2
Agenda• MedHub Enhancements• AnnualProgramEvaluation(APE)• ACGMESurveyResults 2016• Visas• Contracts• Coordinators’Needs Assessment SurveyFeedback• CouncilNextSteps
MedHubEnhancements- “APE”Tab:Metrics(Cont’d)
12
Allmetrics arecalculated basedondataavailable inMedhub
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MedHubEnhancements– OtherSections:GMEReview(AnnualReview)
IntheGMEReviewtab,yourprogramcanalsofind:§ AnnualReview§ SpecialReview§ FocusedGMEReview
MedHubEnhancements– OtherSections:Surveys
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• UploadACGMESurveys(Resident&Faculty);
• Datacanbedownloaded intoExcel format(YAY!)
IntheSurveytab,yourprogramcanalsofind:§ ACGME– Resident: ACGMESurveybyResident§ ACGME– Faculty:ACGMESurveybyFaculty§ Internal– Resident: GMEHouseStaffSurvey§ Internal– Faculty:N/A
AnnualProgramEvaluation(APEs):GME’sRecommendationswiththenewAPEdesign
• UpdateAPEdate• Uploaddocumentsunder“FileAttachments” sectionasusual(underAPEtab)
• HowtodocumentAPE:– Option1(stronglyrecommended):usetheAPEGuidebooktodocument the
SWOTAnalysisandanactionplanfornextyear– Option2:updatethe“ReviewChecklist”and“ActionPlan”sections; fillout
the4areaswiththedataavailabletoyourprogram• TraineePerformance• FacultyDevelopment• GraduatePerformance• ProgramQuality
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AnnualProgramEvaluation(APEs):GME’sRecommendationswiththenewAPEdesign
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TheAPEChecklisthasbeenupdatedtoparallelwiththeAPEcategoriesintheMedHubEnhancements.
AnnualProgramEvaluation(APEs):GME’sRecommendationswiththenewAPEdesign
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NOTE!MakesuretouploadthefollowingunderAPE>FileAttachments fortheGMEAccreditation Teamtoreview:
§ APEMeetingMinutes*MUSTBEAPPROVEDBYYOURFACULTY*§ APESlidedeck§ APEGuidebook(ifused)§ APEDocuments(refertotheAPEChecklist; uploadalldocuments thatare
availabletoyou)
• UpdatedAPEChecklistbasedonthenewMedhub changes foundhere:https://stanfordmedicine.box.com/s/6kgsx17kvftpwa5wflraxmd6kt6jjhcm
-OR-
MedHub>Resources/Documents (leftbottomofpage)>02Forms,Templates, &Examples >AnnualProgramEvaluation(APE)&ProgramEvaluationCommittee (PEC)
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AnnualProgramEvaluation(APEs):APEChecklist
AnnualProgramEvaluation(APEs):APEGuidebook
• ContinueusingtheAPEGuidebook (strongly recommended!)
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NRMP2016– RankDistributionsforMatchedResidents
31
0
2
4
6
8
10
12
14
16
18
20
RANK
PROGRAMA:RankDistributionofMatchedResidentsina
Medium-SizedProgram(n=10)
0
5
10
15
20
25
30
35
40
RANK
PROGRAMB:RankDistributionofMatchedResidentsina
Medium-SizedProgram(n=11)
NRMP2016:MedicalSchoolRegionsofStanford’sMatchedResidents
MedicalSchoolRegions
NumberofResidentsMatchedwith
StanfordFromEachRegion
PercentMatchedwith
StanfordFromEachRegion
West 98 46%
Northeast 62 29%
Central 32 15%
South 20 9%
International 2 1%
Total 214 100%
West46%
Northeast29%
Central15%
South9%
International1%
n=214;Includes2017-2018MatchedwithCategorical Programs
NRMP2010-2016:LongitudinalMatchAnalysisByInstitution
28.7% 28.8%25.3%
19.1%22.3% 21.9%
27.1%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
2010 2011 2012 2013 2014 2015 2016
PERC
ENTMAT
CHED
(#M
atched
/Low
estR
anked)
PercentageofRankedApplicantsWhoMatchedAtStanfordOver7Years
(Source:NRMP2010-2016;n=5223)
NRMP2010-2016:LongitudinalMatchAnalysisByProgram
0%5%
10%15%20%25%30%35%40%45%50%55%60%65%70%75%80%85%90%95%
100%
2010 2011 2012 2013 2014 2015 2016
PERC
ENTMATCH
ED(#M
atched
/Low
estR
anked)
PercentageofRankedApplicantsWhoMatchedatStanfordForSixResidencyProgramsOver7Years(n=3222)
2016NRMP:UnmatchedResidentsbyInstitution
35
UCSanFrancisco-CA16%
MassachusettsGenHosp
8%
Brigham&WomensHosp-MA
8%
UWashingtonAffilHosps
7%UCLAMedicalCenter-CA
5%
Other56%
Resultsofthe2016NRMPOverall%UnmatchedApplicants
2016NRMPData:Matched&UnmatchedbyGender
36
51%49%
Percentage ofUnmatchedApplicantstoStanfordby
Gender
55%45%
PercentageofMatchedApplicantstoStanfordby
