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2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
APPD 2019Annual Meeting
March 26-29New Orleans
MarriottNew Orleans, LA
Thursday Plenary Session
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
Javier Gonzalez del Rey, MD, MEdAPPD President
Welcome!
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
Franklin Trimm, MDImmediate Past President
APPDBerkowitz Award
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
“This award is to honor a Program Coordinator for a Lifetime of Advocacy and Leadership in Pediatric Medical Education.”
Carol Berkowitz Award for Advocacy and Leadership in Pediatric Medical Education
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
2018 Scott Olson, BA2017 Jaime Bruse, C-TAGME 2016 Patricia Jacobi2015 Elizabeth Payne, MAEd, C-TAGME2014 Amelia Maeda2013 Jean Ashley, MSBC, C-TAGME2012 Cindy Colpitts
Carol Berkowitz Award for Lifetime of Advocacy and Leadership inPediatric Medical EducationPrevious Recipients
2011 Cynthia Gibson, C-TAGME2010 Rosemary Munson, C-TAGME2009 Melodie Allison, C-TAGME 2008 Mary Gallagher, C-TAGME2007 June Dailey, C-TAGME2006 Aida Velez, MEd2005 Jeri Whitten, C-TAGME
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
Congratulations to the2019 Berkowitz Award
Recipient:
Savanna Carson, PhDUCLA Medical Center
Carol Berkowitz Award for Lifetime of Advocacy and Leadership inPediatric Medical Education
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
Su-Ting Li, MD, MPHAPPD LEAD Council Chair
LEAD Council• Su-Ting Li, MD, MPH (Chair)• Marsha Anderson, MD• Hilary Haftel, MD, MHPE• Rich Mink, MD, MACM• Richard Shugerman, MD• Rebecca Swan, MD• Bob Vinci, MD• Linda Waggoner-Fountain, MD, MEd
Structure• 10 month program
o 3 educational conferences
• 3-day stand-alone meeting• 2 days at Fall APPD meeting• 1½ days at Spring APPD
meetingo Peer group activities and
supporto Mentored educational
projecto Certificate of completion
Curriculum• Organizational Leadership• Competency-based
Curriculum Development• Faculty Development• Residency & Fellowship
Program Administration• Scholarship and Career
Development
APPD LEAD Cohort 7
Deborah Alliston, MD, MEdUniversity of Kansas - Wichita
Outcomes of a Local Global Health Day
LEAD Mentor: Robert Vinci, MD
Chevon Brooks, MDMorehouse School of Medicine
Communication between Residents and Residency Program
Administration
LEAD Mentor: Marsha Anderson, MD
Rebecca Chasnovitz, MDKaiser Permanente Northern California
Training Residents to Communicate with Patients through Electronic
Secure Message
LEAD Mentor: Hilary Haftel, MD, MHPE
Claudia Halaby, MD, FCCPNYU Winthrop Hospital
Comparison Between Lecture-Based Learning and Problem-
Based Learning for Teaching Core Curriculum in Pediatric Residency
LEAD Mentor: Richard Mink, MD, MACM
Kevin Kuo, MD, MHPEStanford University
Are Pediatric Fellows Financially Literate?
LEAD Mentor: Richard Mink, MD, MACM
Joanna Lewis, MDAdvocate Children’s Hospital – Park Ridge
Evaluation of a Certificate Program in Medical Education for Trainees
LEAD Mentor: Rebecca Swan, MD
Karen Mangold, MD, MEdFeinberg School of Medicine, Northwestern
University
Evaluation of a Certificate Program in Medical Education for Trainees
LEAD Mentor: Marsha Anderson, MD
David Mills, MDMedical University of South Carolina
PRIME Time: Can Narrative Evaluations Be Reliably Mapped to the Milestones?
