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Documenting your educational efforts:
What we wish we had known
Roopa Ram, M.D. (Radiology)
Katie Kimbrough, M.D. (Surgery)
Beatrice A. Boateng, Ph.D. (Pediatrics)
2
Where do I Start?
STEP 1 – Know your TRACK
What track are you on?
 Clinician Educator
 Basic Scientist
 Clinician Scientist
 Clinician
 Just another faculty in my college
 I’m on a track? Didn’t know that!!
STEP 1b – Who’s riding with you?
Who is on the train with you?
 Mentors
 Coaches
 Colleagues (here and other
institutions)
 Department Chair
 My train in empty
STEP 2 – READ the P & T Guidelines
P & T guidelines for your college
STEP 2b – Know your time distribution
How much time do you have for
Research
Education
Clinical work
Administration
Time distribution
 Time Allotment
• Typical: 5 – 10% Teaching/Mentoring (Medicine)
• How many hours do I have per week/month?
 ~2 – 4 hours per week (based on 40 hour work
week)***
STEP 3 – DOCUMENT
Where do I start?
 Read your P&T guidelines
Update your CV regularly
Brag, brag, brag – Not the time to be humble.
Review examples
Keep physical and electronic copies
UAMS BOX
 Get feedback
Evaluations
Feedback as your prepare your packet
How to I get evaluations?
Obtain feedback from all activities
Set up through your department. End of semester evaluations
Resident lecture evaluations (New Innovations OR other system)
Medical Student Evaluations (OASIS)
Clinical teaching evaluations (New Innovations)
Other lectures
Get evaluation templates from department
Summarize
11
How do I document in a way that
counts?
 What type of
“teaching” do we do?
 Who do we “teach”?
 Where do we teach?
Type of teaching
Lectures (semester long)
 1 hour long “lecture”
 Workshops
Just in time teaching / Mentoring
Bedside teaching
 Who we teach / mentor
Students (Medicine, Nursing, Health
Professions, etc.)
Graduate Students
Residents / Fellows
Post Docs
Faculty
 Where do we teach?
Formal / Classroom
In Clinic
Online
In Lab
In the hallway
On the phone
On a walk / walking meeting
Lunch meeting
What to document?
Content – What you teach
Content area
 Area of expertise**
 Process – How you teach
What methods do you use?
 Are the methods appropriate for your learners?
Are the methods current / evidence based?
 Outcomes – Results or impact
What is the impact of your teaching / mentoring
Your Educator’s Portfolio
 Personal Statement / Philosophy*
 Overview of educational activities
 Educational Contributions
Teaching
Curriculum Development
Mentoring and Advising
Educational Scholarship**
Educational Leadership and Administration**
Awards and Recognition**
 Letters of support for your teaching efforts
Teaching
Classes, Seminars, 1 hour Didactics
Recurrent lectures
Web based Instruction
Continuing Education
TBL, Game Based
Informal Teaching
Teaching
Teaching activity
Role
Learners and amount of contact
Outcomes**
• Describe Quantity: Summarize teaching data - time spent in each teaching activity and
how often it is repeated, number and types of learners involved, and how the activity fits
into a curriculum or training program.
• Describe Quality through Process and Impact: Describe carefully (but briefly) the efforts
you put into planning your teaching activities. By explaining how you customize your
teaching through the use of innovative and creative teaching methods to accomplish the
learning objectives, you show the impact of your teaching in a way that goes beyond
numbers.
• Interpret Quality through Outcomes: Are you collecting data to demonstrate your
teaching effectiveness?
Teaching Example 1 (One time lecture)
Teaching activity: Lecture on Otitis Media. Where and when? date?
Role: Instructor / Co-presenter with who?
Learners and amount of contact: 1 hour lecture to Pediatric Residents.
• This was a TBL session that included active learning strategies to engage
learners. I used Kahoot/Black Board/Jeopardy to engage the learners
Outcomes:
• Quantitative and qualitative data from your evaluations
• Pre and Post test
• Audience response systems - Poll everywhere
Teaching Example 1 – Outcomes
• Sep 26 2018
• Great examples!
• Great job!
• Excellent, very engaging!!
• Informative lecture!
• Good lecture, very insightful.
Really enjoyed it!
• Nov 4 2018
• Extremely well organized.
• Great talk on pertinent findings.
• Clear and concise! Felt like I
learned a lot.
• Great lecture that didn’t
overwhelm with information.
Teaching Example 2 (Recurring lecture)
Teaching activity: Anatomy Human Structure
Role: Instructor
Learners and amount of contact: 4 hours every week to 180 Medical
Students for the entire semester . This lecture series introduces
medical students to human anatomy
Outcomes:
Quantitative and qualitative data from your evaluations
Add graph with your rating vs. faculty in your department from year to
year
Teaching Example 2 - Outcomes
4.4
4.5
4.6
4.7
4.8
4.9
5
2013 2014 2015 2016 2017 2018
My Average Evaluation Score for Human Structure vs.
Colleagues in Department
My AVG Dept AVG
Comments:
 I have always struggled with understand
something about Anatomy. Dr. B helped me to
understand it better.
 I liked the use of Poll Everywhere in the class. I
don’t usually speak up and the tool helped me to
be more engaged by asking questions online and
getting them answered.
 I couldn’t make it to class one day and when I
emailed Dr. B, she responded and shared the day’s
notes with me. I was able to catch up with the
class.
Teaching Example 3 (Simulation / Clinical skills)
Teaching activity: Communication Skill development
Role: Instructor
Learners and amount of contact: 2 hours bi-monthly to IM residents
Developed a course to teach IM residents how to break bad news to
patients and families. This course involved developing cases, training
standardized patients, developing feedback instruments.
