An Equal Opportunity University
Med-PedsResidency Training
An Equal Opportunity University
An Equal Opportunity University
UK MedPed
s is GREAT!!
!
An Equal Opportunity University
Goal of Training
Prepare residents to be knowledgeable and compassionate physicians in their future practice:
–Adult and pediatric primary care–Adult/pediatric subspecialty care–Academic medicine
An Equal Opportunity University
FACULTY AND LEADERSHIP
An Equal Opportunity University
Med-Peds Residency Program
• Curtis Cary, MD, FAAP, FACP– MedPeds Program Director– MedPeds Group Continuity Clinic
Director
• John Stewart, MD– MedPeds Associate Program
Director– Polk Dalton Continuity Clinic
Director
• Chris Feddock, MD, FAAP, FACP– MedPeds Associate Program
Director– Assistant Dean of Curriculum– Former MedPeds PD for 5
years
An Equal Opportunity University
Med-Peds Chief Residents
Amanda Foxx, MD Justin Purdy, MD
An Equal Opportunity University
Internal Medicine Leadership
• Chairman: David Moliterno, MD• Program Director: Kristy Deep, MD, MA• Associate Program Directors:
– Jackie Gibson, MD– Laura Fanucchi, MD, MPH– John Ragsdale, MD, MS (MedPeds Trained)
• VA Educational Site Director: Sean Lockwood, MD
• Education Specialist: Rachelle Aker
An Equal Opportunity University
Pediatrics Leadership
• Chairman: Carmel Wallace, MD• Program Director: Jenna Ross, MD (MedPeds
Trained)• Associate Program Director: Lindsey Ragsdale, MD• Program Coordinator: Michael Fralix• Residency Staff Support: Jim Duncan
An Equal Opportunity University
Med-Peds Continuity Clinic Attendings
• Curtis Cary, MD– Pediatric Wards– Polk Dalton Clinic– HIV Medicine– HIV Education– Children’s Twilight Clinic
• John Stewart, MD– Polk Dalton Clinic
• Chris Feddock, MD– Salvation Army Clinic
• Chipper Griffith, MD, MSPH– Salvation Army Clinic
An Equal Opportunity University
Med-Peds Hospitalist Faculty
Internal Medicine Services
• Chandler Hospitalists– Paula Bailey, MD– T.J. Lile, MD– John Ragsdale, MD, MS– John Romond, MD– Alan Hall, MD
• Good Samaritan Hospitalists– Zack Roy, MD– John Romond, MD
• VA Hospitalists – Mary Duke, MD– Mike McCoy, MD
Pediatrics Service• Kentucky Children’s
Hospital– Curtis Cary, MD– T. J. Lile, MD– Alan Hall, MD
An Equal Opportunity University
Med-Peds Subspecialty Faculty• Mike Anstead, MD
– Adult and Pediatric Pulmonary
• Hubie Ballard, MD – Neonatology
• Deb Flomenhoft, MD – Adult Gastroenterology
• Brian Murphy, MD – Adult and Pediatric Infectious
Diseases
• Donna Stanton, MD– General Pediatrics
• Michael Young, MD – Adult Infectious Disease
• Jenna Ross– General Pediatrics
• Jackson Smith, MD – Adult and Pediatric
Endocrinology• Doug Schneider, MD
– Pediatric Cardiology• Joe Auer, MD
– Adult Gastroenterology• Nicole Leedy, MD
– Adult Infectious Diseases• Scottie Day, MD
– PICU
An Equal Opportunity University
Community Med-Peds Faculty
• Fayette County– Amanda Smith, MD
• Clark County– Larry Ertel, MD
• Harrison & Nicholas County– Stephen Besson, MD– Andy Usery, MD
• Scott County– Andrew Balbaugh, MD– Joel Knight, MD – Erin Johnson, MD
An Equal Opportunity University
Med-Peds in Leadership Positions
• Mary Duke, MD– Med-Peds Program Directors Association, President, 1997– UK Med-Peds Program Director 1995-2005– Lexington VAMC Chief of Medicine– Former ACP Governor
• Christopher Feddock, MD, MS– Med-Peds Program Director 2005 - 2010– Assistant Dean for Curriculum
• Chipper Griffith, MD, MSPH– Senior Associate Dean for Medical Education
• Angela Dearinger, MD, MPH– Lexington VAMC Associate Chief of Staff for Education
An Equal Opportunity University
Categorical Programs
An Equal Opportunity University
Internal Medicine & Pediatrics Housestaff
Residency Programs Number per Year
Med-Peds 6
Internal Medicine• Categorical• Primary Care• Preliminary