LEAD Mentor: Linda Waggoner-Fountain, MD, MEd
H. Alex Nagle, MDAlbany Medical Center
Bringing Pediatric Point of Care Ultrasound from the Classroom to the Bedside in the Pediatric ICU
LEAD Mentor: Robert Vinci, MD
Elizabeth Nelsen, MDSUNY Upstate Medical University
Professional Fulfillment in Pediatric Residents
LEAD Mentor: Hilary Haftel, MD, MHPE
S. Soumya Panchanathan, MD, MSPhoenix Children’s Hospital
Improving Resident Goal-Setting through Presentation of Objective Data about Clinical Experiences
LEAD Mentor: Hilary Haftel, MD, MHPE
Anisha D. Patel, DOYale University School of Medicine
Resident Education for Trans* Health Care
LEAD Mentor: Richard Mink, MD, MHPE
Lina Patel, MDChildren’s Mercy Hospital
Development of an End-of-Shift Assessment Tool for PEM Fellows
LEAD Mentor: Richard Shugerman, MD
Mammen Puliyel, MDMetroHealth Medical Center
Team Based Learning in Graduate Medical Education: Assessment of
Feasibility and Outcomes
LEAD Mentor: Richard Mink, MD, MHPE
Suzanne Reed, MDNationwide Children’s Hospital
Who’s Talking: A Survey of Pediatric Program Directors on
Communication Skills Educational Practices in
Pediatric Residency Programs
LEAD Mentor: Robert Vinci, MD
Melissa Roy, MDOur Lady of the Lake
Interprofessional Collaboration on Family Centered Rounds
LEAD Mentor: Marsha Anderson, MD
Chelsey Sandlin, MDLSU Health Sciences Center – New Orleans
Business of Medicine Training in Pediatric Residents – A Graduate
Needs Assessment Survey
LEAD Mentor: Richard Shugerman, MD
Lisa Sieczkowski, MDUniversity of Nebraska Medical Center
Responding to Inpatient Pediatric Resident Burnout Scores
LEAD Mentor: Linda Waggoner-Fountain, MD, MEd
LEAD NewsWelcome incoming LEAD Council Members:
Bruce Herman, MD Ingrid Walker-Descartes,MD, MPH, MBA
LEAD NewsIncoming LEAD Council Chair
Rebecca Swan, MD
How to Apply• Member of APPD• ≥3 years of educational leadership experience
(PD, FD, APD, Clerkship Director)• LEAD year can not overlap with 1st year in new
role• Department support• Commitment to attend all meetings and
complete assignments and project• Application deadline: April 19, 2019• Applicants notified of status: May 6, 2019
www.appd.org/leadapp
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
Update from the Accreditation Council of Graduate Medical Education (ACGME) with Q&A
Susie Buchter, MD, Chair, Review Committee for Pediatrics and Caroline Fischer, MBA, Executive
Director, Review Committee for Pediatrics
Updates from the Review Committee for PediatricsSusie Buchter, MD, Review Committee ChairCaroline Fischer, MBA, Executive Director
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We have no conflicts of interest to report.
Disclosure
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4 appointing organizations AAP, ABP, AOA, AMA
15 voting members 6-year terms – except resident (2 years)Generalists, subspecialists, 1 public member1 ex-officio (non-voting) member each from each appointing organization
Review Committee Composition
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Geographic Distribution of the Review Committee
Current members: CA, CO, CT, FL, GA, MA, NJ, NY, NC, OH, OK, PA, UT, VT, and VA
Incoming members: MN, MO, SC, and VA
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Dona S. Buchter, MD (Chair)Ann E. Burke, MDDalya L. Chefitz, MDStephanie B. Dewar, MDShawna Seagraves Duncan, DOAlan H. Friedman, MDLynn Garfunkel, MDRani Gereige, MD, MPH, FAAP (Vice Chair)
Bruce Herman, MDJennifer Kesselheim, MDRichard B. Mink, MD, MACMVictoria F. Norwood, MDJudy-April Oparaji, MD, RD (Resident)Adam Rosenberg, MDJudith S. Shaw, EdD, MPH, RN, FAAP (Public Member)
Review Committee Composition
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New Review Committee members Shawna Seagraves Duncan, DO
Adam Rosenberg, MD
Jason Homme, MD (Beginning 7/1/2019)
Michelle Montalvo Macias, MD (Beginning 7/1/2019)
Nefertari Terrill-Jones, MD (Beginning 7/1/2019)
Linda Ann Waggoner-Fountain, MD, MAMEd, FAAP (Beginning 7/1/2019)
Congratulations!
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ACGME Courage to Teach Award (honoring program directors) Sandra A. Moutsios, MD; Vanderbilt University Medical Center;
Nashville, TN (Med-Peds)
Brett W. Robbins, MD; University of Rochester; Rochester, NY (Med-Peds)
David C. Leach Award (honoring residents or fellows) Eric J. Chow, MD, MPH; Brown University/Rhode Island Hospital –
Lifespan; Providence, RI (Med-Peds)
Laura C. Page, MD; Duke University Medical Center; Durham, NC (Pediatric Endocrinology)
Congratulations!
