JCTSE: Implementation of a Surgical Curriculum in ......1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Percent...

Portfolios and Courses

Edward D. Verrier, MDMerendino Professor of Cardiovascular Surgery

University of Washington

Surgical Director of Education

Joint Council on Thoracic Surgery Education

JCTSE: Implementation of a Surgical Curriculum

in Cardiothoracic Surgery

Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.

THORACIC SURGERY

continuous education

universe

Residentor

LearnerPortfolio

ProgramInformation

Portfolio

U.S ThoracicSpecialtyPortfolio

Educational PortfoliosEducational Portfolios


Secure Learner PortfoliosSecure Learner Portfolios

WHAT IS A SECURE LEARNER PORTFOLIO?

Teaching

Curr Vitae

OR Cases

Research

Texts

Meetings

Courses

Self-As’ment

Journals

Exams

Learning Agenda

Creativity

CurriculumCopyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.


SELECT FROM ABOVE FOLDERS TO PROCEEDSELECT FROM ABOVE FOLDERS TO PROCEED

INFO: WHAT LEARNING PROJECTS CAN I STORE ?

1. Traditional Learning ActivitiesMeetings, Courses, Journals, Texts

2. E-Learning ActivitiesCurriculum, Modules, e-journals, e-Texts, e-Courses, simulators

3. Curriculum VitaePublications, abstracts, presentations, honors, awards

4. Residency Work Hours5. Clinical Case-Based Activities

Volumes, distribution, skills, outcomes6. Learning Plans & Goals

Knowledge areas, Skills, Meetings, Readings, Study

EDIT ADD REPORT HOME REVIEW

USER INFO - YOUR SECURE LEARNER PORTFOLIO



SELECT FROM FOLDERS ABOVE TO PROCEEDSELECT FROM FOLDERS ABOVE TO PROCEED

NEW LEARNING CONTENT ASSIGNMENTLEARNING PROJECTS ADDED TO RESIDENT GOALS &

OBJECTIVES

REVIEW EDIT REPORT

Project Code Due By

Title:

Project Code Due By

Title:

TSC 09-10 11/1/14

CLICK HERE TO ACCEPT PROJECTCLICK HERE TO ACCEPT PROJECT

John Smith, M.D.TSDA #04DEF210

ADD TO YOUR SECURE LEARNER PORTFOLIO

HOME

Mgmt Complications of Mitral Valve Repair


THORACIC SURGERY CURRICULUM UTILIZATION

Resident ActivityUNIVERSITY OF SOUTHERN MAINE

Univ S. MaineID HRD 554

access.Date

TopicActivity

MilestoneActivity

SummaryCharts

John Smith, MD00234HGF

7/1/04

NationalAverages

7/1/04

Select resident activity for detailed information.PrintReport


THORACICC SURGERY CURRICULUM UTILIZATION

Individual Resident Activity UNIVERSITY OF SOUTHERN MAINE

Resident NameID Number

Matricul.Date

TopicSessions

Total TSC

Hours

AssessmentQuiz

PercentComplete


7/1/14 76 31 16 68%

First Use: 7/4/2013 Last Use: 11/21/2003 Today: 11/21/2013

Basic Cardiac Anatomy / Physiology CV 01-04

88% Thoracic Critical Care TS TS 07-08

22%

Normal Thoracic Anatomy / Physiology (TS 01-04

76% Endoscopy FundamentalsTS 09

45%

Ischemic Heart Disease CV 05-10

21% Lung & Airway DiseaseTS 10-15

32%

Valvular Heart DiseaseCV 11-15

56% Esophageal diseaseTS 16-22

87%

Great Vessel Disease 11% Mediastinum/Pleura/Chest Wall 77%

End stage CardiopulomaryDisease Cv 16

2% Academics, Ethics & Professionalism 54%

Cardiac Critical care CV 20 56% Congenital Heart Disease 58%Print

Report Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.



