Letter from the GSEC Director
2020
Spring/Summer 2020
Spring has brought us to a different world in undergraduate and graduate medical education. We, like the rest of the world, have shifted our focus from on-site simulation, teaching, and learning activities to Zoom sessions and flipped boot camps. Our clerkships had stopped and now have begun again. Scrub training will begin again with the emphasis on hand hygiene and the donning and doffing personal protective equipment. Interactive sessions now happen on Zoom and the educational environment has slowed, become more distanced, and telehealth centered. Resident education had paused and is now gearing up for virtual bootcamp and orientation for the incoming residents.
The Goodman Surgical Education Center is at the center of this change sparked by COVID-19 as the staff, fellows, and faculty continue on with the educational objectives of the Department of Surgery at Stanford from shelter in place. Tiffany Anderson completes her two-year education fellowship as she defends her master’s in health professions education (MHPE) thesis on June 16th. Tiffany will be the third education fellow from Stanford to complete a thesis defense from the University of Illinois Chicago MHPE program. Tiffany will return to the University of Florida in Gainesville to complete her residency in general surgery. Ingrid Schmiederer has returned from her selfless service of her community in Queens caring for those patients with COVID-19 in the intensive care unit of her home residency program. During this, she had continued to teach our medical students through their core clerkship didactics and had also designed a research project to discern the impact of this pandemic on career plans of medical students. Ingrid has been accepted into the MHPE program at UIC after completing some non-degree electives. LaDonna Kearse, a general surgery PGY-2 from the Howard University School of Medicine, will be joining the Goodman team as our newest education fellow starting July 5th. LaDonna has already presented at education society conferences and we are excited to learn and hone her ideas for medical education in surgery.
Our research students are also growing up and moving on. Paloma Marin-Nevarez will be starting her emergency medicine residency at the University of California Fresno site. Robert Shi had been accepted to medical school at Tufts in Boston and will defer his matriculation until the next academic year. He is completing a manuscript on the qualitative analysis of focus groups around our interprofessional teamwork program with in-situ simulation at Stanford Health Care. We hope he will stay with us, at least part time, to complete his and other projects through the Surgical Education Research Group (SERG) at Stanford.
Drs. Cara Liebert (Ed Fellow 2013-15) and Dana Lin (Ed Fellow 2011-13) were awarded a Association of Program Directors in Surgery Grant for their project on a gaming platform to assess decision making in surgery entrustable professional activities. This project was initially supported by a Division of General Surgery seed grant. Cara is the site director for the medical students at the Palo Alto VA where she is a clinical assistant professor. Dana is an assistant residency program director for the surgery residency at Stanford and a clinical assistant professor of surgery. Dr. Laura Mazer (Ed Fellow 2014-16) will be giving the keynote address for the 5th annual Stanford Innovations in Medical Education Conference (SIMEC) this June 3rd, 2020 virtually. Her thesis work on the program evaluation of the Clinical Teaching Seminar Series will be featured at this year’s SIMEC which is the conference that she had started five years ago. Laura is an assistant professor of surgery at the University of Michigan School of Medicine.
It is always an honor of mine, this time of year, to highlight the accomplishments of the education team at the Goodman Surgical Education Center (GSEC) at the Department of Surgery at Stanford. We have a long history of accomplishments in education research, curricular development and implementation in undergraduate and graduate medical education, and in simulation as a teaching modality. But it is the multi-directional mentorship, collegial educational environment, and selfless dedication to the promotion of diversity and kindness infused in all we do that I am the proudest of.
Please stay safe. Be kind and respectful. Work hard. And be impactful in what you do and, more importantly, in how you do it.
