fellowship pd 101: 10 topics that affect every pd · latest documents faculty development for...

Angela L. Myers, MD, MPH- (ID) Geoffrey Fleming, MD-(Intensivist)

Kathleen McGann, MD- (ID/Vice-Chair Education) Bruce Herman, MD (Child Abuse/Residency PD)

Pnina Weiss, MD (Pulm/Director subsp.education) Michael Brook, MD (Cardiology)

Fellowship PD 101: 10 topics that affect every PD

Objectives Outline resources available to FPDs & FPCs Describe organizational tools for FPDs & FPCs List activities of fellowship programs by topic

Program Leadership Manage the team Manager Organization, running efficiently, solving problems

Design curriculum Adhere to regulations Ensuring fellows are in good standing

Leading a team Leader Motivate, inspire, facilitate change Finding the potential

Have a Vision “Influence a group of people towards the achievement of

a goal”

Leadership

Leadership opportunities APPD LEAD Institutional Offerings Societal committees Meeting attendance Peer mentoring

Resources-You are not Alone!

APPD Share Warehouse Latest Documents

Faculty Development for Assessment Primer: interpersonal Skills and Communication Uploaded: 03/12/2014 Useful for faculty education to enhance their ability to teach and evaluate

interpersonal skills of trainees Faculty Development Practice-based Learning and Improvement

Uploaded: 03/10/2014 Useful for faculty to learn different assessment tools for PBLI in trainee

education Shorter Pediatric Milestones for Assessment Tool

Uploaded: 03/08/2014 Shortened version of milestone language for assessment tools

ACMGE

Council of Pediatric Subspecialties

ABP

FREIDA

ERAS Applications July Cycle (Fall Match) Programs download applications on July 15

December Cycle (Spring Match) Programs download applications on December 1

ERAS & NRMP: Rank Lists & Match Timeline; 2014-2015

Subspecialty ERAS Opens for Applicants

(for FPDs) Match Opens Rank Order List

Deadline Match Day

Adolescent Medicine 6/11/14 (7/15/14) 8/6/14 11/5/14 11/19/14

Allergy/Immunology (& all Med Subspecialties)

6/11/14 (7/15/14) 7/30/14 11/12/14 12/03/14

Medical Genetics 6/11/13 (7/15/14) 7/23/14 10/29/14 11/12/14

Pediatric Specialties Fall Match 2014 6/11/14 (7/15/14) 8/27/14 12/03/14 12/17/14

Child Abuse

Critical Care Medicine

Developmental-Behavioral Pediatrics

Emergency Medicine

Hospital Medicine

Infectious Diseases

Neonatal-Perinatal

Nephrology

Rheumatology

Pediatric Specialties Spring Match 2014 12/01/14 (FPDs can view)

2/5/14 5/14/14 5/28/14

Cardiology

Endocrinology

Gastroenterology

Hematology-Oncology

Pulmonology

NRMP

More Resources… Other Fellowship Directors Fellowship Coordinators GME office Subspecialty website Program directors group w/in subspecialty amyers@cmh.edu Pnina.weiss@yale.edu Bruce.Herman@hsc.utah.edu geoffrey.fleming@vanderbilt.edu kathleen.mcgann@duke.edu michael.brook@ucsf.edu

Are you ready for……recruitment?

Fellowship

Recruitment Planning: (Start several months in advance)

What days will you interview What costs does GME cover What will the interview day look like Determine criteria for invitation to interview

Applicants: (weekly after ERAS opens to PDs) Set aside time every week to check ERAS and review applications Determine who will be invited to interview Set up a mutually agreeable schedule

Interview day: (week before, day before?) Send faculty reminders that there is an interview scheduled Faculty calendar reminders Double check interview schedule

Infrastructure

Is this your program? Or is it like this?