First Use: 7/4/2003 Last Use: 11/21/2003 Today: 11/21/2003 PrintReport

0102030405060708090

100

1st Qtr 2nd Qtr 3rd Qtr 4th Qtr

Percent Completion of TSCCurriculum

Dr. Smith

National


Matricul.Date

TopicSessions

TSCHours

Milestonescompleted

PercentComplete


7/1/14 76 31 16 68%


ProgramEducational

Portfolio

THORACIC SURGERY

continuous education

universe Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.

THORACIC SURGERYCURRICULUM UTILIZATION

Resident ActivityUNIVERSITY OF SOUTHERN MAINE


Matricul.Date

Total TSCSessions

Total TSCHours

AverageSession

PercentComplete


7/1/04 76 31 16 68%

Mary Jones, MD00234HGF

7/1/04 21 6 12 22%

Richard Liu, MD00234HGF

7/1/05 5 2 21 18%

Margaret Jon, MD00234HGF

7/1/05 0 0 0 0%

Select resident name for individual information.Print

Report


THORACIC SURGERY CURRICULUM MILESTONES



Matricul.Date

Total TSCSessions

Total TSCHours

AverageSession

PercentComplete


7/1/14 76 31 16 68%


Ischemic Hrt Dx Medical Knowledge 88% Critical Care Medical Knowledge 22%

ISHD Patient Care 76% Critical Care Patient Care 45%

Valvular Hrt Dx Medical Knowledge 21% Lung / Airway Medical Knowledge 32%

VHD Patient Care 56% Lung / Airway Patient care 87%

Great Vessel Medical Knowledge 11% Esophageal Disease Medical knowledge

77%

Great Vessel Patient Care 2% Esophageal Disease Patient Care 54%

End Stage Cardiopulmonary MK / PC 56% Mediastinum/Chest Wall / Pleural MK / PC

58%

PrintReport


THORACIC SURGERY CURRICULUM MILESTONES

Individual Program Activity UNIVERSITY OF SOUTHERN MAINE


Ischemic Hrt Dx Medical Knowledge 88% Critical Care Medical Knowledge 22%

ISHD Patient Care 76% Critical Care Patient Care 45%

Valvular Hrt Dx Medical Knowledge 21% Lung / Airway Medical Knowledge 32%

VHD Patient Care 56% Lung / Airway Patient care 87%

Great Vessel Medical Knowledge 11% Esophageal Disease Medical knowledge

77%

Great Vessel Patient Care 2% Esophageal Disease Patient Care 54%

End Stage Cardiopulmonary MK / PC 56% Mediastinum/Chest Wall / Pleural MK / PC

58%

PrintReport


Matricul.Date

Total TSC Sessions

Total TSCHours

AverageSession

PercentComplete

Univ S. Maine00234HGF

7/1/14 304 124 16 68%


Program NameID Number

Matricul.Date

Total TSCSessions

Total TSCHours

AverageSession

PercentComplete

Univ South Maine00234HGF

7/1/14 304 134 16 68%

First Use: 7/4/2013 Last Use: 11/21/2013 Today: 11/21/2013Print

Report

0102030405060708090100


Percent Completion of TSCCurriculum

National Dr. Smith

Dr. Jones Dr. Liu

Dr. Jon


Aggregate Program Activity UNIVERSITY OF SOUTHERN MAINE


Program NameID Number

Matricul.Date

Total TSCSessions

Total TSCHours

AverageSession

PercentComplete

All US Programs 7/1/14 6,304 2,134 16 56%


PrintReport

0102030405060708090

100


Percent Completion of Thoracic Surgery Curriculum

National

PGY-5

PGY-6

PGY-7

PGY-8

THORACIC SURGERY CURRICULUMUTILIZATION

National Program Activity


National OverviewOverall Progress

0

10

20

30

40

50

60

70

80

90

100

12‐Nov 17‐Nov 22‐Nov 27‐Nov 2‐Dec 7‐Dec 12‐Dec 17‐Dec 22‐Dec

Course 1

Course 2

Course 3

Course 4


When are Quizzes Being Attempted?