JNL
James N. Lau MD MHPE FACS
Director, Goodman Surgical Education Center
An American College of Surgeons, Accredited Comprehensive Education Institute
Director, Surgical Education/Simulation Fellowship
An American College of Surgeons, Accredited Simulation Fellowship
Department of Surgery
Assistant Dean for Clerkship Education
Director, Surgery Core Clerkship
Stanford School of Medicine
2019
Fall/Winter 2019
As we say goodbye to 2019, we are thankful for another productive year in medical education at Stanford. Our simulation center finds itself reaccredited after our recent site visit from the American College of Surgeons Accredited Education Institutes. Dr. Alexander Perez, our site visitor, lauded our work in curriculum design and program evaluation. This will make our 12th year as an accredited Institute.
We have much to be thankful for. Our medical school surgery programs and courses remain well-rated with waiting lists abound. Our verification of proficiencies (VOP) program for the surgical residency is becoming more robust every year. Our goal of teaching ubiquitously with formal scheduled structured assessments is becoming more a reality. We have started to foray into entrustable professional activities in surgery residency as well as in undergraduate medical education.
With our core team of educators, administrators, and collaborators we are now in embarking into interprofessional education cross departments and institutions. Last October, we hosted the SAGES TT education course. This would inform our project on teaching seniors how to train juniors through cases.
As Tiffany Anderson makes preparations to return to Florida, Ingrid is digging in as our year one Education Fellow.
This time of year is tough for surgical residents and therefore we are again celebrating the new year and our trainees with Intern Appreciation Day.
Come in 2020, we look forward to recruiting a new education fellow. We will also start preparing for our various workshops and presentations for Surgical Education Week. We enjoy working with our surgical education fellowship colleagues at Indiana University, Cleveland Clinic and UC Davis.
In this time of thanks and appreciation:
Drs. Hawn, Korndorffer, Spain, Lin, Liebert, Dua, Nassar, Browder, and Kirilcuk. And especially, Tiffany Anderson, Ingrid Schmiederer, Teresa Roman Micek, Kristen, Jenirose, Marisol, Robert, and Lauren.
Happy holidays and Happy New Year!
Jim Lau
Director,
ACS-AEI for the department of surgery at Stanford
Goodman Surgical Education Center (GSEC)
Stanford Surgical Education Research Group (SERG)
Summer 2019 Edition
Summer is here and the new academic year has begun. Our new Education Fellow, Ingrid Schmiederer, started on the ground running. Tiffany Anderson has taken the reins as our Senior Education Fellow leading our efforts in research and curriculum development. Marisol Rueda joins Jenirose Santos in ensuring that our accredited education institute is functioning on all cylinders. We continue to work in the areas of interprofessional teamwork and communication and in developing our verification of proficiencies program in the surgical residency program.
Dr. Dana Lin continues to lead the residency educational programming efforts of the Goodman Surgical Education Center and has formally become the associate program director for the surgical residency. Our scholarship has increased to the point where we will now lead the medical education research efforts of the department. This re-branding is to emphasize the importance of medical education research and the mentorship end guidance that this accredited education institute provides to those in surgery and in other departments at Stanford and beyond this region.
Our summer pre-med educational programs have kicked off and we will continue to do so over the next months. Organizations that we have partnered with include SMASH-Med and SMYSP. We are excited about the new interns, medical students, and PA students that have started this month. The people of the Goodman Surgical Education Center continue to make an impact in medical education, on the students and residents at Stanford, and in our regional community.
JNL
Spring 2019 Edition
As the tail end of winter ends, the work of those at the Goodman Surgical Education Center (GSEC) has never been more robust and exciting. Tiffany Anderson, MD has now been in the MHPE program over 8 months and is now deep in her projects on verification of proficiency with bowel anastomosis for the surgery residents and the creation of an informed consent curriculum for the core clerkship medical students. Ed Lee, MD has been busy on numerous projects including collecting data while teaching two rounds of a suturing workshop for pain medicine physicians, analyzing data from his flipping the intern bootcamp, and completing his analysis of the subinternship curriculum. Collaborations inter departmental and inter institutional has been the major theme for this year with the courses, research, and workshops. Courses for Advanced Practice Providers from the Cardiovascular Department, suturing workshops for the pain management physicians, and a first assist course for advanced practice providers have been created with the expertise of the fellows and faculty at the GSEC in partnership with these departments. We have been on the receiving end of our collaborative efforts in growing partnerships with dedicated educators in other departments too. Dr. Anuj Aggarwal from anesthesia has been teaching our surgery core clerkship students pain management of the surgical patient in an engaged way to the level of understanding of this important subject that heretofore had never been done prior.
