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Health Systems Science: The Evolving Identity of Academic Health Centers - Shared screen with speaker view
Erik Black
27:57
lifelong learning
Mariam Rahmani
28:11
knowing where/how to find information
Kay Tew
28:12
Knowing where to look for answers you don't know
Erik Black
28:19
advocacy
Carol Diachun
28:22
Leadership skills, communication skills, lifelong learning, health care policy/advocacy
Lisa Greene
28:29
working in interdisciplinary teams
Regina Bussing
28:34
understanding of social determinants of health
Trung Ho, MS1 (he/him)
28:52
Not losing sight of the forest for the trees
Elisa Zenni
29:07
Understanding of population based medicine, skills to promote well-being
ryan Nall
29:17
leadership, team work
Heather Harrell
29:20
adapting to change quickly
robert hatch
29:22
understanding the practical logistics that patients face in getting needed care/meds
Carol Diachun
29:28
I feel social determinants of health are really linked to advocacy. These are societal issues
Erik Black
30:04
big
Mariam Rahmani
30:05
collaboration
Colleen Kalynych
30:05
Complicated
Ross Jones
30:05
connection
robert hatch
30:08
YAY!
Elisa Zenni
30:08
Information technology
Grant Harrell
30:09
practicality
Carol Diachun
30:09
challenging
Regina Bussing
30:09
equity
Trung Ho, MS1 (he/him)
30:15
coursework
Lisa Greene
30:17
bureaucracy
Chloe LaRochelle
30:27
networks
Carolyn Holland
30:44
complicated
Velyn Wu
31:22
an external word used to define what we subconsciously do
Kendra Hairston
45:06
So is health system science synonymous with “quality improvement” ? In terms of the STEEEP model and PDSA topics
Shyam Sabat
46:27
Quality is just a part of HSS
Carol Diachun
51:34
Empathy
Kendra Hairston
51:36
Advocacy
Velyn Wu
51:38
malleability
Carol Diachun
51:41
Advocacy
Erik Black
51:42
curiosity
ryan Nall
51:44
collaborative
Regina Bussing
51:46
humble
Lisa Greene
51:47
Ethics
Kathy Green
51:49
problem-solver
Mariam Rahmani
51:51
humility
Trung Ho, MS1 (he/him)
51:51
Intro/Retrospection
Chloe LaRochelle
51:54
creative
Heather Harrell
51:56
social rsponsibility
Donna Parker
52:04
cultural humilty
Grant Harrell
01:00:41
As a part of our HSS framework at UF we are specifically wanting to engage our students in the work of local policy advocacy and development including being actively engaged in the spaces where policy is discussed and made
Heather Harrell
01:02:24
UF HSS framework also aspires to teach these concepts through direct involvement with patients
Erik Black
01:04:33
to H Harrell's comment, this community/patient engaged approach is critical to building sustainable impact and self-transformation.
Carol Diachun
01:04:42
Asset
ryan Nall
01:04:42
huge asset
Regina Bussing
01:04:47
Asset
Lisa Greene
01:04:48
asset
Erik Black
01:04:50
Asset...but unrealized.
Kathy Green
01:04:50
asset
Elisa Zenni
01:04:51
Asset
Melanie Hagen
01:05:00
underused asset
Trung Ho, MS1 (he/him)
01:05:01
little of column a, hopefully not column b
Grant Harrell
01:05:35
If you ask our county health dept if students have been an asset during the pandemic, they will answer "Yes!!!"
Linda Edwards
01:05:42
definitely an asset
Donna Parker
01:07:08
Students need to be empowered by the health care team. The hierarchy poses a barrier
Kendra Hairston
01:07:22
This my biggest fear, is slowing people down with my learning
Kendra Hairston
01:07:30
That is**
Trung Ho, MS1 (he/him)
01:07:35
^^this 100%
Donna Parker
01:08:10
Kendra, you and your fellow students have earned your opportunity to learn. We all have been learners
Kendra Hairston
01:08:46
Thank you Dr. Parker!
Donna Parker
01:09:12
You're welcome!
Carol Diachun
01:09:29
Students keep the whole health care team up to date in their care
Heather Harrell
01:09:49
I have to break away and will try to rejoin as I walk but I strongly believe medical students can add value to care particularly in the area of HSS and we are exploring ways to test this hypothesis. I have seen students make big differences in patient care in my own practice as well as hearing many examples form others (time to move this beyond anecdote) kendra--you are an asset!
