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DOCS members - see the Members' Area of our website for access to DOCS 2023 session content.

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Pre-Conference Activities:  Thursday, November 2nd

Location:  1900 Fifth Lounge at the Westin Seattle, WA

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DOCS Mentor / Mentee hour (6:30pm - 7:30pm) - For participants in DOCS mentoring program:  Join us for this mentoring event with your colleagues in DOCS.

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General DOCS Membership Happy Hour (7:30pm - 9:00pm):  Join us for this informal gathering to meet your colleagues in DOCS.

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DOCS 2023 Program Overview:  November 3rd (8am - 5pm)

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7:00am - 8:00am          On-site Registration

                                Breakfast / Networking / Mentor-Mentee Discussions

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8:00am - 8:15am         Welcome / Opening Remarks

Dr. Danielle Roussel, DOCS President

Dr. Adam Weinstein & Dr. Katharine Yamulla, DOCS Program Planning Committee Co-Chairs

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DOCS members can access materials from this session on the Members' only area of the website.

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8:15am - 9:00am        Keynote Plenary:  Addressing the Evolving Social-Emotional Needs of Our Students

Dr. Jennifer Potter, Professor of Medicine at Harvard Medical School, founding director of the Women's Health Center at Beth Israel Deaconess Medical Center, and Co-Chair of The Fenway Institute

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DOCS members can access materials from this session on the Members' only area of the website.

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9:00am - 9:15am         Break

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9:15am - 10:45am       Concurrent Workshops, Session A: 

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• CLINICAL SKILLS:  Collaboration with Bedside Medicine National Group on Teaching and Assessing the Physical Exam

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Session description: In the last few decades, the work of a physician has changed from spending a majority of the time at the patient’s bedside, getting a comprehensive history and doing a thorough physical exam to spending most of the time in front of a computer looking at the patient’s data.  Some of the consequences of this shift are a loss of bedside medicine skills, errors in physical examination, increased provider burn-out and patient dissatisfaction. One approach to getting learners and faculty back to the bedside is to assess physical examination skills and give feedback on these skills. Assessment and feedback drive learning and improving.  Many faculty do not feel comfortable teaching learners physical exam skills at the bedside.  Several factors such as lack of time, faculty discomfort with assessing and demonstrating physical examination skills and giving feedback all play a role.  In this workshop participants will review physical examination techniques for several common medical problems. Participants will use the 10 Minute Moment, a new assessment tool, to assess and give feedback on these skills. Participants will rotate between four different stations where they will witness a faculty member doing a problem focused physical exam and then have the opportunity to give feedback on the physical exam skills. The goal of the workshop is to help faculty get more comfortable assessing physical exam skills and giving feedback at the bedside.

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DOCS members can access materials from this session on the Members' only area of the website.

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• ASSESSMENT:  What’s the Best Clinical Reasoning Assessment for you? 

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Session description:  It is hard to assess clinical reasoning of a large cohort of learners multiple times a year and give them feedback! Barriers to success include time constraints, lack of faculty, and faculty expertise, as well as cost. Using the Evidence Centered Design approach, learners will critically analyze existing Clinical Reasoning Assessment tools and will be guided on selecting methods that maximize efficiency, faculty time, and overall happiness.

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Session objectives:  Giving you the skills to evaluate your own or someone else’s tool. We will do this through:

1) Define Evidence Centered Design (ECD) as a method for assessing educational tools.

2) Define the measurable to components of Clinical reasoning;

3) Evaluate existing Clinical Reasoning Assessment tools by applying the ECD approach;

4) Choose the method to optimize your money, faculty time and happiness!

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DOCS members can access materials from this session on the Members' only area of the website.

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• FACULTY DEVELOPMENT:  How to train our faculty to teach a diverse student population

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DOCS members can access materials from this session on the Members' only area of the website.

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10:50am - 11:20am    Table Topics / Working Groups / Committee Meetings

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Special Interest Groups:

- Clinical Reasoning—Jason Waechter

- Coaching—Delphine Taylor

- Core/Cluster PE—Deepu Gowda

 

Committees:

- Program Planning—Katie Yamulla and Adam Weinstein

- Membership and Mentorship—Scheira Schlair and Janice John

- Nominating—Lisa Auerbach

- Research—Joanne Hojsak

- Technology and Networking--TBD

- Interest Groups—Joel Appel

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11:20am - 12:40pm    Lunch / Business Meeting

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11:30am - 12:00pm:  Business meeting - Danielle Roussel & Deepu Gowda

12:05pm - 12:20pm:  NBME Update

12:25pm - 12:40pm:  AAMC Update

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DOCS members can access materials from this session on the Members' only area of the website.

