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Preparing Students for
     P      i  St d t f
   Careers in Health Sciences:
     An Innovative and Collaborative
                Approach

              May 26, 2011

Bethany Krom, Mayo School of Health Sciences
 Claudia Neuhauser, University of Minnesota
‘The glory of
medicine
is that it is constantly
moving forward, that
       g          ,
there is always more
to learn.’

‘The ills of today do
not cloud the horizon
of tomorrow but act
as a spur to greater
       p       g
effort.’

    Dr. William J. Mayo
Mayo Clinic
First integrated
group practice
Private -
Nonprofit
1,050,000
1 050 000
patients
56,100
employees
Multi-
Multi-campus
Mayo Clinic Model of Care

Practice,
Practice Education & Research
Patient focused
Values based
Why Education at Mayo Clinic?
 Our heritage
 Our students
 Our staff
 Our workforce
 To share the
 Mayo Clinic Model
 of Practice, Education
 and Research
College of Medicine
Mayo Graduate School
Mayo Medical School
Mayo School of Graduate Medical Education
Mayo School of
Continuous Professional Development
                              p
Mayo School of Health Sciences
College of Medicine

–A t
  Anatomy               – MayoExpert
– Education             – Microskills Lab
  Technology
  T h l                 – Offi for Diversity
                          Office f Di     it
– Funding Office        – Proceedings
– Hi t
  History of Medicine
           f M di i     – Publications
– Humanities in         – Quality Academy
  Medicine
  M di i                – Simulation Center
– Library
Medical Education
Integrated & comprehensive
Competency based
Applied learning
  pp           g
Medical Education
HLC & programmatic accreditation
      p g
Employment preparation
Mayo Cli i M d l of C
M    Clinic Model f Care
U.S. Bureau of Labor Statistics
US
         2008-
         2008-2018

Fastest-
Fastest-Growing Job Sector
 – Health Care and Social Assistance   21%
 – Average – All Industries            10%
Opportunities for
       Medical Education

Changing population demographics
Meeting d
M ti and matching th need
                  t hi the      d
Cost of clinical education
Available clinical education sites
Programmatic accreditation
Teaching teamwork
Preparing students for the future
P      i     t d t f th f t
University of Minnesota Rochester
          Creation Story
  Community need
  Minnesota Governor Pawlenty
  University proposal
  – Innovative & non-duplication
                 non-
  –SSignature programs
  – Research
  University of Minnesota Rochester
  – BS in Health Sciences in 2009
  – BS in Health Professions in 2011
PREPARING STUDENTS AT THE
UNIVERSITY OF MINNESOTA
ROCHESTER
About the University of
           Minnesota
Founded in 1851, the Universityy
of Minnesota is a presence
throughout the state with five
campuses and numerous
    p
research and outreach centers.
Rochester campus mission
– The University of Minnesota
  Rochester promotes learning and
  development through personalized
  education in a technology-enhanced
                  technology-           Rochester
  environment. [ ] Th University of
      i        t […] The U i     it f
  Minnesota Rochester serves as a
  conduit and catalyst for leveraging
  intellectual and economic resources
  in Rochester and southeastern
  Minnesota […].
University of Minnesota Rochester
              (
              (UMR) )
   Established in 2006
   Small campus
    – Center for Learning
      Innovation
    – No departments
   Focus on health sciences
   Programs
   Programs
    – B.S. in Health Sciences
    – B.S. in Health Professions
    – Ph.D. and M.S. programs in
      biomedical informatics and
      computational biology
          p               gy
    – Partnership programs
University of Minnesota Rochester
              (
              (UMR) )
   Established in 2006
   Small campus
    – Center for Learning
      Innovation
    – No departments
   Focus on health sciences
   Programs
   Programs
    – B.S. in Health Sciences
    – B.S. in Health Professions
    – Ph.D. and M.S. programs in
      biomedical informatics and
      computational biology
          p               gy
    – Partnership programs
The Changing Face of Health
        Sciences
        Sciences
                                                      Personalized
                                                      P        li d
                                                      medicine
                                                      Importance of
                                                        p
                 Genomic Data
                                                      society and
                                                      culture
                                        Drug Design   Collaborative
                                                      environment
                                                      Evidence-
                                                      Evidence-based
                                                      decision making
    Source: Flickr®
                                www.biochem.
                                arizona.edu
                                                      – Data-rich
                                                        Data-
                                                        environment
Need for Curricular Changes
Understanding not only the complexity of
               g         y           p    y
living systems but also the complexity of
human behavior and societies in a culturally
diverse world
Deeper preparation in quantitative and
analytical thinking
     y             g
Collaborative skills
Oral/written communication skills
Ability to effectively and critically evaluate
information
Working in diverse and global teams
A New Science of Learning
Learning with understanding
– Textbooks emphasize facts and tests
  emphasize memorization
– Organization of knowledge around
  concepts
– “useful knowledge”
Pre-
Pre-existing knowledge
– Construction of new knowledge
                             g
– Role of misconceptions
Active Learning
– Metacognition
         g
– Control of one’s learning
Cognitive science approach (late
1950s)
                                  Source: NRC 2000 How People Learn
NRC 2003: BIO 2010
         Preparing future
         biomedical researchers
         – Deeper preparation in the
           physical and
           mathematical sciences
         – Interdisciplinary
         – Research focused
         – New pedagogy
Top Down to Participatory
          Old Hierarchical Model—
                           Model—
          pushing information
           – Knowledge dissemination from
             expert to layperson
           – Li it d access t sources of
             Limited         to        f
             information


