MPOG and Education:

A Bright Future

Julie L. Huffmyer, MD

Professor of Anesthesiology and Vice Chair for Education

MPOG Retreat

October 13, 2023

Goals & Objectives

Review important basics of education and how that may have an

impact on MPOG as a platform for education

Outline how MPOG and education fit together: current and future

How can MPOG IMPROVE education in the future: education research

Education Basics for Adult Learners

We are not computer hard drives, in which information

is stored to be readily (easily) retrieved.

We forget, all the time.

Minds possess the capability to remember and recall

• Critically important in adult learning and education

• Forgetting does not undo learning from the past

• Forgetting may focus the mind on remembering and

as a result improve learning

Ultimate goal: improve learning opportunities &

increase the focus on education, clinical care and

patient safety

Can practice-based metrics (MPOG, ASPIRE)

help us move learners from the base of the

pyramid to the top?

ACGME Guidebook for Assessment

https://www.acgme.org/globalassets/pdfs/milestones/guidebo

oks/assessmentguidebook.pdf

More food for thought…Generational Learning

Generation Birth Year Current

Age

Defining Events Characteristics Tech Use/Learning

Preferences

Baby Boomer 1946-64 59-77 Television, personal

computer

Live to work, conservative Interpersonal skills and

relationships; lectures good;

tech use as adults

Generation X 1965-80 43-58 HIV/AIDs, Gulf War Work to live, rely on self Tech use in college (email in

college; computer labs);

independent, structured

environment, lecture + small

group activities

Millennials (Gen

1981-96 27-42 Internet Work-life blend, social

consciousness

Entered college with laptop,

“digital natives”, team-

oriented learners, “google” to

learn

Generation Z (Gen

2020)

1997-

present

<27 Social Media

Mobile technology

Hyperconnected, yet self-

privacy important

Technology early childhood,

constant stimulation, SHORT

attention span (no lectures),

REQUIRE engagement

Imagine it is 2030…or 2035

Resident at University of the

Future Anesthesiology

Residency Program

Faculty member in the

Department of Anesthesiology

at University of the Future

Community anesthesiology

attending at Future General

Hospital

What does education look like?

What is needed? How has

anesthesiology changed? How

does MPOG fit in?

MPOG & Education: First Order

Verification of ACGME Case

Logs

Identification of areas for

index or important case

types/experiences globally

for residency programs and

for individual residents

MPOG & Education: Second

Order (Reactive)

MPOG is intelligent: knows how we are

performing; quality metrics linked

ABA is intelligent: knows how we are

performing; MOC and MOCA Minute (ITE,

BASIC/ADVANCED, etc)

Imagine together, each can react to ‘weaknesses’

or areas for improvement

• Monthly ASPIRE report: receive simultaneous

MOCA Minute questions targeted to low

compliance areas

• For GME learners, this could be a different set of ?s

• Link to other educational resources (podcasts,

articles, etc)

MPOG & Education: Third Order

(Proactive)

MPOG knows, in advance, resident & faculty day-to-day clinical assignment

• Integrates with other platforms (ABA MOCA Minute, OpenAnesthesia,

Anesthesia Toolbox, etc)

• ’Just in Time’, bite-size learning resources sent prior to DOS to improve

patient care, quality metrics (ie. MAP goals), knowledge, and anesthetic

management

• Awakens dormant skills and knowledge (remembering after forgetting)

• Residents prospectively given data about what case types are needed (if

the next day’s case is ‘high yield’ or may fulfill something that they are

deficient in (massive transfusion)

• Content delivered is specific to level of training and the patient’s problems

• Faculty proactively given data as to which metrics are important for the

day’s cases

• Helps both resident and faculty prepare for the day logistically, clinically

and educationally

Not imagination…but real life

Starting a new role, in a new institution

Cardiac & liver anesthesiologist Multi-specialty anesthesiologist

doing a neurosurgical AVM resection my first week

What did I do? Call a local expert…

Imagine that MPOG can take that role

What are the barriers to this aspirational

state?

Technology exists to allow MPOG to be a platform for education:

• ChatGPT/AI can be queried (and verified) for key points (MANY other

resources exist for this as well)

• MOCA Minute is robust; other learning platforms are also robust and

have existed > 10 years

• EHRs readily integrate with MPOG and have checklists embedded

Our Goal as Educators: The Holy Grail

Create educational interventions that translate to changes in practice

Will directing educational techniques and resources to struggling

physicians and practitioners help to improve NOT just knowledge but

also improve the quality of care provided to patients

Can we connect education and practice?

FAER-ABA Research in Education Grant

Primary Hypothesis:

• Demonstrate that annual MOCA Minute composite

performance (% correct) is associated with

composite ASPIRE clinical measure performance

Secondary Hypotheses:

• Completion of 120 MOCA Minute questions is

associated with ASPIRE measure performance

• MOCA Minute content-level aggregate performance

is associated with thematically-linked ASPIRE

measures

Thought Provoking Issues/Questions

1. What are the barriers in getting from current to the aspirational

state?

2. How do we encourage engagement with educational resources and

MPOG (much of this still requires internal motivation)?

3. Is there data available that shows improvement in future metrics by

showing practitioners their current metrics/noncompliance?

4. What is the impact of the in-room provider vs. supervising provider

in improving metrics and in providing reactive/proactive resources?

5. This is the tip of the iceberg…many more ideas and interactions

exist (mentioned generational issues, ?competency-based training)

Thought Provoking Issues/Questions

6. What are the resources and funding for education initiatives using

the MPOG platform?

7. Does creating a formal education arm of MPOG fit the mission?

• Governance, strategic planning, multi-institutional impacts

8. What are competitor platforms to MPOG to delivering on the

promise?

• Ease of use, cost

Thank you for your

attention.