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12:45pm - 2:15pm      Concurrent Workshops, Session B:

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• CLINICAL SKILLS:  Training, Utilizing and Maintaining a Quality Pool of Diverse Standardized Patients for Clinical Skills Programs

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Session description:  Since our world consists of a diverse population with varying healthcare needs, it is important that medical educations equip future healthcare professionals with the knowledge and skills necessary to provide culturally competent care.  The use of standardized patients (SPs) is one educational modality utilized to improve and assess a trainees cultural competence. Recruiting and retaining a diverse pool of SPs to portray patients can be a challenging but necessary task to ensure opportunities for students to interact with individuals from different backgrounds. In this workshop, we will guide participants in understanding the need for diversity within SP programs and employ active learning where participants will cover strategies for the recruitment, training and retention of a diverse SP pool.

 

Session objectives:

1. Describe the importance of diversity in clinical skill training and assessment. 

2. Discuss best practices in recruitment and hiring of SPs. 

3. Discuss SP recruitment strategies to enhance diversity. 

4. Describe common challenges in training and retaining a diverse SP pool.

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DOCS members can access materials from this session on the Members' only area of the website.

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• ASSESSMENT:  The Long and Winding Road: Are Our Clinical Skills Assessment Programs Leading Us to a Door?

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Session description:  Using the framework of Van der Vleuten’s programmatic assessment of clinical skills, we will discuss the elements required for evidence-based decisions throughout medical school. Participants will consider their own institution’s system for assessing clinical skills as they develop and the challenges many medical schools face in doing this work of preparing learners for residency and practice.  The workshop facilitators are all members of the CLASS Project of AAMC/GEA focusing on how clinical skills assessment can be designed and implemented to support evidence-based decisions.

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DOCS members can access materials from this session on the Members' only area of the website.

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• FACULTY DEVELOPMENT: Moving Beyond Tobacco, Alcohol, and Drugs: The State of CIS Education

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Session description:  In November 2020, a DOCS national survey on communication and interpersonal skills (CIS) education in the pre-clerkship phase of medical school was launched and distributed to all U.S. allopathic medical schools.  During the survey time, medical skills Course Directors navigated teaching CIS skills during the pandemic, and were challenged by the discontinuation of Step 2CS as a national assessment tool.  The DOCS community answered the survey, with a 70% response rate.  Information regarding CIS pedagogy, topics taught, assessment methods, course director satisfaction, and challenges was collected and analyzed.  This workshop will share survey findings and explore the breadth of CIS topics taught, the geographic variance in the teaching of particular topics, the topics assessed by fewer than one third of medical schools, the variation in assessment tools and standard setting, and the use of SPs in CIS assessments.   Within small groups participants will discuss questions arising from the data, report back on their discussions, and provide insight and solutions as to CIS pedagogy, topics, and assessment at their institutions. 

 

Session objectives:

1. Describe the findings of the DOCS CIS survey, including information on pedagogy, topics taught, and assessment methods.

2. Determine by discussion, what these findings mean for you as a clinical skills educator.

3. Share practices and solutions regarding current challenges in clinical skills education.

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DOCS members can access materials from this session on the Members' only area of the website.

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2:15pm - 3:15pm        Poster Session with Snack Break

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DOCS members can access materials from this session on the Members' only area of the website.

 

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3:15pm - 4:45pm       Concurrent Workshops, Session C:

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• CLINICAL SKILLS:  Designing a Four Year Longitudinal Clinical Reasoning Curriculum
  
  Session objectives:

1.  Describe the different components of the clinical reasoning process and critique the complexity around definitions of “Clinical Reasoning”.

2.  Explain the significance of introducing clinical reasoning skill set in preclerkship courses as a base for a higher level of reasoning in clerkships and sub-internships.

3.  Review the conventional and innovative learning and assessment methods that are used for the acquisition of clinical reasoning skills in undergraduate medical education.

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Workshop Pre-Reading:  Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912.  doi:10.1097/ACM.0000000000002618

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DOCS members can access materials from this session on the Members' only area of the website.

