Fellowship Director’s Meeting April 8, 2008; Byways Meeting Minutes Present: Not Present: Daniel, James ~ Gastroenterology Program Director Garrison, Carol ~ Developmental and Behavioral Pediatrics Graf, William ~ Child Neurology Program Director Jackson, Mary Anne ~ Infectious Diseases Program Director Jacobson, Jill ~ Endocrinology Program Director Jordan, Kerrie ~ Graduate Medical Education Coordinator Kallur, Ravi ~ Graduate Medical Education Administrative Director Okah, Felix, ~ Neonatal-Prenatal Medicine Fellowship Program Director Singh, Vivekanand ~ Pediatric Pathology Assistant Program Director Stass-Isern, Merrill ~ Pediatric Ophthalmology Vandeven, Andrea ~ Child Abuse & Neglect (CARE Clinic) Blowey, Doug ~ Nephrology Program Director Butler, Merlin ~ Cytogenetics Program Director Bruegger, Daniel ~ Pediatric Otolaryngology Program Director Dowling, Paul ~ Allergy/Immunology Program Director Holcomb, George ~ Pediatric Surgery Program Director Kearns, Greg ~ Clinical Pharmacology Program Director Kennedy, Chris ~ Pediatric Emergency Medicine Program Director Knapp, Jane ~ Medical Director, Graduate Medical Education Lewing, Karen ~ Hematology/Oncology Associate Program Director Lowe, Lisa ~ Pediatric Radiology Program Director Nopper, Amy Jo ~ Pediatric Dermatology Program Director Olitsky, Scott ~ Pediatric Ophthalmology Program Director Ostlie, Daniel ~ Surgical Critical Care Program Director Rinaldi, Robert ~ Rehabilitation Medicine Program Director Singhal, Virender ~ Plastic Surgery Program Director Walsh, Irene ~ Pediatric Child Abuse & Neglect Program Director Woods, Gerald ~ Hematology/Oncology Section Chief & Program Director Zwick, David ~ Pediatric Pathology Program Director The meeting started at 12: 10 pm. Approval of Minutes Minutes from the February 19, 2008, meeting was approved. Common Curriculum All topics and dates outlined for the common curriculum conferences have been posted on the GME Website. Attendance at the conference is steady and good. The remaining core curriculum conferences take place the first Tuesday of every month at 8am as follows: May 13, 2008 @ 8am in Housestaff Classroom o Principles of Evidence Based Medicine June 3, 2008 @ 8am in Housestaff Classroom 1 Fellowship Director’s Meeting April 8, 2008; Byways Meeting Minutes o Physician Impairment Dr. Knapp has sent out invitations to present for next year. The schedule is in place as follows: July 1, 2008@8am in Housestaff Classroom~Orieantion for new fellows only August 5, 2008@8am in Housestaff Classroom~Effective Teaching September 2, 2008@8am in Housestaff Classroom~Feedback October 7, 2008@8am in Housestaff Classroom~Quality Part I November 4, 2008@8am in Housestaff Classroom~Quality Part II December 2, 2008@8am in Housestaff Classroom~Finding and Working w/a Mentor January 6, 2009@8am in Housestaff Classroom~TBD February 3, 2009@8am in Housestaff Classroom~TBD March 3, 2009@8am in Housestaff Classroom~TBD April 7, 2009@8am in Housestaff Classroom~Ethics May 12, 2009@8am in Housestaff Classroom~TBD June 2, 2009@8am in Housestaff Classroom~TBD New Innovations Feedback Please contact Kerrie Jordan in the GME Office at (816) 983-6487 or by email at kjjordan@cmh.edu if help is needed. Internal Reviews All ACGME Accredited programs, except Pediatric Pathology, will be reviewed in the near future. Dr. Jill Moormeier from UMKC will be sending out emails to the Program Directors with information and date to be reviewed and present at the UMKC GMEC. Pediatric Pathology would be October 2009. The CMH GME Office can assist in preparation of supporting documents by request. Also note that most of the information needed is in New Innovations. Annual Program Evaluation The educational effectiveness of all CMH training programs should be evaluated at least annually in a systematic manner by reviewing the program goals and objectives and the effectiveness with which they are achieved. This must be done by the Program Director, a representative faculty, and one resident/fellow. This group will document the evaluation process, taking into consideration written comments from the faculty, the most recent report of the GMEC, and the resident’s evaluation results. If deficiencies are found, the group should prepare a plan of action, which is documented in the minutes of the group meeting. This group should also review the faculty evaluations and the certification examination performance by graduates of the program as a way to measure program effectiveness. This process together with resident/fellow/faculty evaluation results should be used to improve the training program. FYI, the GME Office expects all programs to turn an annual report into them and will be asking for such in the next few months. The GME Office will email the Program Directors the template/example provided by Pediatric Gastroenterology last year. 2 Fellowship Director’s Meeting April 8, 2008; Byways Meeting Minutes Final Evaluation of Fellows FYI, the ACGME requires