Emory University Department of Medicine Education Report 2012
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Contents
Emory University Department of Medicine Education Report 2012
EXECUTIVE SUMMARY ................................................................................................................................................................. 3 UNDERGRADUATE MEDICAL EDUCATION ................................................................................................................................... 3 Week on Wards Experience..................................................................................................................................................... 3 Foundations of Medicine ......................................................................................................................................................... 3 Internal Medicine Clerkship..................................................................................................................................................... 4 Ambulatory Care Block ............................................................................................................................................................ 4 Medicine Sub-Internship ......................................................................................................................................................... 4 Critical Care Medicine Clerkship .............................................................................................................................................. 5 GRADUATE MEDICAL EDUCATION: RESIDENT EDUCATION ......................................................................................................... 5 J. Willis Hurst Internal Medicine Residency Program .............................................................................................................. 5 Primary Care Track .................................................................................................................................................................. 6 Combined Medicine-Psychiatry Residency Program ............................................................................................................... 7 Transitional Year Residency ..................................................................................................................................................... 7 GRADUATE MEDICAL EDUCATION: FELLOWSHIP EDUCATION .................................................................................................... 7 Infectious Disease .................................................................................................................................................................... 8 Cardiology ................................................................................................................................................................................ 8 Clinical Cardiac Electrophysiology ........................................................................................................................................... 8 Interventional Cardiology ........................................................................................................................................................ 8 Pulmonary and Critical Care .................................................................................................................................................... 9 Digestive Diseases ................................................................................................................................................................... 9 Endocrinology .......................................................................................................................................................................... 9 Rheumatology ......................................................................................................................................................................... 9 Nephrology .............................................................................................................................................................................. 9 Geriatrics ............................................................................................................................................................................... 10 CONTINUING MEDICAL EDUCATION .......................................................................................................................................... 10 DIVISION OF HOSPITAL MEDICINE EDUCATION HIGHLIGHTS .................................................................................................... 10 FACULTY DEVELOPMENT IN EDUCATION .................................................................................................................................. 10 MEDICAL EDUCATION ADMINISTRATION (OFFICE OF EDUCATION) .......................................................................................... 11 ACADEMY OF MEDICAL EDUCATORS ......................................................................................................................................... 11 AWARDS: FACULTY .................................................................................................................................................................... 11 AWARDS: TRAINEES ................................................................................................................................................................... 12 SCHOLARSHIP ............................................................................................................................................................................. 12 STRATEGIC PLAN FOR EDUCATION ............................................................................................................................................ 13 OTHER FUTURE EDUCATION PLANS........................................................................................................................................... 13
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Emory University Department of Medicine Education Report 2012
EXECUTIVE SUMMARY The educational programs of the Department of Medicine at Emory continue to grow, develop innovative and exciting academic programs, contribute to the scholarship of teaching and learning, and serve as exemplars in the School of Medicine.
Major achievements this year included:
Faculty and rotations earned outstanding teaching evaluations from all levels of learners Developed education website Earned accolades with local and national teaching awards Initiated division specific incentives related to education Enhanced faculty development offerings Created inaugural fellow teaching competition Organized fellowship combined computer-orientation Developed an education budget Re-designed residency and fellowship administrative structure Inducted the second class into the Academy of Medical Educators Influenced over forty medical students to apply for Internal Medicine residency Presented and published scholarly work locally, regionally, and nationally Received a national faculty development training grant in collaboration with other regional institutions
UNDERGRADUATE MEDICAL EDUCATION The Department of Medicine plays a vital role in undergraduate medical education at Emory. From day one of medical school to graduation, medicine contributes arguably more than any other department, in terms of leadership roles and teaching within the School of Medicine.
Week on Wards Experience The department influence begins with the Week on Wards experience for first year medical students. This past year, 77 (out of a class of 136) students were assigned to medicine teams at Emory Hospital, Emory Midtown, Grady and the VA, to begin their career as doctors. It is also during this first week, medical students begin a four-year relationship with their society small group advisors. Out of 32 advisors chosen by the medical school, 15 are faculty in the Department of Medicine. They include: Dr. Wendy Armstrong, Dr. Lisa Bernstein, Dr. William Branch, Dr. Joyce Doyle, Dr. Daniel Dressler, Dr. Molly Eaton, Dr. Manuel Eskildsen, Dr. Nathan Flacker, Dr. Clifford Gunthel, Dr. Noble Maleque, Dr. Kimberly Manning, Dr. George Mathew, Dr. Stacy Higgins, Dr. Jason Schneider, and Dr. Laurence Sperling.
