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Medical Education
Center for Faculty Educators

Hot Topics for UCSF’s Educator Community

Last November, the Association of American Medical Colleges (AAMC), Academies Collaborative, and Consortium of Longitudinal Integrated Clerkship (LIC) held annual meetings.

Dr. Ann Poncelet, Director of the Academy of Medical Educators and new Academy member, Dr. Michelle Guy, shared their experiences and highlights of the events, offering insight on areas of interest for the UCSF Educator Community.

 

Association of American Medical Colleges (AAMC) - This year, educators, learners, researchers, patient care providers, administrators, and health system leaders shared their experiences, bold visions, and innovations in over 120 education sessions and networking events.

Key topics included:

  • Professional Identity Formation
    Professional identity formation (PIF) was an important topic at the meeting. Alyssa McManamon, Donna Chen, Linda Lewin, and Michael Stein presented the Kegan model of PIF with the application as a framework for medical student professionalism issues. Most medical students are at stage two (the instrumental mind), stage three (the socialized mind) and stage four (the self-authoring mind). I was interested in learning that most people do not reach the final stage (five - the self-transforming mind). Another engaging session was on PIF and career transitions from premed to mid-career. The session highlighted the importance of mentors who can support the mentee to connect with their identity and allow them space and support to make their own decisions.

  • Burnout and Resilience
    Joan Reede, Mehul Patel, Toi Harris, Valencia Walker, and Wendi El-Amin led a session on "Burnout, Wellness, and Resilience among URM Faculty, Students and Residents" that was heartbreaking and inspiring. Even as there is increasing attention on these issues in general, underrepresented minority students (URM) in medicine have unique challenges and needs.  Creating safe and supportive environments was strongly recommended as more effective than a focus on individual resilience.  Recommendations were to increase awareness at our institutions of the social, academic and financial stressors that contribute to physician burnout among URM faculty and learners. 

  • Structural Racism
    The RIME lecture focused on structural racism with outstanding presentations by Damon Tweedy, a psychiatrist at Duke University, who wrote "Black man in a white coat," Petria Thompson, a student at Vanderbilt, and Rachel Hardeman from the University of Minnesota School of Public Health. They stressed the importance of creating safe spaces, mentoring (including having the tools to mentor someone who may be different from the mentor), engaging allies, and the value of senior faculty to recognize and begin conversations about microaggressions, bias, and racism in the classroom and clinical environment.

Academies Collaborative - The annual meeting is structured to support networking between Academies, such as our Academy of Medical Educators, and to explore topics of interest.

  • Survey of Academies across the country
    A recent survey of 42 of the 52 Academies presented highlighted funding for Academy activities, increasing the value of teaching, informing best practices, and advancing career advancement in medical education. More than half of respondents expressed an interest in supporting wellness. UCSF’s Academy, as one of the oldest and most successful academies, is the leading the way in the development of wellness support and programs for educators.
  • UCSF Spotlight - Dr. David Irby presented on motivating engagement in Academy mission and activities.
  • UCSF - Academies, like Baskin Robins, come in different flavors and sizes. While new member Dr. Michelle Guy knew the history behind UCSF’s Academy of Medical Educators, Dr. Guy was not aware how vastly different other Academies can be. Some center on departments rather than schools or campuses. Some have missions to serve their members while others are mission-driven to have their members serve and become leaders. Some recruit members through a rigorous application process while others have an "open door" policy welcoming anyone to join. Some have limited appointments for their members while others have members serve indefinitely.

Since its inception in 1999, the UCSF Academy of Medical Educators has evolved into a service academy of over 150 members from 4 schools and 26 departments serving to advance: 1) advocacy, 2) career development, 3) innovation, and 4) scholarship in medical education to improve the health of our patients. UCSF serves as a beacon to many Academies across the country. Building this has taken years of dedication, collaboration, innovation, and funding. As leaders, we must continue to imagine what is on the horizon - well-being, diversity, equity, inclusion, digital evaluation tools, and others. Ultimately, I learned, at UCSF we are well positioned to continue to be leaders and innovators in medical education.

Consortium of Longitudinal Integrated Clerkship (LIC)

Harvard Medical School sponsored a think tank on LICs with leaders in the LIC movement from North America and faculty who have new or are planning to launch an LIC. Some schools are starting new LICs including one at Harvard’s Brigham and Women's Hospital. UCSF is still one of the few academic medical centers with an LIC, and having partners for the educational scholarship is exciting.

 

Ann Poncelet, MD and Michelle Guy, MD

 

Photo by Marco Sanchez, UCSF DM Photography