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Program Director Education
Meeting
June 13, 2019
Confidential – For Discussion Purposes Only
Agenda
GME Program Director Award
Dress Rehearsal Scope & Attendance
GME Announcements
PRN Support: A New Physician Resource
2
Confidential – For Discussion Purposes Only
Award for Outstanding Contribution to GME
Marc Melcher, MD, PhD
− Program Director, Stanford Surgery Residency (2011 - 2019)
3
Dress Rehearsal Scope & Attendance
| 4
Scope of DR 1
5
PURPOSE: Focus on Workflow, Path of Travel and Familiarization with Space
• 350 Participants
• Reduced Contributors (i.e. Transport, Pharmacy, Food Service, etc)
• Same Schedule as Original Plan – Full Day with 3 Scenario Sessions
• Minimal IT available
• Minimal Mobile Equipment
• Signage for location of equipment and supplies
*DR1 – July 2nd
The Dress Rehearsal Committee met on 4/30/19 to discuss the issues that have arose due to the shift in TCO and recommended the following scope for Dress Rehearsal 1
Dress Rehearsal 1: July 2, 2019
HOST DEPARTMENT NUMBER OF PEOPLE
ICU/AAU 102
ED 11
CATH 14
IMAGING 20
PREOP/PACU 12
CARDIODIAGNOSTICS 8
PROCEDURES 15
SPD 4
OR 16
FOOD SERVICE 7
6
CONT. DEPARTMENT NUMBER OF PEOPLE
IT 20
REGISTRATION-PAS 2
RT 2
FOOD SERVICE 2
LIFE FLIGHT 1
TRANSPORT 2
PHARMACY 2
LAB-PHLEBOTOMIST 1
TRANSFUSION 1
SECURITY 2
EKG/ECHO 2
ANS 2
OTHER DEPARTMENT NUMBER OF PEOPLE
TRANSITION STRATEGY 18
YELLOW BRICK 20
OCC 12
LEADERSHIP 20
VENDORS 5
APP 13
PHYSICIANS 10
For Host Departments – This includes:▪ 1 Patient▪ 1 Recorder▪ 1 Scenario Coordinator
350 Participants
List of Providers for DR1
7
APPs DEPT
Sandip Suprai AAU Medical
Emily Tognozzi AAU Surgical
Jay Navao AAU Surgical / ICU
Angela Tsiperfal Cardiodiagnostics
Amy Salgado CVICU
Courtney Nelson CVICU
Hillarie Golino ED
Corinne Pogemiller ICU
Kathy Jackson IR
Pam Piacente OR
Mary Bilbao OR
Lisa Cianfichi OR / Preop PACU
Katherine Lowry OR / Preop PACU
PROVIDERS DEPT
Megan Mahoney AAU
Ruth Fanning Anesthesia
Javier Lorenzo Anesthesia/ICU
David Lee Cardio
Alan Yeung Cardio
Ann Weinacker Critical Care
Phil Harter ED
Sam Shen ED
Bernie Dannenberg ED
Lalah Gharahbaghian ED
Neera Ahuja Hospital
David Svec Hospital
Topher Sharp Med Informatics
Katie Kvam Neurology
Allen Ho Neurosurgery
Kay Daniels OB
Sam Wald OR
Ed Damrose OR
UBMDs DEPT
John Ratcliffe Neuro/Spine
Paul Maggio Trauma
Poonam Hosamani Hospital
PROVIDERS Cont.. DEPT
Christina Kong Pathology
Arthur Sung Pulmonologist
Harmeet Bedi Pulmonologist
Diana Yu Pulmonologist
Ann Leung Radiology
Bob Herfkens Radiology
13 APPs26 Physicians
Scenario Example
8
Scope of DR 2 & 3
9
• 800-1,000 participants
• Full day, running 3 scenario sessions
• More IT will be available
• More mobile equipment will be deployed
• Participants will be able to identify more workflow, building and IT issues
• Test Path of Travel with badging access
*DR2 – July 31
*DR3 – August 29th
PURPOSE: Focus on Path of Travel, Building Issues and IT issues
DR 2 & 3 MD Attendance
▪ All of MD Advisory Council, APPs and UBMDs present
▪ A list will be prepared with all Provider roles called out in each DR
▪ MDs will be matched to the scenarios
10
Confidential – For Discussion Purposes Only
Provider
Training
Update
|11
CEPD Training
Team
Confidential – For Discussion Purposes Only
Specialty Specific
NFO Mandatory
Provider Type
Provider Training
Attending,
Fellow, Resident
Provider NFO
E-learning
Provider NFO
Walk Through
Technology, Equipment,
Critical Paths of Travel
Stanford Employee:
APPs
Provider NFO
E-learning
Provider NFO
Walk Through
Technology, Equipment,
Critical Paths of Travel
Staff NFO
Staff DSO
12
1
2
*Select APPs dept/services
elected to go through Staff
Training (Palliative Care,
Trauma/Stroke)
OR
500P Training: High Level Provider Orientation Summary
New Facility Orientation
*
OR
Choice module or tour
Confidential – For Discussion Purposes Only
4576 Physicians identified for receiving NFO
− List is being refined, however the overall number will not significantly change
Healthstream module under review sessions, including audio script
− On track for 8/1 publishing date
Healthstream audio script will also be used for the tour
− Received approval from Patient Care Services, Interventional Platform, and the Emergency Department
Tours will be required for a few specialty areas
NFO
13
Confidential – For Discussion Purposes Only
Introduction to the building:
− Basic building design principles including public and patient care areas
− Wayfinding guidance: entrances, elevators and stairwells, room numbering system
General paths of travel, highlighting common areas of interest:
− Cafeteria, atrium, bridge, wellness center, garden, and transportation center
− Lounge, on-call and team rooms
− Transfusion services, pharmacy, and sterile processing
− Parking, including on-call and urgent access (if available)
