Graduate Medical Education 2017-2018 Annual Institutional ...Results of Most Recent Institutional...
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Graduate Medical Education2017-2018
Annual Institutional ReportPresented by
Paulette S. Wehner, MD, F.A.C.C., F.C.C.P., F.A.C.P., F.A.H.A.Vice Dean, Graduate Medical Education
Designated Institutional Official (DIO)
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ACGME Required Annual Institutional Review
Components 1. Results of Most Recent Institutional Self-Study Visit 2. Results of ACGME Resident & Faculty Surveys3. Notification of each ACGME accredited program’s
accreditation statuses and self-study visits
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Results of Most Recent Institutional Self-Study Visit
• Marshall is fully accredited- No visit scheduled.
• Will have one year after ACGME notification to complete self-study
• Marshall Community Health Care Consortium full accredited. No letter received yet.
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ACGME accredited program’s accreditation statuses and self-study visits
Residency Program Accreditation Status Citations Self-Study Status
Family Medicine Continued 0 Started
Int. Medicine Continued 0 Started
Med-Peds Continued 0 Started
Neurology Initial 0
Ob/Gyn Continued 0
Orthopaedics Continued 1- Extended
Pediatrics Continued 0
Psychiatry Continued 0
Surgery Continued 0
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4%
Total Percentage of Compliance by Category
Programs Surveyed 15Residents Responded 192 / 198
Response Rate 97%
Survey taken: January 2018 - April 2018
Results of ACGME Resident Surveys
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Results of ACGME Faculty Surveys2017-2018 ACGME Faculty Survey –Aggregated Program Data
Survey taken: January 2018 - April 2018
Programs Surveyed 15Faculty Responded 109 / 127Response Rate 86%
Faculty's overall evaluation of the program
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2017-2018 In Review
3 Site Visits
• Hematology & Oncology • Marshall Community Health Consortium• Clinical Learning Environment Review (CLER)
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New Programs/ Sites
•Geri Psychiatry•Adolescent and Child Psychiatry
•Pulmonary/Critical Care•Rural Site Approved - Lavalette
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Established 2017Office of GME/Resident Wellness
Center
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On Call Room
Workout Room
Office of GME/ Resident Wellness Center
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Additional Major Changes During 2017-2018
• Successful Start of Neurology Residents• Expanded Well-Being Subcommittee – Survey of Clinical Care
Team Currently Underway- Now includes CHH reps• Hired GME Administrative Assistant• Approved New MED/PEDS Program Director• Obtained TAGME Certification for 5 GME Administrators,
include 2 in GME office – 2 Program Administrators Awaiting Certification Results (FM and Psy)
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How Do We Measure If We Are Training Our Residents/Fellows
Well?1) Do we provide new training opportunities and fill
our complement?2) Do our PGY 1’s Pass Step 3 ?3) Do Our Graduates Receive Competitive
Fellowships?4) Do Our Graduates Find Jobs? 5) Specialty Passage Rate
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Do We Provide New Training Opportunities? Fill Our Complements?Yes, We Are Growing!
• Residencies – 10 programs with 187 residents• Fellowships – 9 programs with 31 fellows
154 162 183 185 195 204 218
0
50
100
150
200
250
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Are The Trainees Able to Pass Boards?Step 3 Passage Rate(First Time Takers)
• Requirement for Promotion to PGY 2
88% 86%
67%
100% 100%
75%
100%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FM MED OB/GYN ORTHO PEDS PSYCH SUR
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Can They Pass Their Specialty Boards?Specialty Board Passage Rates
(Up to 2017 Grads)Core Programs 2013 2014 2015 2016 2017Family Practice 100% 88% 86% 100% n/a
Internal Medicine * 90% 67% 73% 92% 86%Medicine/Pediatrics
MED 100% 100% 100% 100% 50%PEDS No takers 100% 100% n/a 100%
OB/GYN 100% 100% 100% 67% 100%Orthopaedics Surgery 100% 67% 100% 100% 100%Pediatrics 100% 80% 100% 100% 83%
Surgery** QE 100% 33% 50% 67% 100%CE 50% 0 0 75% 75%
Fellowship ProgramsCardiology 100% 100% 100% 100% 50%Endocrinology n/a 50% 100% 100% 100%
Pulmonary 100% 0 100% 100% 100%Hem/Oncology n/a 100% 100% 100% 100%Interventional Cardiology 100% 100% 100% 100% 100%
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FM MED M/P OBG ORT PEDS PSY SUR
2
7
32 2
5
8
23 3
2 2
Placement of 2018 GraduatesFellowship vs. Practice After Residency
Fellowship Practice
Can Our Trainees Obtain Fellowships/ Or Practice Opportunities?
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Graduates Entering Practice vs. Fellowship
0
22
31
PracticeFellowship
Without Plans
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Practice Plans After Fellowship
4
2 2 21
2 2
4
22 21
2 2
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
CVS INT. CVS ENDO PULM SPORTSMED
HEM/ONC DENTAL
No of Grads Fellowship Practice
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2018-2019 Challenges• Trainee Permits - As of July 1, 2019, all trainees must hold an
educational permit or medical license- Annual Renewal required; $100 initial and renewal;
• New Common Program Requirements – Phase in Approach –Some New Requirements Subject to Citation July 1, 2017; Rest July 1, 2019;
• Provide resident/faculty education on Well-Being- How to recognize burnout, depression and substance abuse symptoms in self and others;
• Provide Trainees and faculty members with summary information of institution's patient safety reports- Close the Loop with DatixEvent Reporting;
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2018-2019 Challenges continued
New Common Program Requirements (Highlights)• Provide residents with opportunities to participate as team
members in real patient safety activities such as Root Cause Analysis;
• Provide residents with training and experience in how to disclose adverse events to patients and families;
• Programs must provide formal educational activities that promote patient safety-related goals, tools and techniques;
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2018-2019 Challenges continued
New Common Program Requirements continued• Trainees and faculty members must receive data on quality metrics
and benchmarks related to their patient populations;
• Trainees and faculty must participate in activities aimed at reducing health care disparities;
Continue the Growth• Pulmonary/Critical Care Fellowship• Family Medicine Fellowship in Addiction Medicine• Emergency Medicine
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Wrap Up of 2017-2018
• Much has been accomplished• 2018-2019 will be busy but exciting time in GME
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Thank You!