Council on Medical Student Education in Pediatrics

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COMSEP 2010 Albuquerque Meeting

TEACHING THE FOUNDATIONS OF CLINICAL CARE WITH eCLIPPs

Authors:
Jerold C. Woodhead, MD, Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, IA; Kimberly A. Gifford, MD; Leslie H. Fall, MD, Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, NH

Background: The LCME requires education about difficult to teach topics that are the foundation of clinical care, including professionalism, communication, culture in medicine and systems-based care.  Lectures can introduce the material, but clinical interactions are needed for development of skills and competence.  Varied clinical experiences may not provide individual students opportunities for learning in all areas.  Some schools have developed local teaching strategies, but not all schools have the resources to do so.  Extended CLIPP Scenarios (eCLIPPs) provides peer-reviewed virtual cases to teach these topics, using the platform of the widely used Computer-assisted Learning in Pediatrics Program (CLIPP).  Learners will work through virtual cases in which patients, families, and healthcare professionals navigate the health care system when challenged by cultural differences, chronic illness, and the need for complex assessment and management.  The first 3 cases focus on culture-in-medicine and communication skills and are framed around the concept of the medical home.  They provide resources for learning and tools for application of new skills.  The tools can be printed for use in clinical interactions. Objectives: 1. Demonstrate that virtual cases can complement other teaching about complex topics such as culture in medicine, professionalism, communication, and systems-based practice 2. Document:   a. Feasibility of implementing eCLIPPs into existing courses b. Usability and utility of eCLIPPs resources and tools c. Acceptability of virtual cases by students and faculty. Methods: COMSEP members at 5 medical schools incorporated the first 3 eCLIPPs cases into courses for 3rd and 4th year students in early January 2010 after developing study guidelines by survey and conference call.  Students will be required to complete all 3 cases and will use them as a focus for group discussion and additional teaching activities defined by the different schools.   We will collect data about the implementation process, integration into the education process, acceptability and ease of use of cases, use of resources and tools, student/educator comments, and log data for each student. Discussion: Data obtained from pilot testing will be presented in the poster and implications will be discussed.  By incorporating eCLIPPs into teaching programs, an institution can ensure that all students have access to consistent, learning about complex topics.