Outcomes: Quantitative and qualitative data from your evaluations
• Number of residents/fellows trained
• Published in Med Ed Portal
Teaching example 4 ( Grand Rounds)
Teaching activity : Invited speaker
Role: Expert on Multi disciplinary Panel
Learners and amount of contact: 1 hr talk on liver cancer imaging to a
group of approximately 75 fellows and faculty in oncology, hepatology,
surgery as well as researchers.
Outcome:
• Qualitative and quantitative evaluations
• Post talk time spent on Q and A
• Email follow up
Overall teaching assessment
Faculty member over all rating 2012-2017
Written faculty evaluations annually by the residents with Ratings on 14 dimensions using a 5-point
Likert-type scale anchored by 5 for “outstanding” and “1” for poor. Confidential evaluations by
diagnostic radiology residents have consistently rated Dr. X as “outstanding” to “highly satisfactory.”
Summary of teaching activities
Teaching Activity
/Role
Year # of
sessions
# / type of
learners
Quality / Feedback
Grand rounds 2016 1 Faculty, medical
students, residents
# = 80
Mean rating of 4.85 out 5
N = 20
Resident Lecture 2016 -
2018
3 Pediatric residents
# = 120
See evaluations and comments
Simulation 2012 8 Graduate students See emails / thank you notes in appendix
Team based
learning session
2017 12 Medical Students See graph attached.
Curriculum Development
• Curriculum Development / Instructional
Design
• Developing / Modifying a course
• Convert from face to face to online
• Why did you develop / change the
curriculum?
Curriculum Development
Highlights:
My successful direction of the Summer in Surgery program is an another accomplishment of which I am very
proud. The Summer in Surgery program also brings together all of the components required for promotion
and tenure as demonstrated below.
1. Teaching: I co-created the program and curriculum. This program, above all else, is an educational program
for the medical students. The program gives students the opportunity to not only learn from directly
shadowing surgical faculty and residents, but they also have the opportunity to learn surgical skills through
various simulation sessions and lectures.
2. Administration: As the director of this program, I demonstrate leadership in the Department of Surgery. I
organize and manage the program and all of its components effectively.
3. Research: The addition of the Summer in Surgery program has connected numerous students with surgical
faculty and residents and has added to the body of scholarly work from UAMS considerably.
4. Clinical: The foundation of the Summer in Surgery program is teaching the students good patient care. By
fostering student interest in surgical careers earlier in the pre-clinical years, we hope to ultimately help
students decide on which career is right for them while also generating more clinically sound, well-trained
future surgeons.
Example 1
Project title: Summer in Surgery Medical Student Program
Summary: 4-week program for UAMS students completing the M1 year to learn more about a career in surgery. The
program allows medical students the opportunity to gain clinical experience by shadowing surgeons, gain research
experience by participating in various selected research projects, and enhance presentation/public speaking skills by
presenting at the end of the course on clinical and research activities.
Role: Co-creator and director. Organization of program activities such as participant selection, students’ rotations,
orientation day events, simulation sessions, and faculty lectures, including recruiting and scheduling faculty and resident
volunteers for lectures and simulation sessions.
Funding: None
Outcomes: The program maintains and supports the students’ interest in surgical careers, at least thus far. There is some
evidence to suggest there may be “trickle-down” effects of the program as well. That is, the proportion of UAMS students
who pursue careers in general surgery has shown demonstrable increases in the past few years compared to prior years. In
2014 to 2016 the numbers of students matching into general surgery from UAMS were on the decline. In 2017 and 2018 and
2019, the numbers have increased to 7 and 6 and 6, respectively. The program also pairs students with surgical faculty who
can collaborate on various scholarly activity.
• List scholarly activity
• List survey results
• List other documentation (program timeline, program schedule(s), emails lauding the program, notes from students, etc)
Example 2
Topic: Pediatric Resident Communication Skills Training via Simulation
Role: Evaluator, Instructional designer, Co-Investigator with who? (two Physicians)
Funding: $25 000 Innovations in Pediatric Education in 2018
Summary:
• Observed that residents were struggling with communicating effectively with patients. I / We developed / re-designed the
curriculum to include simulation. The goal of curriculum is to assess and improve the knowledge and confidence level of
the future providers in managing difficult conversations.
• Prior to developing the curriculum, we assessed resident confidence on different topics. 41 of 94 residents (46%)
responded to the needs assessment. We identified that residents were less confident in addressing mental health, social
determinants of health, delivering bad news and managing oppositional or angry parents.
• 90% of respondents also indicated that they want to receive more feedback on their communication
• This curriculum is an attempt to provide residents with opportunity to practice communication skills through simulation
and feedback
• We implemented the curriculum in 2018 and 60 Pediatric residents have been trained since. **Project ongoing
Outcomes:
1) what did the residents say? Were there pre/post changes in confidence?
2) Scholarly products: 1 intramural grant, 2 presentations, 1 publication
Mentoring and Advising
• (In)formal mentoring committee (faculty)
• Dissertation / thesis committee
• Student advising
• Resident advising
• Research mentoring
[On Campus / Offsite]
Example 1 – Mentoring / Advising
Student(s): Student A, PhD candidate for Microbiology
Graduate student 1: I have served as the chair of this student’s
dissertation committee since 2014. Their project involves testing a new
biomarker on mice models.
Outcomes:
Graduate student has graduated and is now a post doc where?
 Published 2 papers on this study. Add paper references
Example 2 – Mentoring / Advising
Medical Student: Jane Doe, MD
Medical Student: This medical student approached me after my
anatomy lecture and expressed interest in pursuing research in
something. I met with student for an hour, once a month to discuss
their career goals. The student subsequently conducted research with
me.