Foundations of Medicine A large portion of the Foundations of Medicine curriculum in the first eighteen months is developed and taught by faculty within the department. In addition to the typical science courses, students are taught Evidence Based Medicine by Dr. David Schulman and begin the Becoming a Doctor curriculum led by Dr. Lisa Bernstein. As part of Becoming a Doctor, students participate in a longitudinal outpatient clinical experience. Approximately forty faculty from the department teach and mentor students for this year-long
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Emory University Department of Medicine Education Report 2012
important part of their education. It is also around this time students who are possibly considering a career in internal medicine join the Internal Medicine Interest Group, with Dr. Lisa Bernstein serving as the mentor.
Students enter the Application Phase with an exceptional foundation to clinical medicine. During the clinical years, students have the special treat of multiple clinical experiences in internal medicine – the Internal Medicine Clerkship, the Internal Medicine Sub-Internship, the Ambulatory Care Block, the Critical Care Clerkship, and many electives offered by the department.
Internal Medicine Clerkship Under the new leadership of Drs. Richard Pittman and Karen Law, the Internal Medicine Clerkship continues to thrive. The new directors have formed a clerkship curriculum team, made up of internists at each hospital, to increase faculty involvement. This team has participated in didactics, reviewed student admission write-ups, established a medical student centered report at each site, and served as liaisons to students and faculty for site-specific matters. The clerkship is happy to have Dr. David Watson at Emory University - Midtown, Dr. Paul Durick at Emory University Hospital, and Dr. Bob Gaynes at the VA as site directors in these capacities. In addition, Dr. Girish Kalra has spearheaded an EKG curriculum with a lecture followed by intensive small group instruction that has been well received by the students. Dr. Law is collaborating with Dr. Chad Miller, the Clerkship Director at Tulane, in a pilot for a Decision-Based Learning activity that uses game theory to teach medical decision making and raise awareness about health care costs. Dr. Law has applied for a grant to support the project through the American College of Rheumatology with the hopes of expanding the curriculum into a library of cases for students to improve medical knowledge while refining their clinical decision making skills.
Ambulatory Care Block With the leadership of Dr. Danielle Jones, the Ambulatory Care Block (ACB), now in its third year, is an enormously innovative and distinctly unique outpatient clerkship held during Emory’s Applications phase. The main objective, the teaching of compassionate and patient-centered primary care, is achieved by exposing students to the ambulatory practice of Internal Medicine in addition to major surgical subspecialties, palliative care, and pediatrics. This allows the ACB to approach outpatient medicine from a number of distinct perspectives. During this inter-departmental clerkship, students also study healthcare policy, advocacy, and the social determinants of health during an interactive workshop and online modules. In addition to other projects, students investigate patient safety and acquire skills in Quality Improvement (QI) tools and concepts. After an introductory seminar and simulated small groups project in the classroom, the students evaluate their own ACB offices and create practice-specific QI projects. This novel curriculum places Emory at the forefront of QI education for medical students and has already been presented as workshops at several regional and national meetings including SGIM and AAMC. Given the breadth of their experiences, students also have an opportunity to reflect on events during their ACB Clerkship through reflective writing and open classroom discussion.
Medicine Sub-Internship The Medicine Sub-Internship continues to be a very popular clerkship with students. During this onemonth rotation, students have the rare opportunity to meet as a small group with the director, Dr. Michael Lubin, and also do weekly clinical skills rounds at the bedside with medicine faculty. As it has always been, the Sub-Internship focuses on the mastery of taking an excellent patient history and performing an excellent physical examination, learning how to critically think, applying life-long learning skills, and caring for patients.