0

5

10

15

20

25

30

35

40

45

50

Midnight to 4AM

4 AM to 8 AM 8 AM to Noon Noon to 4 PM 4 PM to 8 PM 8 PM toMidnight

Percentage of Quiz Attempts Throughout the Day


Basic Course #3Disorders of the Trachea and Bronchus

Basic Course #4Tracheal and Bronchial Surgery

There have been 22 quiz attempts by 10 individuals.

The graph shows the highest grades for the 12 individuals.

10 individuals have passed this courseMayo 4 of 6MDACC 3 of 4UTSCSA 3 of 5UM 0 of 4

Mean ± SD quiz attempts to complete this course2.0 ± 1.2

There have been 45 quiz attempts by 15 individuals.

The graph shows the highest grade for the 15 individuals.

6 individuals have passed this courseMayo 3 of 6MDACC 2 of 4UTSCSA 1 of 5UM 0 of 4

Mean ± SD quiz attempts to complete this course4.3 ± 1.5 Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.

ResidentProgram

Dash Board


Thoracic Surgery CurriculumDashboard Project


Thoracic Surgery CurriculumDashboard Project


Thoracic Surgery Curriculum ProjectsResident Dashboard Implementation Strategy

RESIDENT ITE PERFORMANCERESIDENT ITE

PERFORMANCE

65% 45-99 68%

% -TILE TSITE SCORE

Resident Mean Value

Program Value Range

National Mean Value

PerformanceParameter

Value Scale

Resident Value

ProgramRange

ScaleUnits


Thoracic Surgery Curriculum ProjectsProgram Dashboard Implementation Strategy

75% 65-99 88%

100

0.00

ITE SCOREPERFORMANCE Performance

Parameter

ProgramMean

ProgramRange

NationalMean

Value Scale& Range


WEEKLY AVGWORK HOURS

THORACIC SURGERYCURRICULUM

FACULTYEVALUATION

SURGICALCASE VOLUME

MILESTONECUIRRICULUM

INTRAININGEXAM SCORE

65% 75-99 88%

t5 45-99 78 75% 35-99 50%55% 45-99 48%

75% 45-99 68% 60% 75-99 88%

%-TILE SCOREOVERALL

% COMPLETIONPRC

% COMPLETIONCRC

OVERALL % MAX360 EVALS

% COMPLETIONOVERALL

% COMPLETIONCRC75% 65-99 88%

100

0.00

JOHN R. SMITH, MDOVERALL

PERFORMANCE

THORACIC RESIDENT PERFORMANCEPaul R. Jones, M.D.July-December 2013



TSC CURRICULUM FACULTYEVALUATION

SURGICALCASE VOLUME

MILESTONECUIRRICULUM


95% 75-79 78%

25% 25-99 78% 35% 35-99 50%85% 45-99 48%

40% 45-99 68% 55% 55-99 88%

%-TILE SCOREOVERALL

WEEKLYWORK HOURS

% COMPLETIONPRC


% COMPLETIONOVERALL

THORACIC RESIDENT PERFORMANCEJohn G. Smith, MDJuly-December 2013

65% 65-99 88%

100

0.00

PAUL R. JONES, MDOVERALL

PERFORMANCE

% COMPLETIONPRC



TSCCURRICULUM

FACULTYEVALUATION

SURGICALCASE VOLUME

MILESTONECURRICULUM


95% 75-99 88%

65% 45-99 78% 35% 35-99 50%65% 45-99 48%

65% 45-99 68% 75% 75-99 88%

%-TILE SCOREOVERALL

% COMPLETIONPRC

% COMPLETIONCRC


% COMPLETIONOVERALL

WEEKLY HOURSAVERAGE75% 65-99 88%

100

0.00

UNIV S. MAINETS RESIDENCY

OVERALLPERFORMANCE

THORACIC PROGRAM PERFORMANCEUniversity of S. MaineJuly-December 2013


Courses

• Curriculum can be viewed as a course

• Design specific topic courses

– Prerequisite basic learning modules

– Advanced higher cognitive learning modules


CoursesGeneral Thoracic Surgery

Evaluation and Management of Surgical Disorders of the Trachea


Basic Prerequisite Modules




Thank you


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JCTSE: Implementation of a Surgical Curriculum in ......1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Percent...

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