View
218
Download
1
Category
Tags:
Preview:
Citation preview
Regions Emergency Regions Emergency Medicine Residency Medicine Residency
Retreat Retreat October 27, 2011October 27, 2011
Felix Ankel, MDFelix Ankel, MD
HistoryHistory
Accreditation 1995, 1999, Accreditation 1995, 1999, 2003, 20092003, 2009
108 graduates 1999-108 graduates 1999-presentpresent
138 residents 1996-present138 residents 1996-present
Mission:PAPEEMCEMission:PAPEEMCEProvide and promote excellence in Provide and promote excellence in
emergency medicine care and emergency medicine care and educationeducation
Patient centeredPatient centered Resident focusedResident focused Team orientedTeam oriented TransparencyTransparency ProfessionalismProfessionalism KnowledgeKnowledge SkillsSkills AttitudesAttitudes Core competenciesCore competencies Contribution to specialtyContribution to specialty
108 graduates 1999-108 graduates 1999-presentpresent
69 Minnesota: 15 HealthPartners, 10 EPPA, 9 69 Minnesota: 15 HealthPartners, 10 EPPA, 9 United, 6 Fairview-U, 6 North, 5 Abbott, 5 United, 6 Fairview-U, 6 North, 5 Abbott, 5 HealthEast, 5 Duluth, HealthEast, 5 Duluth, 2 Waconia, Shakopee, Rochester, New Ulm, 2 Waconia, Shakopee, Rochester, New Ulm, Princeton, Park-NicolletPrinceton, Park-Nicollet
38 out of state: 6 SD, 4 IA, 3 WA, 3 CA, 2 ND, 2 NE, 38 out of state: 6 SD, 4 IA, 3 WA, 3 CA, 2 ND, 2 NE, 2 CO, 2 IN, 2 WI, 2 MT, 2 UT, NH, NY, OR, VA, CT, 2 CO, 2 IN, 2 WI, 2 MT, 2 UT, NH, NY, OR, VA, CT, PA, AK, TXPA, AK, TX
16 Academic: 14 Regions, Wishard, Mayo16 Academic: 14 Regions, Wishard, Mayo 14 Hybrid: 7 Fairview-U, 6 North, Mercy-Iowa City14 Hybrid: 7 Fairview-U, 6 North, Mercy-Iowa City 73 Community73 Community 13 Fellows (3 toxicology, 2 critical care, 2 EMS, 13 Fellows (3 toxicology, 2 critical care, 2 EMS,
faculty development, simulation, informatics, faculty development, simulation, informatics, ultrasound, international, quality & pt safety)ultrasound, international, quality & pt safety)
138 residents (1996 - 138 residents (1996 - present)present)
39 medical schools39 medical schools 48 U of M48 U of M 9 UND9 UND 8 Iowa, Mayo8 Iowa, Mayo 7 MCW, USD, 7 MCW, USD, 6 UW, Creighton6 UW, Creighton 2 Nebraska, Loyola, Indiana, Kansas, 2 Nebraska, Loyola, Indiana, Kansas,
Chicago Med School, Colorado, Loma Chicago Med School, Colorado, Loma Linda, SLULinda, SLU
SUNY-Buffalo, Des Moines-COM, Nevada, SUNY-Buffalo, Des Moines-COM, Nevada, Vermont, Penn, Hawaii, East Carolina, Vermont, Penn, Hawaii, East Carolina, Arizona, Utah, Michigan State, SUNY-Arizona, Utah, Michigan State, SUNY-Syracuse, VA-COM, UCSF, Dartmouth, Yale, Syracuse, VA-COM, UCSF, Dartmouth, Yale, Tufts, Cincinnati, Morehouse, Florida, Nova-Tufts, Cincinnati, Morehouse, Florida, Nova-COM, Temple, LSU, UT-HoustonCOM, Temple, LSU, UT-Houston
29 Faculty (13 Different EM 29 Faculty (13 Different EM Residencies)Residencies)
Regions x 14Regions x 14 Henry Ford x 2Henry Ford x 2 Harvard Affiliated Harvard Affiliated
x 2x 2 Illinois x 2Illinois x 2 HCMCHCMC Brooke ArmyBrooke Army
St Vincent’sSt Vincent’s ChristChrist IndianaIndiana Boston Medical Boston Medical
CenterCenter Grand RapidsGrand Rapids MichiganMichigan ResurrectionResurrection
Residency Strategic Plan Residency Strategic Plan 2010-20152010-2015
4/21/0104/21/010
SWOT analysisSWOT analysis Review of strategic plans of department, Review of strategic plans of department,
hospital, IME, and healthplanhospital, IME, and healthplan Outcomes (Outcomes (qualityquality)) Knowledge translation (Knowledge translation (web 2.0web 2.0 and work and work
with librarians)with librarians) Procedural competencyProcedural competency Non-clinical training (Non-clinical training (longitudinal adminlongitudinal admin)) Benchmarks and scorecardsBenchmarks and scorecards Resources (Resources (wellness and resiliencewellness and resilience))
Program review 2011Program review 2011
3 most important aspects of the program3 most important aspects of the program
Strengths of the residencyStrengths of the residency
Areas of focusAreas of focus
What should the residency What should the residency continuecontinue doing? doing?
What should the residency What should the residency stopstop doing? doing?
What should the residency What should the residency startstart doing? doing?
Specific rotation commentsSpecific rotation comments
Other commentsOther comments
2010-20112010-2011 10 interns10 interns New procedural skills labNew procedural skills lab EMS fellow, EM-peds sponsorshipEMS fellow, EM-peds sponsorship Quality, international fellowship approvalQuality, international fellowship approval ROD, MSOD – longitudinal admin ROD, MSOD – longitudinal admin
experienceexperience Night float blockNight float block Hudson selective pilotHudson selective pilot Quality teamsQuality teams Recruitment boomRecruitment boom
2011-20122011-2012 Plastics moves from PGY1 to PGY2Plastics moves from PGY1 to PGY2 Tox moves from PGY2 to PGY1Tox moves from PGY2 to PGY1 Shift schedule moves to 9-hoursShift schedule moves to 9-hours Eliminate single EM resident/pod overnight.Eliminate single EM resident/pod overnight. ROD checklist developmentROD checklist development Quality project refinementQuality project refinement Patient satisfaction reports to residentsPatient satisfaction reports to residents Resident lounge renovationResident lounge renovation Methodist added as community siteMethodist added as community site No overnight intern call on SICU or OrthoNo overnight intern call on SICU or Ortho
ThoughtsThoughts
Caring for patients vs. treating Caring for patients vs. treating patientspatients
Complex Adaptive Systems (CAS), Complex Adaptive Systems (CAS), “Boids”“Boids”
Wisdom of Crowds, James SurowieckiWisdom of Crowds, James Surowiecki Drive, Dan PinkDrive, Dan Pink Edgeware, Brenda ZimmermanEdgeware, Brenda Zimmerman
Questions to considerQuestions to consider Web 2.0Web 2.0
– Consolidate and optimize current on line Consolidate and optimize current on line interactive resourcesinteractive resources
Longitudinal admin experienceLongitudinal admin experience– Determine strengths and areas to tweakDetermine strengths and areas to tweak
QI program designQI program design– Review, discuss progress and recommend Review, discuss progress and recommend
improvementimprovement Wellness and resilienceWellness and resilience
– Develop plan to maintain and improve Develop plan to maintain and improve current wellness and resiliencecurrent wellness and resilience
Questions to considerQuestions to consider
Recommended