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• ASSESSMENT:  Do No Harm - Eliminating Bias from the Equation in Learner Assessments

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Session description:  In this interactive workshop, participants will examine the prevalence and types of bias in learner assessments including SP-cases design, assessment items and narrative and verbal evaluations. Participants will leave with best practices and concrete strategies to implement in their own programs to reduce bias in assessments. We will end by inviting a conversation regarding processes for reporting, monitoring, and responding to bias and never-events as they occur.

 

Session objectives:​

1.  Describe types of bias experienced by learners in simulated and clinical learning environments

2.  Develop an approach to building assessment tools (SP cases, checklist items) to reduce bias and enhance equity

3.  Describe steps to reduce bias in narrative and verbal evaluations and feedback

4.  Share processes for reporting bias that facilitate program response and improvement

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DOCS members can access materials from this session on the Members' only area of the website.

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• FACULTY DEVELOPMENT:  Be Well!  Coach!  Fostering Well-being, Leveraging Strengths, and Building Resiliency

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Session description:  During this interactive workshop, participants will take part in think-pair-share conversations that explore various wellness considerations, challenges and frameworks as a means to enhancing coaching conversations and strengthening communication between student and teacher. Breakout exercises will include structured role plays regarding motivational interviewing, improving active listening skills, and appreciating how various communication styles and strengthen and hinder productive conversations.

 

Session objectives:

1. Recognize the many factors that have an impact on wellbeing in student clinical skills learning.

2. Identify challenges that faculty may face in addressing wellbeing in clinical skills curricula and teaching, and opportunities to address these challenges.

3. Discuss and practice coaching conversations that encourage student engagement and promote a strengths-based, growth-anchored perspective that sustains resiliency.

4. Examine the role of active listening in understanding a student’s perspective and strengthening the relationship between student and educator.

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DOCS members can access materials from this session on the Members' only area of the website.

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Online Webinars & Showcases:

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May 5th, 2023, 12pm Eastern​

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Zoom-side Chat:  Student Professional Identity Formation and “Physicianship"  

 

Presenter:  Wendy Madigosky, MD, MSPH, FAAFP, Associate Clinical Professor, Department of Family Medicine, University of Colorado School of Medicine

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Session overview:  In this session, Dr. Madigosky, who has overseen student professionalism committees since 2006, will explore the significant shift in the types and extent of professionalism challenges that have arisen with our student populations and help us consider what types of additional resources and support might be needed at our institutions.

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Session recording

Session slides

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September 8th, 2023, 12pm - 1:15pm Eastern​

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Zoom-side Chat:  "Great Minds Think Alike - Exploring Partner Organizations of Association of Standardized Patient Educators (ASPE) and The Society for Simulation in Healthcare (SSH)"  

 

ASPE Guest Speaker:  Shawn Galin, PhD, 2023 ASPE President

Discussion Points:

1.  Importance of establishing a working collaboration between directors of clinical skill courses and SP Center staff. This ensures adherence to best practices in case development, creating assessment instruments, and event design, etc.

2.  Understanding the importance of the Association of SP Educators published Standards of Best Practice (SOBPs) when integrating SP methodology within a curriculum.

3.  Scholarly opportunities when working with SP-based clinical skill curricula. Highlight curricular innovations and advancements when using SPs (publications, presentations at DOCS and ASPE conferences).

 

ASPE Website:  https://www.aspeducators.org/

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SSH Guest Speakers:  Jayne Smitten, PhD, MEd, CHSE-A, FSSH, 2023 President, and Haru Okuda MD, FACEP, FSSH, 2023 Immediate Past President

Discussion Points:

1.  Weaving innovations (emerging technologies; extended/mixed/virtual reality; artificial intelligence) that continue to ‘disrupt’ but with potential to facilitate our clinical skill teaching and learning;

2.  Emphasizing Credentialing and Accreditation Standards of Best Practice for our continued efforts towards quality, safe clinical practice and ultimately improved patient outcomes; (Inclusion of INACSL Standards of Best Practice and ASPE Standards of Best Practice (SOBPs) with the integration of SP methodology); 

3.  Establishing clinical simulation funding momentum (i.e.: SSH Development Fund) to further research, innovation and scholarship dedicated towards healthcare simulation change and growth (potential collaborative impact for DOCS, SSH, etc.- affecting change in all diverse areas of clinical simulation!).

 

SSH Website:  https://ssih.org

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Session recording

Session talking points & bios

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