"The vision of transformation in medical education after the COVID-19 pandemic"
by Poh-Sun Goh
Keynote presentation for 23rd ICHPE 2022
Abstract
This presentation will invite participants to envision possibilities to transform medical education in the near future, seeing the ongoing COVID-19 pandemic as a challenge, and opportunity. Our mental models, lenses and thinking frame our worldview, shaping our interpretation of what we see, and can imagine. Examining medical education with a historical lens, using an anthropological, sociological, biological frames of reference, combined with technology and network thinking, can assist us in thinking about blending the very best of human capabilities, with technology, to augment human intelligence, augmented HI or AI (augmented intelligence). Translating a vision of medical education into practice, and transforming medical education will also require examining (near) future practice models, including telemedicine; as well as capacity and capability building, for life-long learning and professional development, as well as building adaptive dynamic learning and practice networks, education and healthcare systems. We will conclude a journey through the past, present and envisioning possible futures; from a macro to micro perspective; ending with a discussion on practical steps which could be taken in the here and now, informed by implementation science, design thinking and action research, to improve and transform healthcare, through envisioning and implementing a transformation in medical education, by focusing on supporting and developing our faculty. Augmenting our human intelligence through training and faculty development, and informed innovative use of technology.
abstract drafted on 8 February 2022, @ 0158am, Singapore Time
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Presentation: There are 6 'sections' to my formal presentation - with the full transcript of each section, and illustrations which I will use in my presentation below - sections A) through F). The initial 5 sections A, B, C, D and E are a more expansive and 'informal' introduction, and series of opening general comments and illustrative thinking of the topic. Followed by a traditional SlideDeck in section F. There is additional material after this section on the final part of this blog for illustration, exploration, and self-study.
A)
Thank you to the organisers of the 23rd ICHPE 2022 for inviting me to participate, and give this keynote presentation, which is titled "The vision of transformation in medical education after the COVID-19 pandemic"
The full transcript of my presentation, the illustrations and slides, cited resources, and additional material for further reading and exploration is available on a customised blogpost for this session, available at https://medicaleducationelearning.blogspot.com/2022/02/the-vision-of-transformation-in-medical.html
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The one takeaway I would like to share, at the beginning of my presentation is this - That 'transformation' can and will occur when 'time is taken' (by all stakeholders), and 'human care, compassion and consciousness is connected, concentrated and amplified by technology and our networks of connection', through consistent, cumulative effort. To 'care enough, and about' health'care', education and training - involving all stakeholders in the healthcare system - the practitioners, administrators-managers-resource owners, and especially our patients - having their concerns and needs front and center of our decision making, and as the centralising point, center and anchor of our efforts to transform medical education, which is fit for purpose, to care for the health of our populations and patients. Poh-Sun Goh, 24 April 2022, 0351pm, Singapore Time
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"Transforming Medical Education to Transform Health'care' - a personal story with Three Chapters.
Poh-Sun Goh, 26 April 2022, 1009am, Singapore Time
I would like to start the presentation by sharing three personal events, in my life journey. To touch your hearts. Share a point of view, to see and Think about Medical Education and Health'care'. With the aim to Transfer what you feel, and think into action and practice.
I have been a son, to my mother, with stage 4 breast cancer, whilst undergoing medical school and houseman training (age 15 to 23). I have been a cancer patient, being treated at the academic medical center where I work (as diagnostic and interventional radiologist) including experience of sitting next to my patient in the same waiting room area, waiting to see our oncologist [2 years after completing chemo-radiotherapy myself], a patient who I had inserted a porta-cath for breast cancer treatment (who happily recognised me, and fed back her experience of the procedure to me [painless], and her gratitude that the porta-cath was still functioning well 2 years after placement (age 43). And recently as patient for very delicate skull base endoscopic surgery to drain mucocoele where I had to return to the operating theatre during same day from recovery room back to operating theatre, thankfully with successful final outcome (age 57), in the same institution where I have been working for the last 33 years, with colleagues and former students and clinicians I have personally mentored clinically, and in health professions education whilst they undertook their Masters training (MHPE), including the two most senior anaesthetists on duty that day. I will share in general anonymised vignettes my observations and reflections of patients and families in similar situations to my mother, and myself over the last 30 years, as compare and contrast brief exercise around these three personal events. Reflecting on medical education, delivery of, and experience of, health'care', in four continents, over four decades (the 80's, 90's and 20's).
I hope starting with this intimate, personal take of health, illness, healthcare, and insight from the viewpoint of relative, student, practitioner, teacher, patient, educator, scholar, patient again, and now, fortunately speaking to you will resonate with your own experience (in the audience), and touch you heart, so that the next section of my presentation of ideas, thinking and approaches will start further conversations and discussions, for us to continue to collectively to act, and to transform medical education. To transform healthcare.
