usyd bandler dec 09. from cdams to classroom dr lilon bandler senior lecturer; indigenous health...
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USyd Bandler Dec 09
USyd Bandler Dec 09
From CDAMS to classroomFrom CDAMS to classroom
Dr Lilon BandlerDr Lilon BandlerSenior Lecturer; Indigenous Health Education UnitSenior Lecturer; Indigenous Health Education UnitSydney Medical SchoolSydney Medical School
USyd Bandler Dec 09
CDAMSCDAMS
HistoryHistory
… … in the hope that we may have a lasting in the hope that we may have a lasting positive impact on the health of the First positive impact on the health of the First Australians … and by extension, the well-being Australians … and by extension, the well-being of the nation. of the nation.
USyd Bandler Dec 09
Australian Medical Australian Medical CouncilCouncilnational standards national standards
body for medical body for medical education and education and trainingtraining
assesses medical assesses medical school coursesschool courses
Set standardsSet standards knowledge, skills knowledge, skills
and professional and professional attributes expected attributes expected on graduationon graduation
How education and How education and training should be training should be providedprovided
USyd Bandler Dec 09
2007, AMC accreditation standards2007, AMC accreditation standardsexplicit focus on Indigenous healthexplicit focus on Indigenous health
Indigenous health as a curriculum topicIndigenous health as a curriculum topic students’ experience in providing students’ experience in providing
health care to Indigenous peoplehealth care to Indigenous people processes, settings and resourcesprocesses, settings and resources
Australian Aboriginal & Torres Strait Australian Aboriginal & Torres Strait Islander, New Zealand Maori studentsIslander, New Zealand Maori students Admission Admission RecruitmentRecruitment SupportSupport
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CDAMS Indigenous CDAMS Indigenous Health Curriculum Health Curriculum
FrameworkFramework Guiding principlesGuiding principles
Suggested subject areas; Key student Suggested subject areas; Key student attributes & outcomesattributes & outcomes
Pedagogical principles and approachPedagogical principles and approach
Delivery and assessmentDelivery and assessment
Suggested process for curriculum Suggested process for curriculum developmentdevelopment
Resources, capacity and workforce Resources, capacity and workforce development issuesdevelopment issues
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Faculty of MedicineFaculty of Medicine Sydney Medical SchoolSydney Medical School
1868 assassination 1868 assassination attemptattempt
March 1883March 1883 four studentsfour students four-roomed cottagefour-roomed cottage
20092009 380 first year medical & 380 first year medical &
dentistry studentsdentistry students
University of University of SydneySydney
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Sydney Medical SchoolSydney Medical School
Graduate entryGraduate entryGPAGPAGAMSATGAMSATMultiple mini Multiple mini
interviewsinterviews
Four yearFour year
PBL modelPBL model
USyd Bandler Dec 09
Senior lecturerSenior lecturerin Indigenous health in Indigenous health
educationeducation July 2006 … toJuly 2006 … to
Increase numbers & support existing Increase numbers & support existing Indigenous medical studentsIndigenous medical students
Community … clinical placementsCommunity … clinical placements
Review and develop Review and develop teaching & learning teaching & learning resources in Indigenous resources in Indigenous healthhealth
USyd Bandler Dec 09
USyd Bandler Dec 09
ImplementatioImplementation of CDAMSn of CDAMS
Translation – localityTranslation – locality
Pre-existingPre-existingCourse structure … Course structure …
processprocessContentContent
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Curriculum reviewCurriculum review
TimelyTimely
Re-configuringRe-configuringPBLPBL
ComplexComplex LinkedLinked Indigenous healthIndigenous health
USyd Bandler Dec 09
Sydney Medical Sydney Medical ProgramProgram
Learning objectivesLearning objectivesCDAMSCDAMSSMPSMP
ScopeScope
No prior No prior awarenessawareness
CoreCore
SpecialiseSpecialise
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Process … Process … Stage 1 & 2Stage 1 & 2
2 yrs on campus2 yrs on campus
Face to faceFace to face
ResourcesResourcesWebWebSmall group learningSmall group learningFormal presentationsFormal presentationsPractical clinical Practical clinical
sessionssessionsOthers …Others …
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Process … PBLProcess … PBL Clinical problemClinical problem
Pivot – challenging, open endedPivot – challenging, open ended
CollaborativeCollaborative
ReflectiveReflective
ResponsibilityResponsibility
Development of skills Development of skills CommunicationCommunicationProblem-solvingProblem-solvingSelf-directed learningSelf-directed learning
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Stage 1 … contentStage 1 … content
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Mrs Mrs Newman Newman … …
Developed in response toDeveloped in response toPlace in Stage 1 … Place in Stage 1 …
Foundation BlockFoundation Block PBL processPBL process
Concerns from cliniciansConcerns from cliniciansChronic diseaseChronic disease
Cardiovascular disease Cardiovascular disease
USyd Bandler Dec 09
Mrs Newman … Mrs Newman … Mrs Joyce Newman presents to the Emergency Mrs Joyce Newman presents to the Emergency
Department with 4½ hours of discomfort in her Department with 4½ hours of discomfort in her chest. She thinks she has indigestion. However chest. She thinks she has indigestion. However the pain/discomfort is worsening, and now the pain/discomfort is worsening, and now radiates into her neck and jaw. This has prompted radiates into her neck and jaw. This has prompted her presentation.her presentation.