          New Participatory Model—
                             Model—
          posting and pulling information
           –   Communication
           –   Sharing
           –   Collaboration
           –   Mobility

                 Alberts & Hayes 2003. Power to the Edge
UMR Model of Education
UMR has no departments
The Center for Learning Innovation (CLI) is the single
academic unit
The CLI promotes a learner-centered, technology-enhanced,
                     learner-           technology-
concept-driven
concept-driven, and community-integrated learning
                     community-
environment
Faculty from across disciplines deliver a synergistic academic
program, the B.S. in Health Sciences, to prepare students for
a wide variety of careers in the health sector
– Design faculty (T/TT) design, implement, and deliver the
  curriculum and have a mandate to engage in research on
  learning
– Student-based faculty (instructors) implement and deliver the
  Student-
  curriculum and serve as tutors
Emphasis o co p e e s e assess e t
  p as s on comprehensive assessment
Pathways to Careers
     B.S. in Health Sciences         B.S. in Health Professions
            Capstone




                  B.S. in Health Sciences                    Transfer
                   Common Lower Division




Exploration in lower division
– Common curriculum
– Capstone development
Integrated exposure to careers
– Moving beyond “doctors and nurses”
                 doctors     nurses
Finish in Four
B.S. IN HEALTH SCIENCES
Key Features I
Rigor and relevance
Connecting to their life experiences
Integrated career exploration
– Exposure to professionals in the field
Community integration
– Service learning
Fostering learning in a networked world (cyberlearning)
– Creative problem solving with authentic data sets
– Learning outside the classroom
      Collaborative tools
      Curriculum accessible from anywhere
Lifelong skills and adaptability
– Collaboration
– Oral/written communication
– C iti l thi ki /
  Critical thinking/reasoning
                          i
Key Features II
Common and integrated lower division academic
curriculum
    i l
–   Statistics and philosophy
–   Ethics
–   Sociology and psychology
–   Chemistry, physics, biology
–   History, literature
          y
Integrated writing
Project-
Project-based
Integrated career exploration
– Year-long exploration with expert panels
  Year-
Upper division capstone
Integrated Career Exploration




