Med-Peds Residency Training

An Equal Opportunity University

Med-PedsResidency Training


UK MedPed

s is GREAT!!

!


Goal of Training

Prepare residents to be knowledgeable and compassionate physicians in their future practice:

–Adult and pediatric primary care–Adult/pediatric subspecialty care–Academic medicine


FACULTY AND LEADERSHIP


Med-Peds Residency Program

• Curtis Cary, MD, FAAP, FACP– MedPeds Program Director– MedPeds Group Continuity Clinic

Director

• John Stewart, MD– MedPeds Associate Program

Director– Polk Dalton Continuity Clinic

Director

• Chris Feddock, MD, FAAP, FACP– MedPeds Associate Program

Director– Assistant Dean of Curriculum– Former MedPeds PD for 5

years


Med-Peds Chief Residents

Amanda Foxx, MD Justin Purdy, MD


Internal Medicine Leadership

• Chairman: David Moliterno, MD• Program Director: Kristy Deep, MD, MA• Associate Program Directors:

– Jackie Gibson, MD– Laura Fanucchi, MD, MPH– John Ragsdale, MD, MS (MedPeds Trained)

• VA Educational Site Director: Sean Lockwood, MD

• Education Specialist: Rachelle Aker


Pediatrics Leadership

• Chairman: Carmel Wallace, MD• Program Director: Jenna Ross, MD (MedPeds

Trained)• Associate Program Director: Lindsey Ragsdale, MD• Program Coordinator: Michael Fralix• Residency Staff Support: Jim Duncan


Med-Peds Continuity Clinic Attendings

• Curtis Cary, MD– Pediatric Wards– Polk Dalton Clinic– HIV Medicine– HIV Education– Children’s Twilight Clinic

• John Stewart, MD– Polk Dalton Clinic

• Chris Feddock, MD– Salvation Army Clinic

• Chipper Griffith, MD, MSPH– Salvation Army Clinic


Med-Peds Hospitalist Faculty

Internal Medicine Services

• Chandler Hospitalists– Paula Bailey, MD– T.J. Lile, MD– John Ragsdale, MD, MS– John Romond, MD– Alan Hall, MD

• Good Samaritan Hospitalists– Zack Roy, MD– John Romond, MD

• VA Hospitalists – Mary Duke, MD– Mike McCoy, MD

Pediatrics Service• Kentucky Children’s

Hospital– Curtis Cary, MD– T. J. Lile, MD– Alan Hall, MD


Med-Peds Subspecialty Faculty• Mike Anstead, MD

– Adult and Pediatric Pulmonary

• Hubie Ballard, MD – Neonatology

• Deb Flomenhoft, MD – Adult Gastroenterology

• Brian Murphy, MD – Adult and Pediatric Infectious

Diseases

• Donna Stanton, MD– General Pediatrics

• Michael Young, MD – Adult Infectious Disease

• Jenna Ross– General Pediatrics

• Jackson Smith, MD – Adult and Pediatric

Endocrinology• Doug Schneider, MD

– Pediatric Cardiology• Joe Auer, MD

– Adult Gastroenterology• Nicole Leedy, MD

– Adult Infectious Diseases• Scottie Day, MD

– PICU


Community Med-Peds Faculty

• Fayette County– Amanda Smith, MD

• Clark County– Larry Ertel, MD

• Harrison & Nicholas County– Stephen Besson, MD– Andy Usery, MD

• Scott County– Andrew Balbaugh, MD– Joel Knight, MD – Erin Johnson, MD

http://www.visitlex.com/region.php


Med-Peds in Leadership Positions

• Mary Duke, MD– Med-Peds Program Directors Association, President, 1997– UK Med-Peds Program Director 1995-2005– Lexington VAMC Chief of Medicine– Former ACP Governor

• Christopher Feddock, MD, MS– Med-Peds Program Director 2005 - 2010– Assistant Dean for Curriculum

• Chipper Griffith, MD, MSPH– Senior Associate Dean for Medical Education

• Angela Dearinger, MD, MPH– Lexington VAMC Associate Chief of Staff for Education