37 year old Aboriginal woman37 year old Aboriginal woman
Three childrenThree children
Triage level 4Triage level 4potentially seriouspotentially serious to be seen within 1 hourto be seen within 1 hour
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Associated materialAssociated material
Fixed didacticFixed didactic
PBL tutorialsPBL tutorials
USyd Bandler Dec 09
Associated T&L Associated T&L resourcesresources
PBL tutorialsPBL tutorialsTutor briefing Tutor briefing
sheetsheetTutor meetingTutor meetingComprehensive Comprehensive
medical historymedical historyFamily treeFamily treeTriageTriageMechanism Mechanism
diagramdiagram
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Associated T&L Associated T&L resourcesresources
USyd Bandler Dec 09
Associated T&L Associated T&L resourcesresources
USyd Bandler Dec 09
Associated T&L Associated T&L resourcesresources
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Subsequently …Subsequently …
Stage 2Stage 2Development of cultural trainingDevelopment of cultural training
Stage 3Stage 3Clinical rotationsClinical rotationsPNWPNWCommunityCommunityPsychological medicine; D&APsychological medicine; D&APaediatricsPaediatrics
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Stage 3 year Stage 3 year 44
community community rotationrotation
Discharge to the communityDischarge to the community Follow-upFollow-up Communication with AMS, AHWs, GPCommunication with AMS, AHWs, GP
Financial mattersFinancial matters
Access to healthcareAccess to healthcare
Health promotionHealth promotion
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Specialising … Specialising … opportunitiesopportunities
Stages I & 2Stages I & 2 Independent learning Independent learning
activitiesactivitiesCampusCampus
DubboDubbo Broken Hill UDRHBroken Hill UDRH Northern Rivers Northern Rivers
UDRHUDRHRural placementsRural placements
Stage 3Stage 3HonoursHonoursElectivesElectives
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AssessmentAssessment
DrivesDrives
EssaysEssays
SBAsSBAs
Student engagementStudent engagement
Student thinkingStudent thinking
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EvaluationEvaluation
Part of SMSPart of SMS
Routine EOY qqRoutine EOY qq
Clinical schoolClinical school
QuestionsQuestions
USyd Bandler Dec 09
EvaluationEvaluation understanding understanding
of the history, of the history, cultural cultural development development and health of and health of Indigenous Indigenous people of people of AustraliaAustralia
clinical clinical experienceexperience
USyd Bandler Dec 09
FeedbackFeedback
StudentsStudents
FacultyFacultyBlock reviewBlock review
Emphasis on Emphasis on mechanismmechanism
Not too hardNot too hard Review of Review of
group group dynamicsdynamics
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LEARNING OBJECTIVESLEARNING OBJECTIVES
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AlignmentAlignment Learning objectivesLearning objectives
T&L resourcesT&L resources
AssessmentAssessment
Extension Extension opportunitiesopportunities
Evaluation & reviewEvaluation & review
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Sydney Medical Sydney Medical ProgramProgram
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Bibliography … links … Bibliography … links …
Phillips G (2004) Phillips G (2004) Committee of Deans of Committee of Deans of Australian Medical Australian Medical Schools Indigenous Schools Indigenous Health Curriculum Health Curriculum FrameworkFramework http://www.limenetwork.net.au/content/curriculum-framework
Australian Indigenous Australian Indigenous HealthHealthInfoInfoNet: Net: www.healthinfonet.ecu.edu.au
USyd Bandler Dec 09