              •Integration across the disciplines
               Integration
              •Integrated and personalized career
              exploration
Upper Division Capstone
Cohesive set of courses and experiences to prepare students for the
career of their choice
– Research (University, Research Institutes, Mayo Clinic,…)
– Allied Health Certificate (Partnership with Mayo Clinic)
– Internship (
           p (Partnerships with industry, community organizations,…)
                         p              y,         y g           , )
Sophomores
– Career explorations and professional panels
Sophomores/Juniors: Capstone preparation seminar
– Th
  Thematic Seminars
       ti S i
Juniors
– MCAT, PCAT, GRE,…
– Capstone proposal
Seniors
– Capstone
Thematic Seminar: Hope, Hype, Communication and
                      Medicine
Instructor:
Instructor: Professor Molly Dingel
This course seeks to illuminate the role played by a variety of
different professions including doctors nurses technicians, and
           professions,                doctors, nurses, technicians
medical journalists, in communicating medical knowledge to patients
          journalists,
and the public. In the first half of the course, we will explore how
medical knowledge is translated between patients and healthcare
providers,
providers, with a focus on the intersection of medical knowledge
and hope: when is hope useful for patients? Can hope cloud a
     hope:
patient’s ability to assess and understand their prognosis, treatment
options, or decision to participate in clinical trials? In what ways can
hope interfere with realistic conversations between healthcare
providers and patients about death? What are differences in how a
variety of healthcare providers communicate to patients about hope
and death? In the second half of the course, we will focus on the
relationship between scientific and media discourse. Students will
                                                   discourse.
examine the process of science/medical writing in the media, and
explore how science and medicine get translated and communicated to
a broader public audience. In this part of the course, students will
complete an in-depth comparison of a media story and the original
                in-
scientific research and press releases to identify the ways
discourses changes as information moves into the public realm.
B.S. IN HEALTH
PROFESSIONS
Goals
Prepare students for health profession
careers
Address identified regional needs in health
professions
Provide th
P id pathways f transfer students
                   for t   f    t d t
upon completion of identified lower
division
di i i coursework  k
Key Features I
Program will be j
    g            jointly delivered by UMR and
                       y            y
Mayo School of Health Sciences faculty
University of Minnesota Rochester will provide
student services and academic coursework to
complement the clinical education provided by
Mayo School of Health Sciences
Mayo School of Health Sciences will provide the
clinical education (both didactic and clinical
                   (both
rotations) as well as student services and full
access to Mayo resources available to Mayo
students
First class admitted for Fall 2011
Key Features II
2-year certificate programs
–   Echocardiography
–   Sonography
–   Radiography
–   Respiratory C
    R    i t    Care
Identified regional need
Junior admitting
Same entry requirements for all tracks
S         t      i       t f ll t k
– Students do not decide on track as freshmen
Shared responsibilities
– Leveraging each other’s strengths
– Avoiding duplication
B.S. degree prepares students to advance in their profession
and to continue their education
Discussion




http://www.mayoclinic.com/   http://www.r.umn.edu/

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Preparing Students for Careers in Health Sciences: An Innovative and Collaborative Approach

