From Our Partners Archives

CARE (Course on Addiction and Recovery Education)

Developed by The Betty Ford Center (a part of the Hazelden Betty Ford Foundation), the American Society of Addiction Medicine, and the Treatment Research Institute.

CARE is distributed by Aquifer on behalf of Hazelden Betty Ford Foundation (HBFF) and the WISE program at NYU Grossman School of Medicine and hosted on the WISE learning platform.

The 12 modules in the Course on Addiction and Recovery Education (CARE) concentrate on critical addiction and substance use topics that medical students and healthcare professionals need to be able to address. Modules consist of patient cases and videos.

Overview

Used in medical schools, nurse practitioner and PA learning programs nationwide, the CARE online curriculum prepares future clinicials to identify, intervene, and address substance use disorders. The lack of formal education surrounding substance use disorders and addiction has left many practicing physicians and healthcare professionals inadequately prepared to assess, intervene, manage, and treat patients.

Key Features

Twelve modules incorporate case studies, which provide an interactive platform for clinical consideration, and videos featuring today’s leading experts in addiction covering key topics
Created for educators, by educators, in conjunction with the American Society of Addiction Medicine and the Treatment Research Institute
Proven pedagogy that standardizes experiences—overcoming geography, seasonality, and accessibility
Self-assessment questions at the end of the course emphasize key content and enable students to test their knowledge and skills
A wealth of source material, tools, and full references in each case

Course Content

A first-of-its-kind online course for medical, PA and NP/DNP students, CARE draws from leading experts and emerging science, covering topics such as integrated treatment for addiction and mental health issues and multicultural sensitivity. This course provides expert training and content that builds the skills needed to provide quality care to these patients. The modules combine virtual patient cases and video presentations with self-assessment questions.

Students utilize CARE’s interactive platform to review patient profiles covering topics such as pregnancy and alcohol abuse, cannabis use in adolescents, pain management and liability for addiction, alcohol withdrawal, and more. Through our additional video content, which is incorporated into the modules, leading addiction scientists and clinicians present the latest information and best practices on 14 topics, including neurobiology of addiction, evidence-based behavioral therapies, medication in the treatment of addiction, and genetics in alcohol and substance abuse disorders.

Curriculum Integration

These cases and videos are designed to be used as stand-alone segments, or in conjunction with current health profession curriculua.

Module List

1: 34-year-old woman – Pregnancy and substance use

2: 16-year-old male – Adolescent and substance use

3: 38-year-old man – Pain management

4: 56-year-old man alcohol use – Withdrawal and brief motivational intervention

5: 34-year-old man – Stimulant use disorder and the genetics of substance use disorders

6: 39-year-old woman – Heroin use and the neurobiology of addiction

7: Neurobiology of addiction

8: Overview of treatment for substance use disorders

9: Evidence-based behavioral therapies for substance use disorders

10: The epidemiology of addiction and psychiatric comorbidity

11: Conceptual approaches to treating substance use in the United States

12: Substance use professionals and medications for the treatment of addiction

Inside the Course

Testimonials

“No matter what specialty medical students choose, they will take care of patients with substance use disorders. These cases encourage them to start thinking about the impact of substance use on health.”

Sharon Levy, MD, MPH, Assistant Professor of Pediatrics, Harvard Medical School

“The modules are just right. Medical students will be challenged to think about the intersection between substance use and health problems. The physicians in the cases demonstrate how to talk to patients about their substance use in collaborative, non-threatening ways.”

Mark P. Schwartz MD, FAAFP, FASAM, Medical Director, Princeton House Behavioral Health

WISE-MD (Surgery)

In collaboration with:
NYU Grossman School of Medicine

WISE-MD (Surgery) has been developed through a joint effort of NYU Grossman School of Medicine, the American College of Surgeons (ACS) and the Association of Surgical Education (ASE).

A collection of 40 multimedia modules designed to enhance the teaching of common surgical problems and practices to medical students, residents, nurses, and allied health workers.

Distributed by Aquifer on behalf of NYU Grossman School of Medicine. Available through an independent learning platform from your Aquifer account.