1962
Pediatrics• Categorical• Peds/Adult Psych/Child Psych• Peds/Peds Neuro
821
An Equal Opportunity University
Med-Peds as Categorical Chief Residents
• 2010-2011– John Stewart, MD, Internal Medicine
• 2011-2012– Catherine Habashy, MD, Internal Medicine– Martin Rains, MD, Internal Medicine
• 2012-2013– Amanda Smith, MD, Internal Medicine– Mark Wurth, MD, Pediatrics
• 2013-2014– Priya Veeraraghavan, MD, Pediatrics
An Equal Opportunity University
Future Med-Peds Categorical Chief Residents
• 2014-2015– Kelli Trent, MD, Pediatrics
• 2015-2016– Carrie Gaby, MD, Pediatrics
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Curriculum
An Equal Opportunity University
Residency at a Glance
Pediatrics Internal Medicine
Intern 8 months 8 months
Junior Resident 8 months 8 months
Senior Resident 8 months 8 months
Total 24 months 24 months
An Equal Opportunity University
Intern Level Curriculum
Internal Medicine Pediatrics
Intern Level
Rotations
Ambulatory Consult Ambulatory Consult
Chandler WardsChandler Wards
Emergency MedicineInpatient ConsultInpatient Consult
VA Wards
Adolescent MedicineBehavior and Development General Pediatrics Clinic General Pediatrics Wards General Pediatrics Wards
Hematology/Oncology Newborn Nursery
NICU
An Equal Opportunity University
Junior Level Curriculum
Internal Medicine
Pediatrics
Junior Level Rotations
Ambulatory Consult
Ambulatory Consult
Ambulatory MedPeds
Chandler WardsCCU
ConsultMICU
VA Wards
“A” Selective CCHMC Emergency Medicine
General Pediatrics Wards Individualized Ambulatory
MedPeds Individualized Rotation
NICU PICU
Subspecialty Wards
An Equal Opportunity University
Senior Level Curriculum
Internal Medicine Pediatrics
Senior Level
Rotations
Ambulatory ConsultAmbulatory MedPeds
Chandler WardsConsult Elective
Good Samaritan WardsMICU
VA Wards
“A” Selective Cardiology
Community MedPeds General Pediatrics Wards Individualized Rotation Individualized Rotation Individualized Rotation UK Emergency Medicine
An Equal Opportunity University
Pediatrics “Tracks”
Primary Care Academic Medicine Hospitalist Medicine
Ambulatory MedPedsCommunity MedPeds
Gen Peds WardsGen Peds
Clinic/Advocacy/TwilightNBN
Ambulatory MedPedsGen Peds Wards
Gen Peds Clinic/Advocacy/Twilight
NBNResearch/Resident as
Teacher/Advocacy
Ambulatory MedPedsGen Peds Wards
Gen Peds Wards or PICU or NBNResearch/Resident as
Teacher/AdvocacySubspecialty Rotation or Gen
Peds Clinic
Subspecialty ICU
Ambulatory MedPedsGen Peds Clinic/Advocacy/Twilight
Research/Resident as Teacher/Advocacy
Subspecialty RotationSubspecialty Wards
Ambulatory MedPedsNICU or PICUNICU or PICU
Research/Resident as Teacher/Advocacy
Subspecialty Rotation
An Equal Opportunity University
Med-Peds Rotations
• Emergency Department (intern)• Ambulatory Med-Peds Elective
– Primary Care clinics– Geriatrics Experiences – Surgical and Allied Health Experiences– Billing and Coding Experiences
• Community Med-Peds– Clinical experience with a combined practice
• Elective– Clinical or Non-clinical
An Equal Opportunity University
Facilities
An Equal Opportunity University
Facilities• Lexington VA Medical Center• Chandler Medical Center• Good Samaritan Medical Center• Kentucky Children’s Hospital• Kentucky Clinic• Polk Dalton Clinic• University Health Services Building
An Equal Opportunity University
The New UK Healthcare Chandler Medical Center
An Equal Opportunity University
Kentucky Clinic and UHS
An Equal Opportunity University
Polk Dalton Clinic
An Equal Opportunity University
VA Complex
New Chandler Medical Center
Gill Heart Center
Children’s
Hospital
Old Chandler Medical Center
You Started
Here This AM
Allied Healt
h Buildi
ng
Markey
Cancer
Center
An Equal Opportunity University
Pediatrics
An Equal Opportunity University
Pediatric Inpatient Teams• General Pediatrics Ward Services (2 Resident Teams)