Unit overview:
− Location of emergency equipment, Epic status board, team rooms, and supply rooms
− 360 images of an ICU room, an AAU room, and an Operating Room
Fire, life and safety regulatory information
NFO Content
14
Confidential – For Discussion Purposes Only
Walk-throughs will be categorized as Interventional Platform, Emergency Department, and General
− IP and ED specific walk-throughs will have additional information provided including Critical Paths of Travel
− Walk-throughs will be held in August, September, and October
− Projecting 20% of overall to request a walk-throughs (915 participants in 30 tours)
Discussion around utilizing Grand Rounds or other department meeting times to facilitate walk-through attendance
Guide availability
− Asking for APP Lead and UBMD Volunteers
− Without this support walk-throughs will be extremely limited
Walk-Through
15
Confidential – For Discussion Purposes Only
Directed to service lines
Specialty Specific
16
|17
Confidential – For Discussion Purposes Only
Job Descriptions
Live in MedHub on July 1, 2019
Confidential – For Discussion Purposes Only
House Staff Benefits Annual Costs - 2019
Confidential – For Discussion Purposes Only
Reminders – June Deadlines
Clinical Competency Committee
Milestones to ACGME
APEs – Must be documented in MedHub by July 31st
Semi-Annual Evaluations
Final Evaluations (formerly known as Summative Evaluations)
Confidential – For Discussion Purposes Only
Reminders – June Deadline Cont.
JUL AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN
Milestones
Submit
Milestone
Reports to
ACGME.
Clinical
Competency
Committee
Semi-Annual
Evaluations
Summative
Evaluations
Complete at
end of
training
ACGME & GME Timeline July 1, 2018 - June 30, 2019
2018 2019
Send out milestone-based evaluations to
residents/fellows.
Meet, Review, Finalize
in RMS.
Submit to ACGME
Submit Milestone
Reports to ACGME.
Send out milestone-based
evaluations to residents/fellows.
Meet, Review, Finalize on
RMS.
Period 1
Evaluations.
Document in RMS
Period 2 Evaluations.
Document in RMS.
Final
Confidential – For Discussion Purposes Only
GME House Staff Orientation Dates
Monday June 24, 2019
Monday July 1, 2019
Friday July 5, 2019
Wednesday July 31, 2019
For more information visit http://med.stanford.edu/gme/housestaff/incoming.html
Confidential – For Discussion Purposes Only
Coming Events – Self-Studies
Next meeting will be on Thursday August 8 at 1-2pm
PRN Support:A New Physician Resource
Residency Program Directors Meeting
June 13, 2019
Harise Stein, MD
PRN Support:Physician Resource Network
Purpose:
To provide our physicians and trainees with confidential, independent, legally-protected peer support and resources for life’s inevitable clinical, professional and personal challenges.
Physician Preferences for Help (Shapiro 2012)
Brigham faculty and housestaff:
• 70% Colleague
• 48% Psych/mental health
• 35% Program chair
• 28% Clergy
• 28% EAP
Barriers to Seeking Help (Shapiro 2012)
New Goal to Provide Support for Any Issue
• Stress over difficult clinical events
• Litigation distress
• Career or workplace conflicts
• Work-home-life issues
• Burnout
• Patient issues
• Personal or family concerns
Peer Supporters
• Diverse physicians from throughout Stanford Medicine and a variety of specialties and ranks
• Volunteering their time
• ~ ¾ are original peer supporters▫ Chosen by department chairs who were asked to send
someone who other physicians in the department would want to talk to
• New peers were referred by existing peers and interviewed
Peer Support Training
• “Listen, Don’t Judge, Don’t Fix”▫ NOT being a doctor, mentor or coach
▫ No “assessment of the facts” or agenda
▫ Respecting and supporting a person’s own choices
• Mindful presence and reflective listening
• Open-ended questions to help a person better define for themselves what they need/want to do
• Focus on coping rather than what happened
• Coordinate with WellConnect for 24/7 psych
Process• Self-referral • Conversations are confidential and legally
protected• Can meet in person or by phone• Program activated by email to program director,
who will match physician to an appropriate peer• Peer will contact physician within 1-2 weekdays• Usually 1-2 interactions• Anonymous feedback surveys sent out – excellent
ratings and comments to date
Peer Supporters can Provide:
• A safe, protected space for whatever the person wants to talk about
• Perspective
• Coping support
• Options to consider
• Resources
You Can Help
Raise Awareness and Reduce Stigma
• We encourage self-referral▫ People process things in their own way and own time
• Let them know about our program▫ Give out business cards ▫ Refer to webpage
http://wellmd.stanford.edu/get-help/prn-support.html▫ Put up flyers in break rooms▫ Put contact info on residency resource webpages
Confidential – For Discussion Purposes Only
Questions?
