the activity. Speakers are required to openly disclose of any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Community, Diversity, & Equity
Heather Archer-Dyer, MPH, CHESSpeaker
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Science at the heart of medicine
Community-Based Service Learning: Developing an Undergraduate Medical
Education (UME) Curriculum
Heather A. Archer-Dyer, MPH, CHES&
Alicia V. Martinez, MS
April 9, 2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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| 5Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Agenda
Vision Definitions Types of Service Learning Background & RationaleMethodology Potential Learner Outcomes & Impact Questions
| 6Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Vision
A rigorous competency-based longitudinal interdisciplinary Community Based Service-Learning Program (CBSL) for medical students that:
• Engages with the Bronx community• Promotes leadership and advocacy skills • Impacts health outcomes • Instills a sense of social justice
| 7Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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| 8Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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| 9Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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| 10Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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| 11Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Background and Rationale
| 12Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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LCME Standard 6: Competencies, Curricular Objectives, and Curricular Design
6.6 Service-Learning The faculty of a medical school ensure that the medical education program provides sufficient opportunities for, encourages, and supports medical student participation in service-learning and community service activities.
| 13Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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LCME: Definition of Service Learning
| 14Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Across the Country…
Medical schools are adopting programs in service-learning that incorporate
meaningful service link to the curriculum provide opportunities to construct collaborative partnerships other means of interprofessional education
| 15Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Medical Schools with Service-Learning Programs
Harvard Medical School UNC DUKEWake Forest Georgetown FIU Herbert Weirtheim College of Medicine Indiana University School of Medicine University of Chicago And the list goes on….
| 16Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Service-Learning Across Multiple Schools and Disciplines
| 17Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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| 18Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Methodology:Curriculum and
Evaluation
| 19Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Why is Service-Learning Valuable and Necessary?
Service-learning can also:• Enrich the learning of academic subjects• Foster the examination of values, beliefs, & civic
responsibility; all within the context of a community and its needs
• Provide help to service agencies and communities• Fosters a reciprocal relationship with academic institutions &
the community• Advance our understanding of societies, cultures and world
issues by testing scholarship against immediate practical experience and theory within a cultural context
| 20Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Methodology
The new required longitudinal curriculum would be based on Einstein competencies Physician as:
• Healer• Scientist • Advocate• Educator• Colleague• Role Model• Life-Long Learner
| 21Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Methodology - Learning Objectives
Foster student leadership development & community outreach Provide opportunities to learn about the health inequities & social
justice issues affecting the Bronx Offer guidance in the development of action plans & mentorship
community outreach Develop appropriate & needed curriculum for students involved in
community action projects Empower students & encourage engagement in meaningful
service learning Offer supervision & support with evaluation & reflection
| 22Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Methodology
Promote intercultural understanding• Cultural sensitivity
The service may involve:• Teaching• Mentoring• Health care navigation• Community development• Environmental project• Other activities
| 23Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Methodology
Instruction will be integrated into appropriate foundational courses as well as service in the community, allowing for active and self-directed learning (experiential learning)
Student assessment is necessary to determine:• Student outcomes• Document community impacts• Evaluate program structure and process - including the relationship between
Einstein & CBOs
| 24Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Methodology – Qualitative Measures
| 25Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Curriculum Map
Content Methods Year Assessment
foundational coursework (e.g., cultural humility, health literacy, intro to IRB, motivational interviewing,community engagement)
Flipped classroomSmall groupSimulation
MS1 Quiz(zes)Reflective essaysDiscussionAttendance
development of research, surveys, and questionnaires MCQs MS1 Written summary
individual patient / family longitudinal learning social determinants / health disparities / coaching / mentoring
Community Small Group
MS2 OSCEReflective essaysDiscussion360 Evaluation
advocacy course; scholarly activity: leadership skills and community advocacy
Small Group MS3 Case analysisQuestionnaires
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Potential Learner Outcomes / Impact
| 27Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Observed Outcomes / Future Potential Impact
Increased academic learning and professional development• Nonclinical and clinical skills• Increased self-confidence, efficacy and problem analysis skills
Personal development• Leadership ability, inter and intrapersonal skills
Enhanced civic and social responsibility• Engaged in more hours of service than required
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Students learn, share, and nurture the skills needed for their roles as future physicians, physician-scientists and compassionate professionals necessary to work in our ever expanding communities in the Bronx.
CBSL cultivates strong leaders in service that will help to prepare all students for the clinical years and ultimately provide equitable healthcare as future physicians and physician-scientists.
| 29Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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Questions
| 30Science at the heart of medicine 5/25/2018
Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA
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