a final evaluation of all fellows before departing/graduating from fellowship program. Please utilize New Innovations to produce such and make part of the fellow’s permanent file. PWF’s & tracking sick/vacation/maternity/LOA All PWF’s should be sent to the GME Office for signature before routing to HR/Payroll. New Innovations can track all leave time and should be utilized. New Innovations allows the GME Office to share sick time balance with HR when a fellow might start employment as staff/faculty at CMH. Sixty days max is the number of sick days that can be carried over into staff appointment. Also, sometimes a fellows training might be extended due to an extended leave. Letter of Offer Please send Kerrie Jordan in the GME a copy of the acceptance/offer letter & CV for your new fellows in order for her to mail the welcome packet. The 09/10 new fellows will not be send packets until Jan/Feb 2009, due to forms changing and stipend amounts not know until such time. The 08/09 stipends are as follows. Neonatology fellows are $14,000 higher per PGY level than what is listed. PGY1-$48,800 PGY2-$51,000 PGY3-$52,500 PGY4-$54,500 PGY5-$56,500 PGY6-$58,500 Moonlighting Fellows may moonlight upon approval. Approval form and information is on the GME website. Moonlighting hours and hours worked at CMH must not exceed 80 hours per week, averaged over a 4-week period. The approval form must be turned into the GME Office for approval. Then the form is to go through the Medical Staff Office with fellow to seek privileges. Supervision Policy The resident/fellow supervision policy has been approved and posted to the GME web. The policy reads as such. The resident/fellow supervision should reflect graduated level of responsibility based on individual skills and level of training. Supervision is understandably closer to the first year resident/fellow in the areas of outpatient activity, answering of consultations, designing and implementing treatment plans. Although second year resident/fellow provides some guidance for the first year resident, the faculty verify that a solid base exists for decision making. When 3 Fellowship Director’s Meeting April 8, 2008; Byways Meeting Minutes appropriate the resident/fellow is assisted by the faculty. As the resident/fellows become more senior, he/she may be allowed to work independently within their capabilities in consultation with available faculty. The curriculum for each fellowship program will define the level of care provided, supervision exerted and supervision received by the fellows. It is the policy of CMH that delineation of fellow responsibilities for patient care, progressive responsibility for patient management, and supervision of resident over the continuum of the program is maintained. The fellow’s role is that of a supervisor and guide to their respective interns in addition to serving as primary providers to the patients. They will confirm or correct the intern’s impressions during their initial history and physical examination and provide guidance in the diagnostic and therapeutic management. They will acquire required knowledge through supervised performance of consultations, daily hospital rounds and active participation in procedures under the supervision of attending faculty. They will make clinical decisions and will participate in research projects as applicable to their program requirements. Fellows will be expected to develop proficiency in basic skills and procedures. Statistics for Interviewed Positions Ravi Kallur from the GME Office is requesting that all Program Directors send him the number of applicants interviewed, with number of them being male/female and ethnicity. Disaster Plan The ACGME requires that all teaching hospitals and programs have a disaster plan in place. This plan was approved by the CMH GMEC on March 26, 2008, and has been included in the packets for this meeting. Re-Organizing of Coordinators The GME Office is in the process of adding additional coordinators to coordinate and help with fellowship related items. This would take the burden off of the current administrative assistants in each section and centralize the education piece for the ACGME and other reporting bodies. The proposed responsibilities and job description was handed out to the group. Questions/Comments/Announcements The Westin Crown Center is offering rooms at a special rate for applicants interviewing for fellowship. Please call 1-800-228-3000 to make reservations. If you have issues with your reservations, contact Barbara Cartwright at 816-391-4471. A flyer was provided. The 2008 Graduation Dinner is schedule for June 13, 2008, at the KC Marriott Country Club Plaza New Fellow Orientation is scheduled for June 30th & July 1st, 2008 4 Fellowship Director’s Meeting April 8, 2008; Byways Meeting Minutes The PhD evaluator position has been posted. The GME Office has received a few CV’s, but none promising as such time. Recruitment continues. The meeting adjourned at 12:48 pm. 5