CDEM newsletter: Spring 2013


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Clerkship Directors in Emergency Medicine, spring 2013 newsletter. A voice for medical student educators.

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CDEM newsletter: Spring 2013

  1. 1. A V O I C E F O RM E D I C A L S T U D E N T E D U C A T O R SSpring 2013 1There’s AnApp For That!Rahul Patwaridiscusses a Read byQxMD, aflipboardforMedicalJournalsPage 5CDEM was formed in 2008 and is comprised of medical student educators who arecommitted to enhancing medical student education within our specialty.President’s MessageSorabh Khandelwal, ourfearless leader, talksabout where we are andwhere we are going.Page 1Journal ClubFrom the amazing blog“Academic Life in EM”created byMichelle Lin,Javier Benítez reviewsthe concept of“InformationManagement”.Page 3Atlanta Here We Come!Check out all of theamazing events wehave planned at theAnnual Meeting!Page 2An Update on ourNational ExamsCorey Heitzsummarizes the statusof:A. The CDEM ExamB. The NBME ExamC. All of the above!Page 4Want to Get Involved?Contact us to submit tothe newsletter, join acommittee, or any otherway you’d like to getinvolved.Page 6A Quarterly Newsletter Issue 1 - Spring 2013The Voice ofPresident’s Message: Not Bad… So FarSorabh Khandelwal, MDAt first glance, this title may suggesta half glass full mentality. To thecontrary, it is simply meant to implythat CDEM is only in its infancy withrespect to what it can and willachieve. It’s amazing to see all thatCDEM has accomplished since theorganization’s inception in 2008. Evenprior to joining SAEM as its firstAcademy, CDEM was active indeveloping content that changed theway that EM medical studenteducators interfaced with students.The list of accomplishments is trulyspectacular – EM Clerkship Primer,educational sessions and a track atCORD, educational sessions atSAEM, acceptance into the Alliancefor Clinical Education (ACE),standardized curricula, SAEM Tests,CDEM self study modules, DIEMcases, and most recently workingtogether with the NBME to create theEM Advanced Clinical Examination.We have been recognized as thenational and international expertswith EM medical student education.The International Federation ForEmergency Medicine (IFEM) usesCDEM content for its globallyavailable EM clerkship.None of these accomplishmentscould have happened without thevision of CDEM leadership andthe dedication and commitmentof our membership.CDEM is still young. Find out whatis in store for our future on page 5...
  2. 2. T H E V O I C E O F C D E M2 Spring 2013Thursday, May 16Annual Business Meeting• 8:00 - 9:00 amCDEM Business Meeting• 9:00 - 11:00 am2013 CORD Annual Meeting“Can’t Miss” Topics.This session will focus on the SLORupdate, the NBME exam, andMilestones for Medical Students. Dr.Michael Beeson will update the groupon Milestones at 10:30am.• 11:00 - 12:00 pmCDEM Initiatives Fair.This will be a networking sessionwith participants discussing CDEMself-study modules, social media, thenewsletter, and the National M4Examination.Friday, May 17CDEM Sponsored Sessions•8:00 - 8:50 amEducational Portfolio: Your SecretWeapon for PromotionInternational E-F combined (6th floor)• 9:00 - 9:50 amGood to Great: Effective Feedback toLearners with DifficultiesInternational E-F combined (6th floor)Friday, May 17Program Evaluation, Assessmentand Improvement WorkshopWe are excited to present the ProgramEvaluation, Assessment andImprovement Workshop. This sessionwill be led by Hugh Stoddard, M.Ed.,Ph.D. and Assistant Dean for MedicalEducation at Emory UniversitySchool of Medicine. This session willgive participants (both programdirectors and clerkship directors) thetools and knowledge necessary toassess their program. Participantswill be taught what the LCME andACGME is looking for whenevaluating programs. Learners willbe able to work with our guestspeaker on program evaluation,assessment, and improvement.David Manthey, Michelle Lin & LorraineThibodeau having fun at CORD AcademicAssembly 2013 in Denver.SAEM in AtlantaThe Program Committee is excited to present an outstandinglineup for the SAEM Annual Meeting in 2013.Nicholas Kman, MD - Academic Assembly Program Committee Co-Chair
  3. 3. T H E V O I C E O F C D E MSpring 2013 3“Keeping up with theliterature these days is quitea daunting task. Medicalinformation has increasedexponentially over the pastfew decades and continuesto do so. We spend a greatdeal of time and energymemorizing informationwhich soon may becomeobsolete (see this excerptfrom the book The Half-Lifeof Facts by Arbesman).Expecting physicians tokeep a busy practice ANDkeep up with all the mostcurrent literature isimpractical. By the timetextbooks are published, theinformation is already a fewyears old and this puts us atrisk of not practicing themost up to date and bestevidence practice. We alsoknow that with theincreasing volume ofinformation there has beennew development onstatistics on how toevaluate this vast amountof data. Most physicians arenot properly equipped withthe necessary statisticalskills or time to analyze thisvast amount of information.So how DOES a practicingphysician keep up with themost current, evidence-based medicine (EBM)?”In his post on Academic Lifein EM on April 22, 2013,Javier Benitez reviews a2005 Academic Medicinearticle by Drs. Slawson andShaughnessy: Teachingevidence-based medicine:should we be teachinginformation managementinstead? They “propose thatphysicians should learnhow to manage informationinstead of becoming expertsin EBM. The authors pointout that having physiciansread the literature using thetraditional EBM approach istime consuming, not patientoriented, and often tooimpractical to be applied atthe point of care.Furthermore, it isunrealistic to expect that allphysicians expertly conductcritical appraisals of all theliterature.In