Categorical Programs


Internal Medicine & Pediatrics Housestaff

Residency Programs Number per Year

Med-Peds 6

Internal Medicine• Categorical• Primary Care• Preliminary

1962

Pediatrics• Categorical• Peds/Adult Psych/Child Psych• Peds/Peds Neuro

821


Med-Peds as Categorical Chief Residents

• 2010-2011– John Stewart, MD, Internal Medicine

• 2011-2012– Catherine Habashy, MD, Internal Medicine– Martin Rains, MD, Internal Medicine

• 2012-2013– Amanda Smith, MD, Internal Medicine– Mark Wurth, MD, Pediatrics

• 2013-2014– Priya Veeraraghavan, MD, Pediatrics


Future Med-Peds Categorical Chief Residents

• 2014-2015– Kelli Trent, MD, Pediatrics

• 2015-2016– Carrie Gaby, MD, Pediatrics


Curriculum


Residency at a Glance

Pediatrics Internal Medicine

Intern 8 months 8 months

Junior Resident 8 months 8 months

Senior Resident 8 months 8 months

Total 24 months 24 months


Intern Level Curriculum

Internal Medicine Pediatrics

Intern Level

Rotations

Ambulatory Consult Ambulatory Consult

Chandler WardsChandler Wards

Emergency MedicineInpatient ConsultInpatient Consult

VA Wards

Adolescent MedicineBehavior and Development General Pediatrics Clinic General Pediatrics Wards General Pediatrics Wards

Hematology/Oncology Newborn Nursery

NICU


Junior Level Curriculum

Internal Medicine

Pediatrics

Junior Level Rotations

Ambulatory Consult

Ambulatory Consult

Ambulatory MedPeds

Chandler WardsCCU

ConsultMICU

VA Wards

“A” Selective CCHMC Emergency Medicine

General Pediatrics Wards Individualized Ambulatory

MedPeds Individualized Rotation

NICU PICU

Subspecialty Wards


Senior Level Curriculum

Internal Medicine Pediatrics

Senior Level

Rotations

Ambulatory ConsultAmbulatory MedPeds

Chandler WardsConsult Elective

Good Samaritan WardsMICU

VA Wards

“A” Selective Cardiology

Community MedPeds General Pediatrics Wards Individualized Rotation Individualized Rotation Individualized Rotation UK Emergency Medicine


Pediatrics “Tracks”

Primary Care Academic Medicine Hospitalist Medicine

Ambulatory MedPedsCommunity MedPeds

Gen Peds WardsGen Peds

Clinic/Advocacy/TwilightNBN

Ambulatory MedPedsGen Peds Wards

Gen Peds Clinic/Advocacy/Twilight

NBNResearch/Resident as

Teacher/Advocacy

Ambulatory MedPedsGen Peds Wards

Gen Peds Wards or PICU or NBNResearch/Resident as

Teacher/AdvocacySubspecialty Rotation or Gen

Peds Clinic

Subspecialty ICU

Ambulatory MedPedsGen Peds Clinic/Advocacy/Twilight

Research/Resident as Teacher/Advocacy

Subspecialty RotationSubspecialty Wards

Ambulatory MedPedsNICU or PICUNICU or PICU

Research/Resident as Teacher/Advocacy

Subspecialty Rotation


Med-Peds Rotations

• Emergency Department (intern)• Ambulatory Med-Peds Elective

– Primary Care clinics– Geriatrics Experiences – Surgical and Allied Health Experiences– Billing and Coding Experiences

• Community Med-Peds– Clinical experience with a combined practice

• Elective– Clinical or Non-clinical


Facilities


Facilities• Lexington VA Medical Center• Chandler Medical Center• Good Samaritan Medical Center• Kentucky Children’s Hospital• Kentucky Clinic• Polk Dalton Clinic• University Health Services Building