Overview

WISE-MD (Surgery) has been created to address gaps in healthcare learners’ surgical education resulting from shortened hospital stays and increased use of outpatient facilities for pre and post-surgical care.

The offering leverages a mix of instructional technologies, including computer animation and live surgical video, to deliver a self-directed learning experience in which the important principles related to the diagnosis and treatment of surgical illnesses are taught.

Two categories of content are included in WISE-MD (Surgery): case-based and skill-based. The case-based modules focus on twenty-two different surgical scenarios related to specific disease processes and interventions. They were designed to follow the typical course of a patient from the initial presentation to the physical examination, laboratory testing and radiological imaging, preoperative preparation, surgery, and recovery.

The modules include patient/physician interactions to stress the importance of professionalism and communication. The eighteen skills-based modules focus on professionalism and practical clinical skills including suturing, ultrasound, and knot tying.

Advanced Communication Skills Module

The WISE-MD team is proud to announce a new module on Implicit Bias created in collaboration with The Empathy Project. The module features an animated film called The Elephant in the Waiting Room created by The Empathy Project. The film focuses on Implicit Bias in the healthcare workspace. Dr. Christin Drake, Clinical Associate Professor at NYU Grossman School of Medicine, uses the animated film to walk learners through how to address and reflect upon one’s own implicit bias.

All WISE-MD subscribers have access to this new module via the Skills tab.

Key Features

Models physician-patient interaction during history taking, physical exam, decision making and postoperative care
Demonstrates the procedures and techniques of a patient physical exam
Reviews the appropriate use and interpretation of targeted laboratory and imaging studies
Demonstrates various surgical interventions while outlining specific steps and considerations
Reviews the risk factors and management considerations related to post-operative care
Provides additional multimedia resources for more in-depth review of specific topics
Reports track progress and document completion of Case Modules
Over 200 vignette-based questions embedded within the Case Modules

Course Coverage

Introduces the fundamentals, epidemiology and pathophysiology in 22 simulated diseased based cases
Re-enforces professionalism and interpersonal communication (LCME 7.8)
Allows students to follow an entire case for each common surgical condition (LCME 6.2, 8.8)
Ensures a consistent experience despite site and instructor variability (LCME 6.2, 8.7)
Can be assigned easily to remedy experience gaps caused by patient flow (LCME 8.6)
Lets students assess their clinical reasoning with 270 case-based questions (LCME 6.3, 7.4, 9.7)
Self-paced with ability to speed up and repeat content (LCME 6.3)

Curriculum Integration

WISE-MD (Surgery) has been widely used as part of the curriculum for surgical clerkships. Some institutions have opted to replace some of their traditional lectures covering basic surgical diseases with WISE-MD (Surgery) modules. Self-directed review of the WISE-MD (Surgery) modules eliminates disruption of the clinical experience caused by assigned lectures while maintaining a high-quality learning experience. For schools with multiple clinical sites, WISE-MD (Surgery) permits a uniformity of content for all student clerks across locations. The modules have also been used by students to prepare for observation of surgical procedures. The WISE-MD (Surgery) cases also provide an opportunity for group discussion during direct instruction.

Case List

Two categories of content are included in WISE-MD (Surgery): surgical case-based and clinical skills based.

Case-based (tracked for completion)
Abdominal Aortic Aneurysms
Adrenal Adenoma
Anorectal Disease
Appendicitis
Bariatric
Bowel Obstruction
Breast Cancer
Burn Management
Carotid Stenosis
Cholecystitis
Colon Cancer
Diverticulitis
Hypercalcemia
Inguinal Hernia
Lung Cancer
Pancreatitis
Pediatric Hernia
Pediatric Pyloric Stenosis
Skin Cancer
Thyroid Nodule
Trauma Resuscitation
Venous Thromboembolism

Skills (not tracked for completion, for student review)
Advanced Communication Skills: Empathy
Advanced Communication Skills: Implicit Bias
Best Practices
Epidural placement technique
Foley catheter placement
Surgical Instruments
Suturing and instrument tie
Two-handed knot tie
Ultrasound Basic Principles
Ultrasound: Abdominal Aortic Aneurysm
Ultrasound: ABI
Ultrasound: Breast
Ultrasound: Carotid Artery
Ultrasound: Cholelithiasis / Cholecystitis
Ultrasound: E-Fast Exam
Ultrasound: For Vascular Access
Ultrasound: Thyroid
Ultrasound: Venous

Inside the Course

WISE-OnCall

In collaboration with:

NYU Grossman School of Medicine

A collection of 12 multimedia modules designed to educate learners (medical students, PA students, nursing students) about potential medical issues they may encounter while they are on call.