  • 1. Preparing Students for P i St d t f Careers in Health Sciences: An Innovative and Collaborative Approach May 26, 2011 Bethany Krom, Mayo School of Health Sciences Claudia Neuhauser, University of Minnesota
  • 2. ‘The glory of medicine is that it is constantly moving forward, that g , there is always more to learn.’ ‘The ills of today do not cloud the horizon of tomorrow but act as a spur to greater p g effort.’ Dr. William J. Mayo
  • 3. Mayo Clinic First integrated group practice Private - Nonprofit 1,050,000 1 050 000 patients 56,100 employees Multi- Multi-campus
  • 4. Mayo Clinic Model of Care Practice, Practice Education & Research Patient focused Values based
  • 5. Why Education at Mayo Clinic? Our heritage Our students Our staff Our workforce To share the Mayo Clinic Model of Practice, Education and Research
  • 6. College of Medicine Mayo Graduate School Mayo Medical School Mayo School of Graduate Medical Education Mayo School of Continuous Professional Development p Mayo School of Health Sciences
  • 7. College of Medicine –A t Anatomy – MayoExpert – Education – Microskills Lab Technology T h l – Offi for Diversity Office f Di it – Funding Office – Proceedings – Hi t History of Medicine f M di i – Publications – Humanities in – Quality Academy Medicine M di i – Simulation Center – Library
  • 8. Medical Education Integrated & comprehensive Competency based Applied learning pp g
  • 9. Medical Education HLC & programmatic accreditation p g Employment preparation Mayo Cli i M d l of C M Clinic Model f Care
  • 10. U.S. Bureau of Labor Statistics US 2008- 2008-2018 Fastest- Fastest-Growing Job Sector – Health Care and Social Assistance 21% – Average – All Industries 10%
  • 11. Opportunities for Medical Education Changing population demographics Meeting d M ti and matching th need t hi the d Cost of clinical education Available clinical education sites Programmatic accreditation Teaching teamwork Preparing students for the future P i t d t f th f t
  • 12. University of Minnesota Rochester Creation Story Community need Minnesota Governor Pawlenty University proposal – Innovative & non-duplication non- –SSignature programs – Research University of Minnesota Rochester – BS in Health Sciences in 2009 – BS in Health Professions in 2011
  • 13. PREPARING STUDENTS AT THE UNIVERSITY OF MINNESOTA ROCHESTER
  • 14. About the University of Minnesota Founded in 1851, the Universityy of Minnesota is a presence throughout the state with five campuses and numerous p research and outreach centers. Rochester campus mission – The University of Minnesota Rochester promotes learning and development through personalized education in a technology-enhanced technology- Rochester environment. [ ] Th University of i t […] The U i it f Minnesota Rochester serves as a conduit and catalyst for leveraging intellectual and economic resources in Rochester and southeastern Minnesota […].
  • 15. University of Minnesota Rochester ( (UMR) ) Established in 2006 Small campus – Center for Learning Innovation – No departments Focus on health sciences Programs Programs – B.S. in Health Sciences – B.S. in Health Professions – Ph.D. and M.S. programs in biomedical informatics and computational biology p gy – Partnership programs
  • 16. University of Minnesota Rochester ( (UMR) ) Established in 2006 Small campus – Center for Learning Innovation – No departments Focus on health sciences Programs Programs – B.S. in Health Sciences – B.S. in Health Professions – Ph.D. and M.S. programs in biomedical informatics and computational biology p gy – Partnership programs
  • 17. The Changing Face of Health Sciences Sciences Personalized P li d medicine Importance of p Genomic Data society and culture Drug Design Collaborative environment Evidence- Evidence-based decision making Source: Flickr® www.biochem. arizona.edu – Data-rich Data- environment
  • 18. Need for Curricular Changes Understanding not only the complexity of g y p y living systems but also the complexity of human behavior and societies in a culturally diverse world Deeper preparation in quantitative and analytical thinking y g Collaborative skills Oral/written communication skills Ability to effectively and critically evaluate information Working in diverse and global teams
  • 19. A New Science of Learning Learning with understanding – Textbooks emphasize facts and tests emphasize memorization – Organization of knowledge around concepts – “useful knowledge” Pre- Pre-existing knowledge – Construction of new knowledge g – Role of misconceptions Active Learning – Metacognition g – Control of one’s learning Cognitive science approach (late 1950s) Source: NRC 2000 How People Learn
  • 20. NRC 2003: BIO 2010 Preparing future biomedical researchers – Deeper preparation in the physical and mathematical sciences – Interdisciplinary – Research focused – New pedagogy
  • 21. Top Down to Participatory Old Hierarchical Model— Model— pushing information – Knowledge dissemination from expert to layperson – Li it d access t sources of Limited to f information New Participatory Model— Model— posting and pulling information – Communication – Sharing – Collaboration – Mobility Alberts & Hayes 2003. Power to the Edge
