Milestones
The 21 sub-competencies upon which residents are evaluated. They are more detailed expectations within each competency (Patient Care, Medical Knowledge, System-Based Practice, Professionalism, Practice-Based Learning & Improvement, Interpersonal and Communication Skills). They allow us to assess the "developmental level" of a resident.
What is a MILESTONE? Each milestone has 5 developmental levels: novice, advanced beginner, intermediate, proficient, expert
ACMGE required work restrictions that limit a resident to work no more than 80 hours per week, averaged over a four week period, inclusive of all in-house call activities, CHARTING and moonlighting.
What are DUTY HOURS? Duty hours are now called "Clinical Education and Experience"
These meetings occur from 9-10 every second monday of the month. Their purpose is to serve as faculty development sessions as well as opportunities for faculty to share things that they need assistance with for their rotation.
What are core faculty meetings?
The scholarly activity form and updated CV for the 2017-2018 academic year is due on this date to the program coordinators.
What is August 1, 2018?
The website that the program uses for evaluations and rotation goals & objectives.
What is NEW INNOVATIONS? NI has an app called ARMIS that you can use to complete evaluations. The rest of the rotation materials are available on the residency program app and the residency program One Drive. Please email Kimberly Longstreet if you want to have access to the app and One Drive.
Annually reviewed and updated expectations for my rotation. These tell the residents what I (core faculty) expect them to learn, how they will learn it, what resources they will have, and how I will measure it.
What are GOALS and OBJECTIVES?
Excessive daytime sleepiness which may be caused by too little sleep, fragmented sleep, circadian rhythm disruption, or a primary sleep disorder.
What is FATIQUE? Signs/Sx: repeated yawning and nodding off during conferences, micro sleeps, increased tolerance for risk, passivity, inattention to details, decreased cognitive functions, irritability, etc. Contact the chiefs via perfect serve if you think a resident is suffering from fatigue so they can be sent home or to a call room.
This occurs Monday and Friday mornings from 8-8:30. The senior residents present a case (doesn't have to be a current patient in the hospital). These do not occur the first Monday of the Block.
What are MORNING REPORT conferences? Other conferences include: MultiDisc is Wednesday mornings from 8-9 (CME provided). We expect residents to attend 80% of the time.
These events occur 7 times a year during resident didactics, typically from 12-1 pm where two residents will present an article and then the structure, validity and reliability of the article are dissected.
What is JOURNAL CLUB? The first one is JULY 26th from 12-1pm. If you would like meeting requests for these, please let me or the coordinators know.
This organization makes all the rules that the program director uses to run the program...including creating the curriculum, rotation expectations, duty hours, inpatient expectations, continuity clinic expectations, etc.
What is the ACGME? Accreditation Council of Graduate Medical Education
Documentation that someone from my rotation must complete at the end of each block in New Innovations to acknowledge a resident's performance on my rotation.
What is an EVALUATION?
This experience takes place at the beginning of a rotation. It includes details such as rotation expectations, rotation logistics, rotation leadership, etc.
What is ORIENTATION? Every rotation needs an orientation. A written document should coincide with your orientation so that the resident has clear expectations and can refer back to something for questions.
These experiences occur Thursday afternoons from 12-4.
What are resident DIDACTICS? AKA resident lectures? Please ensure that the resident on your rotation is able to get to conferences on time. We do not provide food, so they can benefit from being able to leave a few minutes earlier so that we can start as close to 12 as possible. We expect residents to attend 80% of the time.
This annual event occurs each April. Faculty can act as judges, abstract reviewers, presenter, etc. This counts towards your scholarly activity so participate in this activity at a minimum.
What is CITY-WIDE RESEARCH DAY? Wednesday, April 24, 2019
These people can help you update and organize your rotation materials, navigate call schedules and other rotation details, and give feedback to residents who are struggling.
Who are the chiefs? Chiefs (Saji and Galen for this year) are also available for any other issues with a resident on your service. Available on perfect serve or via email. The coordinators are also available to help.
Information that should be shared with each resident on a weekly basis (at a minimum bi-weekly) to update the resident on their performance and whether or not they are meeting your group's expectations.
What is FEEDBACK? If you have a resident who is struggling (who you feel may not "pass" the rotation), please let program leadership know sooner rather than later.
These forms of positive feedback can be emailed, texted, or perfectserved to the program director and are read aloud at residency program business meetings and stored in resident permanent files. They are for a resident doing something above and beyond, something amazing!
What is a "WOW"?
These experiences occur typically at 945 Ottawa (the building formerly known as GRMEP). Residents are able to practice procedures (intubations, pelvic exams, foreign bogy removal, suturing, casting, G-tube care, etc.)
What are Skills Labs? These sessions occur 3-4 times per year. Faculty guidance is always appreciated.
A program requirement that each resident must complete in order for them to graduate; they have to work with a FACULTY mentor; it can be QI or traditional research
What is a scholarly project? Research Mixer is Thursday, September 13, 2018 from 12-2. The Director of Scholarly Activity is Tony Olivero. During the research mixer faculty and interns are able to discuss ideas for projects.
This person has the responsibility of updating rotation goals and objectives, updating orientation documents and organizing my rotation, ensuring that feedback is being provided to the residents on my rotation, presenting my rotation's curriculum every other year to the PEC
This person has the responsibility of teaching their colleagues about the milestones and the expectations for the residents
Who am I? Who is the core faculty member for each rotation?
This committee of core faculty & program leadership reviews all resident evaluations by all evaluators semi-annually. They can also make recommendations to the program director for resident progress including promotion, remediation or dismissal from the program.
What is the Clinical Competency Committee (CCC)? The CCC meets 4 times a year (after PEC meetings in May, June, November & December). Members are: the Chiefs, Karen VanderLaan, Julie Gunderson, Robert Langen, Laurie Seaver, and the PD. If interested in joining, let me know.
Core Faculty are AUTOMATIC members to this committee which meets the second Monday of every month from 8-9 am. Core Faculty members present their rotations during this meeting. The residency and fellowship programs also update the committee members at this meeting.
What is the PROGRAM EVALUATION COMMITTEE (PEC) meeting?
Research with PubMed IDs, Conference Presentations, Grand Rounds Presentations, Chapters/Textbooks, Grant Leadership, Leadership or Peer Review Role, Teaching Formal Course
What are examples of scholarly activity that the ACGME likes to see in the programs annual faculty update?
There are 5 that the residents can choose: Critical Care/EM, Primary Care, Global Health, Subspecialty and Hospitalist
What are TRACKS? Tracks are chosen in March of intern year.