Stanford Clinical Science, Technology and Medicine Summer Internship

Clinical Science, Technology and Medicine Summer Internship

UPDATE SUMMER 2020

Compassionate careers, inspiring mentorship, clinical and technology skills

acknowledgements

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Clinical Science, Technology and Medicine Summer Internship

Clinical Science, Technology and Medicine Summer Internship

Summer 2020 Program Update Dear SASI Student, We are excited for your participation in our 2020 summer internship program. Our program this summer will take advantage of the rich opportunity for learning that shelter-in-place and summer break provides, and will be delivered virtually via online digital media and interaction platforms from Stanford to ensure the safety of our students and faculty during the COVID-19 pandemic. Together, along with our Stanford faculty, guest speakers and your peer students, we will engage in an exciting summer internship program that is: Tailored for career success Our two-week medical internships for high school students and premed undergraduate students seeking careers in clinical medicine, STEM, biomedical research, and the application of technology in medicine.

Guided by leading Stanford faculty We focus on clinical medicine at the intersection of science and technology. We provide exposure to clinical skills such as suturing, splinting, and intubation. Students receive mentorship from Stanford medical students and faculty to cultivate career development.

Empowered with skills and experience As technology continues to transform the way we navigate our medical system, it is imperative to equip students with necessary health care technology skills to anticipate future challenges with thought, inclusivity, and professionalism.

This educational booklet contains additional information about how we will accomplish these goals together.

Yours, Larry Chu, MD

Amy Price DPhil

Professor Senior Research Scientist Executive Director Associate Director

Bassam Kadry, MD

Clin. Associate Professor Associate Director Leadership and Career Development

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An opportunity to experience medicine firsthand through the lives of frontline health care workers, patients, and researchers

Our Stanford AIM Lab COVID-19 evidence service has been featured in the following national media: NBC CBS Time Magazine VOX Modern Healthcare Fox News Reddit

UNPRECEDENTED TIMES On behalf of our Stanford Clinical Science, Technology and Medicine Summer Internship, we wish to welcome to our Summer 2020 student cohort. Our successful Stanford summer internship program, now in it’s fourth year, has grown into one of the most popular and successful clinical summer internship opportunities at Stanford.

We are excited that you will be joining our faculty from Stanford this summer to engage in this once-ina-lifetime opportunity to gain knowledge, skills and mentorship to foster your interest in compassionate careers in science, technology and medicine.

The recent COVID-19 pandemic has created

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Clinical Science, Technology and Medicine Summer Internship

unprecedented circumstances for our society and educational system. The highly-contagious coronavirus has the potential to cause a widespread public health crisis unless drastic measures are undertaken.

nature of the pandemic, many leaders in academic medicine are faced with unprecedented decision regarding the very nature of education.

One of these adjustments is the need for social distancing, the consideration of isolating people from each other to prevent transmission of the SARS-CoV-2 virus, the infectious agent that causes COVID-19.

In the Stanford AIM Lab, we view this as an unprecedented opportunity to discover and explore how we at Stanford can adapt our world-class educational programs to the online world of distancelearning. For us, this world isn’t new: we’ve been engaged in online learning since 2006 when our lab was established at Stanford to innovate medical education.

Over the past 14 years, we have created milestones in educational technology, including the first educational iPad application from the Stanford School of Medicine,

At Stanford, this means that the Dean of the University has closed the campus to students for the forseable future. Students at our peer institutions, such as the University of California system and Harvard Medical School will not return to classes this summer or fall. Due to the

UNPRECEDENTED OPPORTUNITIES

Stanford Course Faculty Larry Chu, MD Executive Director

Professor of Anesthesiology, Perioperative and Pain Medicine

Amy Price, DPhil Associate Program Director, Research

Senior Research Scientist, Stanford AIM Lab

Bassam Kadry, MD Associate Program Director, Leadership Development

Clinical Associate Professor of Anesthesiology, Perioperative and Pain Medicine

Some of our confirmed guest speakers Steven Chu, PhD

Professor of Physics

Stanford University, former US Secretary of Energy, Nobel Laureate in Physics, 1997

Yi Cui, PhD

Stanford University

May Chu, PhD

Colorado School of Public Health, Department of Epidemiology, Senior Science Advisor, USAID and WHO

Francisco Grajales

Novartis Pharmaceuticals

Debbie Lin, PhD

Boehringer Ingelheim

Ying Ling Lin, PhD

World Health Organization

Christine Park, MD

University of Illinois‑Chicago, Immediate Past President, Society for Simulation in Health Care

Teddy Sayed, PhD

Microsoft, Research in Software Engineering (RiSE) Redmond Lab

Professor of Materials Science Clinical Professor

and the first educational series to meaningfully include patients and end-users of health care at academic meetings. We were one of the first labs to research and publish on the use of social media in medical education.

