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PEPTDA meeting

October 28,2016

Orlando, Florida

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Welcome!

• Introductions

• Minutes

• Budget

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ACGME update

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ACGME update: milestone data on 1st yr fellows

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ACGME update: program requirements revisions

• General pediatric subspecialty program requirements

– Anticipated effective date: July 1, 2017

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ACGME update: program requirements revisions

The Sponsoring Institution must provide support for a program coordinator(s) and other support personnel required for operation of the program. (Core)

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ACGME update: program requirements revisions

Common Program Requirements

http://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRs_07012016.pdf

• Revision process started

• Send me comments by Oct 31!!!!!

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ABP Update

• Hospital medicine- approved by ABP, ABMS

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Program director portal

MOC credit for ACGME program evaluation and improvement

Subspecialty EPAs

Fellowship orientation slide deck

Professionalism

Workforce data

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MOC for program improvement

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Entrustable Professional Activities - EPAs

EPAs that cross the generalist to subspecialist role:

– Provide for and obtain consultation from other health care providers caring for children.

– Contribute to the fiscally sound and ethical management of a practice (e.g., through billing, scheduling, coding, and record keeping practices)

– Apply public health principles and improvement methodology to improve care for populations, communities, and systems

– Lead an interprofessional health care team.

– Facilitate handovers to another healthcare provider

EPAs that are common to all subspecialties:

– Engage in scholarly activities through the discovery, application, and dissemination of new knowledge.

– Lead within the subspecialty profession.

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Pulmonology EPAs

• Manage patients with acute complex respiratory disease in an ambulatory, emergency, or inpatient setting

• Manage patients with complex chronic respiratory disease through all settings and phases of life

• Demonstrate competence in communicating a new diagnosis of a life altering disease using a patient and family centered approach

• Manage the use of supplemental respiratory equipment such as oxygen, ventilators, and airway clearance devices

• Demonstrate competence in performing the common procedures of the pediatric pulmonary subspecialist

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Pulmonology EPAs

Next step:

Curriculum development

– sent for comment 8/2016

– Just returned!

Working group

Debra Boyer, MD – Lead

Barbara Chini, MD

Deanna Green, MD, MHS

Michelle S Howenstine, MD

Paul Moore, MD

Jennifer A Rama, MD, MS

Kristie R Ross, MD, MS

Pnina Weiss, MD

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Subspecialty fellowship orientation slide deck

Provides information about the ABP targeted for entering first-yrfellows

• Evaluation and tracking

• Scholarly activity

• SITE and exam security

• Certification

• MOC during fellowship and beyond

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ABP workforce data- # of trainees

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ABP workforce data- age distribution of diplomates

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Distribution of pulmonologists by state

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MOCA Peds

• Pilot for Gen Peds MOC

• Not for fellowships until 2018?

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Sub-board request for review of ABP board content outline

• Revising content outline

• Send feedback to me on domains and sub-domains that are unclear or missing by Oct 31!

• Next step

– Assign exam weights• Survey to all pediatric pulmonology diplomates

• Knowledge areas rated as “highly critical” and “frequently required”

– For 2018 exams

– What sort of info would be useful?

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Sub-board request for review of ABP board content outline

Universal tasks

• Basic science and pathophysiology (BSP)

• Epidemiology and risk assessment (ERA)

• Diagnosis and monitoring (DM)

• Management and treatment (MT)

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Domains and subdomains

Comments to me by October 31!

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CoPS

• Delayed fellowship start date

– No fellowship duties before July 7, 2017

– No orientation before July 5, 2017

• Common match date- everyone but Cardiology and Heme/Onc

– July 1, 2016 Applicants apply

– July 15, 2016 PDs can download apps

– July-Nov, 2016 Interviews

– Aug, 24, 2016 NRMP match opens

– Oct. 19, 2016 Rank order list opens

– Nov. 16, 2016 Quota change deadline

– Nov. 30, 2016 Rank order list deadline

– Dec. 14, 2016 Match Day

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CoPS update

• Workforce action team

• Social media team

• Meeting Nov 3, 4- MOC

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Subspecialty Pediatrics Investigator Network (SPIN)

• Last study- 7 abstracts, 1 paper submitted: collaborators

– CoPS website

• Next study

• Survey- CoPS listserve

• Aim 75% participation of programs

• Objective– For each EPA (11)

• What do you believe is the MINIMUM level of supervision a fellow should achieve to successfully complete fellowship?

• If a fellow did not achieve at least this minimal level of supervision, would you still allow him/her to graduate? yes/no

• What is the LOWEST level in which you would consider that a subspecialist could perform most of the activities described above without supervision, resulting in a safe and effective outcome?

• 5-10 mins

• This information may be used to set national standards for satisfactory completion of fellowship so your input is extremely important.

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APPD update

Forum for FPDs

Fri, May 5, 2017

San Francisco

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APPD Fellowship executive committee

Survey

• Funding sources and security

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Other

• Next PEPTDA meeting ATS- Washington, DC.

– Likely Sunday, May 21- 8 pm after Pediatric Assembly

• ATS-APCCMPD-PEPTDA Forum

– ? Saturday, May 20

• ATS Bootcamp volunteers

– Friday, May 19

– Saturday, May 20

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Focus on us!

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PEPTDA: new website!

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PEPTDA website: what would you like to see on the site?

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Mission/Vision/Values

PEPTDA serves pediatric pulmonology programs by leading the advancement of education to ensure the health and well-being of children

Vision: Exemplary pediatric pulmonology education

Values:

– Leadership

– Collaboration

– Scholarship

– Mentoring

– Innovation