1998 Newsletter

Editor: Myrl Ray Stephen Manley, M.D.


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1998 ADMSEP Annual Meeting: Welcome

by Phillip S. Freeman, MD


The 24th Annual ADMSEP Meeting will take place from Thursday, June 18 - Saturday, June 20 at the Westin La Paloma Resort in Tucson, Arizona.

The Program will begin with a Leadership Institute for Educators in Psychiatry. The institute will be jointly sponsored by ADMSEP and by the American College of Psychiatrists. There will be no additional charge required to register for the Leadership Institute but registration for the ADMSEP Meeting is required in order to attend the Leadership Institute and registration for the Leadership Institute will be limited to the first fifty registrants.

The program for the Leadership Institute is described in the next column. In essence the goals are to improve the effectiveness of educators through a series of presentations and small group workshops addressed to organizational dynamics, adaptations to a changing health care environment and career development. This last area of career development will be the subject of a workshop available to all registrants at the ADMSEP meeting.

The ADMSEP Meeting proper continues with the traditional Welcome Dinner on Thursday night. The program will include plenaries and workshops addressing areas of general and pressing concern such as hospital mergers, the impact of managed care, the interface with primary care, curricular innovations and novel teaching approaches. One panel discussion will take on the controversial use of simulations and actors in clinical teaching; a second panel will consider the optimum stance of psychiatric faculty and house staff when they are called upon to evaluate or to provide mental health services for medical students at their own school.

There are two changes this year that present some possibility for confusion. The first, described above, is the addition of the Leadership Institute. This program has not been tried before and is an outgrowth of an initiative by the American College of Psychiatrists to offer leadership training to the various associations of educators in psychiatry. ADMSEP is the first group to take them up on their offer. The curriculum was planned by a working group of ADMSEP and ACP members. The registration has been limited to fifty in order to focus on small group instruction and to assess the level of membership interest in including such training this year and in the future.

The second change involves hotel rooms. As of this year, major hotels and resorts are holding clients - in this case, ADMSEP - responsible for the cost of unfilled rooms. As a result we have only held the exact number of rooms that ADMSEP registrants filled at last year's meeting. If we receive a larger number of registrants this year, the Westin assures us that they will help find rooms for anyone that they cannot accommodate at the resort but the important change is to be sure to register and reserve your hotel room as soon as possible.

Tucson beckons. Already the cyberspace contingent has posted longings for another white water adventure (available). Opportunities for hiking, horseback riding, tennis, golf, and laying back at poolside with friends promise to make this 24th Annual Meeting another experience of the shared interests and collegiality that represent ADMSEP. Think green fields, clay roofs and a mountain surround, saguaro cacti, desert breeze and sunshine. See you in Tucson.

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ADMSEP Online: What do we have and where can we go?

by Mark Reed


In the past year we have made two forays into the land of the internet. The first was our listserv that allows any AMDSEP member who has the use of email to have immediate access to the rest of the membership that is subscribed. Presently about 60 percent of the ADMSEP membership is subscribed to the listserv, this is up from less than 40 percent prior to last year's meeting. The listserv has been used for: asking questions of the membership, sharing educational initiatives, debating ideas, personal communications, and informing the membership of upcoming meetings and submission deadlines. As the percentage of ADMSEP members subscribed to the listserv gets closer to 100 percent then it would become an attractive (and free) vehicle for research and survey purposes. Tom Mackenzie recently came up with an idea for an ADMSEP Electronic Journal that would be put together by ADMSEP members and published twice a year. The journal could either have its own website or it could be distributed to members via the listserv and posted on our webpage.

Shortly after our meeting in Whistler last year, and with the support and suggestions of many ADMSEP members our webpage became our second step into cyberspace. It includes: a brief history and purpose of ADMSEP, a directory, information regarding National meetings, our Newsletter, and links to other sites having to do with medical education. The links are divided into four categories which consist of: Educational Organizations, Informational Resources, Members' Homepages, and Journals. The webpage is intended to make ADMSEP's resources more accessible to members, medical students, and those interested in undergraduate psychiatric education.

What we put on our webpage and its uses are probably limitless and will be guided by what provides the best service to those the webpage is intended for. One of the main differences between our listserv and our webpage is that our listserv is private and restricted to ADMSEP members whereas any information on the webpage is completely public and readily available to anyone with a computer and access to the internet.

