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 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
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……..