Jenirose Santos with the assistance of Lauren Aalami have ensured that the cadaver, ultrasound, and trauma ASSET courses have run without a hitch while facilitating great teaching and learning with the residents by our amazing faculty. Our annual interprofessional education in teamwork program for our PGY-1 and PGY-5 residents kicked off last week with the first of three sessions with amazing lessons learned by all who care for the patient in the operating room. The robotic training program for our residents may be in it’s fourth formal year but has never been more organized toward measurable objectives because of the leadership of Drs. Dana Lin (Associate Program Director for the surgery residency) and Cara Liebert (staff surgeon at the Palo Alto VA and former surgical education fellow).
Drs. Lee and Anderson’s collaborative work with Drs. Sgroi and Lee on the Fundamentals of Vascular Surgery have the promise of developing a proficiency program for vascular residents here at Stanford and nationally. April brings in another surgical education week where the students and fellows will be presenting their innovative work and workshops nationally. In addition to Drs. Lee and Anderson’s projects mentioned prior, our students will be presenting their program evaluation for their enduring Service through Surgery course. Anna Carroll, Tyler Bryant, Jecca Steinberg, and Paloma Marin-Nevarez created and have run Service through Surgery for two years now. Paloma Marin-Nevarez will also receive the inaugural Promising Medical Student Surgery Education Research Award by the Association for Surgical Education at this conference in Chicago. Inter institutional workshops in validity and communication will be run with our partners at Indiana University, UC Davis, the Cleveland Clinic, and INOVA.
Our research director, Sylvia Bereknyei-Merrell, welcomed her second child and first son into the world. Dr. Dana Lin became the Associate Program Director for Stanford surgery residency. Marc Melcher matched an amazing residency class this last week. Our seven Stanford medical students who are general surgery bound all matched amazing places (Stanford, Brigham and Women’s, Duke, UCLA, and UCSF). Ed Lee and Brittany Hasty are preparing to return to surgery residency and continue their clinical training so that they can fly to surgical education heights as faculty in 3-4 years. Tiffany Anderson will become our second year fellow as we will welcome Ingrid Schmiederer from the New York Presbyterian/Queens surgery residency program as our first year fellow.
So much to say. So much to do. We do it together…with everyone…for our patients.
World peace. Piece by piece.
JNL
2018
Fall 2018 Edition
Letter from the Director will now be updated quarterly.
The new academic year has started for the Goodman Surgical Education Center and we are so proud of our growing team and the work that we are accomplishing in surgical teaching, research, and mentorship. Our new Education Fellow is Tiffany Anderson; joining us from the University of Florida Gainesville. She has completed three years of her General Surgery Residency and a one-year fellowship in Critical Care. She has started her Master’s Degree Program in Health Professions Education at the University of Illinois Chicago. Her research interests include the work on informed consent in medical student teaching and on General Surgery technical skills assessments.
Our immediate past Education Fellow, Brittany Hasty, has just completed her MHPE at UIC and presented her thesis work on an EPA-linked mastery learning scrub training curriculum for medical students at the 2018 MHPE Conference in Chicago last month. She is the first in our long line of Education Fellows to complete her MHPE. Ed Lee, our present Education Fellow, also presented his work on the Sub-Internship and Professional Development curricula at this same conference.
Jenirose Santos, the administrative associate for the GSEC, continues to hone our junior and senior surgery residency core courses under the direction of our Curriculum Director Dana Lin. Dr. Lin, whom is also a former Education Fellow, has just been selected as the Associate Program Director for Curriculum for the General Surgery Residency Program here at Stanford.
