Transcript Slide 1

MPPDA 2014
Presidential Address
Russ Kolarik, MD
MPPDA National Meeting
April 10, 2014
2013-14
Year in Review
• MPPDA.org
• 2014 Match Results
• 2012 ABIM and ABP Results
• Accreditation for Pediatric Hospital Medicine
• The first year of the NAS
MPPDA.org
• First year of new web resource for our
organization.
• Will briefly review site at the end of the day
today. Please review it today and
subscribe.
• Designed as a comprehensive information
hub for everything you should need to
access quickly as a Med-Peds PD.
MPPDA.org
• All feedback about the site, however small
is highly welcomed!
• [email protected] goes directly to me.
Please email me.
• Please take a moment to send your name,
institution and academic rank to me at
[email protected]
2014 Med-Peds Match Results
2014
2013
2012
Total # of
Programs
79
77
77
Total Positions
Offered
374
366
366
Total Positions
Filled
362
363
344
Fill Rate
96.8%
99.2%
95.0%
% of Positions
filled by US
Graduates
(MD)
75.9%
85.2%
76.2%
2014 Med-Peds Match Results
2014
Med-Peds
Internal
Medicine
Pediatrics
Family
Medicine
Total # of
Programs
79
408
194
480
Total
Positions
Offered
374
6,524
2,640
3,109
Total
Positions
Filled
362
6,465
2627
2,977
Total # of
Unfilled
Positions
12
59
13
132
Total Unfilled
Programs
7
21
4
64
2014 Med-Peds Match Results
2014
Med-Peds
Internal
Medicine
Pediatrics
Family
Medicine
Total # of
Applicants
582
11,236
3,993
5,999
Total # of US
Graduates
Applying
334
3,762
2,065
1,664
Fill Rate
96.8%
99.1%
99.5%
95.8%
Positions filled
by US
75.9%
Graduates
48.5%
68.9%
45%
2014 ERAS Data
• Applicants that applied to at least 1 MedPeds program:
• US Allopathic applicants was 439 down
from 468 total in 2013.
• US Osteopathic applicants 65 (14.8%) up
from 48 in 2013 (10% of total).
Conclusions and Next Steps
• The total number of candidates applying to
Med-Peds decreased from 603 in 2013 to
582 in 2014, but is still higher than the 560
in 2012.
• Local recruiting efforts are needed to
promote our specialty.
• Get involved with NMPRA and creating
Med-Peds Student Interest Groups
2012 ABIM Results
100
90
80
70
60
Internal
Medicine
IM-Peds
50
40
30
20
10
0
2005
2006
2007
2008
2009
2010
2011
2012
2012 ABP Results
Conclusions and Next Steps
• We have some breathing room, but still
need to pursue board preparation
aggressively with our at-risk residents.
• Maintaining equivalence with categorical
programs is VITAL for our specialty.
• To compare favorably at this rate, only 40
MP residents nationwide can fail the ABP,
and 56 the ABIM.
Board Preparation for at risk residents
• At risk residents include those with USMLE I
less than 220, or ITE in final year of training of
less than 65%
• 14 respondents to survey for up to four at-risk
residents per program.
• Roughly 50% of respondents reported
mandating resident-specific study programs for
at-risk residents that involve additional board
study and questions.
Board Preparation for at risk residents
• About 50% of respondents also said that
they would recommend that they would
recommend deferring the ABIM for at risk
residents so they could focus on passing
the ABP.
• About 30% did not counsel either way
because the decision is up to the resident.
• 20% counseled them to take both exams.
From the PD Survey
• 43% of programs use the USMLE scores
to determine residents at risk for failing the
board certification exams, 79% use the
ITE’s, and 43% use other or personal
reasons.
• 72% who were identified at risk passed the
ABIM, and 71% passed the ABP.
Next Steps
• We should know who our high risk
residents are.
• We should take a personal interest in our
at-risk passing their boards, starting as
early in training as possible. Reach out to
other programs and the MPPDA for
assistance.
Accreditation for Pediatric Hospital Medicine
• JCPHM: Joint Council for Pediatric
Hospital Medicine has initiated the
application process for acreditation.
• Applying for an accredited two-year
pediatric hospitalist fellowship that if
approved would start in about 6 years
time.
Intended impact
• Standardize care for pediatric inpatient
clinical diagnoses.
• Focus on specialized clinical services and
procedures for hospitalized children.
• Emphasis on healthcare systems, quality
leadership and advocacy
Intended Impact
• Develop leaders in pediatric hospital
medicine at academic medical centers and
community hospital medical directors.
• Not intended to restrict ability of general
pediatricians or Med-Peds physicians to
practice hospital medicine in academic or
community settings.
Potential unintended effects
• Board certification may ultimately become
standard for medical staff offices hiring
new hospitalists or leaders.
• Concern about grandfathering criteria for
current Med-Peds hospitalist who see
proportionately fewer pediatric patients.
Potential unintended effects
• Could potentially limit scope of
employment opportunities for general
pediatrics or Med-Peds graduates wishing
to pursue jobs as hospitalists.
• Effectively increases training time to 6
years for Med-Peds graduates wishing to
work primarily as hospitalists. Medical
students are already inquiring about this
as a significant concern.
Current proposal
• I am working to make criteria for
grandparenting to sit for boards as
encompassing as possible for current
Med-Peds hospitalists.
• I have also proposed a one-year pediatric
fellowship option for Med-Peds trainees
that may or may not be combined with
adult hospital or transitional care activities.
Follow-up
• Will share data with JCPHM leadership.
• Need for Med-Peds representation on
Committees and at society meetings.
• Jen O’Toole is conducting a hospitalist
workforce survey inquiring about recent
graduates. PLEASE complete this survey.
Next Accreditation System
• First year of using the Milestones,
implementing Clinical Competency
Committees, and CLER visits.
• First reporting of Internal Medicine and
Pediatric Milestones to the ACGME in
May/June.
• Need to share experiences – website and
listserve.
Next Accreditation System
• Need for ongoing Med-Peds
representation with national organizations
and feedback regarding milestone
evaluation process.
• Need to share assessment and evaluation
tools to help track milestones and other
outcomes of training.
• Just one last thing….
– I invite each of you, think of just ONE thing
you can do when you go back home after this
meeting is over that will help the specialty of
Med-Peds.
– Take a moment, write down one thing that
you are going to do and the date you plan to
do it. When you are successful, let the rest of
us know.