Outcomes:
 Student accepted into Neurosurgery residency (see thank you note
in appendix)
Example 3 – Mentoring / Advising
Name Years Mentored Residency Location Notes
Dr. B 2016-2018 General Surgery University of
Michigan
#1 Choice Match
Dr. P 2017-2018 General Surgery UAMS #1 Choice Match
Dr. R 2017-2018 General Surgery Christiana Care in
Delaware
#4 Choice Match
Dr. M 2015-2018 OB/GYN UAMS WISE co-founder
Dr. L 2017-2018 Otolaryngology UT-Memphis WISE co-founder
Dr. R 2015-2016 General Surgery VCU Unknown rank of match
Dr. T 2014-2015 General Surgery LSU-New Orleans Assisted SOAP match as prelim
Dr. S 2018-current General Surgery N/A Currently mentoring
Dr. A 2018-current General Surgery N/A Currently mentoring
Dr. F 2016-current General Surgery N/A Currently mentoring
Name Years Mentored Academic Needs Results
Dr. K 2014-2015 Oral Board prep Passed QE/CE 1st attempt
Dr. J 2015-2016 Oral Board prep Passed QE/CE 1st attempt
Dr. U 2016-2018 ABSITE/Written Board prep Passed QE/CE 1st attempt
Dr. K 2016-2018 Oral & ABSITE/ Written Board prep Passed QE/CE 1st attempt
Example 4 – Mentoring / Advising
Residents: Ama Karikari, MD, Paula Escheverri, MD and Alison
Burbank, MD
This project involved developing a medical Spanish module for pediatric residents.
Dr. Boateng provided instructional design guidance throughout the process of
developing and executing the project. This included designing the module,
recording and editing audio and content.
These residents received the 2014 W. Thomas Dungan Award for Outstanding
Scholarly Project for this project.
The module is currently being used by over 90 pediatrics residents and is
available at this link: https://pediatrics.uams.edu/wp-
content/uploads/sites/11/modules/MedSpanish2/story_html5.html
Example 5 – Mentoring /Advising
Name of Faculty Mentee Role
Emir Tas, MD Chair
Vildan Tas, MD Member
Laura Hobart Porter, MD Member
Chris Edwards, MD Chair
Serve on mentoring committees for the following Pediatrics Faculty
Serve as a mentor on the National Research Mentoring Network (NRMN)
Example 6 – Mentoring /Advising
Educational Scholarship
Does it meet the 3 Ps?
Peer Reviewed
Published
Public
Example 1
• _________ = Student on project * = Summer in Surgery student
• _________ = Resident on project
• Peer-Reviewed Publications
• Kumbla PA, Lee N, Kimbrough MK. Mucormycosis of the Forehead and Sinuses in a Trauma Patient. Journal of Plastic and Reconstructive
Surgery-Global Open. 2016 Jul 22; 4(7): e818. PMID: 27536497 DOI: 10.1097/GOX.0000000000000793.
• Kimbrough MK, Thrush CR, Barrett E, Bentley FR, Sexton KW. Are Surgical Milestone Assessments Predictive of In-Training Examination
Scores? Journal of Surgical Education. 2017 Jul 5. pii: S1931-7204(17)30247-7. PMID:28688968 doi: 10.1016/j.jsurg.2017.06.021.
• Kimbrough MK, Thrush CR, Smeds MR, Cobos RJ, Harris TJ*, Bentley FR. National Landscape of General Surgery Mock Oral Examination
Practices: Survey of Residency Program Directors. Journal of Surgical Education, in press.
• Published Abstracts
• Cobos RJ, Thrush CR, Harris TJ*, Smeds MR, Bentley FR, Kimbrough MK. Shaping Medical Student Perceptions: A Pre-Clinical ‘Summer in
Surgery' Program. Journal of The American College of Surgeons. 2017; 225(4, Supplement 2), e160.
• Gill R, Massey VR*, Kimbrough MK, Mizell JS, Bentley FR, Thrush CR. Surgical Career Choices in Medical Students: Timing, Stability, and
Important Factors. Journal of The American College of Surgeons. 2017; 225(4, Supplement 2), e161.
• Elms C*, Betzold R, Spinks K, Kimbrough MK. Malignant Hyperthermia in a Massively Transfused Gunshot Victim. Critical Care Medicine.
January 2018; 46:1, 765.
Example 2
Project title: Transitioning in self management after pediatric heart transplant.
Summary: Qualitative study to assess how adolescent who have had pediatric heart
transplant transitioned into self management. This was a joint national study with the
Children's Hospital of Atlanta.
Role: Co-investigator: Development of online focus group system to collect data. Analyses
of the online system as an effective tool for qualitative research with adolescents.
Funding: $50 000
Outcomes: 2 publications, add presentations,
1. Boateng BA, Nelson MK, Huett A, Meaux JB, Pye S, Schmid B, Berg A, LaPorte K, Riley
L, Green A. Online Focus Groups with Parents And Adolescents with Heart Transplants:
Challenges and Opportunities. Pediatr Nurs. 2016 May-Jun;42(3):120-3, 154.
2. Meaux J, Green A, Nelson MK, Huett A, Boateng B, Pye S, Schmid B, Berg A, LaPorte K,
Riley L. Transition to Self-Management after Pediatric Heart Transplant. Progress in
Transplantation. September 2014 Vol 24
Example 3
Project title: The Pediatric Milestone Assessment Collaborative
Summary: National examination of the pediatric milestones, a project with the American Board of
Pediatrics (ABP) and the National Board of Medical Examiners (NBME)
Role: Review and discuss pediatric milestones with a national committee
Funding: Funded by NBME and ABP.