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2019 Status DecisionsStatus Core Subs Med-Peds
Initial Accreditation 0 4 0
Continued Accreditation w/Warning 0 0 0
Continued Accreditation w/o Outcomes 0 3 0
Continued Accreditation 191 800 36
Continued Accreditation w/Warning 0 0 0
Probation 0 0 0
Accreditation Withheld 0 0 0
Withdrawal of Accreditation 0 0 0
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Citations vs. Areas for Improvement (AFIs)
94 90
142
271
0
50
100
150
200
250
300
core programs subspecialty programs
2017-2018 Citations 2017-2018 AFIs
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Letter to the Community dated January 9th from Dr. Nasca Compliance with 80-hour requirement will be
strictly monitored Programs will receive citations where violations
are identified
80-Hour Requirement Citations
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Faculty qualificationsBoard pass rateFaculty responsibilities (time, interest)Curricular development Service to education imbalance
2017-2018 Frequent Citations Categorical Pediatrics Programs
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Procedural experience Evaluations Educational contentAppropriate balance for
educationEducation compromised
by service
Learning and working environment Faculty supervision
and teaching
2017-2018 Frequent AFIsCategorical Pediatrics Programs
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Qualifications of the faculty Curricular development (structured didactics) Patient care experience (inadequate number /
variety) Qualifications of the program director (lack of
scholarly activity)
2017-2018 Frequent CitationsSubspecialty Programs
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Evaluations Timeliness of feedback
Faculty supervision and teaching
Resources Fellows can raise concerns
without fear Satisfied with process to deal
with problems/concerns
Educational content Appropriate balance for
education Education compromised by
service
Inaccurate/incomplete information
2017-2018 Frequent AFIs Subspecialty Programs
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Faculty Roster – current certification information Participating in Maintenance of Certification - M
CVs – current licensure, scholarly activities from last 5 years
Block Diagram – provide key for abbreviations, do not include individual schedules
Incomplete/Inaccurate Data
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Instructional videos on the ACGME Distance Learning website Responding to Citations
Entering Scholarly Activity into ADS
Creating an Effective Block Schedule
Avoiding Common Errors in ADS
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Avoiding Common Errors in ADS
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Written response to AFIs not required, but encouraged
Programs may address improvements and/or innovations implemented to address AFIs in the “Major Changes and Other Updates” section of ADS
AFIs
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Effective date is July 1, 2019All specialty-specific requirement
documents will be updated to include the new Common Program Requirements and will be posted by July 1st
Common Program Requirements:Sections I-V
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Minimum number of core faculty or core faculty/resident ratio Faculty scholarly activity dissemination – whether
to require peer-reviewed publications Frequent rotational transitions, length of
educational experiences and supervisory continuity
Common Program Requirements:Specialty-Specific Changes
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Focused revisions to align with the aforementioned changes will be made to the pediatrics requirements Should be posted for public Review and Comment
in late spring/early summer
Common Program Requirements:Specialty-Specific Changes
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Revisions to Program Requirements approved by the ACGME Board of Directors in February 2019
Effective date: July 1, 2019
Pediatric Subspecialty Program Requirement Revisions
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Development of Program Requirements began last year
Posted for review and comment: Comments due April 10th
Requirements should be approved in September 2019
Application form will be available once requirements are finalized
RC will probably begin to review applications in January 2020
Pediatric Hospital Medicine
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Align the data collected with the Common Program Requirements going into effect July 1, 2019 Changes will go live after ADS Rollover June 24,
2019 Programs applying and re-applying will be
required to respond to new/updated ADS elements
Accredited programs will be required to respond to new/updated questions in the Annual Update
Upcoming Changes in ADS
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ADS Change:Site Director Identification
Edit Participating Sites
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ADS Change: Designation of Core Faculty
Designate faculty as “Core” on the Faculty RosterII.B.4. Core faculty members must have a significant role in the education and supervision of residents and must devote a significant portion of their entire effort to resident education and/or administration, and must, as a component of their activities, teach, evaluate, and provide formative feedback to residents. (Core)
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ADS Change: Faculty Certification
After the ADS Rollover, all programs will enter the expiration date of their faculty members’ certification, if available. Exceptions:
Some specialties/subs (e.g., Peds) don’t have an expiration date for MOC, so it will not be required
Faculty members with AOA certification with a status of “OCC” will not be required to enter an expiration date
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ADS Change: Faculty Scholarly Activity
Residency programs will complete a table for allphysician faculty members and a separate table for non-physician faculty members
Residency programs will no longer report scholarly activity by individual faculty member
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IV.D.2.a) Among their scholarly activity, programs must demonstrate accomplishments in at least three of the following domains (Core)
ADS Change: Faculty Scholarly Activity
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ADS Change: Faculty Scholarly Activity (Fellowship Programs)
Programs will continue to report scholarly activity by individual faculty member
Programs will also report domains (e.g., research, QI, grants, professional committees, creation of educational materials, innovations in education) of scholarly activity for all faculty in the program
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Application(Non-Single GME)
Pre-Accreditation &Continued Pre-Accreditation
Initial Accreditation Statuses
Continued Accreditation Statuses & Probation
Common Application & Annual Update Questions X X X X
ADS Changes: Questions
There will be multiple changes to the questions in ADS
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ADS ChangesPrograms to provide the program’s mission statementThe mission statement is a written statement of a program’s core purpose. This statement should clarify the focus of the educational program (e.g. academic/research focus, community care focus, etc.), what community the program will serve and how that will be accomplished, and how the program’s mission aligns with the larger mission of the Sponsoring Institution.
