Transcript What it Means to be a Program Director
What it Means to be a Program Director
Rita M Patel MD
Professor of Anesthesiology & Vice-Chair, Education Department of Anesthesiology Associate Dean for Graduate Medical Education University of Pittsburgh School of Medicine ACGME/NRMP Designated Institutional Official UPMC Medical Education
Disclosure
Former Program Director Anes Residency UPMC Vice-Chair, Education Oversight of all edu programs, inc med student, residency, fellowships and CME UPMC ACGME/NRMP DIO Oversight of 110+ residency/fellowship programs Member of Anes RRC OPINIONS EXPRESSED ARE MY OWN and NOT ON BEHALF OF THE RRC, ACGME OR UPMC
Timeline
RRC meets Oct 27 & 28 2011 Following the ASA PIF is produced by a separate area of the ACGME & must be reviewed by the RRC Program Requirements, PIF, FAQs typically posted at same time Plan is PIF availability for potential January submission of program applications for consideration at April meeting
Anesthesiology & Subs 2010-2011 Program # Programs # Residents
Anesthesiology 131 5678 Adult CT Anes Critical Care Anes Pain Medicine Peds Anes All Programs 52 48 93 46 8893 151 94 318 191 114,058
Multiple Impacts on GME
Organizations – AAMC, AHME, FSMB, AHME, AHA, ABMS ABMS American Board of Medical Specialties American Board of Anesthesiology FSMB Federation of State Medical Boards Licensing Board of Medicine for State Local Sponsoring Institution May be medical school or hospital system
More Info – www.ACGME.org
Residency Review Committee – Anesthesiology RRC Members & Staff (Pat Surdyk & Billy Hart) Common Program Requirements – 7/2011 Program Director Guide to the CPRs Anes & Subs PRs* FAQs – Frequently Asked Questions PIFs – Program Information Form* Responsibilities of Residency & Fellowship Program Directors Rita M Patel MD - Dec 2010
Responsibilities of Residency & Fellowship Program Directors RRC 2007
Accreditation Issues
Educational Program
Administration
Institutional Role
TIME – Practical Suggestions
DEVELOP existing teachers HELP from institutional sponsor USE SEA, ASA, SOAP, AMA, SI EXPAND existing structures SHARE information PRODUCE new material MONITOR implementation DISCARD things that don’t work
Rita M. Patel, MD
Accreditation Issues
Demonstrate “Substantial Compliance” with Program Requirements Comply with Institutional Process – Int Review Prepare accurate & complete PIF+ Ensure DIO reviews & Co-signs PIF+ Maintain program & trainee files Develop Policies & Procedures Work with Residency PD & other Fellowship PDs + Dept Chair Rita M. Patel, MD
Documentation – Practical Suggestions
Make it EASY
Web-Based/Electronic
Evaluation System
Duty-Hours Monitoring
Post Important items on Website
Give AWARDS & RECOGNITION
Rita M. Patel, MD
Educational Program Elements
Recruitment and Selection Clinical and Didactic Curriculum Evaluation and Competence Administration and Review
Recruitment & Selection
Faculty of 3 is a committee Ensure that only eligible individuals are enrolled All applicants at time of interview must be provided with terms & conditions of employment, benefits, & contract Program-Specific Selection Policy Must review NRMP history of applicant for match violations PRIOR to contact
Think of the physician you want to take care of your mother, father or child
RELIABLE KIND SMART EXPLAIN WHAT’S GOING ON UNDERSTANDING RESPECTFUL
What characteristics does that doctor possess?
ETHICAL EASY TO TALK TO HONEST GOOD HANDS KNOW WHAT TO DO KEEP THINGS PRIVATE UP-TO-DATE
ACGME General Competencies
Medical Knowledge Patient Care Interpersonal and Communication Skills Professionalism Practice-Based Learning and Improvement Systems-Based Practice
Clinical & Didactic Curriculum
Write Competency-Based Goals & Objectives for each rotation & overall program Describe how they will be taught Clinical Experience – specific rotations, types and volume of cases & appropriate faculty Didactic – lectures, workshops, simulation & appropriate faculty Share curriculum with faculty & fellows at least annually
Evaluation & Competence
Fellow - Evaluation of achievement in all competencies Multi-Source is not the same as 360 Obtain confidential written evaluations of the faculty by the fellows of the program by the fellows of the program by the faculty Conduct Annual Program Evaluation Formal, documented, minutes kept
Administration & Review
Program-Specific Policies Selection, Evaluation, Promotion, Dismissal, Duty Hours, Moonlighting Manage clinical scheduling – on call, rotation & ensure supervision & backup systems available Implement & follow institutional policies ie. for grievance & due process Know what requires DIO, GMEC & RC approval
What to do Now
Go to the ACGME website Begin learning terminology -the language of the ACGME: G& Behavioral O, Multi-Source Eval Meet with your Faculty, Chair, Div Chief & the Core PD - FUNDING Establish timeline for GMEC & DIO review Read Common Program Requirements Keep them on your desktop Refer to them frequently Look at the PD Guide to the CPR
After PR & PIF becomes available…
Accurate & Complete PIF Answer the Question being asked. PD & Faculty Qualifications ABA-certified, CV briefs demonstrate qualifications in PRs Rotation Schedule/Didactic Schedule/Goals & Objectives/Evaluation Forms Description of Rotations &/or Experiences Provide correct data
Pay Attention!
Avoid risky behaviors
DUTY HOURS SUPERVISION & RESPONSIBILITY ACGME COMPETENCIES Teaching Evaluating OUTCOMES POLICIES/PROCEDURES Contracts Grievance & Appeals
UPMC Programs to Develop the GME Community Formation of GMEC subcommittees
GME Leadership Conferences Team Approach to Institutional Review Coordinator Development Programs Continuous Site Visit Preparation GME Business and Politics Conferences Orientation Programs for new Program Directors, Coordinators, Residents/Fellows