Our online learning ecosystem for anesthesiology education, Learnly, is used by over 30 other educational institutions around the US and worldwide.

Altogether, these capabilities give our lab, and the Stanford Clinical Science, Technology and Medicine Summer Internship program that we run, the capabilities to bring our students this summer an engaging, interactive and educational experience that aims to bring our Stanford experts to your home.

VP and Director, Digital Health North America Executive Director of Boehringer Ingelheim Digital Ventures Fund Consultant

Director of Graham Clinical Performance Center

Wearables Researcher

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Program Summary Our Stanford Clinical Science, Technology and Medicine Summer Internship Mission is to: 1. To provide the finest possible educational experience for our learners using the resources of Stanford faculty, staff and educational facilities.

2. To sustain a culture which fosters curiosity about science and medicine, one that embraces empathy, imagination, creativity, innovation, and discovery.

3. To thoughtfully engage our learners, faculty and staff with a safe environment to learn together during the COVID-19 pandemic using educational learning technologies adapted for distance learning.

4. To foster and motivate a pathway towards compassionate careers in science, technology and medicine.

WORLD-RENOWNED EXPERTS Our program continues to bring world-renowned experts together with our students to foster meaningful exchange of knowledge and mentorship on a personal scale.

Our faculty and guest speakers this year include:

• • • •

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Award-winning educators, honored internationally for their teaching (Larry Chu, MD) Nobel laureate and past US Secretary of Energy (Steven Chu, PhD) Past Presidents of International Medical Societies (Christine Park, MD) Experts in clinical anesthesiology from Stanford University

Clinical Science, Technology and Medicine Summer Internship

•

•

Leaders from industry including the head of the Boehringer Ingelheim digital ventures investment fund (Debbie Lin, PhD) Leading scientists from global health organizations such as the World Health Organization (WHO) (May Chu, PhD and Ling Yin Lin, PhD)

EDUCATIONAL TECHNOLOGIES TO SUPPORT YOUR LEARNING We are fortunate to have a lab at Stanford that can create the necessary educational technologies to support your learning this summer. Our Stanford AIM Lab has created an interactive learning website where students will primarily interact with their

peer-groups and faculty on learning assignments. We will use communication platforms such as Zoom to present video conferencing.

REQUIRED RESOURCES We will support your learning this summer with all the required software and learning tools for our program. However, learners will be required to have a personal computer (PC or Macintosh) and preferably high-speed internet connection in order to fully participate in our programs.

A smartphone (iPhone or Android) will be used for some class activities.

Stanford Clinical Faculty Larry Chu, MD

Professor of Anesthesiology

Kyle Harrison, MD

Clinical Professor of Anesthesiology

Bassam Kadry, MD

Clinical Associate Professor of Anesthesiology

Cynthia Khoo, MD

Clinical Assistant Professor of Anesthesiology

Lynn Ngai, MD

Clinical Instructor of Anesthesiology

Andrea Traynor, MD

Clinical Associate Professor of Anesthesiology

TECHNOLOGY PLATFORMS FOR LEARNING Our program this summer will utilize some of the following technology platforms for learning and project-based work:

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• • • • • • •

SASI Learning Management System (custom developed by the AIM Lab) - accessed via Website ZOOM video conferencing software Mendeley Rayyan Trip Database Tableau Pubmed Smartphone (iPhone or Android) will be used for some class activities.

A CURRICULUM DESIGNED TO ENGAGE PARTICIPATION AND PROJECT-BASED LEARNING We have tailored our curriculum to provide engagement through participation and projectbased learning. Therefore, you will be given opportunities to learn by collaborating with others: faculty, peer-students, and even patients themselves.

During our course, you will work on project teams of approximately four to five students. Together you will develop a capstone project.

This year’s projects will focus on the topic: COVID-19 and society. We will provide you and your group with the resources necessary to produce a capstone project.

Selected high quality projects may be published through our Stanford COVID-19 evidence service. Our reports have

been featured widely in the national media. This will provide you and your group with an opportunity to provide impact and education and a wide scale.

