We Need YOU! Creating a Med-Peds Program Director Textbook MPPDA Executive Committee.

We Need YOU! Creating a Med-Peds Program Director Textbook MPPDA Executive Committee

Goal The purpose of the session is to introduce the creation of a Med-Peds Program Director Textbook, and to harness the wisdom of the crowd by brainstorming with the MPPDA membership in small groups about specific content areas for the purpose of creating a resource that will benefit all Med-Peds Program Directors. A second purpose is to offer opportunities for personal scholarship for all members

Objectives At the end of this 90 minute workshop, participants will: 1)Define 3 specific areas of an educational or resource gap that exists for med-peds program directors 2)Contribute to defining content needed for a specific chapter of the Med-Peds Program Director Textbook 3)Consider participating in the scholarship activity of authoring (or co-authoring) a sub-chapter of this textbook by reflecting on their own content expertise or personal content area of interest

Agenda 1)Background (15min) a)Existing resources b)Process of content development c)Introduce editorial board d)Describe current content 2) Break out brainstorming (45min) 3) Report out (15 min) 4) Homework Plans (10 min) 5) Next steps / Summary (5)

From IM: AAIM Toolkit Series A Textbook for Internal Medicine Educational Programs, 11 th Edition. Editors: Ficalora RF and Costa ST. 2013 A Textbook for Todays Internal Medicine Chief Medical Resident, 21 st Edition. Editor Williams FK, 2013

From Pediatrics ABP: Assessment in Graduate Medical Education, 2011. The Pediatrics Milestone Project. ABP, 2013. APPD: Handbook for Pediatric Program Directors. Accessed at APPD web site, March 6, 2015 HANDBOOK FOR PEDIATRIC RESIDENCY PROGRAM DIRECTORS 1997 HANDBOOK FOR PEDIATRIC RESIDENCY PROGRAM DIRECTORS 1997

From Med-Peds

Editorial Board:

Table of Contents 1.Introduction / History of Med-Peds 2.Program Administration 3.Program Management 4.Financing a Med-Peds Program 5.Recruitment 6.Collaboration locally 7.Collaboration nationally 8.Resident Education and Assessment 9.Faculty Development 10.Med-Peds Coordinators 11.Conclusion Why Med-Peds: Your Med-Peds Elevator Speech 12.Annotated Bibliography

Chapter 1 Introduction / History of Med-Peds 1)Rationale for handbook 2)General Goals - "How to" philosophy of book 3)MP history a)Trailblazers b)Combined training c)Accreditation (2006) d)NAS (2013) Alda Gonzaga University of Pittsburgh

Chapter 2 Program Administration 1)ACGME Clarify different roles of ACGME and board (accrediting people vs programs) their mission or purpose ACGME- basic information ACGME core vs detail requirements when can you innovate Accreditation Process for new programs ADS Annual Surveys - ACGME CLER visits ACGME program Self studies (and timeline for same) The 7 main points of data gathered by ACGME since NAS 2)Clinical Competence Committee- the many options for med-peds 3)Program Evaluation Committee - What is an ideal ? 4)MP quandary not having control, but being fully responsible 5)Policies yours, mine and ours 6)Program Requirements - 3 sets grid all 3 sets for comparison 7)Two Board Required communication with both boards FASTrack ABP annual completion/advancement form 8)Duty hours- including transition between departments (who over sees this? Whos responsible?) 9)Knowing when/why a program is in trouble Alex Djurucich Indiana University

Chapter 3 Program Management 1)Whats what? a)Defining the Vision and Mission Who and What are you at your place b)University c)School d)Department (Separate? Individual) e)Program Director relationships (core) 2)Diagram It a)APDs b)Program Coordinators c)Chief Resident - level, roles, variations d)Budget e)Resources for management style / leadership f)Lessons from the elders 3)Actual Program Structure a)? 3x3; 4x4; variations why? b)Length of internship c)Levels of responsibility JR Hartig University of Alabama

Chapter 4 Financing a Med-Peds Program Michael Lukela University of Michigan 1)Graduate Medical Education (GME) Finance 101 A.Direct GME B.Indirect GME C.Future Directions of GME Finance D.Potential Impact of the Affordable Care Act (ACA) E.Medicare Payment Advisory Committee (MedPac) Recommendations 2)Creating a Program Budget A.Identifying the Essentials B.Prioritizing the Cost of Innovation C.Costs Unique to Med-Peds D.Cost-sharing and Collaboration with Categorical Programs E.Example Budgets

Chapter 5 Recruitment 1)Introduction: Recruitment is a year long 365/24/7 process 2)Day-to-Day Recruitment 3)Sources of Important Data 4)Recruiting Season 5)Nuances of Different Applicant Types 6)Resources Allen Robert Friedland Christiana Care