The year started off with an innovation in the way Surgery Intern Bootcamp is approached. This was an idea that started with Laura Mazer (2014-2016 Ed Fellow) and Ed Lee. Ed sent out an educational curriculum that consisted of links to educational videos and sent out technical skills practice materials to those who had matched. The 2018 Intern Bootcamp enabled what the residents had started prior and work towards a continuum of clinical and technical skills needed to start from Day One.
The Core Clerkship continues its evolution through the GSEC to become a more robust clinical teaching environment for the third-year medical students in caring for an increasingly more complex patient through interdisciplinary teams. It is in this where we are proud of our continued work with OR Administration, Surgery, and Anesthesia at Stanford through InterCEPT. This Interprofessional Communication Education Program on Teamwork (interCEPT) consists of monthly in-situ simulations and debriefs that has now become standard team training at Stanford. TeamSTEPPS education has been rolled out quarterly for the operating room staff and has been spearheaded by the GSEC team.
We will cap out September with an announcement for a call for applicants to our Stanford Surgical Education Fellowship Program. The call and application instructions will be on this website early September. We will plan on reviewing applicants, selecting 1-2 applicants to interview, and choosing a fellow by October of this year. This fellow will be for the 2019-2021 academic years.
Thank you for following the exploits of our amazing team.
Dr. James Lau
June 2018
The summer is here and the Surgery chief residents have graduated so that means...for the Goodman Surgical Education Center, Intern Boot Camp and the summer community tour season has begun.
Surgical Education Week in Austin, Texas has come and gone. The Goodman Surgical Education Center has been added to the national education community with three workshops and multiple oral presentations and posters. We have committed and contributed to: the sub-internship curricula in Surgery, the clerkship educational environment, scrub training for medical students, and addressing diversity and the needs of others in our pre-clerkship seminars. We welcome the addition of our new Education Fellow, Tiffany Anderson, from the University of Florida in Gainesville. And we celebrate the transition of Brittany Hasty from Education Fellow to Research Director for our patient safety project of in-situ simulation of OR interCEPT at Stanford. Eniola Gros, a second-year medical student at St. Louis University, joins us as our summer intern and is helping with observations and data collection for InterCEPT, as well as, developing her own teaching module for a student orientation and free clinic introduction to first-year medical students back at SLU.
We celebrate interprofessional teamwork and collaboration with those in medical education at Stanford as we move forward with a new season of the Clinical Teaching Seminar Series (CTSS). I am so proud of all at the Goodman Surgical Education Center and the Education Fellows as we innovate and evolve the clerkship and residency curricula. This summer also steers us to our other mission of community outreach and empowering those high school and college students interested in medicine. We communicate that passion and hard work make selfless dreams come true. I am so proud of our staff, students, residents, fellows, and faculty who are all dedicated to teaching and learning in Surgery and in medicine.
-Dr. James Lau
March 2018
The new year had signaled a new era of education at the department of surgery at Stanford and therefore at the Goodman Surgical Education Center. Excitement is abound as we embark on more adventures to innovate and create as we teach and learn.
Jim Korndorffer joins us as the Vice Chair of Education for the Department of Surgery and has already made us more thoughtful as we look forward to reworking the core course and skills curriculum for 2018-2019. Carla Pugh is in the process of moving her simulator lab to Stanford we are excited to build our education team with these two pillars of surgical education nationally.