The New UK Healthcare Chandler Medical Center

http://clicks.beap.ad.yieldmanager.net/c/YnY9MS4wLjAmYnM9KDE0aTBuazkxcShnaWQkYzJhNGEwOGUtZTNjMS0xMWUwLWJiYWItNzM0YjYwNzcxNzk1LHN0JDEzMTY1NDgyMTU0ODcxNDMsc2kkMTA4ODU1MSx2JDEuMCxhaWQkeEN3Wk1Vd05qZUktLGN0JDI1LHlieCRMVUljS3RRdS5Hems3Ym4uZ0l3TDVnLHIkMCxyZCQxMHNsb2FubTIpKQ/2/*http:/ukhealthcare.uky.edu/

http://ukhealthcare.uky.edu/new/index.asp


Kentucky Clinic and UHS


Polk Dalton Clinic


VA Complex

New Chandler Medical Center

Gill Heart Center

Children’s

Hospital

Old Chandler Medical Center

You Started

Here This AM

Allied Healt

h Buildi

ng

Markey

Cancer

Center

http://ukhealthcare.uky.edu/index.htm


Pediatrics


Pediatric Inpatient Teams• General Pediatrics Ward Services (2 Resident Teams)

– Staffed by Pediatric Hospitalists and Med-Peds Attendings– Two residents on each team– Two - Three interns on each team– Two 3rd year medical students on each team

• Subspecialty Pediatrics Ward Services (1 Team)– Staffed by Pediatric Subspecialist Attendings

• Endocrine, Pulmonology, Nephrology, Cardiology, Gastroenterology

– Two – Three residents (upper level + interns) on the team• 56 Hospital Beds

– Over 7,000 admissions per year


Pediatric Intensive Care Unit

• 12 bed unit– Multidisciplinary care

• Trauma – General Surgery, Neurosurgery, Orthopedics

• Cardiac – Cardiology– All patients staffed by Pediatric Critical Care

Team– 900 admissions average per year

• Three - Four resident team – 1 week of night shifts per resident


Neonatal Intensive Care Unit

• 60 bed acute and transitional care unit• 850 admissions average per year• Residents

– One senior level resident– Two - Three junior level residents and/or

interns


Specialized Pediatric Clinics

• BMI and Healthy Weight Clinic

• International Adoption Clinic

• Cystic Fibrosis Center• Sleep Clinic• Twilight Children’s Clinic• HIV Clinic• Baby Health• Diagnostic Clinic• Dermatology Clinic

• Survivors of Childhood Cancer Clinic

• Young Parents’ Program• ADHD Clinic• NICU Graduate Clinic• GI Young Adult Clinic• Mommy and Me Clinic• Lipid Clinic• Family Care Center


Internal Medicine


Internal Medicine Wards

• Chandler Medical Center– 3 Resident Teams

• Good Samaritan Hospital– 2 Resident Teams– 3 Academic Hospitalist

Teams– 1 Private Hospitalist Team

• VA Medical Center– 3 Resident Teams– 2 Hospitalist

Teams


Diversity of Experience

• Chandler Medical Center– Tertiary and Quaternary Care Hospital– Active Transplant Program– Top 25% of hospitals by patient complexity

• Good Samaritan Hospital– Community-Based Primary Care – Referral Center for general & subspecialty

medicine• VA Medical Center

– Community-Based Primary Care


Chandler Medical Center


Good Samaritan Hospital


Good Samaritan Hospital

• Hospitalist Rotation• Each team with 2 residents

– 3rd year resident– 2nd year resident

• Private Hospitalist Night Coverage• Residents rotate “late shift”

– Work until 8pm every 4th night


Lexington VA Medical Center

http://www.va.gov/


VA Medical Center

• Resident Team– 1 upper-level resident– 2 interns

• Team Cap ~ 14 patients• Interns rotate night float call schedule:

every 6th night• Resident night float to supervise

admissions


Chandler MICU• Two Resident Teams

– Each led by attending and fellow– Resident structure depends on time of year

• 3-4 residents per team w/ 1-2 residents on night float• Attending coverage 24/7


