GME Semi-Annual Report Academic Year 2009-2010 Ruth L. Bush, M.D., M.P.H. Director, Graduate Medical Education Designated Institutional Official Assistant Dean GME Temple Campus
Leadership Graduate Medical Education Committee Dr. Mark Rahm, Orthopedic Surgery, President of the GMEC, Chairperson Council of Program Directors and Strategic Fund subcommittee Dr. Ruth Bush, Vascular Surgery, Director GME and ACGME Designated Institutional Official, Asst. Dean GME Temple Dr. John Hodges, Internal Medicine, House-staff elected House-staff Ombudsman
Program Director Tenure Of ACGME approved programs: 32 program directors Range: 1 year to 18 years Mean tenure 6 years National tenure rate less than 5 years S&W PDs are dedicated to excellence in GME
100% Accredited 35 30 25 20 15 10 ACGME Non-ACGME 5 0 2005 2006 2007 2008 2009 2010
Growth 375 residents and fellows participate in 32 ACGME accredited residency and fellowship programs 7 Programs are physician non-acgme accredited programs. 4 Programs are non-physician non-acgme accredited programs
Growth 2009: All 43 GME programs are accredited by the ACGME, TMB, or specialty organizations New approved programs : Fellowships - Spinal modulation, Headache, Residency ENT Programs under development: Pain anesthesia, Neurosurgery, PM&R, Neurology, Neonatology, Pediatric- Hospitalist, Rheumatology, Geriatrics, Critical care anesthesia
Growth in Resident Numbers 400 350 300 250 200 150 100 50 0 2005 2006 2007 2008 2009 2010
Central Texas Veterans Health Care System 21 new positions were approved for a total of 64 positions Increases projected for 2011 in: IM-Rheumatology-Sleep-ID-Geriatrics-GI Neurology N/S EM Geriatric Psychiatry
Growth in Resident Numbers at CTVHCS 70 60 50 40 30 20 10 0 2005 2007 2009 # of approved resident positions avg. # rotating
Board Pass Rate Excellent (10% greater than average for specialty): 72.7 Good (10% less than average for specialty): 27.3 Urology residents have 100% board pass rate in last 8 years. Orthopedic Surgery scored in the 96% of nation For 5 years, American Board of Radiology ranked S&W Diagnostic Radiology residents #1 in taking and passing oral boards. For 8 years all S&W DR residents passed oral boards without conditions For 30 consecutive years S&W ophthalmology residency program out performed the national average on the national inservice exam
Research National/International Research Presentations from July 2009-January 2010 44 residents and fellows presented 45 research studies nationally/ internationally
Outstanding 2009 Emergency Medicine had 13 peer reviewed publications and 18 national and international presentations by residents including the number 2 abstract out of approximately 1000 abstracts submitted at the Fifth Mediterranean Emergency Medicine Congress (MEMC V) in Valencia, Spain and 3 other residents presented there as well. At the ACEP Academic Assembly S&W EM program had the number 2 education project dealing with patient crowding.
Outstanding 2009 Anesthesia residents published in : Anesthesiology, Anesthesia & Analgesia, Canadian Journal of Anesthesia, Atherosclerosis, Shock, Cardiovascular Ultrasound, Otolaryngology-Head and Neck Surgery, Cardiovascular Interventional Radiology, and the American Journal of Physical Medicine and Rehabilitation. National and International presentations by Anesthesia residents include: Amer. Pain Society (San Antonio), International Shock Soc. (Halifax, Nova Scotia), SOAP meeting (Palm Desert, CA ); Banff, Alberta Canada, Washington D.C.), ASA annual meeting (Chicago, San Francisco, Orlando, New Orleans), Cardiac Problems in Pregnancy (Valencia Spain), IARS annual meeting (San Francisco, Hawaii), and European Atherosclerosis Society. (Helsinki, Finland).
Outstanding 2009 Nakita Moore, MD, was awarded the American Academy of Child & Adolescent Psychiatry Outstanding General Psychiatry Resident Award in October 2009
Outstanding 2009 Internal Medicine PDs have presented 4 posters and 4 workshops at national and state organizations. Residents have presented 5 posters. Residents and program directors have 6 publications. IM resident jeopardy team placed second in the state at the Texas ACP Annual Meeting.
Quality Improvement & Patient Safety All programs are actively involved in Quality & Patient Safety activities that integrate directly with the S&W Memorial Hospital Quality and Patient Safety Program GME Administration and Dr. Sibbitt work together to address safety and compliance issues
National Leadership Leadership in Professional Organizations in the first 6 months of 2009-2010 AY 5 residents and fellows participated in professional activities as leaders of professional organizations.
Empowered PDs Empowerment of Program Directors to Manage Budgets The Chief Academic Officer implemented a transparent budgeting system; empowered PDs kept GME controllable costs within budget.
Empowered PDs Strategic Fund Subcommittee Chair Dr. M. Rahm GI Mentor II: Endoscopy/Bronchoscopy Simulator, OB/GYN Advanced Skills Simulation Suite, EM Turning Point system software, Pulmonary ultrasound course, Recruitment for FM, Pediatric Continuity and Chief Resident Course Harriet Lane Continuity Clinic, Vascular Surgery Vascular Surgery Mentis Simulator, Plastic Surgery Cadavers General Surgery Access Surgery
Activities of the Graduate Medical Education Committee GME underwent a positive institutional review with the ACGME. All programs remain fully accredited
Recruitment Chair - Dr. Lisa Warren Residency Match/Fill Rate: 100%
Benefits/Retention Chair - Dr. R. Weber Percent Off-Cycle Residents 2.6 (10 residents) Increased resident/fellow salaries and benefits to maintain regional competitive status
Duty Hours Chair Dr. Wm. Bohannon GME and CMS Accounting implemented a joint effort to address tracking of duty hours Reported Duty Hours since CMS/GME cooperation Reportable hours: 85% Nonreportable hours: 15%
Space Chair Dr. R. Bush working with Dr. R. Fothergill Renovated resident exercise rooms Renovated resident call rooms Appreciate the need for more space for resident education and call rooms
Awards Chair Dr. R. McAllister Dr. Shawn Skeen- first Dr. Charles Welch recipient serves as a IM Chief. Dr. Christopher Armstrong first Dr. John Montgomery recipient remains in Texas joining a S&W alumnae practice. The outstanding GME program 2009, Anesthesia
Leadership of the GMEC Members Dr. Weber is an invited faculty at Harvard Macy Dr. Bush is invited member of the National CMS ambulatory payment committee Dr. Speights is a member of the Texas Comprehensive Cancer Coalition Many PDs are professional role models to residents and fellows with active leadership in professional organizations
International Health AAMC requesting increased International Health Experiences S&W supports with compliance to ACGME standards Established curricular goals and objectives Designated faculty supervision PLA addresses health care, legal and licensure issues Participating Programs: Ophthalmology, GI, ID, Podiatry, Plastic Surgery, Urology, Anesthesia
Evaluations Residents rating of training completed at S&W and Major Participating Institutions: VA, Metroplex Excellent (greater than 75%): 95.5% Good (50%-75%): 4.5%
Professionalized Program Administrators Professional Career Ladder developed for Program Administrators Upgraded from clerical to administrative staff Program Administrators are active leaders in national organizations involved in development and presentation or educational research actively seeking higher degrees and/or certifications Medical Education 5 th highest employee satisfaction in the S&W system
The End Thank you