Chapter 6 Collaboration Locally 1)DIO 2)Department Chairs 3)Categorical PDs 4)Other stake holders 5)Why Med-Peds 6)Indicators of support (from chairs, categorical PDs & chiefs) Russ Kolarik University of South Carolina Greenville

Chapter 7 Collaboration Nationally 1) The ABIM and the ABP- the organizations that accredit people 2) The ACGME the organization that accredits programs 3) The AAP and ACP and med-peds sections of each 4) APPD and APDIM (and AAIM) (and OPDA) 5) AAMC And different subgroups within AAMC that involve residents 5) NMPRA 6) MPPDA Sandi Moutsios Vanderbilt University

Chapter 8 Resident Education and Assessment 1)Create Goals and Objective for a Combined Med-Peds Program 2)Develop Med-Peds Specific Curricula 2a- Med-Peds Conference Curricula 2b- Med-Peds Clinic Curricula 2c- Med-Peds Scholarly project 2d- Med-Peds Residents as teachers Curricula 2e Transition Curricula 3)Identifying Residents Who Underperform: Problem Residents & Residents with Problems Remediation Dealing with resident life crises The 4 ds drugs, dependency, diagnosis, depression Residents with little insight 4)Prepare Residents for the ABP and ABIM Board Exams: A Strategy for Defining who is a high risk of not passing and creating a plan 5)Assessment Defining an assessment system CCC med-peds vs categorical Leveraging the power of both categorical departments How to be useful to both departments Managing two sets of milestones Discuss the importance of direct observation roles med-peds faculty can play in this regard 6)Playing Nice in the Sandbox The Challenge of All the Responsibility, but Little Control Sandi Moutsios Vanderbilt University

Chapter 9 Faculty Development 1)Intro- why development matters 2)Job Descriptions PD & APD 3)PD Critical Skills 4)How and where to get those skills 5)Promotion 6)Getting the time and support for your and your facultys development Jen OToole University of Cinncinati

Chapter 10 Med-Peds Coordinators 1)Introduction: The Different Job Structures of the Med-Peds Administrator a)Coordinating Med-Peds Only b)Coordinating Med-Peds & Medicine or Med-Peds & Peds c)Coordinating Med-Peds & another residency or fellowship 2) Day-to-Day Residency Management who is responsible for what? a)Residency Management Suites (duty hours, conference attendance, procedure logs) b)Evaluations c)Onboarding/Credentialing 3) Scheduling between Medicine and Pediatrics playing nice in the sandbox a)Orientation b)Rotations and yearly schedules c)Graduation 4) Recruitment a)Scheduling candidates b)Scheduling interviewers c)Scheduling the interview day d)What happens after interviews are over? 5) Timeline of Events a)Annual surveys, ITEs, events, CCCs

Chapter 11 Conclusion Why Med-Peds: Your Med-Peds Elevator Speech This is our keynote address for tomorrow: Brad Benson, MD Former President MPPDA Co-Author, Pediatric Milestone Project Why Med-Peds? Zen and the Art of the Med-Peds Elevator Pitch Stay Tuned!!!

Chapter 12 Annotated Bibliography Materials at each table Please add your suggestions

Breakout Session: First - Pick a chapter! Find that table! Worksheet: 1)Define 3 areas that you sees as existing educational or resource gaps in that area nationally 2)State 3 topic areas that you personally struggle with or would like assistance with in that area 3)Share as a group 4)Review current plans, discuss suggestions for additions, deletions, or revision

7 Small Groups Chapter 2 Alex Program Administration---- Chapter 3 JR- Program Management----- Chapter 4 Michael Finances--------- Chapter 5 Allen Recruitment- Chapter 6 Russ Collaboration Locally---- Chapter 8 Sandi Education & Assessment---- Chapter 9 Jen Faculty Development-----

Report out: By Chapter group: 1)National gaps defined? 2)Topics of common struggles? 3)Changes to chapter content as a result? I have something to say!

Homework: Take home worksheet: 1)What topics are you interested in learning more about? 2)What gaps are you interested in closing? 3)What resources do you need? 4)What is your timeline? 5)Who can help you? 6)What time do you need to do this? 7)What product are you committing to?

Next steps Proposed Timeline: April 30 Section editors have sub-chapter titles & objectives defined June 30 Section editors have sub-chapter authors identified Dec 31 All sub-chapters due Winter-spring 2016 Editing Fall-winter 2016 Publication http://www.craftyincrosby.com/2014/12/2015-facebook-timeline-covers.html

Summary Hopefully, now you have: 1)Defined 3 specific areas of an educational or resource gap that exists for med-peds program directors 2)Contributed to defining content needed for a specific chapter of the Med-Peds Program Director Textbook 3)Considered participating in the scholarship activity of authoring (or co-authoring) a sub-chapter of this textbook by reflecting on their own content expertise or personal content area of interest 4)Lastly, made specific plans for all the above

We Need YOU! Creating a Med-Peds Program Director Textbook MPPDA Executive Committee.

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