Residents as Teachers


Med-Peds Housestaff Teaching Awards• Clark Sleeth – Best Intern Teacher (2013)• Carrie Gaby – Internal Medicine (2013)• John Romond – Pediatrics (2012)• Kelli Trent – Pediatrics (2012)• Carrie Gaby – Internal Medicine (2012)• Martin Rains – Best Resident Teacher (2011)• Joseph Brown – Best Intern Teacher (2011)• John Romond – Internal Medicine (2011)• Catherine Habashy – Pediatrics (2011)• Julie Griffin – Pediatrics (2010)• Catherine Habashy – Pediatrics (2009)


UK Healthcare Resident of the Month

• May 2014: Heather Relyea• November 2013: Justin Purdy• September 2013: Carrie Gaby• April 2013: Heidi Frazier• February 2013: Wendy Ballenger• November 2012: Erin Marcotsis• August 2012: Priya Veeraraghavan• June 2012: Candice Olechowski• January 2012: Matt Bacon• September 2011: Stephanie Misciasci• August 2011: Joseph Brown


Conferences and

Independent Learning Activities


Curriculum

Internal Medicine• Johns Hopkins Ambulatory

Modules• Med-Peds Board Review• MKSAP• Morning Report • Noon Conference

Pediatrics• AAP PREP Curriculum• Med-Peds Board Review• Morning Report• Noon Conference


Pediatric Conferences

• AM Conferences– Morning report case conferences– Grand Rounds: Thursday

• Noon Conferences – Daily– Structured Curriculum– General Pediatrics and Subspecialty

Conferences– Advocacy Training and Conferences– Business of Medicine Conferences


Internal Medicine Morning Report

• VA Morning Report – Mondays & Wednesdays• UK Morning Report – Tuesday, Thursday, &

Friday – UK Ambulatory Morning Report

• Autopsy Conference – Monthly• Focus on clinical decision-making

– Minimize the rare presentation of the rare disease

– Resident responsible for 3 teaching points


Med-Peds Conferences

• Med-Peds Board Review– Weekly on Mondays and Wednesdays

• Med-Peds Noon Conference and Journal Club– Monthly w/FREE FOOD

• Med-Peds Grand Rounds – Quarterly


Continuity Clinic


Med-Peds Continuity Clinic

• Sites– MedPeds Group (UHS Building)– Polk Dalton Clinic

• Clinic Attendance– Once per week as an intern– Twice per week as an upper-level

resident– Additional clinics scheduled on

ambulatory months


Program Specifics


Fellowship Matches Since 2004

• Med-Peds– 2010: Academic Medicine

(Pitt)– 2007: Sports Medicine (UL)– 2006: Allergy (Vanderbilt)

• Pediatrics– 2015: Cardiology (Emory)– 2012: Pulmonary/Allergy

(Vanderbilt)– 2012: PICU (Vanderbilt)– 2011: Cardiology (Baylor)– 2009: PICU (UAB)– 2006: PICU (Vanderbilt)– 2004: Pulmonary (Baylor)

• Internal Medicine– 2014: Endocrinology

(UK)– 2013:

• Cardiology (MUSC)• Pulmonary (UK)

– 2011: Cardiology (UK)– 2011: ID (UK)– 2010: Pulmonary (Utah)– 2009: GI (UK)– 2005: Heme/Onc (UK)– 2004: Academic

Medicine (UK)


Board Pass Rates

# Passing # Taking Exam # Passing # Taking

Exam

Class of 2013 3 5 2 4

Class of 2012 4 4 5 5

Class of 2011 6 6 6 6

Class of 2010 6 6 5 5

Class of 2009 5 7 3 3

Last 5 Years Average 86% 91%


Retreats and Social Events

• Med-Peds– Journal Club

Monthly– Switch Party– End-of-Year Party

• Internal Medicine– Annual Level Specific

Retreats– ACP Retreat w/UL

• Pediatrics– Intern Retreat– AAP Retreat w/UL– Pint Night


Switch Party


Housestaff Stipends 2014-2015

UK Southern US*

Midwest US*

PGY-1 $49,294

$48,327 $50,219

PGY-2 $50,946

$49,947 $52,007

PGY-3 $52,689

$51,656 $53,763

PGY-4 $54,721

$53,648 $55,804

*2013 AAMC Survey of Resident/Fellow Stipends and Benefits


Fringe Benefits

• Vacation– PGY-1 = 2 weeks– PGY-2 and above = 3 weeks– Reading Week – yearly on Internal

