Most folks would agree that the goal of education is to prepare
students to successfully navigate the world after they have left school. An
ever-present conundrum, though, is that no one knows exactly what that world
will look like. This is especially true today, when the world, and the skill
set one needs to be successful in it, is changing faster and faster. How many
of today's computer science majors took computer skills classes in elementary
school? Most educators could never have predicted that learning to code would
put students on the fast track to success in a field that will never, it seems,
stop expanding.
To prepare their students to be more effective physicians in
an uncertain future, some medical schools are veering away from tradition with
experimental learning models. Most medical schools still follow a model
developed in the early 1900s by Abraham Flexner, a prominent educator of the
time. His "two plus two" system, still prevalent in most medical
schools in the United States today, dictated that students spend two years in
the classroom learning basic science and memorizing facts, then two more years in hospitals using their
new knowledge in a practical setting.
Critics argue that the two plus two system no longer works.
For one thing, the number of facts students must learn is growing
exponentially; according to
Dr. John Henning Schumann, Chair of Internal Medicine at the University of Oklahoma – Tulsa, the entire
body of medical knowledge
doubles
every three to four years. And facts that first- and second-year medical
students fought to memorize during countless caffeine-fueled study sessions may
be outdated and obsolete by the time they're working with patients a few years
down the road.
Additionally, ties between public health policy and medical
practice are growing more and more numerous. Medical students who learn to
practice their craft only within the four walls of a clinic, some believe, are
missing a huge part of the equation. Social determinants (lifestyle, housing,
nutrition, etc.) play an enormous role in helping to diagnose and treat a
patient. Proponents of the new medical educational model argue that medical
students must learn about the health care system and all of its resources to be
effective, and these lessons are missing from Flexner's model.
The University of Michigan and the University of California,San Francisco are two schools experimenting with new models of medical education. One big difference is the emphasis placed
on collaboration. Students work together often, since the schools' administrations
are betting that teamwork will be more and more important in the future
practice of medicine. And instead of simply memorizing pages of information, instructors
teach students to locate current information, synthesize the facts of each case
with the latest research, and act on their conclusions to provide effective
care.
At the Yellin Center, where we have been working with medical students from New York University School of Medicine and other
medical training programs for years, we know that some of the most
successful doctors can pair their knowledge with problem-solving skills and
creative critical thinking. They collaborate readily with other medical
professionals and know how to communicate clearly with patients. We look
forward to learning about the kind of doctors these new educational models
produce!
Photo credit: Patrick via flickr cc