A RESEARCH AND LEADERSHIP TRACK FOR MOTIVATED LEARNERS This year we have created a special research and leadership engagement track for motivated learners who show exceptional promise in research. Excellence in leadership can be attained by people of every personality who can lead by example, mentoring, policy setting, authoring, teaching, advocacy and through empathy. You may also apply if you are interested. Participation in the track requires additional daily work.

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Clinical Science, Technology and Medicine Summer Internship

Week One - Introduction and Overview to Anesthesiology and Science, Technology and Medicine Our two-week curriculum begins with a broad overview of health care, framed within the perspective of anesthesiology, perioperative and pain medicine. In the first week our students receive an introduction to the principles of the health care system, patient-centered care, and how physiology controls our major organ systems. Concepts of technology, particularly digital health and emerging technologies and their potential application to meet gaps in the health care system are also introduced. Students will work on capstone projects with teams, in co-production with Medicine X ePatient mentors.

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

8AM: Welcome and team introductions Lecture

8AM: Leadership in Health Care (Low, Lin) Lecture

8AM: ePatient Lecture (Campos) Lecture

8AM: 3D Printing technologies and applications in Medicine Lecture

8AM: Emergency Medicine Lab Medicine Lab

8:30AM: SASI Logistical information and Personal Narrative Lecture

9:15AM: Break

9:15AM: Break

10AM: Break

10:30AM: Break

9:15AM: The Artist ePatient and the Health Care narrative (Roberts) Lecture

9:30AM: 10 ways to die: A crash course in Medicine (Chandrasoma) Lecture

9:30AM: Introduction to Anatomy and Perioperative Medicine Medicine Lab

10:15AM: ePatient work/collaboration Capstone Project

10:45AM: ePatient work/collaboration session Capstone Project

10:15: Everyone Included in Health Care Research (Dr. Amy Price) Lecture

11:30AM: Capstone Projects - Needs Finding Capstone Project

11:30AM: Capstone Projects Capstone Project

12PM: Inspirational guest lecturer TBA

12PM: Panel: Pathways to Medicine Lecture

12PM: Inspirational guest lecturer TBA

12PM: Inspirational guest lecturer TBA

11:15AM Capstone Introduction Capstone Project Free

The various formats of courses in our curriculum are described below for your reference: Lecture - traditional didactic format based on faculty expert providing information with the aid of visual media to students in an online classroom setting.

Medicine Lab - interactive activity that engages students in clinical practice skills via online teleconferencing, typically on mannequins or part-task trainers by our instructors in the Stanford Simulation Center. Faculty provide hands-on instruction to students in order for them to gain skills or familiarity in how certain clinical procedures are performed. Simulation Lab - interactive activity that engages students in immersive learning in a simulated environment of an operating room or emergency room. This activity is organized in the Stanford Simulation Center and livestreamed virtually to our students. Faculty provide hands-on instruction to students and guide them through how clinicians think and communicate in medical crises. Capstone Project - a team-based activity in which students work collaboratively with a patient or end-user of the health care system to understand their needs and use design-thinking to craft a solution to their health care problem. Students will present the design conceptualization of their solution on the last day of the program to an esteemed panel of experts for their insights, evaluation.

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Week One - Introduction and Overview to Anesthesiology and Science, Technology and Medicine We have summarized key learning oobjectives for each day and session below. Students will work collaboratively with Stanford Faculty and peer-group on project-based learning.

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

At the end of this session the learner will be able to describe the key goals of the course and identify key teaching personnel.

At the end of this session the learner will be able to discuss the five leadership styles and use them to advocate effectively for their themselves.

At the end of this session the learner will be able to explain patient autonomy and relate how it can positively impact self-care and co-production of health care.

At the end of this session the learner will be able to describe additive and subtractive manufacturing and how these processes can aid health care.

At the end of this session the learner will be able to describe the pathophysiology of anaphylaxis and recall the proper technique for splinting and suturing.

At the end of this session the learner will be able to describe key components of an effective personal narrative.

9:15AM: Break

9:15AM: Break

10AM: Break

10:30AM: Break

At the end of this session the learner will be able to relate the key affordances of art in communicating the patient story.

At the end of this session the learner will be able to identify the top ten causes of mortality in the US and relate the pathophysiology of each cause.

At the end of this session the learner will be able to discriminate normal physiology of major organ systems and describe how their function is monitored.