Fellowship Policies

Mandatory requirements Moonlighting Social Media policy Yearly schedule &

rotations CCC and PEC Educational conference

attendance Overnight call coverage

Fellow assuming attending responsibilities (pre-tending)

Procedures QI project SOC Core faculty Supervision Promotion GME

Committees

Clinical Competency Committee (CCC) 3 faculty minimum Meet semiannually Review fellow evaluations; prepare reporting of milestone evaluations

to ACGME

Program Evaluation Committee (PEC) 2 faculty and 1 fellow Meet annually Written annual program evaluation (curriculum, G&O, fellow

performance, faculty development, graduate performance, program quality)

Scholarship Oversight Committee (SOC)

3 faculty besides PD (one outside subspecialty); review regularly (semiannually)

Written evaluation of fellow progress in scholarly activity

Educational Program

Core Curriculum Biostatistics Clinical and laboratory research methodology Study design IRB training/research ethics Grant writing course In depth literature review Bioethics Teaching Economics/practice management Communication/handovers Professionalism

Core Curriculum Boot camps 1 week -1 month at the beginning of fellowship to

encompass the core curriculum PAS offerings My experience: 1st year fellows = Didactic teaching format

1st Tuesday every month 8-9 am 2nd-3rd year fellows = Workshop format

Lunch + noon-4, quarterly

What does yours look like…..

Subspecialty specific curriculum Wednesdays noon-1pm 1st - Case studies in immunology 2nd - Fellow led didactic- unknown case with discussion 3rd - Faculty led didactic- case, lecture, or discussion

facilitator 4th- Board review with PDs

Fridays 1st -Research conference 2nd -Plate rounds with microbiology lab 3rd - Journal club

Hospital-wide Grand Rounds M&M Academic Scholarship Conference Dept of Pediatrics course offerings Using iPads in your teaching Providing Feedback Teaching skills

Educational innovations

Weekly fellows’ board review questions 2 questions written w/ faculty oversight, presented at a

conference Professionalism vignettes Professionalism scenario, 15 minutes at the end of

journal club Paired small group discussion with fellows from other

disciplines Attendance at specific lectures from other fellowship

programs (e.g. attending KD lecture given by Cardiology)

Evaluations

Evaluation: Compliance Difficult nearly everywhere Procrastinators, Check-boxers, No-comment negative

Nancy or positive Penny Send and re-send reminders

Needs to be tied to faculty academic performance Monetary (e.g. bonus) Academic growth (e.g. promotion)

Evaluations Rotational Specific for rotation (e.g. research month evaluation) Every 2 weeks or Monthly

Clinic Every time the fellow works in clinic Faculty and parent/family

Conference Specific Research conference, journal club

Teaching Resident lectures Fellows conference

Milestone Evaluations

Evaluations w/milestone mapping

Add in yours PC 2

PC 2

PC 3

PC 3

MK 1

PBLI 1

MK 1

PBLI 3

What are you doing…….

Semi-Annual Review Portfolio (CV update) Evaluations Duty hour logs Other logs (e.g. patient or procedure) Peds board exam score ITE scores ILP Conference attendance Research progress Home life…..

Team communication Monthly meeting with coordinator & APD What needs to be done New and innovative ideas

Quarterly debrief with fellows Offsite, over lunch What has gone well, what could be better

Monthly updates at faculty meetings State of the program

Semi-annual CCC and fellow reviews

Annual PEC and reporting to DIO

What do you do with….

Crucial Conversations Beginning the Conversation How will I express concern and

reassure them that I am supportive?

Professionalism Issue What are the facts and clearly define the issue

Anticipate Response What facts will I need to re-stress? How will I determine understanding?

Desired Outcomes Define: Change what behaviors? How will I engage the individual?

Next Steps How will I educate the individual? Do I need to provide resources? Address system issues?

Follow Up Expectations Follow Up: How, when? Consequences?

Crucial conversations Take emotion out of it Remain factual Consider third party presence Write it down Allow them to digest and review Get them to sign it

Where is your program on the developmental scale?

http://speechwriting-ghostwriting.typepad.com/speechwriting_ghostwritin/2013

One thing I want to work on for my program……..