contrast, informationmanagement "focuses onusing currently availableinformation tools to remainup to date with new validinformation that is relevantto the care of patients and isaccessible while taking careof patients."Check out the rest of thepost at DC, et al. Teachingevidence-based medicine: shouldwe be teaching informationmanagement instead?Acad Med.2005 Jul;80(7):685-9. PMID15980087JournalClubFrom the amazing blog“Academic Life in EM”created by Michelle Lin,Javier Benítez reviews theconcept of “InformationManagement”.Check out a recentpublication byCDEM membersPaul Y. Ko,Aaron W. Bernard,Stacey L. Poznanski,Robert Cooney,Sorabh Khandelwal &Michelle Lin.This review, sponsored bythe Alliance for ClinicalEducation, highlightsselected medical educationarticles published inemergency medicinejournals typically not read byclinician educators in otherspecialties.Journal Watch From ACE(Alliance for ClinicalEducation): Annual Reviewof Medical EducationArticles in EmergencyMedicine, 2010-2011 with permission.Information overload byverbeeldingskr8 on Flickr
  4. 4. T H E V O I C E O F C D E M4 Spring 2013Good instructional design includes objectives, acurriculum, and an assessment tool. In 2006, CDEMdeveloped the EM Curriculum Guide (revised in 2010)complete with goals and objectives. Subsequently, ourcurriculum went live on, we have an assessment tool to match!In 2011, we released a 50 question, multiple choiceexamination covering the topics of the EM M4curriculum. Last year, this examination was revised anda second version was released. Together, these examsconstitute freely accessible, nationally available, 50-question multiple choice exams that assess the EM M4curriculum topics, found on table below compares the two versions of the examsin terms of difficulty level (percent correct) and pointbiserial correlation (a measure of discriminatory value;USMLE and other licensing exams use 0.15 as a targetnumber. Easy questions tend to be less discriminatory.)Data is shown from exams administered since July 2012.National EMM4 ExamVersionAverage score(SD)average rpbVersion 1 80.9 (3.85) 0.217Version 2 72.1 (3.95) 0.196FAQsDo students taking it earlier in the year score higher?Question performance did not change on version 1between the first 1,000 students taking it in academicyear 2012-2013 and the second 1,000 students.Where should passing scores be set?While the NBME exams are scored differently, manyinstitutions use a “2 standard deviations below themean” rule to determine pass/fail cutoff. This rule isbeing used by many clerkships for the National EM M4Exam.What upcoming changes are expected?• Question revisions on Version 2 to improveperformance of some low-rpb question (and onenegative rpb)•Addition of “sample items” for performance beforeinclusion into the scored exam•Demographic data gathering for more fine-graineddata reporting (EM-bound vs non-EM bound, etc.)Tell me about the NBME exam?The NBME released a 100-question, 2-form, multiplechoice Advanced Clinical Examination in April 2013.This will be free for the first year to any who use it. TheNBME does not recommend the test be used for highstakes assessment until performance data can beanalyzed. The exam covers the suggested curriculumtopics as well as other important EM topics.Clerkship Assessments: An UpdateCorey Heitz, MD
  5. 5. T H E V O I C E O F C D E MSpring 2013 5A Flipboard forMedical Journals!Read by QxMD is afree applicationavailable on iPhoneand iPad whichinterfaces with your library’s proxysystem providing you with access tojournals via a sleek interface. Afterdownloading, it asks you to createan account which includes enteringyour institution and specialty. It thenpresents you with the relevantjournals within that speciality foryou to follow. You have full access tothe abstracts. If your institution’slibrary subscribes to those journalsthen you can also download thePDFs, share them via email or evenstart a collaborative discussion.More information can be found attheir web site: app can be downloaded from theiTunes app store: free to find me online at@rahulpatwari on Twitter.There’s an App for That!Rahul Patwari, MDPresident’s Message:Not Bad… So FarSorabh Khandelwal, MDcontinued from page 1...While there are many futuredirections for growth, I would like tohighlight two key areas. Over the nextseveral years, we would like todevelop new content that isinteractive and available anytime,anywhere. The CDEM self-studymodules will be revised and could bemade available in different formatssuch as iBooks and iTunesU. CDEMhas become global and couldcontinue its international impact. Thesecond area for growth involvesstrengthening our currentrelationships and building new ones.This past year, we formed a newrelationship with EMRA whilecontinuing to enhance ourrelationships with SAEM and CORD.These relationships will bringwonderful opportunities for ourmembers. A perfect example of thefruits of these relationships is the newSAEM Education Research Grantoffered to SAEM members to fund amedical education research project.The success of our organizationdepends on the continuedengagement of our members. Stayinvolved. Join committees. Help oneanother. Send us your ideas. Theintended consequence…you willcontribute to the ever-changingeducation of those that deliveremergency care. The unintendedconsequence of all this effort…youwill make friendships that will last alifetime.I hope these newsletters will serve toinform our membership as to thewonderful happenings in CDEM,provide some educational content,and highlight some of our talentedmembers. Many thanks to all theinitial contributors and a specialthank you to Dr. Stacey Poznanksi(Chair, CDEM CommunicationsCommittee), Melissa McMillian(Administrator, CDEM) and KaraWelch (EM Clerkship Coordinator atSUNY Upstate) for their effort ingetting this newsletter completed.