At the end of this session the learner will be able to design concepts to address an ePatient’s COVID-19 information needs.

At the end of this session the learner will be able to prepare prototypes to address an ePatient’s COVID-19 information needs.

At the end of this session the learner will be able to explain 3 principles of Everyone Included research in health care.

At the end of this session the learner will be able to describe principles of Design Thinking and apply them to identify the COVID-19 information needs of an ePatient.

At the end of this session the learner will be able to critique concepts generated through Design Thinking ideation.

At the end of this session the learner will select an ePatient to collaborate with on a capstone project.

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Clinical Science, Technology and Medicine Summer Internship

Clinical Science, Technology and Medicine Summer Internship

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Clinical Science, Technology and Medicine Summer Internship

Week Two - Application of Knowledge to Clinical Skills Practice and Capstone Project Development

In the second week, our students apply their foundational learnings to clinical medical practice through BLS certification training, and immersive learning sessions (Medical Labs and Simulation Labs) in obstetric anesthesia, regional anesthesia, simulation and crisis management in medicine. The program concludes with a formal presentation of capstone projects to a panel of esteemed scholars.

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

8AM: Work on Capstone projects

8AM: Work on Capstone projects

8AM: Research Lab: Co-designing an evaluation protocol

8AM: Crisis resource management in medicine

8AM: Applying to medical school

8:30AM: Welcome and introductions to BLS Lecture

8:30AM: OB Anesthesia and Airway

9:30AM: Break

10:30AM: Personal narrative presentation

9AM: Preparing for capstone

9:00AM: BLS Certification

10:30AM: Break

9:45AM: The breath of anesthesiology and medical ultrasound

9:30AM: Capstone presentations

12PM: Completion of BLS Certification

10:45AM: Patient Lab: Navigating chronic pain– redesigning the pain test

11:30AM: Work on capstone projects

12PM: End of capstone presentations

The various formats of courses in our curriculum are described below for your reference: Lecture - traditional didactic format based on faculty expert providing information with the aid of visual media to students in an online classroom setting.

Medicine Lab - interactive activity that engages students in clinical practice skills via online teleconferencing, typically on mannequins or part-task trainers by our instructors in the Stanford Simulation Center. Faculty provide hands-on instruction to students in order for them to gain skills or familiarity in how certain clinical procedures are performed. Simulation Lab - interactive activity that engages students in immersive learning in a simulated environment of an operating room or emergency room. This activity is organized in the Stanford Simulation Center and livestreamed virtually to our students. Faculty provide hands-on instruction to students and guide them through how clinicians think and communicate in medical crises. Capstone Project - a team-based activity in which students work collaboratively with a patient or end-user of the health care system to understand their needs and use design-thinking to craft a solution to their health care problem. Students will present the design conceptualization of their solution on the last day of the program to an esteemed panel of experts for their critical appraisal and feedback.

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Week Two - Application of Knowledge to Clinical Skills Practice and Capstone Project Development

In the second week, our students apply their foundational learnings to clinical medical practice through BLS certification training, and immersive learning sessions (Medical Labs and Simulation Labs) in obstetric anesthesia, regional anesthesia, simulation and crisis management in medicine. The program concludes with a formal presentation of capstone projects to a panel of esteemed scholars.

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MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

At the end of this session the learner will be able to apply knowledge of research and design thinking to collaborate with their peer group on a capstone project.

At the end of this session the learner will be able to apply knowledge of research and design thinking to collaborate with their peer group on a capstone project.

At the end of this session the learner will be able to apply principles of Everyone Included leadership to guide co-production of evaluation methodology.

At the end of this session the learner will be able to describe 3 principles of CRM and apply these principles in a simulated crisis scenario.

At the end of this session the learner will be able to explain the process of applying to medical school.

At the end of this session the learner will be able to describe the goals and objectives of BLS training.

At the end of this session the learner will be able to discuss mechanisms of obstetric analgesis and methods for effective perioperative airway management.

9:30AM: Break

At the end of this session, the learner will be able to discuss personal narrative writing and critique and feedback the work of others.

At the end of this session the learner will be able to apply knowledge of research and design thinking to collaborate with their peer group on a capstone project.

At the end of this session the learner will be able to recall three central tenants to effective CPR.

10:30AM: Break

After this session the learner will be able to describe the procesess of ultrasound acquisition of anatomy and apply that knowledge to interpret images from regional anesthesia.