Created by the WISE Program at NYU Grossman School of Medicine.

Distributed by Aquifer on behalf of the WISE Program at NYU Grossman School of Medicine. Available through an independent learning platform from your Aquifer account.

Overview

WISE-OnCall helps healthcare learners prepare for their transition to residency and practice through a symptom-based review of conditions that they will likely encounter while on call.

The modules provide a common, pre-residency learning experience to students with different undergraduate educational experiences, serving as a base line for forming and building a clinical framework and as a “refresher” to fill gaps in students’ clinical knowledge as they transition to residency and practice.

The offering currently includes 12 modules, each focusing on a particular symptom or clinical skill. Modules incorporate a didactic review of key concepts and causes associated with the presenting symptoms, simulated cases which model a residents response to on-call scenarios, case-based practice questions which allow the student to test their knowledge, and symptom checklists to help students focus on the larger constellation of symptoms when prioritizing their differential. The modules also stress the importance of and model appropriate interprofessional communication.

Key Features

Expository review of topic
Simulated cases with embedded topic-based questions
Checklists based on symptoms and situations
Case-based practice questions

Course Coverage

Each symptom-based module includes an introduction, a review of causes, a sample patient case, practice questions, and references
The selection of module topics is informed by the Core Entrustable Professional Activities (EPAs) outlined by the Association of American Medical Colleges
Modules currently cover many of the conditions requiring urgent or emergent care as specified in EPA 10
Reviews key considerations associated with general clinical activities such as documenting clinical encounters (EPA 5)

Curriculum Integration

WISE-OnCall has largely been targeted at 4th-year medical students’ preparation for and transition to residency. To that end, the offering’s design has been informed by the AAMC’s Core Entrustable Professional Activities.

Modules have been integrated into advanced clerkships at some institutions. Others have incorporated the modules into focused capstone or transition to residency courses. The modules could be integrated in the traditional third-year clerkships to introduce or review clinical reasoning. They have also been blended with preclinical coursework to demonstrating the practical clinical importance of concepts in the basic sciences.

In post-transition residency education, WISE-OnCall may be used as a baseline, self-directed learning activity to address the variability in incoming students’ educational experiences and increase their preparation for managing in-patient clinical situations.

An active research program at the NYU Grossman School of Medicine has been investigating the design and blending of first-person, “on-call” simulations with the self-directed WISE-OnCall modules to create a unified, pre-residency learning experience.

Case List

Ten of the modules focus on high-risk symptoms. Common causes are reviewed and a video case dramatization follows. The remaining two modules cover the clinical activities of Documentation and Certifying a Death.

Cases:

Abdominal Pain
Acute Chest Pain
Acute Pain Management
Certifying a Death
Documentation for Patient Safety
Dyspnea
Fever and Sepsis
Hypertension
Hypotension
Loss of Consciousness
Lower Extremity Pain
Oliguria

Learn More

Listen to the Aquifer Educator Connection Podcast with Jeff Manko, MD, Emergency Medicine Residency Program Director, NYU/Bellevue Medical Center, Director of GME Professional Development, co-Director of the WISE Programs, as he discusses how NYU Grossman School of Medicine pairs WISE-OnCall modules with their own simulation to onboard new residents and why this is a useful model for medical and health professions programs. He also explains how WISE-OnCall modules, whose development was informed by the AAMC’s EPAs, can be used to help learners diagnose and manage clinical situations they are likely to encounter on clinical clerkships, advanced sub-internships, and during the transition to residency or practice.

Overview

Inside the Course

Testimonials

Overview

Inside the Course

Overview

Learn More

From the Modules