Lisa Greene
01:11:07
Most faculty chose to work here because they want to teach! They can't do that without students, and faculty don't resent time spent teaching a grateful learner! :)
Jed Gonzalo
01:13:18
In our work, we generally see these competencies in clerkships: (1) history construction, (2) note writing, (3) case presentation, (4) medical knowledge/shelf exams.
Carol Diachun
01:14:34
Are you using Situational Judgement Testing in admissions to med school to identify these skills upfront?
Erik Black
01:15:43
Carol, SJT's can have predictive validity, but typically <.25. Which is pretty good in the social sciences, but won't be a crystal ball.
Erik Black
01:16:34
I am not particularly comfortable with summative SJTs. I feel like the sweet spot is formative assessment and identification of individuals who need extra assistance.
Carol Diachun
01:17:17
I know Canadian med schools do use this
Renata Dolbier
01:18:06
Evaluation link https://ufl.qualtrics.com/jfe/form/SV_cUxFFLsBqqBRbee
Renata Dolbier
01:19:03
Medical Education Week webpage https://education.med.ufl.edu/faculty-development/the-society-of-teaching-scholars/medical-education-week/
Renata Dolbier
01:20:16
Please take a few minutes to fill out the evaluation. The recording of this session will be posted next week on the Medical Education webpage.
Regina Bussing
01:20:22
thankyou!
Carol Diachun
01:20:31
Amazing talk
Jed Gonzalo
01:20:53
So appreciative of everyone's comments and thoughts. Thank you!!!
Trung Ho, MS1 (he/him)
01:20:58
Thank you all so much!!
Ami DeWaters
01:21:11
Thank you everyone!
Linda Edwards
01:21:34
Wonderful presentation and discussion. Thank you.
Carol Diachun
01:23:10
Do students who had a prior background in health care or prior real jobs have a different perspective?
Erik Black
01:23:56
It takes a couple years for the stuff your doing to stick.
Carol Diachun
01:24:50
Faculty don't get it, so the culture isn't there yet
Grant Harrell
01:25:55
HSS isn't a topic that one can master in a semester and get 95% on a test so many students will always struggle with that
Shyam Sabat
01:26:23
Is the COM funding this effort entirely or is also grants. If latter also, what percentage.
Shyam Sabat
01:27:09
The above question is for Jed
Velyn Wu
01:28:07
two questions: 1) impact on medical knowledge and doctoring skills of students and 2) advocating for salary to do this as it does take time away form RVU
Carol Diachun
01:29:57
Theoretically it should improve quality outcomes, yes?
Erik Black
01:30:03
external dollars may hinder the institutions ability to align the intervention with institutional priorities.
Donna Parker
01:32:35
Thank you!
Donna Parker
01:32:49
I agree wholeheartedly!
Grant Harrell
01:33:35
We are also now understanding that the "medical science" is strongly influenced by the social circumstances so not as useful to think of them as separate entities
Carol Diachun
01:33:53
I totally agree! Remediating professionalism is so hard and often not successful.
Ami DeWaters
01:36:29
I'm so sorry I have to go and meet with students. Wonderful discussion and thank you for the invite!!
Carol Diachun
01:37:12
Thank you Dr. DeWaters. Fantastic discussions
Carol Diachun
01:38:38
How do you approach the monetary justification for the teaching time to your CFO?
Grant Harrell
01:38:51
we are working right now on developing a study to see how our student run clinic interventions may be impacting patient care
Grant Harrell
01:39:25
I hate to leave this discussion but I have to get back to clinic. Thanks everyone!
ryan Nall
01:45:12
Thanks all! This was great.
Carol Diachun
01:45:15
You do need IT support
Erik Black
01:46:59
It also draws from collaborations outside of Medicine, your liberal arts colleagues in State College for example.
Kendra Hairston
01:48:22
Thank you all so much !
Erik Black
01:50:38
Not to contradict Jed, this paper is pretty good: https://www.bmj.com/content/363/bmj.k4764.short
Erik Black
01:51:22
It's an FCR intervention, but if you read closely, you'll see that collaborative team-based care is also an important variable.
Carol Diachun
01:55:08
I really appreciated this session. Fantastic