Because of ADMSEP's interest in protecting the privacy of its members the nature of the Directory section of the webpage is being reconsidered so that it would include only contact people for ADMSEP who could then direct inquiries to other members when appropriate. Other changes that are in the works are following up on Amy Brodkey's idea of putting the recent article in Academic Psychiatry on Curricular Guidelines on our webpage. Carrie Sylvester was helpful in finding a few "humor" sites on the internet that we plan to link to so that people could download the cartoons for use in their presentations.

Other ideas might include: following up on Jon Polan's membership drive and making it possible to apply for membership from the website via a direct link to our treasurer, links to Department of Psychiatry websites, and advertising the ADMSEP Test Question Bank and providing a link to Ted Feldman who could provide them to the appropriate people. In thinking of what would make me want to visit our website I would be looking for information or material that would make my work easier. We could have ADMSEO members contribute to sections of our website devoted to: curricular design, evaluation and grading, problem based learning cases, faculty development and academic portfolio management, lectures on specific topics, a job bank for available positions in medical student education in psychiatry, etc. We would have a library of information that interested people could browse when thinking about a particular topic. As long as the information is on a disc, getting it on our website would be straightforward and not very time consuming.

Perhaps the most exciting prospect for our webpage is the developing technology of using video on the internet. Two years ago in Santa Fe, Pamela Martin presented her work on developing video cases on the internet which integrated both basic sciences and clinical medicine into the management of complicated cases. A database of video cases could be developed. We could also take advantage of "excellent teachers" and videotape them in the lecture hall, at the bedside, or with a small group and share them via the website. Opportunities could be developed where students would be expected to log on to the website to work through certain cases to insure that they have thought through and are familiar with the management of certain illnesses (the cases we choose might be modeled after the work Michael Weissberg and Emily McCort have done in requiring students to demonstrate clinical competencies in specific areas and with specific tasks.) Though ideally suited for small group discussion, having Ken Duckworth's short film on "The Stigma of Mental Illness" on the internet or website would make it accessible to a wider audience. Downloading these videos from the website would be convenient, as inexpensive cd's are available that can hold up to 30 hours of video.

Many of these ideas would be years in the making but I expect that our use of the internet will be constantly evolving. Perhaps a group of us who are interested can brainstorm further ideas and go about the process of choosing what we want on our website and getting it on disc.

If you are interested in visiting our website you will need a server that gives you access to the internet (ie. America Online, Compuserve, Netscape, Internet Explorer). The address of our webpage is:
http://www.dartmouth.edu/~admsep/ (updated, its now=  http://www.admsep.org/)

If you are new to email or haven't been added to the listserv and wish to be, email me at:
Mark.H.Reed@Dartmouth.EDU

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President's Column

by Tom Mackenzie

In these days of "value added" management, one can hardly fail to notice a sense that educators and researchers and administrators need to remind those for whom they work of their value. This can seem daunting for medical student educators since there is very little "sponsored education". Education revenue comes in the form of operation and maintenance funds at public universities and tuition at all schools. Often, however, these funds are invisible to those who earn them. Educational costs, difficult to precisely quantitate, are often offset by clinical revenues. Of course, the latter are shrinking (the rate depending on where a particular locale is on the managed care curve).

Now, more than ever, it is critical that undergraduate educators demonstrate that educational programs do not fly on autopilot, but are shaped by the changing ecology at a school. Maintaining a healthy teaching program requires anticipating trends and changes as they unfold across the country. The ADMSEP LISTSERV provides our membership the opportunity to quickly respond to the question "what's going on in other departments." This information identifies the ADMSEP member as someone in touch with developments around the country, someone who is participating in an ongoing dialogue of educators about how to master problems of content, process, recruitment and competition.

I would urge every ADMSEP member to make the leap and connect themselves by email to our LISTSERV. There are perhaps twenty active participants on the LISTSERV now. This should be at least 50 by 1999.

I would also like to propose that we consider creating an on-line ADMSEP journal titled, Innovations in Psychiatric Education. Why another journal?


The journal format would include full length articles, brief reports, letters, editorials, invited opinion pieces, debates, etc. All submissions would have to meet style requirements to make the journal reader friendly. In its first cycle, we might aim to publish two volumes a year. The corresponding editor could be the President-elect, who otherwise has no responsibilities. The editorial board could either be the council or a separate group of ADMSEP members. Peer-review would be principally aimed at making sure the author(s) made the report relevant to readers or did not make absurd claims. The originality of an idea would be only part of the story (how many of us are truly original?). Other important elements would be how colleagues accepted the idea, how much real effort was involved in development, whether it was worth it, etc. etc. etc.