Drs. Lin, Berekneyei Merrell, Lee, Hasty, along with Paloma Marin Nevarez, Sarah Miller, and Wendy Qiu are amazing and their projects have all been accepted for Surgical Education Week for Austin in May 2018:
APDS 2018
E Poster – Professional Development Bootcamp with Drs. Lee and Bereknyei Merrell
E Poster – Interprofessional Education Pilots Qualitative Analysis of Surveys with Marin-Nevarez and Lau
ASE 2018
Oral Presentation – Developing and EPA-Aligned Mastery Learning Scrub Training Curriculum Significantly Increases Medical Student Knowledge and Confidence in Operating Room Sterile Technique by Hasty, Miler, and Lau
Oral Presentation - Investing in Our Future: Essential Elements and Impact of a Formal Multi-Faceted Well-Being Program for Surgical Residents by Qiu and Lin
Workshop – Developing an EPA Aligned Surgical Subinternship Curriculum: Training Future Surgeons Today with Lee, Lidor, Issa, and Lau
Workshop – Combating Mistreatment: Understanding Underlying Mechanisms of Mistreatment and Designing Focused Interventions with Hasty and Lau
And the OR Interprofessional Communication Education Program in Teamwork (InterCEPT) will be giving a workshop on their Interprofessional in-situ OR simulation program with the Goodman Team (Brittany, Kristen, Ed, Paloma, and Sarah), the OR education team (Sarah Hirx, Teresa Roman-Micek, and Mary Lou Jackson), the anesthesia team (Drs. Fanning, Goldhaber-Fiebert, Austin and Gaba) and the Risk Authority Team (Welle, Orquiza, Hall, and Mawer).
March brings us to more administrative help at the American College of Surgeons Education Institute Accredited Simulation Center of the Department of Surgery at Stanford that is the Goodman Surgical Education Center. Kristen Kayser has been leading us through our center’s growth and oversaw our successful reaccreditation of our fellowship by the ACS – EI. Jenirose Santos joins Kristen and I on the administrative team for the Goodman.
We are eagaly anticipating the arrival of our newest Surgical Education Fellow, Tiffany Anderson from the University Of Florida in Gainesville in July.
As we go into the Fall of 2018, we continue to innovate the teaching and learning as well as the educational environments for those training to be doctors and surgeons at Stanford. Growth is constant and our commitment to the mindful exploration of learning is reaching an exciting pace and breadth.
-Dr. James Lau
2017
November 2017
This summer and fall came like a whirlwind, and the Goodman Surgical Education Center has had a flurry of amazing activity. The final audiovisual and center structure upgrades are now complete whereby our brick and mortar shop is now par with our education and simulation needs.
Sylvia Bereknyei-Merrell has officially joined the Department of Surgery with Stanford SPIRE (as a qualitative researcher and consultant) and the Goodman Surgical Education Center (as our research director). She brings expertise in qualitative research and a keen sense of research design, scholarship planning, and skilled teaching that ensures a vibrant educational program for the Department of Surgery. Our med scholar's medical student, Paloma Marin-Nevarez, has been a superstar during her time with us at the Goodman Center! She has been conducting qualitative research with our inter professional in-situ simulation program (Interprofessional Communication Education Program on Teamwork) as well as co-creating a new pre-clerkship seminar course with Becca Steinberg on Service Through Surgery (Surg 234). Our education fellow, Brittany Hasty, has been selected as a member of the Organization of Resident Representatives (ORR) for the American Association of Medical Colleges (AAMC) through the Association for Surgical Education (ASE). She has also secured a grant from the Center for Surgical Education Research and Training (CESERT) Institute of the Association for Surgical Education (ASE) for her study on “Linking Interdisciplinary Team-based In-situ Operating Room Situations to Patient Outcomes and Culture Change: A Community-based Participatory Mixed-Methods Study”. Edmund Lee, a GSEC education fellow, has started his Master’s in Health Professions Education (MHPE) at the University of Illinois Chicago (UIC) and has revitalized our sub-internship curriculum and creating a workshop to submit to ASE with Drs. Nabil Issa (Associate Program Director Northwestern) and Ann Lidor (Vice Chair of Education at the University of Wisconsin, Madison).
We have concluded our search for our future American College of Surgeons Accredited Education Fellow for 2018-2020. There were amazing applicants, and this has highlighted for me the burgeoning interest in education in surgery by residents. It is sad that we can only select one every other year but we are excited to be welcoming Tiffany Anderson from the University of Florida, Gainesville this coming July. She comes with a passion for teaching and a desire to innovate teaching programs for medical students as an academic surgical leader.