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ADS ChangesProvide the program aims that are guided by the program’s mission statement.The program’s aims (i.e. goals, objectives) should describe what the program has the intention of achieving in accordance with the Common Program Requirements. The program aims should be consistent with the overall mission of its Sponsoring Institution, the needs of the community it serves and that its graduates serve, and the distinctive capabilities of its graduates (e.g. leadership, research, public health).
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ADS Change:Document Uploads
Reorganized for clarity Some documents may be separated (e.g.,
evaluation documents) Descriptions of documents to be updated for clarity Additional documents may be required (e.g., policy
for well-being) Documents will be retained after Initial
Accreditation
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ADS Changes
Multiple revisions to specialty-specific documents likely to occur between July 2019 and July 2021Watch for the e-Communication emails
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Pediatric Dermatology (RC for Dermatology) Multidisciplinary Neurocritical Care Medicine
(RCs for Anesthesiology, Emergency Medicine, Neurological Surgery, Neurology)
New Subspecialties Approved
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Complex Family Planning (RC for Obstetrics and Gynecology)
Wound Care (Multidisciplinary)
New Subspecialty Applications
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• Programs scheduled with a self-study date prior to April 2019 will likely have their 10-year site visit more than 24 months after the self-study date listed in ADS
• Programs with self-study dates of May 2019 and beyond will have their self-study dates pushed forward into the future (exact time-frame under review)
• More information about the date changes are forthcoming
Self-Study and 10-Year Site Visit Dates
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Updated FAQs for site visits on the ACGME website, with more information about the Self-Study and 10-Year Site Visit
Webinar, August 2, 2019: Maximizing the Value of the ACGME Self-Study
Process for Your Program: No Need to be Afraid!
Self-Study Resources
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A working group will convene in August 2019 for its first of typically three meetings
Draft will be posted for review and comment
A Supplemental Guide (SG) will be developed to provide insight into the intent of the subcompetencies with examples for each level, sample assessment methods, and other available resources
The guide will be available as a Word document so that your CCC can personalize it to your program
Milestones 2.0
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Tell us what you need and how we can help [email protected]
Milestones Resources
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Milestones Research
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Common Program Requirements CLER JGME Back to Bedside National Academy of Medicine Collaborative
Physician Well-Being
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National Academy of Medicine Collaborative goals: Raise the visibility of clinician anxiety, burnout,
depression, stress, and suicide
Improve baseline understanding of challenges to clinician well-being
Advance evidence-based, multidisciplinary solutions to improve patient care by caring for the caregiver.
A comprehensive resource repository – The Clinician Well-Being Knowledge Hub
Physician Well-Being
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National Academy of Medicine Collaborative Resources:A comprehensive resource repository – The Clinician Well-Being Knowledge Hub
Physician Well-Being
©2019 ACGME
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www.acgme.org ACGME Policies and Procedures Milestones and Clinical Competency Committee Guidebooks List of accredited programs Accreditation Data System (ADS) FAQ documents (e.g., Milestones, Common Program
Requirements) General information on site visit process and your site visitor Videos: Avoiding Common Errors in the ADS Annual Update
Program Resources
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Pediatrics web pages Complement increase
policy Program Requirements,
FAQ documents, and application forms Milestones Presentations
Weekly e-Communication Contains general GME
information, accreditation-related updates, announcements regarding Program Requirements, updates from the Review Committee on ACGME issues/initiatives, etc.
Program Resources cont.
©2019 ACGME
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ADS: [email protected] Tessa Banks ([email protected])
312.755.7449
Site Visit: Linda Andrews, MD
Andrea Chow ([email protected]) 312.755.5009
Penny Iverson-Lawrence ([email protected]) 312.755.5014
Requirements, Forms, or Notification Letters: Caroline Fischer
([email protected]) 312.755.5046
Denise Braun-Hart ([email protected]) 312.755.7478
Elizabeth Prendergast ([email protected]) 312.755.7054
ACGME Contacts
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@ACGME WWW.ACGME.ORG
Thank you!
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
Adam Rosenberg, MD2019 Program Chair
Orientation to the Day
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
Thursday, March 28
• Table-to-Able session 10:15-11:45• Regional Lunch meetings 12:00-1:15• MPPDA Business Meeting• Learning Community Meetings 1:30-3:00• MPPDA: RRC/ABIM/ABP Panel Discussion• Enhanced Learning Sessions III 3:15-4:45• Poster Session 5:00-6:00
(posters will be on display beginning at 12 noon)
2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org
APPD 2019Annual Meeting
March 26-29New Orleans
MarriottNew Orleans, LA
Enjoy Table to Able!