Medicine• Eight holidays • Four bonus days in

December/January


Fringe Benefits

• Insurance: Health, Life & Malpractice

• Parking Permit – covered lots close to hospital

• Alphanumeric Pagers• Lab Coats - 3 per year• Meal Stipends• Student ID and Activity Cards


Fringe Benefits

• Participation in UK Wellness Program– Available for UK employees, spouses,

and retirees. • Employee education program (EEP)

– 18 credit hours per year: 6 hours for spring, fall, and summer at no cost

• Johnson Sports/Exercise Center • Basketball and football tickets!! Go

Big Blue!!


Global Health Opportunities(http://www.stsglobal.org/)


Educational Scholarship

• ACP Membership • AAP Membership• NMPRA Membership• Books

– Harriet Lane Handbook (PGY-1)

– Zitelli Atlas of Pediatric Physical Diagnosis (PGY-1)

– Philadelphia Guide: Inpatient Pediatrics (PGY – 1)

– Nelson Textbook of Pediatrics

– MKSAP (PGY-2)

• Travel stipends if presenting at regional/national meeting

• Board Exam Funds of ~ $4000– PGY-2: $800– PGY-3: $1000– PGY-4: $2500

• Pediatric Board Review Course


Lexington and

Surrounding Areas


Lexington, KY


Business Rankings• Forbes

– #1 Best City for Finding a Job (2011)– #4 Best City for Business and Careers (2011)

• Business Facilities– #2 Most Educated Workforce (2008)– #6 Low Cost Manufacturing Center (2010)– Editors Location Pick (2010)

• CNN Money– #6 Best Mid-Size to Start a Small Business (2009)

• KPMG Competitive Alternatives– #7 Best City for Business Costs (2010)


Education Rankings

• Blue Ribbon Education Quotient (2007)– Top 1/3 of districts nationwide and highest score in

Kentucky• U.S. Census Bureau (2009)

– 13th Highest City with Bachelor’s Degrees– 7th Highest City with Advanced Degrees

• University of Kentucky– 8th Best College of Pharmacy – 26th Best College of Nursing– 31st Best College of Public Health


Quality of Life• America’s Promise Alliance

– Top 100 Best Communities for Young People (2010)• Next Cities

– 13th Top Hotspot for Young, Talented Workers (2009)• Parenting Magazine

– 2nd Best City for Education (2010)– 5th Best City to Raise a Family (2010)

• Forbes– 5th Best College Sports Town (2009)

• Kiplinger– 6th Best Value City (2011)

http://www.visitlex.com/


Lakes

Within 1 Hour:• Cave Run Lake• Taylorsville

Lake• Herrington

Lake• Guist Creek• Cedar Creek

Worth Driving To:• Dale Hollow Lake• Lake Cumberland• Green River Lake• Laurel Lake• Kentucky Lake• Lake Barkley


World Famous Lake

Cumberland Moonbow


Hiking and Climbing

• Red River Gorge (www.redriverclimbing)

• Palisades/Jim Beam Nature Preserve• Torrent Falls (www.torrentfalls.com) • Muir Valley • Natural Bridge• Raven Run• Arboretum


Thoroughbreds

• Keeneland – April and October• Churchill Downs – Spring and Fall

Meets• Kentucky Horse Park


Kentucky Bourbon Trail

• Buffalo Trace – Frankfort• Four Roses –

Lawrenceburg • Heaven Hill – Bardstown • Jim Beam – Clermont • Maker’s Mark – Loretto • Woodford Reserve –

Versailles • Wild Turkey –

Lawrenceburg• Tom Moore – Bardstown


Vineyards and Wineries

• Chrisman Mill Vineyards

• Equus Run• Jean Farris• Talon Winery


QUESTIONS

http://www.headley-whitney.org/history.html

Med-Peds Residency Training

Documents

Transcript of Med-Peds Residency Training