Disruptive Innovation in Medical Education

Christopher McDowell, MD MEd FAAEM

Anna Cianciolo, PhD

The Future of Education

What if I told you……

• We aren’t training physicians for tomorrow– We train them for yesterday

What if I told you……

• We don’t empower decision making– We protect them from it (ACGME Duty Hours)

Resident Response to Duty Hours-NEJM Survey 2011

• 40.8% stated quality of education is worse

• 27% thought safety of patient care worsened

• 51.5% states rules made preparation for senior role worse

What if I told you……

• Hospitals & patients are frustrated with our product– Hospitals & communities may develop their

own programs

The Opportunity

The Father of Disruptive Innovation

What is Disruptive Innovation?

Examples

Who’s Ripe for DI?

So… how would you disrupt college?

DI at work

Who really needs a doctor?

Can it happen to medical schools?

The Medical Education Continuum

College UME GME Practice

Forces Pushing Disruption

Can SIUSOM disrupt medical education……again?

• Team/Coaching Education

• Developing team leadership capacity

• Identifying the clinical situations where direct physician involvement adds value

• Addressing competition from NP/PA – Condensed training with early specialization

• Including other training environments– Home-base care, continuity clinics, NH, etc.

Could SIUSOM be disrupted from the outside?

• In a word…… yes

References

• http://www.youtube.com/watch?v=Ax5cNlutAys– What is 21st century education- you tube

• Will Disruptive Innovations Cure Health Care?- HBR

• Macy Course on Innovation in Healthcare

• HBR Blog

• NEJM