A V O I C E F O R M E D I C A L S T U D E N T E D U C A T O R S
Spring 2013 1
There’s An App For That!Rahul Patwari discusses a Read by QxMD, a flipboard for Medical JournalsPage 5
CDEM was formed in 2008 and is comprised of medical student educators who are committed to enhancing medical student education within our specialty.
President’s MessageSorabh Khandelwal, our fearless leader, talks about where we are and where we are going. Page 1
Journal ClubFrom the amazing blog “Academic Life in EM” created by Michelle Lin, Javier Benítez reviews the concept of “Information Management”.Page 3
Atlanta Here We Come!
Check out all of the amazing events we have planned at the Annual Meeting!Page 2
An Update on our National ExamsCorey Heitz summarizes the status of: A. The CDEM ExamB. The NBME ExamC. All of the above!Page 4
Want to Get Involved?Contact us to submit to the newsletter, join a committee, or any other way you’d like to get involved. Page 6
A Quarterly Newsletter Issue 1 - Spring 2013
The Voice of
President’s Message: Not Bad… So FarSorabh Khandelwal, MD
At first glance, this title may suggest a half glass full mentality. To the contrary, it is simply meant to imply that CDEM is only in its infancy with respect to what it can and will achieve. It’s amazing to see all that CDEM has accomplished since the organization’s inception in 2008. Even prior to joining SAEM as its first Academy, CDEM was active in developing content that changed the way that EM medical student educators interfaced with students. The list of accomplishments is truly spectacular – EM Clerkship Primer,
educational sessions and a track at CORD, educational sessions at SAEM, acceptance into the Alliance for Clinical Education (ACE), standardized curricula, SAEM Tests, CDEM self study modules, DIEM cases, and most recently working together with the NBME to create the EM Advanced Clinical Examination. We have been recognized as the
national and international experts with EM medical student education. The International Federation For Emergency Medicine (IFEM) uses CDEM content for its globally available EM clerkship.
None of these accomplishments could have happened without the vision of CDEM leadership and the dedication and commitment of our membership.
CDEM is still young. Find out what is in store for our future on page 5...
T H E V O I C E O F C D E M
2 Spring 2013
Thursday, May 16 Annual Business Meeting
• 8:00 - 9:00 am CDEM Business Meeting
• 9:00 - 11:00 am 2013 CORD Annual Meeting “Can’t Miss” Topics. This session will focus on the SLOR update, the NBME exam, and Milestones for Medical Students. Dr. Michael Beeson will update the group on Milestones at 10:30am.
• 11:00 - 12:00 pm CDEM Initiatives Fair. This will be a networking session with participants discussing CDEM self-study modules, social media, the newsletter, and the National M4 Examination.
Friday, May 17 CDEM Sponsored Sessions
•8:00 - 8:50 am Educational Portfolio: Your Secret Weapon for Promotion International E-F combined (6th floor)
• 9:00 - 9:50 am Good to Great: Effective Feedback to Learners with Difficulties International E-F combined (6th floor)
Friday, May 17 Program Evaluation, Assessment
and Improvement Workshop
We are excited to present the Program Evaluation, Assessment and Improvement Workshop. This session will be led by Hugh Stoddard, M.Ed., Ph.D. and Assistant Dean for Medical Education at Emory University School of Medicine. This session will give participants (both program directors and clerkship directors) the tools and knowledge necessary to assess their program. Participants will be taught what the LCME and ACGME is looking for when evaluating programs. Learners will be able to work with our guest speaker on program evaluation, assessment, and improvement.
David Manthey, Michelle Lin & Lorraine Thibodeau having fun at CORD Academic
Assembly 2013 in Denver.
SAEM in Atlanta
The Program Committee is excited to present an outstanding lineup for the SAEM Annual Meeting in 2013.
Nicholas Kman, MD - Academic Assembly Program Committee Co-Chair
T H E V O I C E O F C D E M
Spring 2013 3
“Keeping up with the literature these days is quite a daunting task. Medical information has increased exponentially over the past few decades and continues to do so. We spend a great deal of time and energy memorizing information which soon may become obsolete (see this excerpt from the book The Half-Life of Facts by Arbesman). Expecting physicians to keep a busy practice AND keep up with all the most current literature is impractical. By the time textbooks are published, the information is already a few years old and this puts us at risk of not practicing the most up to date and best evidence practice. We also know that with the increasing volume of information there has been new development on statistics on how to
evaluate this vast amount of data. Most physicians are not properly equipped with the necessary statistical skills or time to analyze this vast amount of information.