– Staffed by Pediatric Hospitalists and Med-Peds Attendings– Two residents on each team– Two - Three interns on each team– Two 3rd year medical students on each team
• Subspecialty Pediatrics Ward Services (1 Team)– Staffed by Pediatric Subspecialist Attendings
• Endocrine, Pulmonology, Nephrology, Cardiology, Gastroenterology
– Two – Three residents (upper level + interns) on the team• 56 Hospital Beds
– Over 7,000 admissions per year
An Equal Opportunity University
Pediatric Intensive Care Unit
• 12 bed unit– Multidisciplinary care
• Trauma – General Surgery, Neurosurgery, Orthopedics
• Cardiac – Cardiology– All patients staffed by Pediatric Critical Care
Team– 900 admissions average per year
• Three - Four resident team – 1 week of night shifts per resident
An Equal Opportunity University
Neonatal Intensive Care Unit
• 60 bed acute and transitional care unit• 850 admissions average per year• Residents
– One senior level resident– Two - Three junior level residents and/or
interns
An Equal Opportunity University
Specialized Pediatric Clinics
• BMI and Healthy Weight Clinic
• International Adoption Clinic
• Cystic Fibrosis Center• Sleep Clinic• Twilight Children’s Clinic• HIV Clinic• Baby Health• Diagnostic Clinic• Dermatology Clinic
• Survivors of Childhood Cancer Clinic
• Young Parents’ Program• ADHD Clinic• NICU Graduate Clinic• GI Young Adult Clinic• Mommy and Me Clinic• Lipid Clinic• Family Care Center
An Equal Opportunity University
Internal Medicine
An Equal Opportunity University
Internal Medicine Wards
• Chandler Medical Center– 3 Resident Teams
• Good Samaritan Hospital– 2 Resident Teams– 3 Academic Hospitalist
Teams– 1 Private Hospitalist Team
• VA Medical Center– 3 Resident Teams– 2 Hospitalist
Teams
An Equal Opportunity University
Diversity of Experience
• Chandler Medical Center– Tertiary and Quaternary Care Hospital– Active Transplant Program– Top 25% of hospitals by patient complexity
• Good Samaritan Hospital– Community-Based Primary Care – Referral Center for general & subspecialty
medicine• VA Medical Center
– Community-Based Primary Care
An Equal Opportunity University
Chandler Medical Center
An Equal Opportunity University
Good Samaritan Hospital
An Equal Opportunity University
Good Samaritan Hospital
• Hospitalist Rotation• Each team with 2 residents
– 3rd year resident– 2nd year resident
• Private Hospitalist Night Coverage• Residents rotate “late shift”
– Work until 8pm every 4th night
An Equal Opportunity University
VA Medical Center
• Resident Team– 1 upper-level resident– 2 interns
• Team Cap ~ 14 patients• Interns rotate night float call schedule:
every 6th night• Resident night float to supervise
admissions
An Equal Opportunity University
Chandler MICU• Two Resident Teams
– Each led by attending and fellow– Resident structure depends on time of year
• 3-4 residents per team w/ 1-2 residents on night float• Attending coverage 24/7
An Equal Opportunity University
Residents as Teachers
An Equal Opportunity University
Med-Peds Housestaff Teaching Awards• Clark Sleeth – Best Intern Teacher (2013)• Carrie Gaby – Internal Medicine (2013)• John Romond – Pediatrics (2012)• Kelli Trent – Pediatrics (2012)• Carrie Gaby – Internal Medicine (2012)• Martin Rains – Best Resident Teacher (2011)• Joseph Brown – Best Intern Teacher (2011)• John Romond – Internal Medicine (2011)• Catherine Habashy – Pediatrics (2011)• Julie Griffin – Pediatrics (2010)• Catherine Habashy – Pediatrics (2009)
An Equal Opportunity University
UK Healthcare Resident of the Month
• May 2014: Heather Relyea• November 2013: Justin Purdy• September 2013: Carrie Gaby• April 2013: Heidi Frazier• February 2013: Wendy Ballenger• November 2012: Erin Marcotsis• August 2012: Priya Veeraraghavan• June 2012: Candice Olechowski• January 2012: Matt Bacon• September 2011: Stephanie Misciasci• August 2011: Joseph Brown