Gender
2016NRMPData:MatchedbyGender&Program
37
0%
33%
70%
67%
86%
85%
50%
14%
100%
64%
36%
83%
40%
57%
59%
59%
100%
100%
100%
67%
30%
33%
14%
15%
50%
86%
0%
36%
64%
17%
60%
43%
41%
41%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
VascularSurgery
ThoracicSurgery
RadOnc
Radiology
Psychiatry
PlasticSurgery
PM&R
Pediatrics
Pathology
OrthopaedicSurgery
OBGYN
Neurosurgery
InternalMedicine
GeneralSurgery
EmergencyMedicine
Dermatology
AnesthesiaC0
AnesthesiaA0
Percentage ofMatchedApplicantstoStanfordByGender
2016NRMPData:UnmatchedbyGender&Program
3875%
17%
31%
50%
73%
43%
65%
38%
38%
79%
31%
50%
44%
20%
54%
53%
60%
25%
83%
69%
50%
27%
57%
35%
63%
63%
21%
69%
50%
56%
80%
46%
100%
47%
40%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
TheracicSurgery
RadOnc
Radiology
Psychiatry
PM&R
PlasticSurgery
Pediatrics
Otolaryngology
OrthopaedicSurgery
OBGNY
Neurosurgery
Neurology
InternalMedicine
GeneralSurgery
EmergencyMedicine
Demertology
AnesthesiaC0
AnesthesiaA0
Percentage ofUnmatchedApplicantstoStanfordbyGender
OBGYN
EffectivenessofGME
Mostsatisified with:• Supportfromoperationsstaff• Supportfromeducationstaff• Orientationoftrainees
Opportunitiesforimprovement:• VerbalcommunicationfromGME• WrittencommunicationfromGME• Organization/structureofGME
SuggestionsfortheGME
• Morestaffmembers• Beproactive,communicatedeadlineswellinadvance• Morefrequentcommunications• Orientationfornewcoordinators• Handbookforcoordinatorswithpolicies,timelines,etc.
• Mentorshipforcoordinators• Ongoingprofessionaldevelopmentforcoordinators,e.g.,retreat,forumtosharebestpractices,etc.
• Advocateforcoordinators,i.e.,jobclassificationandcompensation
Purposeandfocusofretreat
• Sharingbestpractices• Teambuilding/morale/networking• Professionaldevelopment• Coordinatormentorship• WorkshopslikeACGMEmeeting• Planforthecomingyear,summarizeactivityforthepastyear
• Smallgroupdiscussions,specifictoresidencyandfellowshipcoordinatorrole
Additionalinformationorteachingontopics Inorderofmostimportant:
• Coordinatormentorship• Coordinatororientation• Coordinatorprofessionaldevelopment• Coordinatorwellness• ACGMEandcommonprogramrequirements• MedHub• AnnualProgramEvaluation(APE)• ProgramEvaluationCommittee(PEC)• DisabilityandLeaveofAbsences• Milestones• Self-Study• CompensationandBenefits,includingReimbursements• Visas• Licensing:MedicalandDEA• ClinicalCompetencyCommittee(CCC)• ClinicalLearningEnvironmentReview(CLER)• FinanceandBilling
Otherimportanttopics
• Interview/recruitmentprocesses• Mentorshipforcoorindators• Orientation/trainingforcoordinators• Stressandwellbeingforcoordinators• Conflictmanagement• Diversity
SuggestionstoenhancemonthlyGMEmeetings
• Sendsremindersandagendabeforehand,askforadditionalagendaitems
• GMEtosharecommonprogramissuesandconcerns,allowfordiscussionandopportunitytoaskquestions
• Residencyv.Fellowship,ACGMEv.Non-ACGME• PresentersfromoutsidetheGMEoncertaintopics• Createmorestructure,givetimefordiscussionandkeepeveryoneontopic
• Webinarsarechallengingtolistenandparticipate,consideralternativessolutionstoreachcoordinatorsinotherareas
• Agendaandhandoutsbeforehand
FunctionandresponsibilitiesofCoordinators’Council
• Advocateandaddressneeds/concernsofcoordinatorswithGME,HR,etc.
• Safespaceforcoordinatorstoshareideasandconcerns• Professionaldevelopmentforcoordinators• PartnerwithGMEontopicsformonthlymeetings• Outsidespeakers
• Forumtoaskquestionsandsharebestpractices• LiaisonbetweencoordinatorsandGME• Effort/incentivesformembersofthecouncil
TopprioritiesfortheCoordinators’Council
• Advocateforcoordinators• Supportcoordinators• PresentissuesandconcernstoGME• Careerdevelopmentopportunitiesforcoordinators• Coordinatemonthlyspeakers/trainings• Initiatechange• Orientation/mentorshipforcoordinators• Jobclassificationforcoordinators,i.e.,higherlevelthanadministrativeassistant
• PartneringwithGME• HelptoestablishclearcommunicationsfromGME,i.e.,handbook,policiesandproceduresup-to-date,etc.
• Recognizeandenhancetheexcellenceofcoordinator’sskills• Collaborationandpeersupport• Coordinatorwellness• Diversity