what it means to be a program director rita m patel md professor of anesthesiology & vice-chair,...
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What it Means to be What it Means to be aa
Program DirectorProgram DirectorRita M Patel MDRita 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
DisclosureDisclosure Former Program Director Anes Residency Former Program Director Anes Residency
UPMCUPMC Vice-Chair, EducationVice-Chair, Education
Oversight of all edu programs, inc med Oversight of all edu programs, inc med student, residency, fellowships and CMEstudent, residency, fellowships and CME
UPMC ACGME/NRMP DIOUPMC ACGME/NRMP DIO Oversight of 110+ residency/fellowship Oversight of 110+ residency/fellowship
programsprograms Member of Anes RRC Member of Anes RRC OPINIONS EXPRESSED ARE MY OWN and OPINIONS EXPRESSED ARE MY OWN and
NOT ON BEHALF OF THE RRC, ACGME NOT ON BEHALF OF THE RRC, ACGME OR UPMCOR UPMC
TimelineTimeline
RRC meets Oct 27 & 28 2011RRC meets Oct 27 & 28 2011 Following the ASAFollowing the ASA
PIF is produced by a separate area of the PIF is produced by a separate area of the ACGME & must be reviewed by the RRCACGME & must be reviewed by the RRC
Program Requirements, PIF, FAQs Program Requirements, PIF, FAQs typically posted at same timetypically posted at same time
Plan is PIF availability for potential Plan is PIF availability for potential January submission of program January submission of program applications for consideration at April applications for consideration at April meetingmeeting
Anesthesiology & SubsAnesthesiology & Subs2010-20112010-2011
Program # Programs
# Residents
Anesthesiology 131 5678
Adult CT Anes 52 151
Critical Care Anes
48 94
Pain Medicine 93 318
Peds Anes 46 191
All Programs 8893 114,058
Multiple Impacts on Multiple Impacts on GMEGME
Organizations – AAMC, AHME, FSMB, Organizations – AAMC, AHME, FSMB, AHME, AHA, ABMSAHME, AHA, ABMS
ABMS American Board of Medical ABMS American Board of Medical SpecialtiesSpecialties American Board of AnesthesiologyAmerican Board of Anesthesiology
FSMB Federation of State Medical BoardsFSMB Federation of State Medical Boards Licensing Board of Medicine for StateLicensing Board of Medicine for State
Local Sponsoring Institution Local Sponsoring Institution May be medical school or hospital systemMay be medical school or hospital system
More Info – More Info – www.ACGME.org
Residency Review Committee – AnesthesiologyResidency Review Committee – Anesthesiology RRC Members & Staff (Pat Surdyk & Billy Hart)RRC Members & Staff (Pat Surdyk & Billy Hart)
Common Program Requirements – 7/2011Common Program Requirements – 7/2011 Program Director Guide to the CPRsProgram Director Guide to the CPRs Anes & Subs PRs*Anes & Subs PRs* FAQs – Frequently Asked QuestionsFAQs – Frequently Asked Questions PIFs – Program Information Form*PIFs – Program Information Form* Responsibilities of Residency & Fellowship Responsibilities of Residency & Fellowship
Program DirectorsProgram Directors
Rita M Patel MD - Dec 2010
Responsibilities of Residency Responsibilities of Residency & Fellowship Program & Fellowship Program
DirectorsDirectorsRRC 2007RRC 2007
Accreditation IssuesAccreditation Issues Educational ProgramEducational Program Administration Administration Institutional RoleInstitutional Role
Rita M. Patel, MD
TIME – Practical TIME – Practical SuggestionsSuggestions
DEVELOP existing teachersHELP from institutional sponsorUSE SEA, ASA, SOAP, AMA, SI
EXPAND existing structuresSHARE information
PRODUCE new materialMONITOR implementation
DISCARD things that don’t work
Rita M. Patel, MD
Accreditation IssuesAccreditation Issues Demonstrate “Substantial Compliance” Demonstrate “Substantial Compliance”
with Program Requirementswith Program Requirements Comply with Institutional Process – Int Comply with Institutional Process – Int
ReviewReview Prepare accurate & complete PIF+Prepare accurate & complete PIF+ Ensure DIO reviews & Co-signs PIF+Ensure DIO reviews & Co-signs PIF+ Maintain program & trainee filesMaintain program & trainee files Develop Policies & ProceduresDevelop Policies & Procedures Work with Residency PD & other Work with Residency PD & other
Fellowship PDs + Dept ChairFellowship PDs + Dept Chair
Rita M. Patel, MD
Documentation – Practical Documentation – Practical SuggestionsSuggestions
Make it EASYMake it EASY Web-Based/ElectronicWeb-Based/Electronic
Evaluation SystemEvaluation System Duty-Hours MonitoringDuty-Hours Monitoring
Post Important items on Post Important items on WebsiteWebsite
Give AWARDS & RECOGNITIONGive AWARDS & RECOGNITION
Educational Program Educational Program ElementsElements
Recruitment and SelectionRecruitment and Selection Clinical and Didactic Clinical and Didactic
CurriculumCurriculum Evaluation and CompetenceEvaluation and Competence Administration and ReviewAdministration and Review
Recruitment & SelectionRecruitment & Selection
Faculty of 3 is a committeeFaculty of 3 is a committee Ensure that only eligible individuals are Ensure that only eligible individuals are