The American College of Surgeons Clinical Congress came and went but not without our past education fellow, Edward Shipper, presenting his work on the ‘blinded vs. non-blinded interviews for surgery residency’ and ‘a multi-centered qualitative study of attrition on attrition and non-attrition residents.' As we gathered to support Dr. Shipper on his wonderful presentations, we also visited with our national colleagues in surgical education fellowships at Indiana University, the Cleveland Clinic, and the Massachusetts General Hospital. Lastly, our Operations Manager, Kristen Kayser, continues to hold all our education programs together as we consistently add new ones. Her position is so essential, and after only one year, she has been reclassified to capture better all that she does for the fellows, medical students, residents, and the Department of Surgery.
-Dr. James Lau
July 2017
The start of the new academic year brings with it the cycle of progress in graduate and undergraduate medical education and most specifically with us at the Department of Surgery at Stanford.
At the Goodman Surgical Education Center (GSEC), Dr. Edward Shipper has returned to the University of Texas at San Antonio as a clinical PGY-3 to complete his general surgery residency. He leaves us on the heels of the acceptance of his abstract, Evaluating the Impact of Blinded vs. Non-Blinded Interviews on the General Surgery Resident Selection Process, which will be presented at the scientific forum for the Clinical Congress of the American College of Surgeons in October in San Diego. He completed his work on Bridging the Gap Between Simulation Center and Patient Bedside: A Point of Care Video-based Curriculum for Common, Low-Risk Bedside Procedures which was funded by the 2016 APDS ASE Collaborative Initiative Grant. Ed had worked with the programs and program directors at the University of Nevada (Jenifer Baynosa), Indiana Universiy (Jen Choi), Stanford (Marc Melcher), and the University of Tennessee (Nicole Kissane) to perform matched interviews on attrition and non-attrition residents in order to discern any common themes related to surgery residency attrition. Our Stanford Med Scholar Student Genna Braverman (now a medicine intern at the Columbia-Cornell Program, utilized the same sample to discern the importance of mentorship in attrition. Her manuscript has been submitted for peer review. Elena Brandford, also one of our star Stanford Med Scholars who has completed her manuscript of the work she presented at the 2017 Surgical Education Week in San Diego on Student Definitions and Perceptions of Mistreatment on the Surgery Core Clerkship.
Dr. Brittany Hasty, from the general surgery program at Loyola University Chicago, becomes our senior education fellow. She has completed her coursework for her Master’s in Health Professions Education (MHPE) from the University of Illinois at Chicago (UIC) and will be working on her thesis. She will be shifting her research attention from medical student mistreatment, of which she completed a manuscript with one of our burgeoning education focused medical students, Sarah Miller, to that of interdisciplinary communication and teamwork. She will join me, along with education leads at Stanford from the hospital peri-operative services, the Departments of Surgery and Anesthesia, the Center for Immersive and Simulation-Based Learning, and the Risk Authority to implement an inter-disciplinary in-situ simulation program that will become standard work in the main OR at Stanford. Our aim is to burn inter-disciplinary training into the fabric of our OR culture.
Dr. Edmund Lee joins us as our new education fellow from the general surgery residency at the Beth Israel Mount Sinai Program in New York. He has been accepted into and will start his MHPE at UIC this July. He comes to us with boundless initiative, work ethic, and enthusiasm. He will find his research niche and begin teaching our medical students and residents this month.
Kristen Kayser, our GSEC operations manager, and Hailee Kuhl, our assistant manager, have quickly become the administrative experts at curriculum implementation for surgery at Stanford. Under the seasoned direction of Dr. Dana Lin, Kristen and Hailee have ensured the innovation of resident assessment in evolving our verification of proficiency program (VOP) for surgical skill and in splitting our didactic core course to a senior and junior program for our surgery residents. Dana also is continuing her research arc on emotional intelligence, resilience, grit, and wellness in surgery graduate medical education. She will be mentoring our summer intern, Wendy Qiu in the aspects of wellness in our surgical residency program.