Outcomes: 1 Publication
1.Hicks PJ, Margolis MJ, Carraccio CL, Clauser BE, Donnelly K, Fromme HB, Gifford KA, Poynter SE,
Schumacher DJ, Schwartz A, PMAC Module 1 Study Group. A novel workplace-based assessment for
competency-based decisions and learner feedback. Medical Teacher , 2018, 24:1-8
(NOTE: Authorship listed under the PMAC Module 1 Study Group)
Example 3
Project title: The Pediatric Milestone Assessment Collaborative
Summary: National examination of the pediatric milestones, a project with the American Board of
Pediatrics (ABP) and the National Board of Medical Examiners (NBME)
Role: Review and discuss pediatric milestones with a national committee
Funding: None
Outcomes: 1 Publication
1.Hicks PJ, Margolis MJ, Carraccio CL, Clauser BE, Donnelly K, Fromme HB, Gifford KA, Poynter SE,
Schumacher DJ, Schwartz A, PMAC Module 1 Study Group. A novel workplace-based assessment for
competency-based decisions and learner feedback. Medical Teacher , 2018, 24:1-8
(NOTE: Authorship listed under the PMAC Module 1 Study Group)
Educational Leadership and Administration
ROLES
• Program Director
• Course Director
• Clerkship Director
• Vice Chair of Education
Educational Leadership
Associate Program Director for the Department of Surgery
• After only being on staff at UAMS for less than a year, my leadership in education was recognized and I was asked to serve
as an Associate Program Director for the Department of Surgery. I have had the opportunity to participate and grow in
this GME role through the local UAMS professional faculty development program called “EASE” (Educators, Administrators,
Scholars, & Evaluators), which will prepare me for future Graduate Medical Education (GME) leadership. It has given me
the opportunity to network with local GME leaders and gain their expertise and advice. As Associate Program Director,
some of my duties include: 1) direct the general surgery mock oral examination program, 2) meet and evaluate residents
twice per year as part of the ACGME-required Mid-of-Year (MOY) and End-of-Year (EOY) evaluations, 3) serve as a
moderator and discussant for resident education conferences (SCORE and Case Conferences), and 4) meet with residents
formally and informally as the need arises.
Program Director for Surgical Critical Care Fellowship
• Recently, I have been named the Program Director for Surgical Critical Care Fellowship here at UAMS. I started the
Surgical Critical Care Fellowship program—I created the curriculum, completed the initial program application, reviewed
and edited the application with local GME leaders, and submitted the final application to the ACGME. I organized and
hosted a successful site visit with a national ACGME site visitor who praised my application for its thoughtfulness and
attention to detail. I received official ACGME approval several months ago to begin the fellowship. I created a budget for
the fellowship and I met with our Department of Surgery business manager to review the budget. I also negotiated the
purchase of a robust surgical critical care online curriculum for the fellow to complete; the online program also will serve
as a critical care resource for surgical critical care faculty and the residents from multiple disciplines who rotate through
the surgical intensive care unit to unify the critical care educational experience (Scientific American Critical Care for the
Surgical Patient—SACCSP).
Committee Assignments
Educational Leadership and Administration
National
Association for Academic Surgery – Committee on Academic Advancement
I was elected as a member on the Committee for Academic Advancement in 2017 in the Association for
Academic Surgery, a national organization to inspire and develop young academic surgeons. So far, I have
participated in meetings and conference calls to discuss and plan educational program development for future
AAS conferences and events.
Institutional
UAMS Hospital CORE Committee – “Committed to Organ, Tissue, and Eye Recovery Education”
I have been on the CORE Committee for the last 4 years and have served as the co-chairman of committee
throughout this time. As co-chairman, I oversee the monthly meetings, meet with Organ Procurement
Organization (OPO) representatives before and after meetings to discuss issues or upcoming events, and review
and provide physician perspective for the patient cases presented at each meeting. I organize and oversee sub-
committee meetings and work, such as revising UAMS Policy on Brain Death.
Awards
Educator of the Year
Red Sash Award
Golden Apple Award
 Residency Educator Award
 Master Teacher Award
Mentoring Award
Educational Research Award
Educational Innovation Award
What next?
 Start early
 Expand your network, Make LOTS of friends (need letters of support)
Department
Other departments
Other institutions
Conferences
 Get involved. Say enough yes’s to get you there.
 Review examples
 Grow a thick skin
 Then go for it!!!
Scan the QR code or enter the link to give us
feedback
Category: Junior Faculty P & T Prep
Thursday, Oct 24, 2019: Documenting Your Teaching
Efforts in a Way that Counts with Beatrice Boateng,
Katie Kimbrough, Roopa Ram
OR
https://is.gd/FacCenterEval

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Documenting your educational efforts: What we wish we had known

  • 1. 1 Documenting your educational efforts: What we wish we had known Roopa Ram, M.D. (Radiology) Katie Kimbrough, M.D. (Surgery) Beatrice A. Boateng, Ph.D. (Pediatrics)
  • 2. 2 Where do I Start?
  • 3. STEP 1 – Know your TRACK What track are you on?  Clinician Educator  Basic Scientist  Clinician Scientist  Clinician  Just another faculty in my college  I’m on a track? Didn’t know that!!
