Med Ed

The Caribbean nation of Haiti faces unique challenges in putting its philosophy that “health care is a right” into practice. Kerling Israel, MD, MPH described the work of Partners in Health/Zanmi Lasante (PIH/ZL) to improve the nation’s health care through graduate medical education (GME), and outlined the challenges faced and progress made in her recent Baldwin Seminar Series presentation, “Improving Graduate Medical Education in Haiti through Collaborative Work.” The talk was presented April 3, 2019 at the ACGME offices in Chicago. This talk was also the first of the series to be streamed online for a live audience.

Associate Program Director Kimberly Collins, MD of Johns Hopkins All Children's Hospital in Saint Petersburg, Florida set out to see how simulating conversations about social determinants of health (as opposed to in-class learning or immersion-based training) affected a resident’s or fellow’s ability to broach and explore these complex, often sensitive, subjects with patients and their parents. Her results are recorded in her poster: Improving Resident Comfort with Discussing Social Determinants of Health through Simulation.

Kelli Corning is the Associate Director of the University of Washington’s internal medicine residency program. She has been actively involved in program coordinator activities throughout her career in GME and participated in the full Annual Educational Conference, and also presented at the pre-conference Coordinator Forum. Additionally, this year Ms. Corning was a recipient of the ACGME’s GME Program Coordinator Excellence Award, which she received at the conference.

During their presentation “Using Public Data to Follow Graduates into Practice,” at the 2019 Annual Educational Conference, Marc M. Triola, MD and Patrick M. Cocks, MD, from the NYU School of Medicine have leveraged large databases of publicly available information to help understand the patterns of health care practice and outcomes among graduates from programs once they have left the programs.

John V. Pamula, MD, FACP, led a quality improvement project focused on reducing burnout and increasing well-being among its residents. His poster, Multipronged Strategies to Improve Wellbeing and Work-Life Balance of Residents, was presented at the 2019 Annual Educational Conference, Engaging Each Other: Rediscovering Meaning in Medicine.

With overdose as the leading cause of death for Americans under 50, it is imperative that the nation—including the entire medical community—take responsibility for its role in creating this epidemic and identify and enact strategies that can address it. This is Dr. Leana Wen’s position. The former Baltimore Health Commissioner and current president of Planned Parenthood spoke about the steps she and the City of Baltimore took to address opioid addiction in the community, and what role she sees physicians playing in solving this problem that is devastating the nation.

John Madara, MD wanted to find a way to improve incoming residents’ ability to identify and mitigate patient safety hazards, address these hazards through teamwork and collaboration, and report safety events using an online event reporting system. Dr. Madara, the chief fellow in pulmonary and critical care medicine at Thomas Jefferson University Hospital, Willow Grove, Pennsylvania, worked with others to create an interactive, competitive “escape room” themed environment to stimulate learning and teamwork. His poster, Patient Safety Escape!: Engaging Residents in Patient Safety Education and Event Reporting, reports on the activity and its effectiveness in teaching residents about patient safety and online reporting procedures.

A panel of institutional representatives and ACGME leaders discussed the successes and challenges of actively involving residents in patient safety improvement as part of the ACGME’s Pursuing Excellence in Clinical Learning Environments (Pursuing Excellence) initiative. The panel convened at a sunset session at the 2019 ACGME Annual Educational Conference.

Dr. Ashraf Mohamed El Ghul, is the designated institutional official (DIO) and Internal Medicine Residency Program Director at Mafraq Hospital in Abu Dhabi in the United Arab Emirates (UAE). His institution’s and program’s experience with ACGME International brought him to the 2019 ACGME Annual Educational Conference and we asked him to share his experience.

Jamie Arsenyevictz, MPH, led a team at Geisinger Health System to develop a GME analysis tool, leading to the development of shared language and knowledge surrounding GME finance and value between the GME Office and Geisinger leadership.