I would appreciate your feedback on this idea. Please reach me at macke001@maroon.tc.umn.edu.

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The ADMSEP Examination Question Bank

by Ted Feldman, M.D.


One of the most difficult and challenging tasks we face as psychiatric educators is the development of examinations for our core courses. In recent years there have been only two options available: use the USMLE shelf exam, which is expensive and may omit areas of special focus in our curricula, or write exam questions ourselves. This latter activity, however, is time consuming and requires frequent revisions.

In response to many requests from members that we share examination material, ADMSEP has developed a question bank of test items. The project was announced in 1994 at our annual meeting in Tucson. Members were requested to submit copies of their clerkship examinations, with correct answers indicated, either in paper form or on diskette. By mid-1995, sixteen schools had contributed to the question bank (see Table 1).

The next phase in development of the question bank consisted of editing items for content and duplication, standardizing format and terminology, and categorizing items according to subject. A total of 1,300 questions in multiple choice, matching, and clinical management format were developed. Each question was organized by category (e.g., "Diagnostic Issues") and topic (e.g., "Schizophrenia"). Correct answers were indicated for each question, and an index of all questions was included. This information was then copied to a diskette formatted for Word Perfect 5.1. The test items were developed for psychiatric clerkships, but many questions could be adapted for use in behavioral science and psychopathology courses.

The completed project was presented to the ADMSEP membership at the 1996 meeting in Santa Fe. The cost of the question bank was $200 for ADMSEP members and $400 for nonmembers; complimentary copies of the first edition were provided to schools who contributed questions. As of January 1, 1998, 37 institutions had purchased the question bank, generating $7,400 for the organization. This project has been exciting for me both personally and professionally. It has been particularly interesting to observe the different approaches to testing used by the contributing schools, and to note the diversity of curriculum at those institutions. As a result of the success of the question bank, the Council has decided to go forward with a revision of the project; plans for the 2nd Edition of the ADMSEP Examination Question Bank will be presented at the upcoming meeting in Tucson.

Thanks to everyone who participated in this project! If you have any questions or comments about the question bank prior to the Tucson meeting, please call me at (502) 852-5431.

TABLE 1. Schools Submitting Questions to the ADMSEP Examination Bank
Albany Medical College SUNY at Buffalo
Baylor College of Medicine University of Arizona
Boston University University of Louisville
Chicago Medical School University of Kentucky
East Tennessee State University University of Pennsylvania
Emory University Medical School University of Rochester
Hahnemann University University of Texas at Galveston
Medical College of Pennsylvania Wright State University

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ADMSEP Officers And Councilors


President
Thomas B. Mackenzie, M.D.
Box 329 UMHC
420 Delaware Street, S.E.
Minneapolis, Minnesota 55455-0392
(612) 626-3613
(612) 626-5591 (FAX)

President-Elect
Carl Greiner, M.D.
Department of Psychiatry, UNMC
600 South 42nd Street, Box 985575
Omaha, Nebraska 68198-5575
(402) 559-5076
(402) 559-6791 (FAX)

Secretary and Newsletter Editor
Myrl Ray Stephen Manley, M.D.
New York University Medical Center
Department of Psychiatry
550 First Avenue
New York, NY 10016
(212) 263-6237
(212) 263-6497 (FAX)

Treasurer
H. Johathon Polan, M.D.
Cornell University Medical College
Psychiatry - Box 171, Baker 2311
525 East 68th Street
New York, NY 10021
(212) 746-3682
(212) 746-8892 (FAX)

Past Presidents
Linda F. Pessar, M.D.
S.U.N.Y., Buffalo
(716) 898-4858
(716) 898-4538 (FAX)

Frederick S. Sierles, M.D.
FUHS/The Chicago Medical School
(847) 578-3330
(847) 578-3328 (FAX)

Councilors
Audrie M. Bienenstock, MBBS
McMaster University
(905) 521-2100 Ext. 6177
(905) 521-2628 (FAX)

Amy C. Brodkey, M.D.
University of Pennsylvania
(215) 843-4448
(215) 831-4571 (FAX)

Theodore B. Feldmann, M.D.
University of Louisville
(502) 852-5431
(502) 852-1115

Gregory Franchini, M.D.
University of New Mexico
(505) 272-5468
(505) 272-4639 (FAX)

Philip S. Freeman, M.D.
Boston University School of Medicine
(617) 928-0287
(617) 638-7549 (FAX)


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