  • 22. UMR Model of Education UMR has no departments The Center for Learning Innovation (CLI) is the single academic unit The CLI promotes a learner-centered, technology-enhanced, learner- technology- concept-driven concept-driven, and community-integrated learning community- environment Faculty from across disciplines deliver a synergistic academic program, the B.S. in Health Sciences, to prepare students for a wide variety of careers in the health sector – Design faculty (T/TT) design, implement, and deliver the curriculum and have a mandate to engage in research on learning – Student-based faculty (instructors) implement and deliver the Student- curriculum and serve as tutors Emphasis o co p e e s e assess e t p as s on comprehensive assessment
  • 23. Pathways to Careers B.S. in Health Sciences B.S. in Health Professions Capstone B.S. in Health Sciences Transfer Common Lower Division Exploration in lower division – Common curriculum – Capstone development Integrated exposure to careers – Moving beyond “doctors and nurses” doctors nurses Finish in Four
  • 24. B.S. IN HEALTH SCIENCES
  • 25. Key Features I Rigor and relevance Connecting to their life experiences Integrated career exploration – Exposure to professionals in the field Community integration – Service learning Fostering learning in a networked world (cyberlearning) – Creative problem solving with authentic data sets – Learning outside the classroom Collaborative tools Curriculum accessible from anywhere Lifelong skills and adaptability – Collaboration – Oral/written communication – C iti l thi ki / Critical thinking/reasoning i
  • 26. Key Features II Common and integrated lower division academic curriculum i l – Statistics and philosophy – Ethics – Sociology and psychology – Chemistry, physics, biology – History, literature y Integrated writing Project- Project-based Integrated career exploration – Year-long exploration with expert panels Year- Upper division capstone
  • 27. Integrated Career Exploration •Integration across the disciplines Integration •Integrated and personalized career exploration
  • 28. Upper Division Capstone Cohesive set of courses and experiences to prepare students for the career of their choice – Research (University, Research Institutes, Mayo Clinic,…) – Allied Health Certificate (Partnership with Mayo Clinic) – Internship ( p (Partnerships with industry, community organizations,…) p y, y g , ) Sophomores – Career explorations and professional panels Sophomores/Juniors: Capstone preparation seminar – Th Thematic Seminars ti S i Juniors – MCAT, PCAT, GRE,… – Capstone proposal Seniors – Capstone
  • 29. Thematic Seminar: Hope, Hype, Communication and Medicine Instructor: Instructor: Professor Molly Dingel This course seeks to illuminate the role played by a variety of different professions including doctors nurses technicians, and professions, doctors, nurses, technicians medical journalists, in communicating medical knowledge to patients journalists, and the public. In the first half of the course, we will explore how medical knowledge is translated between patients and healthcare providers, providers, with a focus on the intersection of medical knowledge and hope: when is hope useful for patients? Can hope cloud a hope: patient’s ability to assess and understand their prognosis, treatment options, or decision to participate in clinical trials? In what ways can hope interfere with realistic conversations between healthcare providers and patients about death? What are differences in how a variety of healthcare providers communicate to patients about hope and death? In the second half of the course, we will focus on the relationship between scientific and media discourse. Students will discourse. examine the process of science/medical writing in the media, and explore how science and medicine get translated and communicated to a broader public audience. In this part of the course, students will complete an in-depth comparison of a media story and the original in- scientific research and press releases to identify the ways discourses changes as information moves into the public realm.
  • 31. Goals Prepare students for health profession careers Address identified regional needs in health professions Provide th P id pathways f transfer students for t f t d t upon completion of identified lower division di i i coursework k
  • 32. Key Features I Program will be j g jointly delivered by UMR and y y Mayo School of Health Sciences faculty University of Minnesota Rochester will provide student services and academic coursework to complement the clinical education provided by Mayo School of Health Sciences Mayo School of Health Sciences will provide the clinical education (both didactic and clinical (both rotations) as well as student services and full access to Mayo resources available to Mayo students First class admitted for Fall 2011
  • 33. Key Features II 2-year certificate programs – Echocardiography – Sonography – Radiography – Respiratory C R i t Care Identified regional need Junior admitting Same entry requirements for all tracks S t i t f ll t k – Students do not decide on track as freshmen Shared responsibilities – Leveraging each other’s strengths – Avoiding duplication B.S. degree prepares students to advance in their profession and to continue their education
  • 34. Discussion http://www.mayoclinic.com/ http://www.r.umn.edu/