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Critical Care Medicine Clerkship
Emory University Department of Medicine Education Report 2012
The required Critical Care Medicine Clerkship is a unique one-month experience for fourth-year students. The focus of the course is directed towards the unique aspects of intensive care and on the fabric of the daily care of critically ill patients. Dr. Eric Honig, the director, has implemented creative ways to engage students in inter-professional education via “Share Days”. He requires students to successfully complete the Fundamentals of Critical Care Support course, participate in simulated Ethics Committee Consultations and pass a simulated resuscitation exercise. On all clerkships, evaluations of faculty and the curriculum, and student success on national exams are outstanding. Reviews of the department’s medicine programs from the school’s Executive Curriculum Committee are outstanding. Furthermore, data from the medical school demonstrates that the learning environment students are exposed to when on a medicine hospital service is positive, conducive to learning and extremely supportive. The five-month Discovery phase of the curriculum, where students actively engage in research is another opportunity for medicine faculty to interact with the students. This year, 18 (out of 88) students did their mentored research with faculty members in the department of medicine. Discovery is co-led by Drs. Henry Blumberg and Maureen Powers. In addition to the leadership positions mentioned above, Dr. Joel Felner, Associate Dean for Medical Education and Student Affairs, and Dr. Erica Brownfield, Assistant Dean for Medical Education devote much of their time to school-level education and other student matters. Undoubtedly due to the enormous faculty influence on students, 2012 saw one of the highest numbers of students choosing internal medicine for their residency in recent years. Out of the current class of 145 students, over 40 students have applied to medicine residency programs. This is particularly exciting as the national trend has been a steady decline in students entering medicine upon graduation from medical school.
GRADUATE MEDICAL EDUCATION: RESIDENT EDUCATION The internal medicine residency and fellowship programs are fully accredited by the American College of Graduate Medical Education. Counting the newly developed transplant hepatology, sleep medicine, and hospice and palliative medicine fellowship programs, the department currently offers sixteen graduate education programs that train over 300 residents and fellows.
J. Willis Hurst Internal Medicine Residency Program With Dr. Lorenzo Di Francesco as the Program Director and Drs. Jason Schneider, Stacy Higgins, Noble Maleque, Shahed Brown, Danielle Jones, Dominique Cosco, and Daniel Dressler as Associate Program Directors, the J. Willis Hurst Internal Medicine Residency Program thrived in 2012. The internship match for the PGY 1 class was highly successful, with a 100% match success in categorical and primary care tracks, and two outstanding research track and two medicine/psychiatry candidates. With 35 different schools represented, we were particularly pleased that several Emory students matched in our program. Our residents continue to achieve a 96% rolling average pass rate on the American Board of Internal Medicine examination. Additionally, residents applying for fellowship training were extremely successful in the fellowship match.
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Emory University Department of Medicine Education Report 2012
Other highlights of the Internal Medicine Residency Program include an added and integrated Research Curriculum, a new PGY 2/3 Cardiology Critical Care Unit rotation at Emory University Hospital, and advancing the distinctions programs in Teaching/Medical Education and Service in Medicine. Residency and faculty scholarship related to the residency program include the following:
36 residents presented their scholarship at regional and national meetings 28 resident research posters were presented at Resident Research Day 2012 15 resident-drive Performance Improvement Projects 4 Performance Improvement Projects presented at the 4th Annual Science of GME day Faculty presented and won the “Best Education Poster” for the Transitions of Care Curriculum at the American Geriatrics Society Meeting in 2012 Faculty presented the SIBR (Structured Interdisciplinary Bedside Rounds) curriculum at the Association of Program Directors of Internal Medicine Meeting in 2012 Faculty presented the Performance Improvement curriculum at the Accreditation Council for Graduate Medical Education Meeting
Other highlights and innovations of the residency program for 2012 include: The Global Health Distinctions Program – This is a year-long program of curriculum in education, service, and scholarship. Residents work in Ethiopia and the Republic of Georgia. Currently in its fifth year, the program is led by Dr. Dominique Cosco and will include Honduras as a future site. Structured Interdisciplinary Bedside Rounds (SIBR) – under the leadership of Dr. Jason Stein, all interns are being SIBR trained and certified. Transitions of Care Curriculum – a structured curriculum developed to improve the relationship between admitting Emergency Medicine and Medicine residents. Ambulatory Medical Home Curriculum – under the leadership of Dr. Jada Bussey- Jones we are collaborating on teaching the residents team care skills focused on the primary care patient within the ambulatory rotation and curriculum. Research Curriculum - in collaboration with Dr. Arlene Chapman we have integrated workshops on how begin and get involved in research in residency. Our residents have also been able to utilize many of the additional resources of the ACTSI such as “studio consultations” to help them setup and successfully execute their research.