  • 4. STEP 1b – Who’s riding with you? Who is on the train with you?  Mentors  Coaches  Colleagues (here and other institutions)  Department Chair  My train in empty
  • 5. STEP 2 – READ the P & T Guidelines P & T guidelines for your college
  • 6. STEP 2b – Know your time distribution How much time do you have for Research Education Clinical work Administration
  • 7. Time distribution  Time Allotment • Typical: 5 – 10% Teaching/Mentoring (Medicine) • How many hours do I have per week/month?  ~2 – 4 hours per week (based on 40 hour work week)***
  • 8. STEP 3 – DOCUMENT
  • 9. Where do I start?  Read your P&T guidelines Update your CV regularly Brag, brag, brag – Not the time to be humble. Review examples Keep physical and electronic copies UAMS BOX  Get feedback Evaluations Feedback as your prepare your packet
  • 10. How to I get evaluations? Obtain feedback from all activities Set up through your department. End of semester evaluations Resident lecture evaluations (New Innovations OR other system) Medical Student Evaluations (OASIS) Clinical teaching evaluations (New Innovations) Other lectures Get evaluation templates from department Summarize
  • 11. 11 How do I document in a way that counts?
  • 12.  What type of “teaching” do we do?  Who do we “teach”?  Where do we teach?
  • 13. Type of teaching Lectures (semester long)  1 hour long “lecture”  Workshops Just in time teaching / Mentoring Bedside teaching  Who we teach / mentor Students (Medicine, Nursing, Health Professions, etc.) Graduate Students Residents / Fellows Post Docs Faculty  Where do we teach? Formal / Classroom In Clinic Online In Lab In the hallway On the phone On a walk / walking meeting Lunch meeting
  • 14. What to document? Content – What you teach Content area  Area of expertise**  Process – How you teach What methods do you use?  Are the methods appropriate for your learners? Are the methods current / evidence based?  Outcomes – Results or impact What is the impact of your teaching / mentoring
  • 15.
  • 16. Your Educator’s Portfolio  Personal Statement / Philosophy*  Overview of educational activities  Educational Contributions Teaching Curriculum Development Mentoring and Advising Educational Scholarship** Educational Leadership and Administration** Awards and Recognition**  Letters of support for your teaching efforts
  • 17. Teaching Classes, Seminars, 1 hour Didactics Recurrent lectures Web based Instruction Continuing Education TBL, Game Based Informal Teaching
  • 18. Teaching Teaching activity Role Learners and amount of contact Outcomes** • Describe Quantity: Summarize teaching data - time spent in each teaching activity and how often it is repeated, number and types of learners involved, and how the activity fits into a curriculum or training program. • Describe Quality through Process and Impact: Describe carefully (but briefly) the efforts you put into planning your teaching activities. By explaining how you customize your teaching through the use of innovative and creative teaching methods to accomplish the learning objectives, you show the impact of your teaching in a way that goes beyond numbers. • Interpret Quality through Outcomes: Are you collecting data to demonstrate your teaching effectiveness?
  • 19. Teaching Example 1 (One time lecture) Teaching activity: Lecture on Otitis Media. Where and when? date? Role: Instructor / Co-presenter with who? Learners and amount of contact: 1 hour lecture to Pediatric Residents. • This was a TBL session that included active learning strategies to engage learners. I used Kahoot/Black Board/Jeopardy to engage the learners Outcomes: • Quantitative and qualitative data from your evaluations • Pre and Post test • Audience response systems - Poll everywhere
  • 20. Teaching Example 1 – Outcomes • Sep 26 2018 • Great examples! • Great job! • Excellent, very engaging!! • Informative lecture! • Good lecture, very insightful. Really enjoyed it! • Nov 4 2018 • Extremely well organized. • Great talk on pertinent findings. • Clear and concise! Felt like I learned a lot. • Great lecture that didn’t overwhelm with information.
  • 21. Teaching Example 2 (Recurring lecture) Teaching activity: Anatomy Human Structure Role: Instructor Learners and amount of contact: 4 hours every week to 180 Medical Students for the entire semester . This lecture series introduces medical students to human anatomy Outcomes: Quantitative and qualitative data from your evaluations Add graph with your rating vs. faculty in your department from year to year
  • 22. Teaching Example 2 - Outcomes 4.4 4.5 4.6 4.7 4.8 4.9 5 2013 2014 2015 2016 2017 2018 My Average Evaluation Score for Human Structure vs. Colleagues in Department My AVG Dept AVG Comments:  I have always struggled with understand something about Anatomy. Dr. B helped me to understand it better.  I liked the use of Poll Everywhere in the class. I don’t usually speak up and the tool helped me to be more engaged by asking questions online and getting them answered.  I couldn’t make it to class one day and when I emailed Dr. B, she responded and shared the day’s notes with me. I was able to catch up with the class.
  • 23. Teaching Example 3 (Simulation / Clinical skills) Teaching activity: Communication Skill development Role: Instructor Learners and amount of contact: 2 hours bi-monthly to IM residents Developed a course to teach IM residents how to break bad news to patients and families. This course involved developing cases, training standardized patients, developing feedback instruments. Outcomes: Quantitative and qualitative data from your evaluations • Number of residents/fellows trained • Published in Med Ed Portal
  • 24. Teaching example 4 ( Grand Rounds) Teaching activity : Invited speaker Role: Expert on Multi disciplinary Panel Learners and amount of contact: 1 hr talk on liver cancer imaging to a group of approximately 75 fellows and faculty in oncology, hepatology, surgery as well as researchers. Outcome: • Qualitative and quantitative evaluations • Post talk time spent on Q and A • Email follow up
  • 25. Overall teaching assessment Faculty member over all rating 2012-2017 Written faculty evaluations annually by the residents with Ratings on 14 dimensions using a 5-point Likert-type scale anchored by 5 for “outstanding” and “1” for poor. Confidential evaluations by diagnostic radiology residents have consistently rated Dr. X as “outstanding” to “highly satisfactory.”
