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(OIME) FF - Post Graduate Medical Education University of Toronto

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Integrated <strong>Medical</strong> <strong>Education</strong><br />

requires:<br />

• Integration <strong>of</strong> the various stakeholders – hospitals (full and community<br />

affiliates), PGME and UGME, clinical departments, <strong>of</strong>fice-based teaching<br />

sites into the mission <strong>of</strong> the Faculty <strong>of</strong> Medicine<br />

• Mechanisms to ensure inclusive, collaborative and efficient partnerships<br />

with all stakeholders<br />

• New pedagogical methods, educational technologies and business models<br />

Integrated <strong>Medical</strong> <strong>Education</strong><br />

principles:<br />

• Teaching and learning by medical students and trainees will include a broad<br />

spectrum <strong>of</strong> experiences<br />

• Equally recognize the strengths <strong>of</strong> the teaching and learning culture within each<br />

site<br />

• Requires a pan-departmental approach to the development and implementation<br />

<strong>of</strong> the curriculum<br />

• Adopt a learner-centred approach that truly values the education <strong>of</strong> all learners<br />

across the continuum <strong>of</strong> medical education<br />

INTEGRATED MEDICAL EDUCATION<br />

at the <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Integrated <strong>Medical</strong> <strong>Education</strong> (IME) is a project <strong>of</strong> transformational<br />

change in the way our learners, full and community affiliated hospitals,<br />

faculty members and staff think and engage in the delivery <strong>of</strong> medical<br />

education at the <strong>University</strong> <strong>of</strong> <strong>Toronto</strong> (U <strong>of</strong> T). Successful outcomes <strong>of</strong><br />

IME will be the excellent performance <strong>of</strong> learners and teachers in the<br />

short-term and improved quality <strong>of</strong> care in community-affiliated hospital<br />

sites in the long-term. Another important outcome will be the advancement<br />

<strong>of</strong> academic leadership in the community sites recognized by the Faculty<br />

<strong>of</strong> Medicine and U <strong>of</strong> T clinical depart ments as integral to their <strong>University</strong><br />

missions and visions.<br />

www.oime.utoronto.ca<br />

INTEGRATION • INNOVATION • IMPACT


Fast facts about IME<br />

<br />

BACKGROUND: 2009 REVIEW OF iME PROGRAMS<br />

U <strong>of</strong> T encouraged to adopt the following principles:<br />

• Equity and transparency across<br />

institutions, programs and<br />

departments<br />

• True partnership<br />

• Collaborative, innovative models<br />

that engage all parties in strategy,<br />

planning and implementation<br />

• Placement <strong>of</strong> students to best<br />

meet their pedagogical needs<br />

across the continuum <strong>of</strong> education<br />

<br />

NEW FACULTY SUPPORT:<br />

T-IME PRECEPTOR PAYMENT SYSTEM<br />

• The T-IME system tracks teaching activity in community hospital/<strong>of</strong>fice sites by<br />

rotation, learner (undergraduate and postgraduate), preceptor and department<br />

• Produces reports for compliance monitoring for the accountability framework<br />

and for the development <strong>of</strong> KPI<br />

• Allows for the triangulation <strong>of</strong> teaching activity with evaluations and payments<br />

• Conforms to the Ministry’s audit and reporting requirements<br />

<br />

the Learner Experience<br />

T-IME Learner Experience Working Group<br />

• Will seek to streamline the registration and<br />

orientation process for our learners<br />

• E-learning module on privacy launched<br />

T-IME Policies and Procedures and Learner<br />

Experience Working Groups<br />

• Reviewed 136 learner-related policies. Recommendations included:<br />

> Centralized repository <strong>of</strong> policies, with policies grouped under<br />

designated categories<br />

<br />

<strong>Toronto</strong> model <strong>of</strong> Integrated MEdical education<br />

PROJECT (T-ime)<br />

• A forum for networking and building working relationships between the Faculty<br />

<strong>of</strong> Medicine and its many medical education stakeholders<br />

• Working groups identified opportunities for linkages across groups to realize<br />

efficiencies and achieve integration across initiatives and synergies in portfolio<br />

operations/core business<br />

<br />

LEARNER ROTATION IN COMMUNITY<br />

SITES 2011-2012<br />

Office <strong>of</strong> Integrated <strong>Medical</strong><br />

<strong>Education</strong> (<strong>OIME</strong>) processed<br />

TEGH 18%<br />

payments for almost 107,000<br />

learner days in the community<br />

sites<br />

Trillium 7%<br />

Comm Med<br />

1%<br />

10% Credit Valley<br />

9% Doctor's Offices<br />

1% Hincks<br />

1% HRRH<br />

1% Markham<br />

<br />

<strong>Education</strong>al Technologies and Connectivity<br />

• New position created in IME:<br />

> Academic Lead for <strong>Education</strong>al Technology and Faculty Development<br />

• 2012 <strong>OIME</strong> Summit: ei3: e-Learning Innovation, Integration, and Impact<br />

• T-IME Connectivity Working Group tasked to support distributed educational<br />

technology and recommend a strategy for integration across Faculty <strong>of</strong><br />

Medicine and affiliated partners<br />

• A platform for major traction on key performance indicators in medical<br />

education and the identification <strong>of</strong> priorities for future investment and strategy<br />

Clerk days = 20,163<br />

Resident days = 86,833<br />

St. Joseph's 17%<br />

20% NYGH<br />

<br />

COMMUNITY A<strong>FF</strong>ILIATES<br />

Letters <strong>of</strong> Agreement on<br />

community preceptor payments:<br />

• 27 community-affiliated hospitals,<br />

• 5 public health agencies<br />

• Over 150 distinct <strong>of</strong>fice-based<br />

teaching sites<br />

• Covering a distance <strong>of</strong> 11,628<br />

square kilometres.<br />

<br />

Faculty Appointments, Development and Recognition<br />

• 120% growth in community-based academic appointments in 2 years<br />

• 2,075 appointments as <strong>of</strong> February 2013<br />

Southlake 1%<br />

Scarborough 6%<br />

• 414% growth at the Mississauga Academy <strong>of</strong> Medicine<br />

1%<br />

Barrie<br />

3% Public Health<br />

• New toolkit and orientation program for new and existing faculty<br />

• Three new awards for teaching excellence in the community hospitals<br />

• CEPD & FD programs: Integration – U <strong>of</strong> T clinical departments and hospitals<br />

<br />

Communications Programs and Scholarship<br />

• Think Tank on IME, September 2011: 90+ participants<br />

• IME Summit on <strong>Education</strong>al Technologies 2012: 130+ participants<br />

• <strong>OIME</strong> Website: www.oime.utoronto.ca<br />

• <strong>OIME</strong> Newsletter<br />

• <strong>OIME</strong> List Serve with over 1,900 participants<br />

• Annual Report 2011-2012<br />

www.oime.utoronto.ca<br />

INTEGRATION • INNOVATION • IMPACT

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