october 7-8, 2009 chicago, illinois
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DESCRIPTIONCouncil of Pediatric Subspecialties Executive Summary. October 7-8, 2009 Chicago, Illinois. Happy 3 rd Birthday!!. Introductions. Commitment. Subspecialty representative expectations. - PowerPoint PPT Presentation
October 7-8, 2009Chicago, IllinoisCouncil of Pediatric SubspecialtiesExecutive Summary
Happy 3rd Birthday!!
Subspecialty representative expectationsTerm is 3 years. The two representatives from each subspecialty should have staggered terms with a new representative identified one year in advance. It is strongly preferred that one representative be a current fellowship program director. Serve as a timely and thorough communication vector to and from your subspecialty member associations and societies and the Council. Collaborate strongly with the other representative of your subspecialty regarding issues of importance to CoPS and your subspecialty. Be available for conference calls and meetings as called by CoPS and its working groups.
Subspecialty representative expectationsProvide links to expertise and resources within your subspecialty associations and societies for projects spearheaded by the Council. Vote as a representative of your subspecialty in a timely fashion by presence, phone, mail or electronic means. Communicate effectively with training program directors and existing program director organizations in your specialty. Voting will move to on online, transparent recorded process.
Financial ReportCosts of activities are expected to increase as our activities broaden. We must work to minimize these costs to Council while moving forward with our agenda.A philosophy of partnership with organizations of FOPO while maintaining independence to act as needed to represent subspecialty pediatric needs.
ERAS/NRMP update Neurology via SF match, endocrine starting ERAS ? Adolescent medicine, DBP, ID, Child abuse?
Responses to IOM Report on Duty Hours and ACGME CongressAs an initial response, CoPS participated with the Organization of Neonatal Training Program Directors (led by Josef Neu), in the development of a position paper, published in May.Resident duty hour restrictions: Is less really more? J Pediatr 2009;154:631-2 (AMSPDC column)Galvanizing issue for the Council.
Responses to IOM Report on Duty Hours and ACGME CongressAfter a request by the executive committee, CoPS submitted a formal position paper to Thomas J. Nasca, MD, CEO of ACGME in April 2009. Letter available at http://www.pedsubs.org/about/pdfs/CoPS_Ltr_to_Nasca_Final.pdfThis letter resulted in an invitation to present our report atat the ACGME Congress on the Institute of Medicine Report on Resident Duty Hours in June (V Norwood and J Bale). While agreeing with the importance of patient safety and the adequate supervision of trainees, advocated the following:non-patient care, educational activities of fellows should be exempt from the 80 hour rule.opposition to the recommendation regarding a mandatory 5 hour rest period.opposed limiting the maximum frequency of inpatient shifts to 4 nights in a row.agreed with a mandatory 5 days off per month.agreed with counting both external and internal moonlighting toward the 80 hour rule. However, new mechanisms to reduce trainee educational debt should be identified.agreed that patient "handovers" should be studied and improved.
Responses to IOM Report on Duty Hours and ACGME Congress
The CoPS position statement additionally emphasized: Residents may not be adequately prepared for fellowships currently, especially in critical care specialties. The IOM duty hour restrictions will have a disproportionate effect on small programs. The current "one size fits all" approach to training does not fit the complexities of fellowship training, including the needs for autonomy and scholarship. A workforce crisis exists in pediatric subspecialties. GME funding for fellowships must increase. slides at http://www.pedsubs.org/newsletters/articles/2009_Summer.pdf
A follow-up paper, entitled The response of the Association of Pediatric Program Directors, Council of Pediatric Specialties and the American Academy of Pediatrics to the Institute of Medicine Report on Resident Duty Hours has been submitted and revised for publication (Sept. 2009).
OPDA ReportJosef Neu, represented CoPS at the OPDA meeting in May. The OPDA is an umbrella organization that has representatives from most program directors groups and provides a forum for networking and advocacy. Discussion focused predominately on the IOM Duty Hours recommendations and the group concluded the following:
IOM Total hour allowance: No Change, although there was discussion about allowance of "voluntary research" and other educational activities beyond the 80 hours 30 hour limit with 5 hour nap: Disagreed with IOM Maximum hospital days on-call with averaging: Disagreed with IOM Minimum time off between shifts: Disagreed with IOM Maximum Frequency of hospital night shift: Disagreed with IOM Days off per month: Disagreed with IOM Moonlighting: Agreed with IOM Emergency Room Limits: Agreed with IOM
The group expressed some concern that the views of the various organizations may not have sufficient influence when the regulations are updated.
Pediatric Educational Excellence Across the ContinuumDeveloped by APPD, the first PEEAC Conference was held in September 2009.
CoPS provided input into programming appropriate to subspecialty educators and encouraged subspecialty involvement in all aspects of the conference.
The goals were to maximize effective and efficient teaching in inpatient and ambulatory clinical settings including using technology in teachingassessment and evaluation of learnersproviding feedback to learnersnavigating challenging interactions with learnersplanning and creating structured learning experiences and curriculausing a scholarly approach in your teaching to create scholarship.
Other ActivitiesAccepted invitation from APPD to have a CoPS Executive Committee member join their program committee (Jim Bale).Open forum session(s) to begin at PAS and AAP to continue and enhance direct communication with subspecialists.Second CoPS newsletter distributed this summer.
AdvocacyIssuesHealth care reform: subspecialty vs. general peds, pipeline, loan repayment, reimbursement, CHIP, etc.NIH fundingMedical homeProcessRapidly moving and changing at the federal level.Handicapped by lack of mechanism by which rapid turnaround of answers/ideas can be handled.
Current process An informal coalition of organizations with a specific interest in pediatric subspecialties has coalesced around the issue of pediatric work force concerns. The group includes, among others, the Child Neurology Society, American Society of Pediatric Nephrology, the AAP, the National Association of Children's Hospitals and CoPS and has been very active in the recent federal activities surrounding health care reform.
Need a formal, but nimble process for involvement.
IndependenceCharter MOUs.Issues Desire to speak with our own voiceRestrictions of some subspecialty groupsFinancial independence (past/current support = $175,000 from AMSPDC and APPD) Letters to AMSPDC and APPD requesting release from our MOUsIf approved by all parties, will begin incorporation proceedings.Bylaws/leadership to be adjusted accordingly.
Independence Discussion and Vote
Subspecialty and Liaison Updates
Task Force Reports
IssuesFrameworkAMSPDC model (departments only; academic + non-academic, tiered)ASP model (departments, divisions, individuals, societies)Degnon Associates, Inc. can provide infrastructure support for all optionsMembership providesRepresentation via subspecialty repsNeed for understanding and dedicationAccess to other subspecialty issues, approaches, activitiesSubspecialty voice for GME, health care reform, pipeline, and other advocacy issues.Assistance/networking for program directors.Roles of liaisonsDesire to avoid Double dippingVotingPast funding
Exec Committee ProposalAMSPDC plus to include non-academic programs and societies.Potential for divisions, individuals, but not a primary goal.Liaison organizations to be discussed with their leadership.To begin July 1, 2010.
Dues/Budget discussion and vote
Strategic PlanningShift from organizing an organization and finding our placeUpdating issues and future goalsLine up with budgeting and incomeAwareness of constituent needs.
Executive Committee ElectionsComing soon to a theater near you!