  • 26. Summary of teaching activities Teaching Activity /Role Year # of sessions # / type of learners Quality / Feedback Grand rounds 2016 1 Faculty, medical students, residents # = 80 Mean rating of 4.85 out 5 N = 20 Resident Lecture 2016 - 2018 3 Pediatric residents # = 120 See evaluations and comments Simulation 2012 8 Graduate students See emails / thank you notes in appendix Team based learning session 2017 12 Medical Students See graph attached.
  • 27. Curriculum Development • Curriculum Development / Instructional Design • Developing / Modifying a course • Convert from face to face to online • Why did you develop / change the curriculum?
  • 28. Curriculum Development Highlights: My successful direction of the Summer in Surgery program is an another accomplishment of which I am very proud. The Summer in Surgery program also brings together all of the components required for promotion and tenure as demonstrated below. 1. Teaching: I co-created the program and curriculum. This program, above all else, is an educational program for the medical students. The program gives students the opportunity to not only learn from directly shadowing surgical faculty and residents, but they also have the opportunity to learn surgical skills through various simulation sessions and lectures. 2. Administration: As the director of this program, I demonstrate leadership in the Department of Surgery. I organize and manage the program and all of its components effectively. 3. Research: The addition of the Summer in Surgery program has connected numerous students with surgical faculty and residents and has added to the body of scholarly work from UAMS considerably. 4. Clinical: The foundation of the Summer in Surgery program is teaching the students good patient care. By fostering student interest in surgical careers earlier in the pre-clinical years, we hope to ultimately help students decide on which career is right for them while also generating more clinically sound, well-trained future surgeons.
  • 29. Example 1 Project title: Summer in Surgery Medical Student Program Summary: 4-week program for UAMS students completing the M1 year to learn more about a career in surgery. The program allows medical students the opportunity to gain clinical experience by shadowing surgeons, gain research experience by participating in various selected research projects, and enhance presentation/public speaking skills by presenting at the end of the course on clinical and research activities. Role: Co-creator and director. Organization of program activities such as participant selection, students’ rotations, orientation day events, simulation sessions, and faculty lectures, including recruiting and scheduling faculty and resident volunteers for lectures and simulation sessions. Funding: None Outcomes: The program maintains and supports the students’ interest in surgical careers, at least thus far. There is some evidence to suggest there may be “trickle-down” effects of the program as well. That is, the proportion of UAMS students who pursue careers in general surgery has shown demonstrable increases in the past few years compared to prior years. In 2014 to 2016 the numbers of students matching into general surgery from UAMS were on the decline. In 2017 and 2018 and 2019, the numbers have increased to 7 and 6 and 6, respectively. The program also pairs students with surgical faculty who can collaborate on various scholarly activity. • List scholarly activity • List survey results • List other documentation (program timeline, program schedule(s), emails lauding the program, notes from students, etc)
  • 30. Example 2 Topic: Pediatric Resident Communication Skills Training via Simulation Role: Evaluator, Instructional designer, Co-Investigator with who? (two Physicians) Funding: $25 000 Innovations in Pediatric Education in 2018 Summary: • Observed that residents were struggling with communicating effectively with patients. I / We developed / re-designed the curriculum to include simulation. The goal of curriculum is to assess and improve the knowledge and confidence level of the future providers in managing difficult conversations. • Prior to developing the curriculum, we assessed resident confidence on different topics. 41 of 94 residents (46%) responded to the needs assessment. We identified that residents were less confident in addressing mental health, social determinants of health, delivering bad news and managing oppositional or angry parents. • 90% of respondents also indicated that they want to receive more feedback on their communication • This curriculum is an attempt to provide residents with opportunity to practice communication skills through simulation and feedback • We implemented the curriculum in 2018 and 60 Pediatric residents have been trained since. **Project ongoing Outcomes: 1) what did the residents say? Were there pre/post changes in confidence? 2) Scholarly products: 1 intramural grant, 2 presentations, 1 publication
  • 31. Mentoring and Advising • (In)formal mentoring committee (faculty) • Dissertation / thesis committee • Student advising • Resident advising • Research mentoring [On Campus / Offsite]
  • 32. Example 1 – Mentoring / Advising Student(s): Student A, PhD candidate for Microbiology Graduate student 1: I have served as the chair of this student’s dissertation committee since 2014. Their project involves testing a new biomarker on mice models. Outcomes: Graduate student has graduated and is now a post doc where?  Published 2 papers on this study. Add paper references
  • 33. Example 2 – Mentoring / Advising Medical Student: Jane Doe, MD Medical Student: This medical student approached me after my anatomy lecture and expressed interest in pursuing research in something. I met with student for an hour, once a month to discuss their career goals. The student subsequently conducted research with me. Outcomes:  Student accepted into Neurosurgery residency (see thank you note in appendix)