We also want to congratulate our Director of Research, Sylvia Merrell, and her husband Nick, on the birth of their first child, Sonja.
Wishing everyone a great summer!
-Dr. James Lau
March 2017
This winter brings the Goodman Surgical Education Center past the holidays and the completion of our Surg 204 and Surg 205 to wildly great feedback from our pre-clerkship students. We would like to thank our TA’s for these courses Sarah Miller and Joanne Zhou who went way beyond running the courses but revising and improving them. The feedback went directly to our Chair and we will be considering increasing the enrollment cap for both of these courses for the next academic year to accommodate more students. The mistreatment work that we have been conducting in the surgery core clerkship has just been published in Academic Medicine and the companion studies on student definitions on mistreatment have been, and are being, presented at the Academic Surgical Congress in Las Vegas this month and at Surgical Education Week in San Diego in April. Our med scholars students (Elena Brandford and Genna Braverman) have been working hard on our multi-institutional resident attrition project as well as determining a more precise structure to view mistreatment experienced by our medical students. If that wasn’t enough, they are crafting a workshop for Surgical Education Week (SEW) on medical student mistreatment from the student perspective.
Dr. Edward Shipper, our senior education fellow, has been selected for one of the resident teacher awards for the Association for Surgical Education for 2017 and will receive this at SEW 2017 this April in San Diego. This would be three years in a row where one of the education fellows have received this award. This speaks to their outstanding dedication to their craft. Ed has developed a style of teaching medical student, residents, and faculty (in our faculty development program as a mentor) all his own. Ed has done some outstanding work in resident selection and attrition as well as creating wonderful teaching videos that can be used by medical students and residents alike. He will be returning to complete his clinical residency in general surgery with Dr. Daniel Dent at the University of Texas San Antonio this coming July.
Our upcoming education fellow, Edmund Lee M.D., has been accepted into the prestigious MHPE program at the University of Illinois Chicago (from what I know as the oldest Department of Medical Education in the country). He is joining us from the Mount Sinai Beth Israel general surgery program in New York for two years starting this July. He will join Brittany Hasty, MD (from Loyola University Chicago), Kristen Kayser (our operations manager), and Hailee Kuhl (our administrative assistant) to complete the core ground level GSEC team for 2017-2018.
We have so much to be grateful for and so much work to yet complete. We are undergoing a curriculum review for the residency skills curriculum in the midst of preparing our PGY-1 residents for their CVL certification/verification of proficiency.
Our center has been recertified as an AEI and now our fellowship will be undergoing it’s first re-accreditation by the American College of Surgeons Education Institutes. I am proud of the work that the GSEC accomplishes in teaching, research, and educational mentorship but more proud of the way in which we do it…with respect for the learners and in a thoughtful collaborative manner.
-Dr. James Lau
May 2017
Upon my return from the Association for Surgical Education (ASE) Surgical Education Week (SEW) in San Diego this year I could not help but reflect on the accomplishments from those that are the Goodman Surgical Education Center (GSEC).
Sarah Miller, MS2, delivered a powerhouse plenary on research conducted by herself and Dr. Brittany Hasty on their content analysis of focus groups discussing our mistreatment curriculum on the surgery core clerkship. Elena Brandford, MS5, followed that with a knockout presentation at the paper session defining mistreatment from the students’ perspective. Dr. Edward Shipper not only gave an excellent presentation on a paper he wrote with Sarah Miller on the topic of, "Pre-clerkship Skills Course Towards an Immersive Experience Introducing a Student to the Operative World of Surgery," but capped off the week by receiving the 2017 ASE Resident Educator’s Award. The GSEC was represented in three pre-ASE meeting workshops on simulation, associate program director’s, and troubleshooting the surgery core clerkship. We also hosted a student-led mistreatment intervention workshop to rousing reviews. Dr. Dana Lin, our Director of Surgical Programs and Karen Cockerill, our Clerkship Coordinator, watched over all these proceedings. At the same time, Dana and I were strategizing on future studies and workshops. The ideas seemed to pour out of us amid our current and past work surrounding the issues in education that we love to try to tackle. We had support from our research lead, Sylvia Bereknyei Merrell, who was cheering for us over the technologies of Facetime, Twitter, and iMessage. Kristen Kayser and Hailee Kuhl were holding down the fort at Stanford getting ready for the arrival of our newest education fellow Edmund Lee from the Beth Israel Mt. Sinai program in New York.
