Wednesday, June 10, 2015

Breakfast of Champions: Alice Fornari, EdD - The Journey to Full Professor as a Non-MD Medical Educator

Alice Fornari, EdD, is Associate Dean of Educational Skills Development at Hofstra North Shore-LIJ School of Medicine and Assistant Vice President of Faculty Development. Prior to joining Hofstra/North Shore-LIJ, Dr. Fornari was Assistant Director of Medical Education and Co-Chair of the Division of Education at Albert Einstein College of Medicine. Dr. Fornari has funded scholarship which focuses on educational development and practice. We are fortunate to have Dr. Fornari's perspective in this month's BOC post.  



I always consider myself an educator. Yes, my passion is learning. Even in my prior career as a nutrition educator, I worked with students and professionals to effectively improve their teaching and learning. This is core to my current role at Hofstra-North Shore LIJ School of Medicine.

People ask me; “what do you do in your role?”

I say, “I teach people how to teach.”

Teaching is my passion. In my role as a medical educator in a large 18-hospital academic health system, I cover a wide spectrum of medical education: UGME, GME and CME. My goal is to ignite teaching as a passion for others in the medical education environment. I do my best to take “one-on-one” faculty development sessions and create “communities of practice” among like-minded people to work together to collaborate on ideas. My hope for program participants is for them to leave with new knowledge and skills that they can use and share with others.

One way to engage faculty in teaching and learning is to help them realize that one of the four paradigms of Boyer’s definition of scholarship is teaching and learning.
Exposing faculty to this concept allows them to use their everyday work as a medical educator as a bucket-filler for professional advancement and recognition.  When I partner with a clinician educator, I take some aspect of their clinical educator role and convert it to a research question, apply descriptive methodology, outcomes, and describe its application to educational practice. Yes, a research project!

So this partnership has a purpose for both the clinician educator and myself as a senior medical educator. We both build vitae based on educational research that crosses curriculum development, teaching, learning outcomes, and professional identify formation.  Making these creative ideas public allows for feedback from other like-minded professionals and for cross-fertilization of ideas across institutions.

This collaborative approach to education research has supported my success as a non-MD in a MD world. I learned early in my career as a medical educator that partnering with physicians and nurses not only leads to scholarship and  peer reviewed publications but has led to my successful promotion from assistant professor to associate professor and most recently full professor over an eleven year period.


Lastly, it is important to note that all of my educational scholarship is completed after hours, i.e. not in the workday.  Achieving publication and promotion is an out of workday activity.  Once this reality is no longer a barrier,  you will reap rewards, career promotion, and satisfaction.

Tuesday, April 7, 2015

Breakfast of Champions: Jack Scott, EdD, MPH

Jack R. Scott, EdD, MPH is Assistant Dean at Winthrop University Hospital (Mineola, NY). Dr. Scott has over 40 years of experience in medical education and faculty development, and his influence spans the country. Prior to his role at Winthrop, Dr. Scott led efforts at University of Texas Medical Branch, Colorado Trust, and Louisiana State University (LSU) Health Sciences Center School of Medicine. He has a distinguished career that spans epidemiology and medical education. We are fortunate to have Dr. Scott lend his advice to us as clinical educators through our humble blog in this month's BOC post.  


If there is only one thing I’ve discovered in over four decades of health profession education, it’s that change is constant. My affiliation with dedicated academic physician leaders has provided me an amazing set of skills to manage education resources as efficiently as possible. From clinical experience as a surgical tech to federal grants manager to academic professor has been quite the journey. Yet, I hold firm to ideals emulated from my physician role-models. 

Some values include an unwavering standard of personal excellence for teaching that attempts to assuage common faculty obstacles such as time-to-teach constraints; recognition and formation of their identity as clinical educators. Through collaboration and encouragement I’m able to raise the consciousness of educational excellence whenever, wherever and however possible. Above all, my sense of professionalism is enhanced by their friendship and collegiality as peers.  Being flexible in adapting to change while holding our expectations for excellence is paramount. Take time to think then act upon these values.

“To think is easy. To act is hard. But the hardest thing in this world is to act in accordance with our thinking.” – Goethe

Tuesday, February 24, 2015

Conference Soapboxing...

Integrating quality improvement with Graduate Medical Education: Lessons Learned from the AIAMC National Initiatives. Blanchard RD, Pierce-Boggs K, Visintainer PF, Hinchey KT. Am J Med Quality. 2015; Jan:1-6. 

Available on request from the Baystate Health Sciences Library or from PubMed at your institution.


This week is the 2015 ACGME Annual Educational Conference in beautiful, sunny San Diego, CA. Well, I live in Massachusetts, so I'm not sure if San Diego is sunny and beautiful right now, but I'm pretty sure it's not -8 degrees FOR A HIGH, like it is here.

But I digress.

The ACGME Conference is about more than conference coffee and "armchair hypothesizing;" it's about reflecting on our role in graduate medical education - our one little corner of the room - and how we might commit to improvement. Isn't it?!

In that spirit, I present to you this shameless self-promotion post - a look at the brilliant work of Blanchard (and her brilliant colleagues) - who asked about the brilliant work of AIAMC National Initiative participants to create this article - a reflection on how we might best integrate quality improvement (QI) with graduate medical education (GME).

Here's why that's important [Grabs mic, Hops up on soapbox]:

Medical education is a unique opportunity to not only improve the patient care for tomorrow; what these AIAMC participants will tell you is that it's a pathway towards improving our patient care today. Can we ask every clinician at our institutions to improve the quality of their care? Sure. Can we hold them accountable? Yes,... they make big sticks...

But these AIAMC participants harnessed the power of GME to integrate QI into more than one project. They found way into changing organizational culture - and by doing so - supporting consistent attention to the most important fibers in the fabric of our patient care.

[Drops mic, Hops off soapbox]

Bottom Line: 

So, grab yourself that conference coffee, and that free hotel pen. Read this article, and use it as a guide to commit to one change - 1 change! - that will help you align GME with quality improvement at your institution. And let us know how it goes..