So how DOES a practicing physician keep up with the most current, evidence-based medicine (EBM)?”
In his post on Academic Life in EM on April 22, 2013, Javier Benitez reviews a 2005 Academic Medicine article by Drs. Slawson and Shaughnessy: Teaching evidence-based medicine: should we be teaching information management instead? They “propose that physicians should learn how to manage information instead of becoming experts in EBM. The authors point out that having physicians read the literature using the traditional EBM approach is time consuming, not patient
oriented, and often too impractical to be applied at the point of care. Furthermore, it is unrealistic to expect that all physicians expertly conduct critical appraisals of all the literature.
In contrast, information management "focuses on using currently available information tools to remain up to date with new valid information that is relevant to the care of patients and is accessible while taking care of patients."
Check out the rest of the post at http://academiclifeinem.blogspot.com/2013/04/learning-information-management-instead-ebm.html
Slawson DC, et al. Teaching evidence-based medicine: should we be teaching information management instead?Acad Med. 2005 Jul;80(7):685-9. PMID 15980087
Journal ClubFrom the amazing blog “Academic Life in EM” created by Michelle Lin, Javier Benítez reviews the concept of “Information Management”.
Check out a recent
publication by CDEM members
Paul Y. Ko, Aaron W. Bernard,
Stacey L. Poznanski, Robert Cooney,
Sorabh Khandelwal & Michelle Lin.
This review, sponsored by the Alliance for Clinical Education, highlights
selected medical education articles published in emergency medicine
journals typically not read by clinician educators in other
specialties. Journal Watch From ACE
(Alliance for Clinical Education): Annual Review
of Medical Education Articles in Emergency Medicine, 2010-2011
http://www.tandfonline.com/doi/abs/
10.1080/10401334.2013.772003.
Reproduced with permission. Information overload by verbeeldingskr8 on Flickr
T H E V O I C E O F C D E M
4 Spring 2013
Good instructional design includes objectives, a curriculum, and an assessment tool. In 2006, CDEM developed the EM Curriculum Guide (revised in 2010) complete with goals and objectives. Subsequently, our curriculum went live on www.cdemcurriculum.org. Now, we have an assessment tool to match!
In 2011, we released a 50 question, multiple choice examination covering the topics of the EM M4 curriculum. Last year, this examination was revised and a second version was released. Together, these exams constitute freely accessible, nationally available, 50-question multiple choice exams that assess the EM M4 curriculum topics, found on www.cdemcurriculum.org.
The table below compares the two versions of the exams in terms of difficulty level (percent correct) and point biserial correlation (a measure of discriminatory value; USMLE and other licensing exams use 0.15 as a target number. Easy questions tend to be less discriminatory.) Data is shown from exams administered since July 2012.
National EM M4 Exam Version
Average score (SD)
average rpb
Version 1 80.9 (3.85) 0.217
Version 2 72.1 (3.95) 0.196
FAQsDo students taking it earlier in the year score higher?
Question performance did not change on version 1 between the first 1,000 students taking it in academic year 2012-2013 and the second 1,000 students.
Where should passing scores be set?
While the NBME exams are scored differently, many institutions use a “2 standard deviations below the mean” rule to determine pass/fail cutoff. This rule is being used by many clerkships for the National EM M4 Exam.
What upcoming changes are expected?
• Question revisions on Version 2 to improve performance of some low-rpb question (and one negative rpb) •Addition of “sample items” for performance before inclusion into the scored exam •Demographic data gathering for more fine-grained data reporting (EM-bound vs non-EM bound, etc.)
Tell me about the NBME exam?
The NBME released a 100-question, 2-form, multiple choice Advanced Clinical Examination in April 2013. This will be free for the first year to any who use it. The NBME does not recommend the test be used for high stakes assessment until performance data can be analyzed. The exam covers the suggested curriculum topics as well as other important EM topics.
Clerkship Assessments: An UpdateCorey Heitz, MD
T H E V O I C E O F C D E M
Spring 2013 5
A Flipboard for Medical Journals! Read by QxMD is a free application available on iPhone and iPad which
interfaces with your library’s proxy system providing you with access to journals via a sleek interface. After downloading, it asks you to create an account which includes entering your institution and specialty. It then presents you with the relevant journals within that speciality for you to follow. You have full access to the abstracts. If your institution’s library subscribes to those journals then you can also download the PDFs, share them via email or even start a collaborative discussion.
More information can be found at their web site:
http://www.qxmd.com/apps/read-by-qxmd-app
The app can be downloaded from the iTunes app store:
https://itunes.apple.com/us/app/read-personalized-medical/id574041839?mt=8
Feel free to find me online at @rahulpatwari on Twitter.