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Let me start by examining 5 core ideas (on slide below) - Future Forecasting - Human Technology Network Blends - Augmented Human Intelligence (AI)
"Let's engage in a thought experiment [leaving aside for discussion later during the session a wide range of technical and social implementation, tradeoff, societal and personal acceptance, privacy, protection and governance issues]. Imagine a (near) future, with patients, empowered and assisted by wearable(s) and ambient (environmental) digital 'intelligent' monitors - continually and unobtrusively keeping an 'eye' on blood pressure, pulse rate, respiratory rate, blood oxygen, urine and bowel output, what is breathed out (air), including sputum and saliva, blood 'micro' sampling (invasive and non-invasive, including for sugar and electrolytes etc.; not to mention 'observing' our physical, mental and emotional 'performance' trends (within baseline thresholds, to progressively amplify and increase this through assisted training and educational efforts [to attain individual profesional and personal growth and development goals], and to trigger interventions when deterioration is observed for early intervention) combined with AI (artificial intelligence) locally and in the cloud, linked to a personal physician, personal educator/trainer/guide/coach and healthcare system. How will we train healthcare professionals to work 'with' patients, and in this (near) future, in partnership and collaboration?" - Poh-Sun Goh, 24 February 2022, 0828am, Singapore Time
"The vision of transformation in medical education after the COVID-19 pandemic" ➡ ➡ How will we train healthcare professionals to work 'with' patients, in this (near) future, in partnership and collaboration?" - Poh-Sun Goh, 2 March 2022, 0938am, Singapore Time
"What is the role of 'faculty development', 'digital literacy' for both healthcare professionals and patients, and an understanding and ownership of complementary roles and responsibilities as healthcare professionals working in partnership with patients; fully leveraging on ubiquitous and ambient technology, and AI to support and 'augment' human intelligence and insights?" - Poh-Sun Goh, 2 March 2022, 0945am, Singapore Time
1 + 1 + 1 = 5 or more ; HP + P + T = HC ✔ ; (healthcare professional[s] + patient + technology = (near future) healthcare (model outcomes ✔) ; T or technology = Tools, Platforms, Networks and Systems - Poh-Sun Goh, 2 March 2022, 0951am, Singapore Time
Further reading:
Goh, PS. (2021) The vision of transformation in medical education after the COVID-19 pandemic'. Korean J Med Educ. 33 (3):171-174. https://doi.org/10.3946/kjme.2021.197
Goh, PS. (2020) Medical Educator Roles of the Future. Med.Sci.Educ. 30:5–7. https://doi.org/10.1007/s40670-020-01086-w
Goh, PS, Sandars, J. (2020) 'A vision of the use of technology in medical education after the COVID-19 pandemic', MedEdPublish, 9, [1], 49, https://doi.org/10.15694/mep.2020.000049.1
Goh, PS. (2016). Technology enhanced learning in Medical Education: What’s new, what’s useful, and some important considerations. MedEdPublish 2016, 5:102. https://doi.org/10.15694/mep.2016.000102
Goh, PS. (2016) eLearning or technology enhanced learning in medical education—Hope, not hype, Medical Teacher, 38:9, 957-958, https://doi.org/10.3109/0142159X.2016.1147538
Goh P. S. (2016). Using a blog as an integrated eLearning tool and platform. Medical teacher, 38(6), 628–629. https://doi.org/10.3109/0142159X.2015.1105947
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“The future is already here. It’s just not evenly distributed.” - William Gibson
https://quoteinvestigator.com/2012/01/24/future-has-arrived/
“In this future world of dramatically amplified digital connectivity, anything that can be distributed will be distributed.” - IFTF Distinguished Fellow Bob Johansen
IFTF = Institute for the Future (in California’s Silicon Valley)
https://www.iftf.org/what-we-do/who-we-are/
“In this digitally transforming world, within the professional spaces we operate in, digital literacy, and digital productivity, creativity, and innovation ‘will’ be the defining and distinguishing characteristics for each and everyone of us in our personal and professional lives; as well as for groups and institutions. Open digital practice and Micro-Scholarship are paths to thrive in this future.” -Poh-Sun Goh, 21 February 2022, 0510am, Singapore time
“See (one), Do (one), Teach (one) applied to learning curves navigating transitions during disruption = See (disruption), Do (self reflection exercises, apply model), Teach (progressively engage in iterative demonstrations through Micro-Scholarship of deepening and broader insights into both theory and practice, through Micro-Assets, publicly shared within community of practice CoP). Note, Teach also = Assess, or ‘Assess to learn’, ‘engage in Micro-Scholarship to learn’ and ‘to demonstrate learning.” Poh-Sun Goh, 20 February 2022, 1017am, Singapore time.
“Micro-learning involves micro-activities (micro-encounters, micro-exploration, micro-reflection, micro-conversations), recording down, capturing micro-assets and notes progressively, regularly and cumulatively. Engaging in Micro-Scholarship - the process and output.” Poh-Sun Goh, 20 February 2022, 0758am, Singapore time.
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NUS Medicine: Educating Healthcare Professionals of Tomorrow (NUS Medicine, YouTube)
0:16 / 1:17 Lifelong Learning in Healthcare | Head, CenMED, Dr Dujeepa Samarasekera (NUS Medicine, YouTube)
https://medicine.nus.edu.sg/cenmed/
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