Download - Karolinska Prize Week 2010
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Getting the Call from
Stockholm: My Karolinska
Institutet Experience
David M. Irby, PhD
Stockholm, SwedenOctober 30 November 5, 2010
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Preview
The KI Prize, Award Winners and
Nominations
Schedule of week Talks and Ceremonies
Reflections
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Award Winners
The Prize is awarded every other year
2004 Hank Schmidt (first recipient)
2006 Ron Harden
2008 Geoff Norman
2010 David Irby and Richard Reznick
The prize is made possible through
financial support from the GunnarHglund and Anna-Stina Malmborg
Foundation.
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Nominations
It took four nominations (8 years)
Focused on my research on clinical teaching and
development of teacher rating forms
KI selection committee
Reviews nominations
Reads research of nominees
Consults with medical educators internationally Evaluates quantitative impact of work
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Notification
Called at home in April 2010
Announcement embargoed until AMEE
Conference in Glasgow in September2010 following my talk
Asked to give two talks
Prize award talk on my scholarly work
Talk on lifelong learning for KI Symposium
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Schedule in Stockholm
Saturday - arrive, sight seeing
Sunday sight seeing
Monday press interview, sight seeing
Tuesday press interviews, awards Talk
in Nobel Forum and Awards dinner
Wednesday - Awards Ceremony
Thursday - Symposium on lifelonglearning
Friday - flew to AAMC
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The Grand Hotel - Stockholm
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Roof view from Palace Hotel
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The Palace across from the hotel
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Interview with the Press
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Award Presentation on Tuesday
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Rethinking Clinical
Teaching
from the Ground Up
David M. Irby, PhD
Karolinska Institutet
November 2, 2010
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Acknowledgements/Appreciations
Karolinska Institutet
Professors Gunnar Hoglund and Anna-
Stina Malmborg
My colleagues, especially at UW & UCSF
My family
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My Research on Clinical Teaching
Theories of Learning Research Questions
Behavioral 1970- What do effective clinical teachers do?
How can teaching be measured and
improved?
Cognitive 1990- How do clinical teachers reason?
What do clinical teachers know?
What are best teaching practices?
Sociocultural 2000- How do learners participate in work?
What are the social, cultural and
organizational dimensions of participation?
Wilkerson & Irby. Acad Med. 1998
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Awards Ceremony on Wednesday
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Awards Presented by KI President
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Award Shared with Dr. Richard
Reznick, Surgeon from Canada
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Reception with Dr. Reznick and
Dr. Ponzer, KI Dean
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Reception: Keara, Leah, Dave,
Janet Irby
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Partying Late into the Night
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Symposium on Lifelong Learning
Morning presentations on lifelong
learning
Dr. Hank Schmidt on learning
Dr. Richard Reznick on simulations
Dr. David Irby on clinical learning
Dr. Geoff Norman on clinical reasoning
Afternoon Workshops on each topic Evening reception and dinner
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Lifelong Learning inClinical Settings
David M. Irby, PhD
Karolinska Institutet
November 4, 2010
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Preview
What are ourassumptions aboutlifelong learning?
How can wereconceptualize it inclinical settings?
How can we foster it?
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Model of the Self-regulating
Professional
Physician
Reflect on performance to
identify gaps
Self-assess weaknesses
Redress weaknesses
through learning
Incorporate newknowledge into practice
Regehr, Mylopoulos. J Cont Ed Health Prof. 2008
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Model Unsupported in Literature
Ignore or discount feedback that
challenges positive self-concept
Over estimate their abilities
Gravitate toward learning areas of
strength not weakness
Learning of new knowledge rarely
translates into changes in practice
Regehr, Mylopoulos. J Cont Ed Health Prof. 2008
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Question
If model doesnt work,
why arent more
physicians incompetent
and out-of-date?
They must be learning
but how?
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Model of Lifelong Learning in
Clinical Settings
Individual
Community
Of Practice
Organization
/Systems
Self-reflection
Self-assessment
Selfregulation
Self-directed learning
Engagement and motivation
Relationships &
communication
Participation
Affordances & resourcesStandards & structure
Culture & values
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Dinner Thursday: Dr. Schmidt
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Dinner at Swedish Medical Society
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Flying Home on Cloud Nine
Geoff Norman: It is so much better than you can even imagine.
David Irby: It was a magical experience.