Why Measure 21st Century Human Competence
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Dr. Brian Hodges discusses the changing nature of competence and how it should be measured for health professionals in the 21st century. Competence was once defined by knowledge, skills, and roles but these are no longer adequate given advances in technology. Future competence will require metacognition, ability to collaborate with automated systems, and maintaining caring, compassion and human presence even with technology involved. Proper assessment is needed to ensure professionals develop these capabilities for working in a digital world.
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Why Measure 21st Century Human Competence
- 1. Dr. Brian Hodges University Health Network Plenary I: Why Measure Competence?
- 2. Why Measure Competence? Brian Hodges MD, PhD Professor, University of Toronto Executive Vice President Education UHN
- 3. @BDHodges1
- 5. Competence is a god term* • What is “competent” is determined by culture and history • It means nothing outside of the context in which it is used *Lorelei Lingard
- 7. ` Competence was Knowledge Assessed with written tests Early 20th Century
- 8. Competence was Performance Assessed with tests of performance Mid 20th Century
- 9. Late 20th Century Competence was a Set of Roles (derived from the needs of 20th C Canada) Assessed with a Roles x Tools Matrix Advocate Manager Collaborator Communicator Scholar Professional
- 10. Once upon a time… …won’t do for the future
- 11. `Knowledge, skills and roles from the past century are not adequate for competence in the future… (nor a sufficient basis for assessment)
- 12. ` In the 21st Century, a new question… What is Human Competence Needed For?
- 13. As we think about the future of professional education, what capabilities will be needed most… …that human professionals can bring Susskind and Susskind
- 15. Medical Education, January 2018 Medical Education 2018 Dorothy Vaughan 1910- 2008
- 17. KNOWLEDGE & COGNITION TECHNICAL SKILL CARING & COMPASSION
- 19. Issue 1: Meta- cognition • Deep Learning - Artificial intelligence • Digitization of Humans • Cloud-based Information
- 20. Digitized Humans
- 21. The Robot Will See You Now: Artificial intelligence in medicine UofT News 2016
- 22. Esteva et al. Nature 2017 Gulshan et al JAMA 2016
- 25. Cognitive Competence for the Future • Knowledge will be largely held externally (cloud) • Excessive memorization wastes cognitive resource • Health professionals must invest in understanding the strengths & blind spots of human cognition
- 26. Curriculum Based on Metacognition? • Vanderbilt University College Colloquium – “meta-cognition as a foundation for professionalism and empathy” • Goals: – Understand one’s own habits and patterns of thinking and emotion – Gain humbling appreciation of fallibility of cognition – Appreciate complex interplay of cognition and emotion (Via Quentin Eichbaum) Fleming et al 2013
- 27. How can we assess as metacognition?
- 28. TECHNICAL SKILL
- 30. Important Transformations in Skills • Human Augmentation • Robotics • Automation
- 34. Meet your new blood-drawing, needle-wielding robot phlebotomist John Hewitt, ExtremeTech.com August 19, 2013
- 37. AI for Radiation Therapy Treatment Planning at Princess Margaret Cancer Centre, Toronto: • From 3 hours to 4 minutes per patient
- 38. Human(e)-Machine Interaction • Ensuring empathy is conveyed (including by technologies) to patients and other staff • Emergent failures of human-computer communication – Tech rage – Etiquette
- 39. Tech Rage
- 40. “Voice assistants behind a generation of rude kids, artificial intelligence authorities say” Jennifer Dudley-Nicholson, News Corp Australia Network March 10, 2017
- 41. Curriculum Based on Human- Machine Collaboration? • The Human-Machine Interface • Melding human psychomotor skills with machine guidance • Emotional regulation (understanding machine function and failure) linked to patient safety & outcomes
- 42. How can we assess human-machine interaction?
- 43. C A R I N G a n d C O M P A S S I O N
- 44. D I A G N O S I C S K I L L TEC H N IC A L SK ILL
- 46. In the hands of TECHNOLOGY
- 52. Look in my eyes…be present for me
- 54. 21st Century Human Competence (That we should measure) Metacognition Ability to Collaborate with Automated Systems Critical Thinking & Advocacy for Humane Institutions Caring, Compassion & Human Presence (Including Machine-Human Relationships)
- 55. So why measure competence?
- 56. Why measure competence? Because now, we have competition
- 57. A book about Technology and the Future of Healthcare Coming soon….
- 58. 2018 Perspectives Symposium January 22, 2018 #TSINPerspectives2018
Notas do Editor
- This will be updated with the current graphic
- This will be updated with the current graphic
- This will be updated with the current graphic
- Taking a history and doing a physical exam once allowed MDs to have the chance for human-human interaction. The human part of me still craves my annual physical even though the logical side knows it is mostly useless. These opportunities are disappearing and are not coming back.
- . From the first moment that a doctor rolled up a piece of paper to hear lung sounds, a panoply of devices have emerged to extend, strengthen and augment the rather limited capacities of the human eyes, ears and hands.
- I am more interested, frankly, in the survival of the concept of being a healthcare professional
- Finding the human among the technologies (pix of craniotomy? Judith in mask?) This is the new role of the health professional. When we had frequent and direct contact with patients in every encounter this was not a problem. Now we hardly see them.
- This will be updated with the current graphic
- This will be updated with the current graphic
- Taking a history and doing a physical exam once allowed MDs to have the chance for human-human interaction. The human part of me still craves my annual physical even though the logical side knows it is mostly useless. These opportunities are disappearing and are not coming back.
- There have always been obstacles to compassionate care. They are mounting. The demands of today and tomorrow -technologies, financial pressures, efficiency metrics, patient demands will all be greater and greater.
- Compassion is (discursively) many things. NOT redicible to one definition or one set of behaviours. (From Tina’s Lexicon research) Etc (BH to get this from Tina’s paper)
- We must create environments that sustain compassionate care. Institutions do not create compassion. Individuals and teams of people do. But toxic environments can work against compassion and caring.
- The myths – it takes hours, everyone needs to be a psychiatrist, there is no time Wrong – it is seconds. It is about Presence. It is about an orientation to caring. Compassion is expressed in a million tiny moments. Look in my eyes. Ask my name. How can I help you? Touch me. Learn something about me. See a person behind the mask.