There’s an App for That!Rahul Patwari, MD
President’s Message: Not Bad… So FarSorabh Khandelwal, MD
continued from page 1...While there are many future directions for growth, I would like to highlight two key areas. Over the next several years, we would like to develop new content that is interactive and available anytime, anywhere. The CDEM self-study modules will be revised and could be made available in different formats such as iBooks and iTunesU. CDEM has become global and could continue its international impact. The second area for growth involves strengthening our current
relationships and building new ones. This past year, we formed a new relationship with EMRA while continuing to enhance our relationships with SAEM and CORD. These relationships will bring wonderful opportunities for our members. A perfect example of the fruits of these relationships is the new SAEM Education Research Grant offered to SAEM members to fund a medical education research project.
The success of our organization depends on the continued engagement of our members. Stay involved. Join committees. Help one another. Send us your ideas. The intended consequence…you will contribute to the ever-changing education of those that deliver
emergency care. The unintended consequence of all this effort…you will make friendships that will last a lifetime.
I hope these newsletters will serve to inform our membership as to the wonderful happenings in CDEM, provide some educational content, and highlight some of our talented members. Many thanks to all the initial contributors and a special thank you to Dr. Stacey Poznanksi (Chair, CDEM Communications Committee), Melissa McMillian (Administrator, CDEM) and Kara Welch (EM Clerkship Coordinator at SUNY Upstate) for their effort in getting this newsletter completed.
T H E V O I C E O F C D E M
6 Spring 2013
In AppreciationThe following committees work hard every day to make CDEM a truly phenomenal academy. Consider joining a committee today!
BoardJonathan Fisher - Past PresidentSorabh Khandelwal - PresidentLorraine Thibodeau - President-ElectEmily Senecal - SecretaryJosh Wallenstein - Treasurer
Jennifer Avegno - Member at LargeRakesh Engineer - Member at LargeNicholas Kman - Member at LargeCorey Heitz - Member at large
For more details contact:[email protected] S. River Road #208Des Plaines, IL 60018, USAPhone: 847-813-9823Fax: 847-813-5450community.saem.org
Our Mission• To advance the education of medical students as it pertains to the specialty of emergency and acute care medicine.
• To serve as a unified voice for EM clerkship directors and medical student educators on a national level.
• To provide a forum for EM clerkship directors and medical student educators to communicate, share ideas, and generate solutions to common problems.
•To foster undergraduate medical education research and provide a platform for collaboration.
•To foster the professional development and career satisfaction of EM clerkship directors and medical student educators.
• To foster relationships with other organizationsto promote medical education.
Academic Assembly - CDEM Program CommitteeNicholas Kman (Co-Chair)[email protected] Smith (Co Chair) [email protected] FranzenMarianne Haughey Kathy Hiller Julianna JungTorrey Laack David Manthey Sundip Patel Laurie Thibodeau Laura ThompsonMichael Van Meter David Wald Grant WeiKathleeen Wittels
Alliance for Clinical Education (ACE)ACE Executive Committee Dave WaldACE General Council Douglas S. Ander Jonathan Fisher Sorabh Khandelwal David Wald Communications Committee David Cheng Leslie ZunPublications Committee Paul KoResearch Committee Jonathan Fisher Ted Gaeta
Communications CommitteeStacey Poznanski (Chair)[email protected] McMillian Kara Welch
Awards CommitteeLatha Ganti Stead (Chair)[email protected] Hiller David Cheng William Goldenberg Michael Takacs Maria Ramos
NBME Task ForceDave Wald (Chair)[email protected] Franzen Corey HeitzJonathan FisherKathy HillerEmily SenecalLuan Lawson-JohnsonShahram Lotfipour Kim Askew
SAEM EMIG - Grant ReviewNicole DeIorio (Chair)[email protected] A. WaldMatthew TewsCorey HeitzDoug AnderMelissa Marinelli
SAEM Program CommitteeSarah Ronan-Bentle Med Student Symposium Josh Wallenstein Todd GuthInnovations Laurie Thibodeau
SLOR Task Force - CDEM RepresentativesNicole DeiorioSarah Ronan-Bentle
Testing WorkgroupEmily Senecal (Co-Chair)Corey Heitz (Co-Chair)[email protected] S. AnderKim Askew Linda DruelingerMatt EmeryJonathan FisherKatherine HillerLaura R. HopsonLuan Lawson Leslie C. OyamaMark SaksJohn SarkoMichael D. SmithGregory J. TudorCharles WorrilowCollette M WyteLeslie Zun
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