An Equal Opportunity University
Conferences and
Independent Learning Activities
An Equal Opportunity University
Curriculum
Internal Medicine• Johns Hopkins Ambulatory
Modules• Med-Peds Board Review• MKSAP• Morning Report • Noon Conference
Pediatrics• AAP PREP Curriculum• Med-Peds Board Review• Morning Report• Noon Conference
An Equal Opportunity University
Pediatric Conferences
• AM Conferences– Morning report case conferences– Grand Rounds: Thursday
• Noon Conferences – Daily– Structured Curriculum– General Pediatrics and Subspecialty
Conferences– Advocacy Training and Conferences– Business of Medicine Conferences
An Equal Opportunity University
Internal Medicine Morning Report
• VA Morning Report – Mondays & Wednesdays• UK Morning Report – Tuesday, Thursday, &
Friday – UK Ambulatory Morning Report
• Autopsy Conference – Monthly• Focus on clinical decision-making
– Minimize the rare presentation of the rare disease
– Resident responsible for 3 teaching points
An Equal Opportunity University
Med-Peds Conferences
• Med-Peds Board Review– Weekly on Mondays and Wednesdays
• Med-Peds Noon Conference and Journal Club– Monthly w/FREE FOOD
• Med-Peds Grand Rounds – Quarterly
An Equal Opportunity University
Continuity Clinic
An Equal Opportunity University
Med-Peds Continuity Clinic
• Sites– MedPeds Group (UHS Building)– Polk Dalton Clinic
• Clinic Attendance– Once per week as an intern– Twice per week as an upper-level
resident– Additional clinics scheduled on
ambulatory months
An Equal Opportunity University
Program Specifics
An Equal Opportunity University
Fellowship Matches Since 2004
• Med-Peds– 2010: Academic Medicine
(Pitt)– 2007: Sports Medicine (UL)– 2006: Allergy (Vanderbilt)
• Pediatrics– 2015: Cardiology (Emory)– 2012: Pulmonary/Allergy
(Vanderbilt)– 2012: PICU (Vanderbilt)– 2011: Cardiology (Baylor)– 2009: PICU (UAB)– 2006: PICU (Vanderbilt)– 2004: Pulmonary (Baylor)
• Internal Medicine– 2014: Endocrinology
(UK)– 2013:
• Cardiology (MUSC)• Pulmonary (UK)
– 2011: Cardiology (UK)– 2011: ID (UK)– 2010: Pulmonary (Utah)– 2009: GI (UK)– 2005: Heme/Onc (UK)– 2004: Academic
Medicine (UK)
An Equal Opportunity University
Board Pass Rates
# Passing # Taking Exam # Passing # Taking
Exam
Class of 2013 3 5 2 4
Class of 2012 4 4 5 5
Class of 2011 6 6 6 6
Class of 2010 6 6 5 5
Class of 2009 5 7 3 3
Last 5 Years Average 86% 91%
An Equal Opportunity University
Retreats and Social Events
• Med-Peds– Journal Club
Monthly– Switch Party– End-of-Year Party
• Internal Medicine– Annual Level Specific
Retreats– ACP Retreat w/UL
• Pediatrics– Intern Retreat– AAP Retreat w/UL– Pint Night
An Equal Opportunity University
Switch Party
An Equal Opportunity University
Housestaff Stipends 2014-2015
UK Southern US*
Midwest US*
PGY-1 $49,294
$48,327 $50,219
PGY-2 $50,946
$49,947 $52,007
PGY-3 $52,689
$51,656 $53,763
PGY-4 $54,721
$53,648 $55,804
*2013 AAMC Survey of Resident/Fellow Stipends and Benefits
An Equal Opportunity University
Fringe Benefits
• Vacation– PGY-1 = 2 weeks– PGY-2 and above = 3 weeks– Reading Week – yearly on Internal
Medicine• Eight holidays • Four bonus days in
December/January
An Equal Opportunity University
Fringe Benefits
• Insurance: Health, Life & Malpractice
• Parking Permit – covered lots close to hospital
• Alphanumeric Pagers• Lab Coats - 3 per year• Meal Stipends• Student ID and Activity Cards
An Equal Opportunity University
Fringe Benefits
• Participation in UK Wellness Program– Available for UK employees, spouses,
and retirees. • Employee education program (EEP)
– 18 credit hours per year: 6 hours for spring, fall, and summer at no cost
• Johnson Sports/Exercise Center • Basketball and football tickets!! Go
Big Blue!!
