Completed in spring 2013, the James W. and Frances G. McGlothlin Medical Education Center is a state-of-the-art facility for medical school teaching and learning, which uses collaborative space like no building before at VCU.
The striking structure, designed by the firm of the legendary I.M. Pei, includes adjustable classroom space, a technologically advanced learning theater, unrivaled simulation labs and more. The 12-story, 200,000-square-foot facility also houses research space for VCU Massey Cancer Center. With the opening of the McGlothlin Medical Education Center, the VCU School of Medicine began a new chapter and unveiled its most significant curriculum overhaul in more than 30 years.
“We started the process of developing the curriculum about the same time with planning the new facility,” said Jerome F. Strauss III, M.D., Ph.D., dean of the School of Medicine and executive vice president for medical affairs for the VCU Health System. “This was a very fortunate coincidence because it allowed us to take components of the curriculum and map them on to a physical space and create new types of space for new types of learning.”
A committee of more than 200 faculty and students participated in a multiyear planning phase for the new curriculum, which supports vastly innovative methods through team-based learning, individual problem-based learning and simulation. The revamped, dynamic curriculum also features integrated learning modules, earlier exposure to clinical experiences and multidisciplinary training using flexible learning environments, case-based lectures and small-group study.
“Focusing on facts is one thing but focusing on integration and application of knowledge is another,” Strauss said. “That’s what our curriculum is designed to do.”
“Focusing on facts is one thing but focusing on integration and application of knowledge is another.”
– Jerome F. Strauss III, M.D., Ph.D.
Isaac K. Wood, M.D., senior associate dean for medical education and student affairs, agreed. “The emphasis in the new curriculum is that students will be discovering knowledge. This is the best way to help students retain information, be able to critically think, be able to problem solve and get them excited about education so they want to continue.”
From orientation throughout the first semester, students work in groups on assignments such as performing a successful handoff to obtaining a patient history and physical examination to ordering tests and coming up with a successful treatment plan.
“What we’re seeing is their efficiency is increasing phenomenally,” Wood said. “They’re learning from their errors in a very safe environment. They get into the real-live patient arena. They will have gone through this so many times, it’s going to be like second nature for them to think through the process.”
Divided into four phases, the M.D. program begins with The Scientific Foundations of Medicine, emphasizing foundational knowledge required to be able to understand the structure, function and pathophysiology of the different organ systems. The second phase, The Applied Medical Sciences, is a multidisciplinary integrated curriculum in which students learn the normal structure and function of each organ system integrated with the pathophysiology of disease and treatment strategies. The third phase, Clinical Concentrations, sees students rotate through the various clerkships of family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, psychiatry and surgery. The final phase, Advanced Clinical Concentrations, includes several required experiences and electives at VCU Medical Center and its affiliated sites and at approved medical schools elsewhere in the nation and abroad.
VCU medical students now experience the merger of the clinical aspects of the curriculum with the basic sciences on day one of their education as future health care providers.
“The new curriculum forces us to be more active in our education,” said first-year medical student Samay Sappal. “Everything we learn seems to connect so well in this system and it honestly makes learning a lot easier and a lot more enjoyable.”
State-of-the-art simulation center emphasizes patient-centered care
Ellen Brock, M.D., associate professor of obstetrics and gynecology in the VCU School of Medicine, became director of the Center for Human Simulation and Patient Safety in 2008. Fast-forward five years. In spring 2013, the center moved to its new home in the McGlothlin Medical Education Center, with seven staff members and 25,000 square feet of state-of-the-art simulation spaces over two floors.
“The center, at its core, was designed to bring all of the individual programs and departments and their simulation projects together for the betterment of the entire institution,” said Mary Alice O’Donnell, Ph.D., associate dean and director of graduate medical education.
“As skill deficiencies and opportunities are identified, simulation approaches are developed to address them,” said David P. Chelmow, M.D., professor and chair of the Department of Obstetrics and Gynecology. “Successful approaches become integrated into the regular curriculum.”
An example of the collaborative partnerships the center has formed to support improved training and patient care includes its work with the graduate medical education “Walk the Walk” simulation experience for 140 first-year residents each year. This orientation is designed to assess and reinforce key skills that all residents are expected to perform, regardless of specialty, as they begin their internship.
“As the practice and education of health professionals has entered a new era defined by competency and quality, simulation-based training has become a dominant modality for education,” said Alan Dow, M.D., M.S.H.A., assistant vice president of VCU Health Sciences and director of the Center for Interprofessional Education and Collaborative Care. “Dr. Brock and her team have led or supported VCU’s efforts to be on the vanguard of these efforts.”
Hands-on learning anchors new curriculum
Jonathan Sorah began his journey as a first-year medical student in the VCU School of Medicine with a weeklong boot camp that focused on how to conduct basic physical exams. The camp included working with standardized patients — trained actors from the VCU School of the Arts — who serve as practice patients.
The hands-on start to his medical education was initially intimidating, Sorah said, but served as a great foundation for the breadth of early clinical practice in the school’s new curriculum, which launched in conjunction with the opening of the McGlothlin Medical Education Center in 2013.
“The new curriculum is revolutionary in a lot of ways,” said Sorah, who is in the first class to use the new curriculum and the new building. “It seems the goal is to get us out of the classroom and into clinics earlier. Instead of two years of classes, then two years of clinicals, classes are 18 months so that we can spend two and a half years in clinicals.
“That was a big draw for me, because you don’t become a good physician by learning from a book or slideshow, but by doing hands-on activities in a clinical setting.”
Sorah said it is helpful that the M.D. program’s multidisciplinary curriculum uses an integrated approach and team-based learning, because it more closely emulates the environment he’ll work in as a future physician.
“The biggest way the new curriculum will help me is the early clinical exposure and really getting us comfortable with talking to patients and asking good questions,” he said. “I’ve learned that the best way for us to make any diagnosis is just talking to the patient. The fact that we’re doing that earlier and earlier will only make it more natural for us going forward.”