  6. 6. T H E V O I C E O F C D E M6 Spring 2013In AppreciationThe following committees work hard every day to make CDEM a truly phenomenalacademy. Consider joining a committee today!BoardJonathan Fisher - Past PresidentSorabh Khandelwal - PresidentLorraine Thibodeau - President-ElectEmily Senecal - SecretaryJosh Wallenstein - TreasurerJennifer Avegno - Member at LargeRakesh Engineer - Member at LargeNicholas Kman - Member at LargeCorey Heitz - Member at largeFor more details contact:cdem@saem.orgSAEM2340 S. River Road #208Des Plaines, IL 60018, USAPhone: 847-813-9823Fax: 847-813-5450community.saem.orgOur Mission• To advance the education of medical students as it pertains to thespecialty of emergency and acute care medicine.• To serve as a unified voice for EM clerkship directors and medicalstudent educators on a national level.• To provide a forum for EM clerkship directors and medicalstudent educators to communicate, share ideas, and generatesolutions to common problems.•To foster undergraduate medical education research and provide aplatform for collaboration.•To foster the professional development and career satisfaction ofEM clerkship directors and medical student educators.• To foster relationships with other organizationsto promote medical education.Academic Assembly -CDEM ProgramCommitteeNicholas Kman (Co-Chair)Nicholas.kman@osumc.eduMichael Smith (Co Chair)msmith2@metrohealth.orgDoug FranzenMarianne HaugheyKathy HillerJulianna JungTorrey LaackDavid MantheySundip PatelLaurie ThibodeauLaura ThompsonMichael Van MeterDavid WaldGrant WeiKathleeen WittelsAlliance for ClinicalEducation (ACE)ACE Executive CommitteeDave WaldACE General CouncilDouglas S. AnderJonathan FisherSorabh KhandelwalDavid WaldCommunications CommitteeDavid ChengLeslie ZunPublications CommitteePaul KoResearch CommitteeJonathan FisherTed GaetaCommunicationsCommitteeStacey Poznanski (Chair)stacey.poznanski@gmail.comMelissa McMillianKara WelchAwards CommitteeLatha Ganti Stead (Chair)latha.stead@gmail.comKathy HillerDavid ChengWilliam GoldenbergMichael TakacsMaria RamosNBME Task ForceDave Wald (Chair)david.wald@tuhs.temple.eduDoug FranzenCorey HeitzJonathan FisherKathy HillerEmily SenecalLuan Lawson-JohnsonShahram Lotfipour Kim AskewSAEM EMIG - GrantReviewNicole DeIorio (Chair)deiorion@ohsu.eduDavid A. WaldMatthew TewsCorey HeitzDoug AnderMelissa MarinelliSAEM ProgramCommitteeSarah Ronan-BentleMed Student SymposiumJosh WallensteinTodd GuthInnovationsLaurie ThibodeauSLOR Task Force -CDEM RepresentativesNicole DeiorioSarah Ronan-BentleTesting WorkgroupEmily Senecal (Co-Chair)Corey Heitz (Co-Chair)esenecal@partners.orgDouglas S. AnderKim Askew Linda DruelingerMatt EmeryJonathan FisherKatherine HillerLaura R. HopsonLuan Lawson Leslie C. OyamaMark SaksJohn SarkoMichael D. SmithGregory J. TudorCharles WorrilowCollette M WyteLeslie Zun