An Equal Opportunity University
Global Health Opportunities(http://www.stsglobal.org/)
An Equal Opportunity University
Educational Scholarship
• ACP Membership • AAP Membership• NMPRA Membership• Books
– Harriet Lane Handbook (PGY-1)
– Zitelli Atlas of Pediatric Physical Diagnosis (PGY-1)
– Philadelphia Guide: Inpatient Pediatrics (PGY – 1)
– Nelson Textbook of Pediatrics
– MKSAP (PGY-2)
• Travel stipends if presenting at regional/national meeting
• Board Exam Funds of ~ $4000– PGY-2: $800– PGY-3: $1000– PGY-4: $2500
• Pediatric Board Review Course
An Equal Opportunity University
Lexington and
Surrounding Areas
An Equal Opportunity University
Lexington, KY
An Equal Opportunity University
Business Rankings• Forbes
– #1 Best City for Finding a Job (2011)– #4 Best City for Business and Careers (2011)
• Business Facilities– #2 Most Educated Workforce (2008)– #6 Low Cost Manufacturing Center (2010)– Editors Location Pick (2010)
• CNN Money– #6 Best Mid-Size to Start a Small Business (2009)
• KPMG Competitive Alternatives– #7 Best City for Business Costs (2010)
An Equal Opportunity University
Education Rankings
• Blue Ribbon Education Quotient (2007)– Top 1/3 of districts nationwide and highest score in
Kentucky• U.S. Census Bureau (2009)
– 13th Highest City with Bachelor’s Degrees– 7th Highest City with Advanced Degrees
• University of Kentucky– 8th Best College of Pharmacy – 26th Best College of Nursing– 31st Best College of Public Health
An Equal Opportunity University
Quality of Life• America’s Promise Alliance
– Top 100 Best Communities for Young People (2010)• Next Cities
– 13th Top Hotspot for Young, Talented Workers (2009)• Parenting Magazine
– 2nd Best City for Education (2010)– 5th Best City to Raise a Family (2010)
• Forbes– 5th Best College Sports Town (2009)
• Kiplinger– 6th Best Value City (2011)
An Equal Opportunity University
Lakes
Within 1 Hour:• Cave Run Lake• Taylorsville
Lake• Herrington
Lake• Guist Creek• Cedar Creek
Worth Driving To:• Dale Hollow Lake• Lake Cumberland• Green River Lake• Laurel Lake• Kentucky Lake• Lake Barkley
An Equal Opportunity University
World Famous Lake
Cumberland Moonbow
An Equal Opportunity University
Hiking and Climbing
• Red River Gorge (www.redriverclimbing)
• Palisades/Jim Beam Nature Preserve• Torrent Falls (www.torrentfalls.com) • Muir Valley • Natural Bridge• Raven Run• Arboretum
An Equal Opportunity University
An Equal Opportunity University
An Equal Opportunity University
Thoroughbreds
• Keeneland – April and October• Churchill Downs – Spring and Fall
Meets• Kentucky Horse Park
An Equal Opportunity University
Kentucky Bourbon Trail
• Buffalo Trace – Frankfort• Four Roses –
Lawrenceburg • Heaven Hill – Bardstown • Jim Beam – Clermont • Maker’s Mark – Loretto • Woodford Reserve –
Versailles • Wild Turkey –
Lawrenceburg• Tom Moore – Bardstown
An Equal Opportunity University
Vineyards and Wineries
• Chrisman Mill Vineyards
• Equus Run• Jean Farris• Talon Winery
An Equal Opportunity University