Span over Troubled Water Linking UME and GME

Bridge over troubled water linking ume and gme l.jpg
1 / 21
0
0
933 days ago, 344 views
PowerPoint PPT Presentation
Training Across the Continuum Standardization of Assessment Student Portfolios to Baseline Assessment . Monica L. Lypson, MD Assistant Dean, Graduate Medical Education University of MichiganAssociate Chief of Staff, VA Ann Arbor Health Care System . Institutional OSCE

Presentation Transcript

Slide 1

Connect over Troubled Water Linking UME and GME Monica L. Lypson, MD Assistant Dean, Graduate Medical Education University of Michigan Jeff Fabri, MD Rita M. Patel, MD

Slide 2

Education Across the Continuum Standardization of Assessment Student Portfolios to Baseline Assessment Monica L. Lypson, MD Assistant Dean, Graduate Medical Education University of Michigan Associate Chief of Staff, VA Ann Arbor Health Care System

Slide 3

Developed by the Graduate Medical Education Committee (GMEC) at the University of Michigan It is our underlying stride in preparing our occupants It was set up to decide inhabitants' gauge capability specifically parts of the ACGME's six general skills Institutional OSCE – Post-Graduate Orientation Assessment (POA) Lypson ML. et.al. Scholastic Medicine. 79(6):564-70, 2004 Jun.

Slide 4

Knowledge and aptitudes required amid the initial six to eighteen weeks of residency/entry level position Emphasizes clinical circumstances that are regularly experienced without formal supervision 9 Assessment & Educational Stations POA CONTENT

Slide 5

Results of the POA decide the reason for individualized "learning motivation" Remediation is given after the culmination of each station Residents got instructive materials that give the "appropriate responses" to the data surveyed amid the POA Standardized Patient input is given to the program chief inside 24 hours if the inhabitant performs astoundingly well or inadequately amid the POA The POA as Formative Assessment

Slide 6

Administered more than 4 days of Paid healing center introduction Provided to roughly 150 PGY-1 occupants in more than 15 claims to fame Cost Approximately $250 per occupant for the evaluation - $500 on the off chance that you include pay There are some teach particular situations – e.g. Pediatric cases and illustrations Scores are given to the inhabitant and program chief inside 7-10 days of the POA Implementation

Slide 7

Dentistry Emergency Medicine Family Medicine General Surgery Preliminary Residents Internal Medicine Preliminary Residents Internal Medicine – Pediatrics Neurosurgery Obstetrics & Gynecology Otolaryngology Orthopedics Pathology Pediatrics Plastic Surgery Psychiatry Urology PGY-2s (Residents that did not finish their Internships at UMHS) Physical Medicine & Rehabilitation Dermatology Neurology Subspecialty Programs

Slide 8

Critical Values/Multiple Choice Computer Based appraisal Review and analyze 17 short patient situations Multiple Choice Format like United States restorative Licensing Exam (USMLE) Step 3 Competencies: Patient Care Medical Knowledge Socio-Cultural Communication Standardized patient evaluation Assesses the comprehension of sickness and treatment suggestions with regards to the patient's wellbeing convictions and financial setting Competencies: Interpersonal and Communication Skills Professionalism Patient Care Practice-Based Learning and Improvement Station Content

Slide 9

Evidence-Based Medicine (EBM) Computer-based Assessment Generate a clinical question Residents explored abstracts & recognize the fitting treatment Competencies: Practice-based Learning and Improvement Medical Knowledge Images (X-Rays) Computer-based Assessment Review & analyze 18 pictures Many of the basic movies looked into amidst the night while "available to come back to work" Competencies: Patient Care Medical Knowledge Station Content

Slide 10

Informed Consent Standardized patient Assessment Obtain educated assent from a patient for a strategy Hospital & JCAHO measures and strategies Competencies: Interpersonal and Communication Skills Professionalism Patient Care Patient Safety Pen & Paper Assessment Order Writing Station Legibility Signature, Date, Time Respiratory Distress Treatment of the intense Asthmatic Competencies: Systems-Based Practice Professionalism Patient Care Medical Knowledge Station Content

Slide 11

Aseptic Technique Checklist Evaluation by Expert Nursing Staff and Standardized Patients Create & keep up a clean field while playing out a "ridicule" I&D Universal Protocol & "Time-out" methods secured Assessment/Remediation materials incorporate an audit of JCAHO necessities Improved nursing and house officer collaborations Competencies: Patient Care Medical Knowledge Systems-Based Practice Station Content

Slide 12

System Compliance/Fire Safety Station Surgical Fire Safety (20/20) Housestaff contribution with a Patient fire Questions covering utilization of security hardware & audit of JCAHO prerequisites Video & Computer Based Assessment Competencies: Patient Care Systems-Based Practice Pain Assessment Pain Assessment Tools Educates on the suitable meds to use for torment Explains doctor's facility and JCAHO Pain evaluation orders PowerPoint & Computer Based Assessment Competencies: Patient Care Medical Knowledge Station Content

Slide 13

Resident Satisfaction with the POA - Survey Response Rate 93% 2002-2004

Slide 14

The POA depended on the accompanying… The University of Michigan Comprehensive Clinical Assessment (CCA)

Slide 15

A high-stakes examination for University of Michigan Medical Students Fourth Year understudies must pass the CCA to Graduate 10-15 stations over ~4-5 hours ~150 M4 understudies every year Summative Evaluation Standards have been set for Pass/Fail Remediation for disappointments Comprehensive Clinical Assessment 1991-Present Rochester AB. et.al.. Scholarly Radiology. 5(3):169-72, 1998

Slide 16

POA-GME Formative Informed Consent & Policy Pain Assessment Socio-Cultural Communication Evidence Based Medicine Images CCA-UGME Summative History & Physical Diagnosis Geriatrics Socio-Cultural Communication Evidence Based Medicine Images Summary of Station Comparison: CCA & POA

Slide 17

Training the Faculty in the Teaching Skills of competency evaluation Medical School Objectives Project (MSOP) Accreditation Council of Graduate Medical Education Reimbursement of personnel time and exertion Payment for both appraisals – Medical School versus Doctor's facility Is the restorative school or the healing facility in charge of 'instructive cost'? Learner familiarity with "competency hole" between the desires of restorative School and residency Institutional Implications for GME & UGME

Slide 19

POA Demographics 2002-2004

Slide 20

Joint Hire employee with the Department of Medical Education Centralized OSCE – Post-Graduate Orientation Assessment (POA) This depends on the framework as of now set up for Undergraduate Medical Education at UMHS. The University of Michigan Health System Plan for Competency Based Resident Education

Slide 21

One of ~5 bureaus of therapeutic training at LCME certify medicinal schools The division had concentrated on CME and UGME in the past with appraisal and research mastery The workplace of Graduate Medical Education and the Department of Medical Education Joint Hire Job Description half arrangement GME office, half arrangement Dept. of Med. Ed. Help Residency programs with educational modules improvement, center competency evaluation Use this work as a vehicle of insightful interest The division has a long history of UGME – now will build up its skill in GME The Department of Medical Education Chairman: Larry Gruppen, PhD

SPONSORS