final recruiting the first residents to a new rtt · swedish family medicine rural training track...
TRANSCRIPT
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Rob E p s te i n , M DSi te Di r ec tor
L au r a Di am on d , M DCor e Fa c u l ty
J on a th a n M ot ts , M DRe s i d e n t
K e l s e y Sh ol u n d , M DRe s i d e n t
Swed i s h Ch er r y H i l l Fa m i l y M e d i c i n e Re s i d e n c y—Ru r a l Tr a i n i n g Tr ac k
N or th Ol ym p i c H e a l th c a r e N e twor kPor t A n ge l e s , WA
12 A p r i l 2018
RECRUITING THE FIRST RESIDENTS TO A NEW RURAL TRAINING TRACK
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SWEDISH FAMILY MEDICINERURAL TRAINING TRACK
Our mission is to train physicians to provide evidence-based primary care as rural generalists
who advocate for the health and well-being of their communities. Residents will gain
experiential learning in community assessment and advocacy, procedures, obstetrical care, and
medication assisted treatment for addiction.
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¡ Explore recruitment strategies and the importance of institutional affiliations
¡ Review applicant feedback regarding program “selling points”
¡ Breakdown interview day structure and demonstrate how it can make your site stand out on the interview trail
¡ Identify challenges in faculty engagement during the interview process and curriculum development
OBJECTIVES
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RUOP students
Clerkship students
WRITE students
TEACHING AFFILIATION WITH UW SCHOOL OF MEDICINE
2003 2008
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FMPA Interest
RTTC Meeting in Boise, ID
Swedish Cherry Hill Residency
DISCUSSIONS ABOUT A RURAL TRAINING TRACK
2012 2013
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RTTC/AAFP Feasibility
AssessmentACGME PIF Application
FQHC Designation
ACGME Site Visit & Final Agreements
APPLICATION PROCESS & INSTITUTIONAL AGREEMENTS
2014 2015 2016
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¡ NCFMR recruitment¡ 250 applications¡ 20 interviews¡ 2016-2017 NRMP Match¡ First class of residents began
6/2017
¡ 600 applications¡ 22 interviews¡ 2017-2017 NRMP Match¡ Second class of residents begin
6/2018
THE MATCH
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¡ Real life practice setting ¡ Advocacy and leadership opportunities ¡ Community integration ¡ RTT 1+2 program model ¡ FQHC and PCMH recognition¡ Previous teaching history
PROGRAM “SELLING POINTS”
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¡ Hybrid longitudinal curriculum¡ Transparency with training opportunities¡ Engaged and relatable community faculty¡ Scope of practice
REAL LIFE PRACTICE SETTING
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¡ Pre-existing curricular emphasis at core program, Swedish Cherry Hill
¡ Abundance of opportunities for involvement as early residents in a new program
¡ Flexibility to create new electives and community projects
ADVOCACY & LEADERSHIP
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¡ Focus on community during the interview§ Needs of community§ Community needs assessment
¡ Community medicine block 1 of R2 year and longitudinally with core site
COMMUNITY INTEGRATION
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¡ Core rotations in the first year at Swedish Medical Center¡ Affiliation with referral center¡ Hybrid of unopposed residency¡ Benefits of hospital size
RTT 1+2 PROGRAM MODEL
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¡ Loan repayment¡ Building a workforce¡ Exposure to different care delivery models¡ Underserved patient population ¡ Other affiliated sites
§ County jail§ High school clinic§ Mental health§ Dental services
FQHC TRAINING SITE
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INTERVIEW DAY STRUCTURE
Applicant Dinner
Hospital/clinic tour and interview
Community tour
Transition to core site
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¡ Good representation from community physicians affiliated with the program
¡ Family friendly setting¡ Quality food and beverage ¡ “Do you have any more questions?”
APPLICANT DINNER
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¡ Provide accommodations the night before the interview¡ Driving tour with program director¡ Introduce other community resources and healthcare
affiliates¡ Make it unique and not just a hospital or clinic tour¡ Highlight outdoor opportunities and local attractions
for self-guided tour
COMMUNITY TOUR
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¡ Survey sent to applicants ranked by the RTT who did not match to the RTT
¡ 2016-2017 Match - 2/18 responses ¡ 2017-2018 Match - 11/22 responses
POST MATCH SURVEY
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¡ Multiple entities ¡ Faculty engagement and time¡ Scope of training (termination, NICU, etc.) ¡ Curriculum development and support¡ Culture of education ¡ Relocation
§ Expense§ Housing accommodations§ Partner employment opportunities
RECRUITMENT CHALLENGES
Swedish
Olympic Medical
Center
North Olympic Healthcare Network
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¡ Explore recruitment strategies and the importance of institutional affiliations
¡ Review applicant feedback regarding program “selling points”
¡ Breakdown interview day structure and demonstrate how it can make your site stand out on the interview trail
¡ Identify challenges in faculty engagement during the interview process and curriculum development
OBJECTIVES
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QUESTIONS?