Technology is altering many features of life and work, in addition to the way in which Yale School of Medicine (YSM) college students study.
“For alumni and students, you know that the Yale System is the core of medical education at Yale. But today we have creative and novel technologies that enable that system in new ways,” mentioned Nancy J. Brown, MD, Jean and David W. Wallace Dean and C.N.H. Long Professor of Internal Medicine, as she welcomed YSM alumni, college students, college, and employees to the inaugural webinar, Reimagining Medical Education: Using Technology to Educate, Innovate, and Captivate, within the college’s Innovation in Medical Education sequence.
The four-part sequence that started on November 4 is designed to showcase “how that innovation enhances our already unique education,” Brown defined. The subsequent session, on January 26, will give attention to how simulation is utilized in medical schooling at YSM, adopted by discussions of the adoption of telehealth in YSM’s medical expertise program and how innovation is being included into the varsity’s pharmacology coaching.
The theme of the sequence aligns with one of many medical schooling priorities of Jessica Illuzzi, MD, MS, deputy dean for schooling and Harold W. Jockers Professor of Medical Education—to develop progressive approaches to medical schooling which can be irrevocably participating and compelling, enhanced by elevated use of simulation and evolving applied sciences and assets. In her remarks, Illuzzi referenced how drugs seems lots totally different than it did even a decade in the past and will proceed to evolve together with know-how. In addition, she acknowledged, “the educational model of our college students has advanced as they change into ever extra technologically-savvy.”
The panel’s moderator, Associate Dean for Curriculum Michael Schwartz, PhD, was appointed the inaugural director for innovation in medical schooling in July 2021, demonstrating the varsity’s dedication to enhancing medical schooling via know-how. Schwartz shared the historical past of how YSM has been utilizing know-how to improve scholar studying via units like iPads and iPad Minis since 2010.
One theme of Schwartz’s remarks was the essential function of scholars in decision-making about what know-how to incorporate, since college students know what shall be helpful, versus management and college attempting to anticipate what may be helpful. He famous the significance of making certain college students with totally different ranges of tech-savviness pilot know-how, because it has to work properly for all customers.
When a participant requested how college keep forward of adjusting know-how, Schwartz once more pointed to college students, explaining they “become technology educators for our faculty.” When college students first had iPad Minis on the wards in 2013, throughout rounding, residents and attendings usually turned to college students to shortly entry affected person information in EPIC and different on-line data. This helped to combine college students into groups and allowed for bi-directional instructing and studying. As cellular units have change into extra frequent in medical areas, residents and attendings are more and more modeling their use in affected person care.
Schwartz described how use of iPad Minis on the wards additionally improves interactions with sufferers and shared how throughout COVID-19, when telehealth was getting used extensively, the iPad Minis importantly gave college students entry to digital medical data on and off-site.
In 2010, when YSM first launched iPads within the pre-clerkship curriculum, it was one in all three medical colleges to use the know-how. By fall 2011, your entire curriculum was delivered via iPads, permitting college students to obtain college members’ most present lecture notes and shows and to annotate these course supplies.
Four college panelists shared how they’ve been utilizing know-how to improve their instructing. William Stewart, PhD, affiliate professor of surgical procedure (gross anatomy), described how the anatomy lab now has 40 dissection tables with networked iMacs on an adjustable arm. Additionally, he and a crew have created 24 interactive iBooks to be used in anatomy which can be additionally obtainable to different establishments via the Apple bookstore.
Associate Professor of Emergency Medicine Rachel Liu, BAO, MBBCh, who’s the director of point-of-care ultrasound (POCUS) schooling, famous that since 2015, POCUS transducers paired with iPads and different pill units have been obtainable in all YSM academic bodily examination observe rooms. Each 12 months, Liu defined, 16 college students are educated in using these units and how to educate their friends. This has enabled college students to observe POCUS on their very own and improve their skill to study regular anatomy, physiology, and pathology. Using POCUS, a scholar will “see the spleen for the first time in their medical career,” Liu acknowledged.
Technology altered how medical expertise have been taught throughout the pandemic, adjustments that in accordance to Jaideep Talwalkar, MD, affiliate professor of inside drugs (basic drugs) and pediatrics and director of medical expertise, may have endurance as a result of they enhanced studying. Pre-pandemic, small teams of scholars practiced medical expertise with one another within the medical expertise observe rooms, with college offering suggestions. COVID restrictions pressured artistic adaptation. Students practiced on roommates, relations, and even mannequins, utilizing mounted iPads at residence if they didn’t have entry to the varsity’s cameras, with college observing remotely offering formative suggestions. Students engaged with standardized sufferers on iPads as they practiced the precise bodily examination on a model. Faculty introduced iPads to hospital rooms in order that college students, who couldn’t be bodily current, may discuss with sufferers and their crew members and take part in care discussions remotely.
The portability and versatility of those tech-driven options improved medical expertise coaching as a result of college students have been extra engaged, there was elevated entry to college and sufferers, and extra alternatives for bodily examination observe and suggestions.
Deliberate observe—premised on Dr. Anders Ericsson’s idea that individuals get higher at a ability once they observe towards a discrete aim, obtain instant suggestions, and have the prospect to observe once more—led Christine J. Ko, MD, professor of dermatology and pathology, to develop an app that trains individuals to visually acknowledge pores and skin most cancers. People have a look at photographs of pores and skin lesions in a variety of pores and skin varieties and are requested to determine which lesions are pores and skin most cancers. Ko has visions of the app increasing to different illnesses, specialties, and bodily examination expertise.
Schwartz hopes that in his new function as director for innovation in medical schooling he shall be in a position to encourage and assist extra new functions of know-how to improve studying.