Dr. Rajesh Mangrulkar of University of Michigan, Ann Arbor, presented a concurrent session describing U of M Medical School’s work on transforming medical education to be more competency-based, reiterating that competency equals accountability.
Briefly describing the history of medical education, Dr. Mangrulkar notes that the current physician rewards system is destroying the clinical learning experience at the point of care, as it costs time and money for doctors to have medical students with them. The regulatory environment also changes the clinical learning experience, for example in limiting residents’ work hours. Changing technologies and student learning preferences are also changing the way medical education is presented.
Dr. Mangrulkar presented some examples of pilot projects that “tinker with” the processes of medical education and study the outcomes. The target is to develop the “Day one doctor”, who from the beginning of his or her career develops effective information management skills, is capable of complex problem solving drawing on the evidence, and pursues life-long self-regulated learning.