Graduate Medical Education Update
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1 Graduate Medical Education Update Katie McKinney Associate Dean for Graduate Medical Education ACGME Designated Institutional Official (DIO) GME Institutional Leadership Structure Dean College of Medicine Robert DiPaola Vice Dean for Education Chipper Griffith Associate Dean GME ACGME DIO Katie McKinney GME Director Assistant Dean Accreditation Assistant Dean Learning Environment Assistant Dean Educational Innovation and Scholarship LeAnn Barber Angela Dearinger Asha Shenoi Amy DiLorenzo
2 College of Medicine Graduate Medical Education (GME) One of six (6) Kentucky Accreditation Council for Graduate Medical Education (ACGME) accredited sponsoring institutions Majority of sponsored programs located in Lexington Three regional UK GME sites Hazard (99) Morehead (2000) Bowling Green (206) Two regional Medical Physics sites: Arkansas and Indiana UK GME Programs 30 ACGME accredited residency programs 33 ACGME accredited fellowship programs Triple Board (Peds/Psych/Child Psych) program 0 (+) Non-ACGME fellowship programs 4 ASHP accredited pharmacy programs 3 CODA accredited dental programs 3 CAMPEP accredited medical physics programs ACOE accredited optometry program Hospital administration fellowship program Pastoral Care residency 2
3 ACGME Training Programs 63 ACGME accredited programs, across multiple specialties and subspecialties Recently Accredited Programs Lexington: Adult Cardiothoracic Anesthesiology Fellowship, Epilepsy Fellowship Bowling Green: Internal Medicine Residency, Psychiatry Residency, Cardiology Fellowship, Transitional Year Residency, Obstetrics/Gynecology Residency* Morehead: Family Medicine (conversion from rural training track and Osteopathic Recognition) Accreditation decisions pending: Lexington: Interventional Radiology Independent Residency, Abdominal Radiology Fellowship Bowling Green: General Surgery Residency, Pulmonary Fellowship, Interventional Cardiology Fellowship *Detailed Letter of Notification pending GME Residents and Fellows ACGME Residents 33 ACGME Fellows Pharmacy Dentistry Medical Physics 596 Hospital Administration Optometry Other 3
4 Annual Total ACGME Residents and Fellows Number of ACGME House Staff Res idents Fellows Interns Intern Medical School Training Location IMG % UK Grads 2% Other US Grads 52% Other KY Grads 6% UK Grads Other KY Grads Other US Grads IMGs 4
5 GME 208 Graduate Data Connecticut - Rhode Island Other Locations GME Graduate Future Plans 7% 7% 4% 4% % 24% Private Practice (4) Further Training at Other Institution (49) Hospital Employed Physician- Community or VA (6) Academic Pos itio n at UK (24) Academic Pos itio n at Other Ins tituti on () 4% Group Practice () Other () 0% 29% Unknown Future Plans (7) 95.8% Full Time (60/67).% Part Time (2/67) 2.9% N/A (5/67) Ar med Services () *Those continuing in fellowship training at UK were excluded from this data set. 5
6 ACGME Accreditation Status Institutional Accreditation-Continued Accreditation Program Accreditation 52 Programs Continued Accreditation 0 Programs Initial Accreditation Program Continued Accreditation without Outcomes 0 Programs on Continued Accreditation with Warning 0 Programs on Probation ACGME Program Accreditation Compliance* Substantial Compliance: 50/62 programs New or continued citations: 5 programs Areas for Improvement/concerning trends: 9 programs * As of 8/3/8 6
7 Citations and Areas for Improvement (AFIs) Total citations across all programs: * 5 Programs with citations: Thoracic Surgery Integrated Residency: 5 new Bowling Green Psychiatry Residency: 2 new Hazard Family Medicine Residency: extended, new Epilepsy Fellowship: extended Neurosurgery Residency: new Total areas for improvement across all programs: 8* 9 Programs with areas for improvement: Pediatrics Residency (5) Neonatal Perinatal Medicine Fellowship (4) Maternofetal Medicine Fellowship (2) Gynecologic Oncology Fellowship () Neurosurgery Residency () Hematology Oncology Residency () Thoracic Surgery Integrated Residency () Vascular Surgery Fellowship() Bowling Green Internal Medicine Residency () * As of 8/3/ ACGME Resident Survey 7
8 208-9 ACGME Faculty Survey Results ACGME Clinical Learning Environment Review (CLER) Site Visit Institutional site visit every 8-24 months; focus on clinical site learning environment /204 and /207 Site Visits: A.B. Chandler Hospital /207 Learning Environment Improvement Opportunities Enhance patient safety and quality improvement methods knowledge and involvement Increase resident/faculty involvement in incident reporting Systematic approach to vulnerable patient populations (health disparities) Improve fidelity of handoffs (location, readbacks) Supervision concerns System to document resident ability to perform procedure without direct supervision Inefficient electronic medical record contributes to fatigue, burnout Next site visit: window July-November 208 8
9 UK participating in ACGME Patient Safety Leaders Collaborative Carolinas Medical Center (Charlotte, North Carolina) Duke University Hospital (Durham, North Carolina) University of Nevada, Reno School of Medicine (Reno, Nevada) Indiana University School of Medicine (Indianapolis, Indiana) Maimonides Medical Center (Brooklyn, New York) St. Vincent s East Family Medicine Residency Program (Birmingham, Alabama) University of Kentucky College of Medicine (Lexington, Kentucky) University of Pennsylvania Health System (Philadelphia, Pennsylvania) University of Connecticut School of Medicine (Farmington, Connecticut) 9
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