enrolledenrolled All applicants at time of interview must All applicants at time of interview must
be provided with terms & conditions of be provided with terms & conditions of employment, benefits, & contractemployment, benefits, & contract
Program-Specific Selection PolicyProgram-Specific Selection Policy Must review NRMP history of applicant Must review NRMP history of applicant
for match violations PRIOR to contactfor match violations PRIOR to contact
Think of the physician you want Think of the physician you want to take care of your mother, to take care of your mother,
father or childfather or child
What characteristics What characteristics does that doctor does that doctor
possess? possess? HONEST
RELIABLE
GOOD HANDS
EXPLAIN WHAT’S GOING ON
ETHICALSMART
KIND
KNOW WHAT TO DO UP-TO-DATE
EASY TO TALK TO
UNDERSTANDING RESPECTFUL
KEEP THINGS PRIVATE
ACGME General ACGME General CompetenciesCompetencies
Medical KnowledgeMedical Knowledge Patient CarePatient Care Interpersonal and Communication SkillsInterpersonal and Communication Skills ProfessionalismProfessionalism Practice-Based Learning and Practice-Based Learning and
ImprovementImprovement Systems-Based PracticeSystems-Based Practice
Clinical & Didactic Clinical & Didactic CurriculumCurriculum
Write Competency-Based Goals & Write Competency-Based Goals & Objectives for each rotation & overall Objectives for each rotation & overall programprogram
Describe how they will be taughtDescribe how they will be taught Clinical Experience – specific rotations, types Clinical Experience – specific rotations, types
and volume of cases & appropriate facultyand volume of cases & appropriate faculty Didactic – lectures, workshops, simulation & Didactic – lectures, workshops, simulation &
appropriate facultyappropriate faculty Share curriculum with faculty & fellows Share curriculum with faculty & fellows
at least annuallyat least annually
Evaluation & Evaluation & CompetenceCompetence
Fellow - Evaluation of achievement in Fellow - Evaluation of achievement in all competenciesall competencies
Multi-Source is not the same as 360Multi-Source is not the same as 360 Obtain confidential written evaluations Obtain confidential written evaluations
of the faculty by the fellowsof the faculty by the fellows of the program by the fellowsof the program by the fellows of the program by the facultyof the program by the faculty
Conduct Annual Program EvaluationConduct Annual Program Evaluation Formal, documented, minutes keptFormal, documented, minutes kept
Administration & ReviewAdministration & Review
Program-Specific PoliciesProgram-Specific Policies Selection, Evaluation, Promotion, Dismissal, Selection, Evaluation, Promotion, Dismissal,
Duty Hours, MoonlightingDuty Hours, Moonlighting Manage clinical scheduling – on call, Manage clinical scheduling – on call,
rotation & ensure supervision & backup rotation & ensure supervision & backup systems availablesystems available
Implement & follow institutional policies Implement & follow institutional policies ie. for grievance & due process ie. for grievance & due process
Know what requires DIO, GMEC & RC Know what requires DIO, GMEC & RC approvalapproval
What to do NowWhat to do Now Go to the ACGME websiteGo to the ACGME website Begin learning terminology -the language Begin learning terminology -the language
of the ACGME: G& Behavioral O, Multi-of the ACGME: G& Behavioral O, Multi-Source EvalSource Eval
Meet with your Faculty, Chair, Div Chief & Meet with your Faculty, Chair, Div Chief & the Core PD - FUNDINGthe Core PD - FUNDING
Establish timeline for GMEC & DIO reviewEstablish timeline for GMEC & DIO review Read Common Program RequirementsRead Common Program Requirements
Keep them on your desktopKeep them on your desktop Refer to them frequentlyRefer to them frequently
Look at the PD Guide to the CPRLook at the PD Guide to the CPR
After PR & PIF becomes After PR & PIF becomes available…available…
Accurate & Complete PIFAccurate & Complete PIF Answer the Question being asked. Answer the Question being asked. PD & Faculty Qualifications ABA-certified, PD & Faculty Qualifications ABA-certified,
CV briefs demonstrate qualifications in PRsCV briefs demonstrate qualifications in PRs Rotation Schedule/Didactic Schedule/Goals Rotation Schedule/Didactic Schedule/Goals
& Objectives/Evaluation Forms& Objectives/Evaluation Forms Description of Rotations &/or ExperiencesDescription of Rotations &/or Experiences Provide correct dataProvide correct data
Pay Attention!Pay Attention!Avoid risky behaviorsAvoid risky behaviors
DUTY HOURSDUTY HOURS SUPERVISION & RESPONSIBILITYSUPERVISION & RESPONSIBILITY ACGME COMPETENCIESACGME COMPETENCIES
TeachingTeaching EvaluatingEvaluating OUTCOMESOUTCOMES
POLICIES/PROCEDURESPOLICIES/PROCEDURES ContractsContracts Grievance & AppealsGrievance & Appeals
Formation of GMEC subcommitteesGME 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
UPMC Programs to DevelopUPMC Programs to Develop the GME Community the GME Community
