Posts tagged Stanford
Ethical Dilemmas, Simulated

My most-cited publication to date describes a research project that I conducted during my Faculty Development Fellowship at Stanford University in 2003, “Assessment of Resident Professionalism Using High-fidelity Simulation of Ethical Dilemmas”. Medical simulation centers are wonderful venues for teaching high-risk tasks in low-stakes environments: the perfect settings for teaching medical ethics.

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In 2003, medical simulation was still a relatively new teaching tool and the options for training seemed endless. I was particularly interested in medical ethics at the time and thought to marry that interest with my medical education training.

The design of the study was simple enough: emergency medicine residents who were managing a simulated clinical case would encounter an unexpected ethical dilemma – not all that dissimilar from day-to-day clinical practice. We designed a “Professionalism Performance Assessment Tool” as a checklist of dichotomous options for management of the case. Trainees either followed ethical and professional standards during their management of the simulated case or they did not, yes or no. A critical action was included in each case.

The ethical dilemmas selected in this 2003 research study are still important topics for trainees to learn about today. Five cases were used to test concepts in key domains: Patient Confidentiality, Informed Consent, Withdrawal of Life-sustaining Treatment, Practicing Procedures on the Recently Dead (Hint: Don’t do this!), and Do-Not-Resuscitate Orders.

I’ll always reflect fondly on this project because it was the first medical education research study that I designed and executed as the principal investigator. Thanks once more to my project mentors at the time, Drs. Rebecca Smith-Coggins and Phillip Harter. (Dr. Harter still co-directs Stanford’s Medical Education Scholarship Fellowship today!)

Read more about the study design, case development, and study outcomes in our article in Academic Emergency Medicine.

May 15, 2019

Co-Authors of Original Article: Rebecca Smith-Coggins, MD – Stanford University, Phillip Harter, MD – Stanford University, Robert C. Soltysik, MS – Veterans Affairs - Chicago Health Care System, Paul R. Yarnold, PhD - Northwestern University

#StanfordAloha and CME

The 20th Stanford Symposium on Emergency Medicine kicks off on April 15, 2019 on Maui, Hawaii. Our faculty members and administrative staff worked very hard over the last several months to prepare for another successful CME conference. But how do we guarantee value in a crowded CME marketplace? And what is the Experience from the Audience?

The 19th Stanford Symposium on Emergency Medicine at the Grand Hyatt on Kauai, Hawaii.  Image by Michael Gisondi, MD

The 19th Stanford Symposium on Emergency Medicine at the Grand Hyatt on Kauai, Hawaii.

Image by Michael Gisondi, MD

The Accreditation Council for Continuing Medical Education (ACCME, United States) defines ‘continuing medical education’ (CME) as “educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently “. The definition is purposely broad, to allow for creativity and innovation in an education space generally dominated by oddly-written learning objectives and Death by PowerPoint.

CME is a $2.5 billion dollar industry in the United States for the over 1,800 CME providers and their partner institutions. In 2016, a total 27 million physicians spent over 1 million hours participating in 159,000 CME educational programs. That’s a crowded marketplace.

Last year, at the 19th #StanfordAloha on Kauai, I reflected on this industry from my seat in the middle of the audience. What are the key measures of a successful, modern CME conference? For physicians who pay top dollar — and leave their clinical practices behind for a week — ROI goes way beyond the attainment of learning objectives.

I posed the question, “What makes for a wonderful CME conference experience?”, to #StanfordAloha faculty, conference attendees, and the President and CEO of the ACCME himself, Dr. Graham McMahon.

Click below to read their answers in, “The Experience of the Audience: Must-Have Design Elements for a CME Conference”, published online last year by International Clinician Educators Blog.

The 20th Stanford Symposium on Emergency Medicine is sponsored by the Stanford University Department of Emergency Medicine and runs April 15-19, 2019 on Maui, Hawaii.

April 15, 2019.