med ed
A newsletter for faculty, staff, and students of the University of Minnesota Medical School

No. 379, April 2005

Editor: Kathleen Watson, M.D., drwatson@umn.edu

Editorial Assistant: Allison Campbell, aac@umn.edu

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On the Web: MED 2010

 

The MED 2010 leadership announces its Web site: http://www.med.umn.edu/education/curriculum/ Along with an introduction to the project to transform medical education at our Medical School, the site offers references, faculty development opportunity, and the ability to submit questions. We continue to add content to the Web site, and it will evolve over the course of this 5-year project. We hope that faculty, staff, and students will find it a useful resource. Questions, comments, and suggestions for improvement can be submitted via the Web site.

 

Positive review for M.D./Ph.D. program

 

Our M.D./Ph.D. program recently received a highly favorable review following an external site visit by the National Institute of General Medical Sciences. Students develop a robust identity as physician scientists-in-training from the program, the reviewers said, and transitions between phases of learning--from classroom to laboratory to clinic--are as seamless as possible. Cited for their energetic, committed leadership were program Director Tucker LeBien, Ph.D., and Associate Director Peter Bitterman, M.D. The review committee also highlighted the sense of forward momentum and enthusiasm in the program's participants and recommended it be supported. Congratulations to LeBien, Bitterman, and all students enrolled in the M.D./Ph.D. program.

 

Successful Match Day March 17

 

"It's exactly what I wanted," said Ted Ruzanic, who will do his emergency medicine residency at Hennepin County Medical Center. His wife, Rachel Wenner Ruzanic, also matched in dermatology here at the University of Minnesota and, he added, "all my friends got their choices, too." Ruzanic, a native of Sartell, Minn., started his medical education on the Duluth campus and contributed to the Medical School's report to the Liaison Committee on Medical Education. He was one of 223 fourth-year students who received their residency match information on March 17. Just over 48 percent of the Class of 2005 went into primary care and 114 placed in Minnesota. Of those who placed out of state, 19 percent will be in the central region of the country, 12 percent in the west, 10 percent in the northeast, and 5 percent in the south. Although school-specific data is not available, nationwide, more than 86 percent of fourth-year medical students from U.S. schools were assigned to one of their top three choices. Congratulations and best wishes to these students upon their entry into their residency training.

 

Technology-enhanced learning task force report approved

 

A common, online learning space is the first recommendation of the technology-enhanced learning task force report, which was approved by the Medical School's Education Council March 15. Led by Stuart Speedie, Ph.D., the task force also had among its top recommendations increasing the use of simulations and simulators for teaching, contributing to the blending of online learning activities into courses, and providing multi-site, multi-media access to clinical education activities (seminars, Grand Rounds, Morning Reports, and clerkship didactic presentations) from anywhere and at any time with a network connection. For the complete report, go online to http://www.meded.umn.edu/faculty/index.htm, and look under Quick Links for TEL Task Force final report.

 

Outstanding students elected to AOA

Recently elected to Alpha Omega Alpha Honor Society as juniors were Alison Adams; Jane Brumbaugh; Patricia Bugliosi; Christina Dunn; John Redmond; Caleb Schultz; Robert Schwartz; Louis Shinneman; Trina Weik; and, Shannon Zingula. This group represents about a quarter of the students from the class who will be elected to AOA.  The remaining group will be chosen in October and their selection will be noted in their MSPEs (deans' letters).

 

Community service: Steven Miles, M.D.

 

Recently returned from tsunami-ravaged Indonesia is Steven Miles, M.D., faculty member of the Medical School and bioethicist. Miles spent nearly four weeks in Banda Aceh as part of a team from the American Refugee Committee, providing medical treatment and helping local community service organizations get up and running again. He helped with applications for micro-credit, small loans for income-generating programs, and grants to rebuild and expand previously existing community resources. Miles hopes these investments will help the local population long after other outside aid workers have left the area. Have a good illustration of community service by faculty, staff, or students? Send it to aac@umn.edu .

 

Come together for Harambe April 10

 

An evening of multicultural arts called Harambe, which means "let's all come together," starts at 5 p.m., Sunday, April 10, at Coffman Union's theater. The performance program, which begins at 6:30 p.m., celebrates the healing power of the arts and our common humanity, uniting the medical community with the greater campus community. This year, a donation from the event's proceeds will be made to Native American Community Clinic. The event is co-sponsored by the Student National Medical Association and American Medical Student Association. For more information, see the Web site: http://www.student.med.umn.edu/amsa/harambe/harambe.htm

Residents: Register and see R.E.D. (Resident Educator Development)

 

Giving effective feedback (April 15) and teaching at the bedside (May 20) are upcoming topics during the monthly Resident Educator Development (R.E.D.) training sessions. R.E.D. sessions are scheduled for the third Friday of the month from 7 to 8 a.m. in B-646 Mayo. Breakfast is provided and parking is validated. All residents who are involved in teaching are strongly encouraged to participate. To find out more, and to register, click on www.meded.umn.edu/red/ .

