GME ANNUAL REPORT Paulette Wehner, MD Sr. Associate Dean, Graduate Medical Education

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GME ANNUAL REPORT 2011-2012 Paulette Wehner, MD Sr. Associate Dean, Graduate Medical Education

OFFICE OF GRADUATE MEDICAL EDUCATION Oversees 7 Residency Programs Family Medicine Orthopaedics Internal Medicine Pediatrics Internal Medicine/Pediatrics Surgery Obstetrics/Gynecology 5 Subspecialties Cardiology Medical Oncology Endocrinology Pulmonary Medicine Interventional Cardiology

GRADUATE MEDICAL EDUCATION COMMITEE (GMEC) GMEC 44 members, Program directors Chief Residents Peer- elected residents Hospital and UPS Administrators Met 7 Times Focus on Policy Review, Assessment, Clinical Learning Environment Assessment, Internal Reviews, Duty Hours, Increased GMEC Oversight, Internal Review Format, Program Action Plans, and Patient Safety and Quality of Care Education issues

ACTIVITIES OF THE GMEC DURING 2011-12 INTERNAL REVIEWS The GME office conducted and presented the following reviews to the GMEC in 2011-2012, all in substantial compliance with RRC requirements: Med/Peds 11/18/11 Oncology- 6/14/12 Orthopaedics- 9/14/11

GMEC ACTIVITIES CONT. Medical Oncology Approved Changes in Programs Approved New Program Directors in Endocrinology Internal Medicine MED/PEDS OB/GYN - Approved short term increase in CVS Fellowship complement

GMEC ACTVITIES CONT. Policy Review Institutional Duty Hour Policy approved Transition of Care Policy approved Faculty and Resident Scholarly Activity Teaching Scholars Program 1 Faculty Member and 3 Residents Participated Dr. Todd Gress continued to work with Faculty and Residents to strengthen research components Participation increased in Faculty Professional Development Activities

OUTCOME MEASURES Status of Programs Six Site Visits During 2011-12 Internal Medicine Cardiovascular Endocrinology Interventional Cardiology Surgery Institutional

ACCREDITATION STATUS GRADUATE MEDICAL EDUCATION PROGRAMS Marshall University Joan C. Edwards School of Medicine Residency Program Status Most Recent Site Visit Cycle Length Approximate Date of Next Scheduled Visit Institutional Cardiology Endocrinology Family Medicine Internal Medicine Internal Med/Pediatrics Interventional Cardiology Obstetrics/Gynecology Oncology Orthopaedic Surgery Pediatrics Pulmonary Surgery Continued Continued Continued Continued Continued Continued Continued Continued Initial Continued Continued Continued Continued 2011 2 years 10/2013 2011 5 years 09/2016 2011 5 years 09/2016 2008 5 years 05/2013 2011 4 years 09/2015 2010 3 years 04/2013 2011 5 years 09/2016 2008 4 years 10/2012 2011 2 years 07/2013 2010 3 years 01/2013 2007 5 years 04/2013 2011 4 years 09/2015 2011 2 years 11/2013

NATIONAL RESIDENT MATCHING PROGRAM 45 New Residents started July 1, 2012 18 MUSOM graduates 13 International 4 Caribbean, 4 US graduates 6 DO s

*Five students will enter PG 2 specialty training in Diagnostic Radiology **One student will enter PG 2 specialty training in Neurodevelopmental Disabilities ***One student will enter PG 2 specialty training in Neurology and one student will enter PG 2 specialty training in Diagnostic Radiolo Sixty four students graduated from MUJCESOM in May 2012 and all were placed in residency training programs. It was the first year that every student matched and no students had to scramble! Training in Training in Specialty Number WV other states Anesthesiology 1 0 1 Family Medicine 11 7 4 Internal Medicine (Categorical) 7 1 6 Internal Medicine (Preliminary)* 5 4 1 Obstetrics/Gynecology 11 2 9 Orthopaedic Surgery 0 0 0 Pediatrics** 10 3 7 General Surgery (Categorical) General Surgery (Preliminary) 5 1 4 0 0 0 Internal Medicine/Pediatrics 3 1 2 Emergency Medicine 6 0 6 Otolaryngology 0 0 0 Pathology 2 1 1 Psychiatry 0 0 0 Transitional*** 2 0 2 Neurodevelopmental Disabilities 1 0 1

NEW RESIDENT/FELLOW RECURITMENT AND SELECTION First time taker data for Step 1, 2 and 3 indicates that our matriculating residents overall continue to perform well

Family Medicine Matriculating Resident First Time Taker Step Performance* 240 230 220 210 200 Step 1 Step 2 Step 3 190 180 2010 2011 2012 Year of Matriculation *Does not include COMPLEX scores

Internal Medicine Matriculating Resident First Time Taker Step Performance* (Does Not Include Prelim Positions) 250 200 150 100 Step 1 Step 2 Step 3 50 0 2010 2011 2012 Year of Matriculation *Does Not Include COMPLEX

230 OB/GYN Matriculating Residents First Time Taker Step Performance* 220 210 200 190 180 Step 1 Step 2 Step 3 170 160 2009 2010 2011 2012 Year of Matriculation *Does not include COMPLEX Scores

300 Orthopaedics Matriculating Residents First Time Taker Step Performance 250 200 150 100 Step 1 Step 2 Step 3 50 0 2008 2009 2010 2011 2012 Year of Matriculation

240 235 230 225 220 215 210 205 200 195 Pediatric Matriculating Residents First Time Taker Step Performance 2010 2011 2012 Year of Matriculation Step 1 Step 2 Step 3

Surgery Matriculating Residents First Time Taker Step Performance (Does Not Include Prelim Residents) 235 230 225 220 215 210 205 200 195 190 185 180 2009 2010 2011 2012 Year of Matriculation Step 1 Step 2 Step 3

POST RESIDENCY/FELLOWSHIP PLANS 2012 Practice, 68% Fellowship, 32%

POST RESIDENCY/ FELLOWSHIP PLACEMENT 2012 Non WV Placement, 64% WV Placement, 44%

POST RESIDENCY/FELLOWSHIP PLACEMENT LOCATIONS 2012 40% WV KY 37% OH VA 3% 13% 7% OTHER

ADDITIONAL OUTCOME MEASURES Monitored by GMEC, RAC, Residents Forum, Chief Resident s Meetings, Monthly Reports to GME Office, Faculty, Resident and/or Student Evaluations Duty Hours Resident/Fellow Supervision Resident/Fellow Responsibilities Resident Evaluation

ACGME RESIDENT SURVEY

ASSESSMENT AREAS Participation in Safety and Quality of Care Learning & Working Environment Feedback Residents/Fellows As Teachers

SUMMARY Exciting Time to Be in GME Accomplished much in 2011-12 but more to come CLER Visits Institutional Review