At the end of this session the learner will be able to present their work to a large peer group and provide answers to questions from a panel of experts.

At the end of this session the learner will have successfully obtained BLS certification.

At the end of this session the learner will be able to describe the visual analogue pain scale and apply design thinking to create alternative pain scale prototypes.

At the end of this session the learner will be able to apply knowledge of research and design thinking to collaborate with their peer group on a capstone project.

12PM: End of capstone presentations

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Clinical Science, Technology and Medicine Summer Internship

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Clinical Science, Technology and Medicine Summer Internship

research and leadership empowerment track

The Stanford Anesthesia Summer Institute research and leadership empowerment track prepares gifted individuals for academic and professional success.

Learners will co-create a Stanford Aim Lab COVID19 evidence report, learn with Stanford faculty and partner with patients affected by chronic pain, neurological challenges and COVID19. They will enjoy presentations by experts at The World Health Organization, Microsoft, and leaders in science including a Nobel Laureate.

They will gain insight into leadership skills they can apply to their project and to advance their personal, educational and career choices. During week one they will gain research understanding and learn to analyse and evaluate research. During week two they will use award winning software and gain proficiency in building a poster, giving a presentation and writing for research. Our research and leadership track students will be mentorship

by SASI faculty and alumni to align them for future professional success and empowerment.

The research and leadership track is by invitation only and will replace the advanced track. Classes will be held from July 27th–August 7th, 1:00-5:00, Tuesday-Friday. All applicants with registrations paid in full who applied for the advanced track are entitled to automatic acceptance without further review. Other applications will be considered on a first come, first serve basis only, as class size is limited.

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Week One Research and Leadership Track Exploring and Understanding Research

Our learning objectives for each day and session are shared below. Students will work in small groups and with our faculty for peer to peer project based learning.

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

1PM: Software installations and pre course preparations

1PM: By the end of this session students engage in interactive introduction sessions with Dr Tawfik and Dr Price

1PM: At the end of this session students will learn from interaction with representatives and COVID19 projects from the World Health Organization

1PM: At the end of this session students will learn from patients who have influenced their worlds and ours

1PM: At the end of this session students will see how Microsoft helps the world changes lives and hears the voices of end users

2PM: Software installations and pre course preparations

2PM: By the end of this session students will describe placebos, evaluate their use and integrate them ethically in research and clinical care

2PM: At the end of this session students will learn how to work in groups to find specific areas of research and apply this to personal research work

2PM: At the end of this session students will recognize, evaluate and analyse popular media and scientific research

2PM: At the end of this session students will learn to be better writers and communicators, and define protocols for their project

3PM: Software installations and pre course preparations

3PM: Students will discuss neurological deficit cases. They will apply their morning learning to expand empathy, grief and conflict resolution strategies for shared decision making

3PM: At the end of this session students will learn to apply and write Case studies considering human factors design and science communications

3PM At the end of this session students will describe study designs and apply them to a project.

They will learn about COVID19 and how to interpret relevant data.

3PM: At the end of this session students will learn how they can be peer and patient journal reviewers and write responses to journal papers

4PM: Software installations and pre course preparations

4PM: Students will alternate engagement in leadership training or mentored support to help with current coursework and career mentorship

4PM: Students will alternate engagement in leadership training or mentored support to help with current coursework and career mentorship

4PM Students will alternate engagement in leadership training or mentored support to help with current coursework and career mentorship

4PM: Students will alternate engagement in leadership training or mentored support to help with current coursework and career mentorship

In week two student will be mentored to build their group research project and will be helped by world class instructors, peer mentors, Stanford faculty and guests to implement their work.

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Clinical Science, Technology and Medicine Summer Internship

Clinical Science, Technology and Medicine Summer Internship

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we are here for you

Larry Chu, MD Professor, Executive Director

Amy Price, DPhil Senior Research Scientist, AIM Lab, Associate Director

Bassam Kadry, MD Clinical Associate Professor, Associate Director, Leadership and Career Development

CONTACT US Please don’t hesistate to contact us with any questions about our program. You can email us at summermed@stanford.edu.

We are exploring ways to find extra funding to help those who have suffered hardships due to COVID-19. Additional information for hardship resources will be announced shortly.

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Clinical Science, Technology and Medicine Summer Internship

Clinical Science, Technology and Medicine Summer Internship

summermed@stanford.edu

UPDATE SUMMER 2020