Dr. Thomas Krummel gave the Laycock lecture at SEW this year on innovators in medicine with the theme that innovators often go against the grain of the time to truly change the game in patient care and education. Going against the grain for us means collaboration and pushing outside the dominant silos of academics. We strive to assist the many education fellowships that have been and are currently being developed for teaching as well as great research. We pledge openness in working with others at Stanford as well as those at other institutions who are doing unbelievably great work in teaching and learning in medical education.
As we plan for the second Annual Stanford Innovations in Medical Education Conference (SIMEC II) which will take place on May 13th, in the Li Ka Shing Center, I cannot help but hear Dr. Krummels words ‘Innovation must go against the experts of this time to create a new and better time’. We welcome all to this gathering to celebrate the work being done within the Greater Bay Area to further the purpose of medical education for all, by all.
This is an exciting time for those of us in medical education within the Department of Surgery and at the Stanford School of Medicine overall. As we prepare for the new academic year, we continue to evolve our current programs while finding innovative ways to assess our learners, care for each other in our educational and clinical professional endeavors, and mentor those aspiring to care for patients clinically.
-Dr. James Lau
January 2017
This academic year started with lots of changes and, like most transitions, have harkened in wonderful new opportunities in teaching and learning for the Department of Surgery at Stanford. Our team’s overall themes of mentorship, learning and working environment, and focused curricula toward the needs of the learner have become fluent in the curricula we run, the research that we do, and the collaborations that we form inside the GSEC and throughout the educational universe.
As one of the first comprehensive American College of Surgeons (AC) accredited education institute (ACS-AEI), it is with honor that I announce our third re-accreditation. As with our education fellows, joining Edward Shipper, MD (from the University of Texas at San Antonio) in the education fellowship in July was Brittany Hasty, MD (from Loyola University Chicago). Ed’s research interest started with residency applicant selection and now has culminated to examining the educational and mentorship environment with attrition. His creativity in teaching videos have extended to just-in-time video vignettes on surgery procedures for medical students and inters which he also secured grant funding for (a joint ASE/APDS education grant). Brittany hit the ground running with performing a focused learner needs assessment skills curricula in surgical training to defining the medical student definitions of mistreatment. Her interest in interprofessional teamwork and communication is perfectly times as we develop an interdisciplinary in-situ simulation research program aimed at improving communication culture in the operating room to improve work culture and patient safety outcomes. The operating room administrative and educational leadership is teaming with us, the anesthesia department, and experts in quality improvement, ethnography, and implementation science in order to make this three-year research program robust enough to move beyond one surgical specialty area and towards all operative and procedural areas.
Late last year, Kristen Kayser joined us as the new operations manager for the Goodman Surgical Education Center and almost simultaneously, Hailee Kuhl came on as the administrative assistant to the Center as well. They harken in a the new administrative team that essentially steers the GSEC through our increasing teaching missions with the department of surgery. The GSEC herself has undergone renovation and refurbishment to keep up with the technology required to function as a simulation and teaching center. With a generous donation, Dr. Joseph and Mrs. Hon-Mai Goodman provided these additional funds to do so.
In our ongoing educational thread of providing the general surgery residents with all the opportunities and certifications necessary in training, we have added to our designation as a FLS testing center to become a Fundamentals of Endoscopic Surgery Testing Center. This required the training of our personnel as testing proctors with SAGES and acquiring the VR endoscopy platform to administer the test. Our residents have always had an endoscopy component in the Skills Curriculum but now has been revised to incorporate the requirements for the American Board of Surgery.
-Dr. James Lau