  • 34. Example 3 – Mentoring / Advising Name Years Mentored Residency Location Notes Dr. B 2016-2018 General Surgery University of Michigan #1 Choice Match Dr. P 2017-2018 General Surgery UAMS #1 Choice Match Dr. R 2017-2018 General Surgery Christiana Care in Delaware #4 Choice Match Dr. M 2015-2018 OB/GYN UAMS WISE co-founder Dr. L 2017-2018 Otolaryngology UT-Memphis WISE co-founder Dr. R 2015-2016 General Surgery VCU Unknown rank of match Dr. T 2014-2015 General Surgery LSU-New Orleans Assisted SOAP match as prelim Dr. S 2018-current General Surgery N/A Currently mentoring Dr. A 2018-current General Surgery N/A Currently mentoring Dr. F 2016-current General Surgery N/A Currently mentoring Name Years Mentored Academic Needs Results Dr. K 2014-2015 Oral Board prep Passed QE/CE 1st attempt Dr. J 2015-2016 Oral Board prep Passed QE/CE 1st attempt Dr. U 2016-2018 ABSITE/Written Board prep Passed QE/CE 1st attempt Dr. K 2016-2018 Oral & ABSITE/ Written Board prep Passed QE/CE 1st attempt
  • 35. Example 4 – Mentoring / Advising Residents: Ama Karikari, MD, Paula Escheverri, MD and Alison Burbank, MD This project involved developing a medical Spanish module for pediatric residents. Dr. Boateng provided instructional design guidance throughout the process of developing and executing the project. This included designing the module, recording and editing audio and content. These residents received the 2014 W. Thomas Dungan Award for Outstanding Scholarly Project for this project. The module is currently being used by over 90 pediatrics residents and is available at this link: https://pediatrics.uams.edu/wp- content/uploads/sites/11/modules/MedSpanish2/story_html5.html
  • 36. Example 5 – Mentoring /Advising Name of Faculty Mentee Role Emir Tas, MD Chair Vildan Tas, MD Member Laura Hobart Porter, MD Member Chris Edwards, MD Chair Serve on mentoring committees for the following Pediatrics Faculty Serve as a mentor on the National Research Mentoring Network (NRMN)
  • 37. Example 6 – Mentoring /Advising
  • 38. Educational Scholarship Does it meet the 3 Ps? Peer Reviewed Published Public
  • 39. Example 1 • _________ = Student on project * = Summer in Surgery student • _________ = Resident on project • Peer-Reviewed Publications • Kumbla PA, Lee N, Kimbrough MK. Mucormycosis of the Forehead and Sinuses in a Trauma Patient. Journal of Plastic and Reconstructive Surgery-Global Open. 2016 Jul 22; 4(7): e818. PMID: 27536497 DOI: 10.1097/GOX.0000000000000793. • Kimbrough MK, Thrush CR, Barrett E, Bentley FR, Sexton KW. Are Surgical Milestone Assessments Predictive of In-Training Examination Scores? Journal of Surgical Education. 2017 Jul 5. pii: S1931-7204(17)30247-7. PMID:28688968 doi: 10.1016/j.jsurg.2017.06.021. • Kimbrough MK, Thrush CR, Smeds MR, Cobos RJ, Harris TJ*, Bentley FR. National Landscape of General Surgery Mock Oral Examination Practices: Survey of Residency Program Directors. Journal of Surgical Education, in press. • Published Abstracts • Cobos RJ, Thrush CR, Harris TJ*, Smeds MR, Bentley FR, Kimbrough MK. Shaping Medical Student Perceptions: A Pre-Clinical ‘Summer in Surgery' Program. Journal of The American College of Surgeons. 2017; 225(4, Supplement 2), e160. • Gill R, Massey VR*, Kimbrough MK, Mizell JS, Bentley FR, Thrush CR. Surgical Career Choices in Medical Students: Timing, Stability, and Important Factors. Journal of The American College of Surgeons. 2017; 225(4, Supplement 2), e161. • Elms C*, Betzold R, Spinks K, Kimbrough MK. Malignant Hyperthermia in a Massively Transfused Gunshot Victim. Critical Care Medicine. January 2018; 46:1, 765.
  • 40. Example 2 Project title: Transitioning in self management after pediatric heart transplant. Summary: Qualitative study to assess how adolescent who have had pediatric heart transplant transitioned into self management. This was a joint national study with the Children's Hospital of Atlanta. Role: Co-investigator: Development of online focus group system to collect data. Analyses of the online system as an effective tool for qualitative research with adolescents. Funding: $50 000 Outcomes: 2 publications, add presentations, 1. Boateng BA, Nelson MK, Huett A, Meaux JB, Pye S, Schmid B, Berg A, LaPorte K, Riley L, Green A. Online Focus Groups with Parents And Adolescents with Heart Transplants: Challenges and Opportunities. Pediatr Nurs. 2016 May-Jun;42(3):120-3, 154. 2. Meaux J, Green A, Nelson MK, Huett A, Boateng B, Pye S, Schmid B, Berg A, LaPorte K, Riley L. Transition to Self-Management after Pediatric Heart Transplant. Progress in Transplantation. September 2014 Vol 24
  • 41. Example 3 Project title: The Pediatric Milestone Assessment Collaborative Summary: National examination of the pediatric milestones, a project with the American Board of Pediatrics (ABP) and the National Board of Medical Examiners (NBME) Role: Review and discuss pediatric milestones with a national committee Funding: Funded by NBME and ABP. Outcomes: 1 Publication 1.Hicks PJ, Margolis MJ, Carraccio CL, Clauser BE, Donnelly K, Fromme HB, Gifford KA, Poynter SE, Schumacher DJ, Schwartz A, PMAC Module 1 Study Group. A novel workplace-based assessment for competency-based decisions and learner feedback. Medical Teacher , 2018, 24:1-8 (NOTE: Authorship listed under the PMAC Module 1 Study Group)
  • 42. Example 3 Project title: The Pediatric Milestone Assessment Collaborative Summary: National examination of the pediatric milestones, a project with the American Board of Pediatrics (ABP) and the National Board of Medical Examiners (NBME) Role: Review and discuss pediatric milestones with a national committee Funding: None Outcomes: 1 Publication 1.Hicks PJ, Margolis MJ, Carraccio CL, Clauser BE, Donnelly K, Fromme HB, Gifford KA, Poynter SE, Schumacher DJ, Schwartz A, PMAC Module 1 Study Group. A novel workplace-based assessment for competency-based decisions and learner feedback. Medical Teacher , 2018, 24:1-8 (NOTE: Authorship listed under the PMAC Module 1 Study Group)
  • 43. Educational Leadership and Administration ROLES • Program Director • Course Director • Clerkship Director • Vice Chair of Education