 

Moving to clinicals: Transition Day, April 15

 

During Transition Day April 15, second-year medical students from Duluth will join those in the Twin Cities to learn how to do effective presentations, both oral and written; how to write orders; how to write SOAP notes; about do's and don'ts on the patient-care units; how to prioritize in the emergency room; be introduced to log books; and, about OSHA regulations and needlestick procedures. Professionalism will be discussed by students from the Gold Humanism Honor Society and celebrated by honoring six outstanding residents. Orientation activities for Duluth campus students include lunch with faculty members, a tour of the Twin Cities campus, and a welcoming reception starting at 5 p.m.

 

Recognizing great teachers April 25

 

Our colleagues Tim Ebner, M.D., Ph.D., and Greg Vercellotti, M.D., will be recognized by the University with Awards for Outstanding Contributions to Graduate and Professional Education on Monday, April 25, 3:30 to 6 p.m., in McNamara Alumni Center. They are among only eight recipients of this distinguishing teaching award this year. Please join in congratulating them and register to attend the celebration by going to http://www.alumni.umn.edu/distinguishedteaching.

 

Future residents: Prepare for the next stage April 28

 

A nuts-and-bolts introduction to applying for residencies is offered April 28 to year three students entering year four. This all-day session covers the step two clinical skills exam as well as explanations about getting into the computer for the residency match. (An in-depth session on interviewing will be offered in September.)

 

Moving to residency: May 3 intro

 

A workshop designed to give soon-to-be residents hints to reduce anxiety as they go into a residency takes place May 3. The session starts at 4:30 p.m., with didactics, continues with workshops in family medicine, medicine, pediatrics, surgery, and ob/gyn. It is slated to finish about about 7 p.m.

 

Commencement May 6

 

Faculty are encouraged to don their caps and gowns and join the procession to honor the latest to join our profession at commencement May 6. The procession to Northrop Auditorium starts from Coffman at 1:45 p.m. The class of 2005 will be addressed by outstanding alumna Joia Mukherjee, M.D., M.P.H., who has been involved in health care access and human rights issues since 1989 in the United States, Africa, Latin America, the Caribbean, and the countries of the former Soviet Union. Weather permitting, a celebration follows the ceremony on the plaza outside Northrop.

 

New pediatrics fellowship for clinician researchers

 

Pediatrics' Division of General Pediatrics and Adolescent Health is accepting applications for a new fellowship, the Primary Care Fellowship in General Pediatrics. The overall purpose of this fellowship is to improve the status of children and adolescents by training a cadre of pediatric clinician researchers who will assume positions of leadership in general pediatrics within academic institutions, conduct the next generation of primary care research, and train a new generation of pediatricians who will be committed to serving children in low-income, high-need areas. The fellowship is two to three years and includes an integrated set of coursework leading to a Master's in Public Health, two half-days per week in clinics serving historically underserved populations of children, and mentored research experiences. The fellowship will be grounded in a division with an extensive research and publication record as well as 25 years of experience in post-graduate fellowship training. The fellowship is open to physicians who have completed a pediatrics residency program by the start of the program and are board-certified or board-eligible. Those from racial and ethnic communities underrepresented in medicine and primary care are encouraged to apply. To find out more, please e-mail Iris Borowsky, M.D., Ph.D., at borow004@umn.edu.

 

Course director close-up: Elke Eckert, M.D.

 

One challenge in the psychiatry clerkship is providing outpatient experience to students, says course director Elke Eckert, M.D. "We have tried to provide it in the past but the problems outweighed the benefits in that often patients do not show up and there is usually no patient follow-up opportunity during the clerkship period." In an inpatient setting, follow-up is more likely, but these are typically the more severe cases. "We always try to provide the students with a balance of experiences," she says, and a wide range of psychiatric problems and treatment. In addition to general inpatient psychiatry, most students are able to choose a second area, such as geriatric care, substance abuse, or child and adolescent psychiatry.

 

Eckert sees the clerkship as evolving. For instance, she's considering offering fewer lectures and emphasizing more small group learning, which would involve the students more directly. Independent learning is valued, says Eckert, and students write papers, typically describing a specific patient's problem. Each year the department awards a $500 prize for the best paper. Some have even been published in psychiatric journals, says Eckert.

 

Last year Eckert's team provided a "learning day" on schizophrenia, during which students gathered to hear about various aspects of the condition, including basic science discoveries and the latest treatments. Focused learning days are something the faculty would like to offer more often, says Eckert.

 

She hopes the exposure to psychiatry will help medical students, regardless of which area they choose to specialize. "An understanding of psychiatry benefits those going into family medicine as well as every other specialty," who may need to refer patients, she says. But just as important, health care providers should be aware of their patients' physical and mental health.

 

Literary inspiration

 

The Neurons Who Watch Birds

 

We have to think now what it would be like

To be old. Some funny little neurons,

Developed for high-speed runners, and quick-

Handed bowmen, begin to get tired. They fire

 

But then lay down their bows and watch birds.

The kidney cells--"Too much thinking!" the Chinese

Say--look around for help, but the kids have

All gone to the city. Your friends get hit by lightning,

 

And your enemies live on. This isn't going to get

Better. Crows yelling from the telephone wires

Don't include you in the stories they tell, and they seem

To remember some story that you haven't heard.

 

What can you do? We'll have to round up

All those little people wandering about

In the body, get them to sit up straight, and study

This problem: How do we die?


--Robert Bly