  • 44. Educational Leadership Associate Program Director for the Department of Surgery • After only being on staff at UAMS for less than a year, my leadership in education was recognized and I was asked to serve as an Associate Program Director for the Department of Surgery. I have had the opportunity to participate and grow in this GME role through the local UAMS professional faculty development program called “EASE” (Educators, Administrators, Scholars, & Evaluators), which will prepare me for future Graduate Medical Education (GME) leadership. It has given me the opportunity to network with local GME leaders and gain their expertise and advice. As Associate Program Director, some of my duties include: 1) direct the general surgery mock oral examination program, 2) meet and evaluate residents twice per year as part of the ACGME-required Mid-of-Year (MOY) and End-of-Year (EOY) evaluations, 3) serve as a moderator and discussant for resident education conferences (SCORE and Case Conferences), and 4) meet with residents formally and informally as the need arises. Program Director for Surgical Critical Care Fellowship • Recently, I have been named the Program Director for Surgical Critical Care Fellowship here at UAMS. I started the Surgical Critical Care Fellowship program—I created the curriculum, completed the initial program application, reviewed and edited the application with local GME leaders, and submitted the final application to the ACGME. I organized and hosted a successful site visit with a national ACGME site visitor who praised my application for its thoughtfulness and attention to detail. I received official ACGME approval several months ago to begin the fellowship. I created a budget for the fellowship and I met with our Department of Surgery business manager to review the budget. I also negotiated the purchase of a robust surgical critical care online curriculum for the fellow to complete; the online program also will serve as a critical care resource for surgical critical care faculty and the residents from multiple disciplines who rotate through the surgical intensive care unit to unify the critical care educational experience (Scientific American Critical Care for the Surgical Patient—SACCSP).
  • 45. Committee Assignments Educational Leadership and Administration National Association for Academic Surgery – Committee on Academic Advancement I was elected as a member on the Committee for Academic Advancement in 2017 in the Association for Academic Surgery, a national organization to inspire and develop young academic surgeons. So far, I have participated in meetings and conference calls to discuss and plan educational program development for future AAS conferences and events. Institutional UAMS Hospital CORE Committee – “Committed to Organ, Tissue, and Eye Recovery Education” I have been on the CORE Committee for the last 4 years and have served as the co-chairman of committee throughout this time. As co-chairman, I oversee the monthly meetings, meet with Organ Procurement Organization (OPO) representatives before and after meetings to discuss issues or upcoming events, and review and provide physician perspective for the patient cases presented at each meeting. I organize and oversee sub- committee meetings and work, such as revising UAMS Policy on Brain Death.
  • 46. Awards Educator of the Year Red Sash Award Golden Apple Award  Residency Educator Award  Master Teacher Award Mentoring Award Educational Research Award Educational Innovation Award
  • 47.
  • 48. What next?  Start early  Expand your network, Make LOTS of friends (need letters of support) Department Other departments Other institutions Conferences  Get involved. Say enough yes’s to get you there.  Review examples  Grow a thick skin  Then go for it!!!
  • 49.
  • 50. Scan the QR code or enter the link to give us feedback Category: Junior Faculty P & T Prep Thursday, Oct 24, 2019: Documenting Your Teaching Efforts in a Way that Counts with Beatrice Boateng, Katie Kimbrough, Roopa Ram OR https://is.gd/FacCenterEval

Editor's Notes

  1. Know your track? Also, important – know who is riding with you. It takes a team to get promoted. Who are your mentors?
  2. Know your track? Are you on the tenure track or non tenure
  3. Also, important – know who is riding with you. It takes a team to get promoted. Who are your mentors? Find mentors and a support network, here or at other institutions You will need that team when request outside letter of recommendation and support Your team is not limited to UAMS folks. Expand, get colleagues here and at other institutions
  4. Guidelines are like a checklist Provide guidance on what is expected in your track Not a comprehensive list but it provides you with a framework to work with
  5. The guidelines will offer you some ideas of what is expected on someone in your track (and rank) How much time do you have allotted for: Research Education Clinical work Admin Look at FacFacts for distribution (show site)
  6. Document what you do On paper Electronically Save email as PDF Scan with your phone as save as PDF
  7. For some of you, there may not be a clear line between clinical work, teaching and research. Double dip.
  8. Outcomes are through documentation and feedback/evaluations.
  9. See handout
  10. Now that we know our track and now how much time we have allotted to education, What are some of the educational activities we participate in on a regular basis?
  11. What type of “teaching” do we do? Who do we “teach” Where do we teach?
  12. Some may differ but you will typically have Personal Statement / Philosophy – who are you as an educator, how do you teach? Educational Scholarship – We have a research and scholarly section. That information can go there. Educational Leadership and Administration – Our P&T section has an administrative section. Don’t need to add it to your educator’s portfolio but duplication doesn’t hurt
  13. Examples of Educational activities
  14. Examples of Educational activities
  15. Examples of Educational activities
  16. Examples of Educational activities
  17. Examples of Educational activities
  18. Examples of Educational activities
  19. Examples of Educational activities
  20. Med Ed portal includes stats
  21. Mentoring is about bringing people up and moving them from where they are to where they want to be.
  22. Examples of Educational activities
  23. Examples of Educational activities
  24. Examples of Educational activities
  25. Examples of Educational activities
  26. Examples of Educational activities
  27. Share the
  28. Examples of Educational activities
  29. Examples of Educational activities
  30. Put together a compelling packet and nominate yourself if no one will. Or, ask someone to nominate you.
  31. REMEMBER: No one from your department will be part of your packet review at the college level. If they are on the college P&T committee, they are excused from your packet review (in the college of medicine)