Primary Care Track The Primary Care Track is currently in year three of its Health Resources and Services Administration (HRSA) Primary Care funding. Under the leadership of Drs. Stacy Higgins and Shelly-Ann Flucker, the program welcomed eight new interns this past July while graduates of the program moved into exciting positions such as Chief Resident at Grady Health System, fellow of the Centers for Disease Control and Prevention Epidemic Intelligence Service program, and research geriatrics fellow at the University of Pittsburgh. All of the PGY-2 residents presented scholarly work at a regional meeting and two primary care residents won awards at the Georgia American College of Physicians meeting and the Southern Hospital Medicine meeting.
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Combined Medicine-Psychiatry Residency Program
Emory University Department of Medicine Education Report 2012
The Combined Medicine-Psychiatry Residency Program, led by Dr. Kellie Clearo, graduated its first class of residents, Drs. Martha Ward and Tamara Shaw-Lutchman. Both of these outstanding residents were retained as faculty at Grady in Emory's medicine and psychiatry departments. Dr. Bill McDonald obtained a $1 million grant for Grady to be used over four years which he is using for integration of medicine and psychiatry at Grady. Drs. Martha Ward and Kellie Clearo are working on obtaining the goals of this grant which include having started a second med-psych clinic. This is a medicine clinic that will be physically located in the Park Place Grady psychiatry outpatient clinic. The goal of this clinic is to provide primary care for psychiatric patients that would not otherwise receive primary care and in an integrated setting. Dr. Martha Ward will staff this clinic and residents will have the opportunity to rotate through it. Additionally, under this grant, Dr. Kellie Clearo will be re-evaluating the medical care of patients in the CIS portion of the Grady Psychiatry ER, working to improve the functioning and relationship of the Grady psychiatry consult service with inpatient medicine and surgery services and possible creating some type of inpatient med-psych unit.
Transitional Year Residency The Transitional Year Residency is a fully ACGME-accredited training program dedicated to providing a rigorous clinical base year to trainees entering advanced programs. With Dr. Kimberly Manning (Associate Professor, General Medicine and Geriatrics) as the Program Director and Dr. Deborah Baumgarten (Professor, Department of Radiology) as Associate Program Director, the TY residency celebrated another successful year with 24 house officers successfully completing the program and advancing to PGY 2 positions in Radiology, Anesthesia, Neurology, Dermatology, and Ophthalmology. In 2012, this highly competitive program also had one of their most successful match years yet. They also received high accolades during their mid-accreditation cycle Internal Review with our institutional GMEC in May, which was also notable for a remarkably positive 2012 ACGME annual resident-survey. Residents in the Transitional Year Residency fully integrate into clinical services and teaching experiences in the Department of Medicine but with unique modifications to their schedules to suit their chosen specialties. Specifically, their monthly Transitional Year Core Conference is an interactive session taught, evaluated, and attended by trainees in the TY program. This case-based conference ties the medical knowledge and practice-based learning acquired on the Internal Medicine services with their specialties, underscoring the importance of this critical year of learning.
GRADUATE MEDICAL EDUCATION: FELLOWSHIP EDUCATION The department has some of the most highly sought after fellowship training programs in the country. In March 2012, the first annual J. Willis Hurst Demonstration of Teaching Excellence was initiated. Spearheaded by Dr. Kimberly Manning, the teaching competition among fellows was one of the most popular events attended by department members. Although the competition was intense, Dr. Eddie Stenehjem (Infectious Diseases) was the first awardee.
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Infectious Disease
Emory University Department of Medicine Education Report 2012
Under the leadership of Dr. Wendy Armstrong, the Infectious Disease fellowship is among the most prestigious in the country. With half of all applicants of Infectious Disease fellowships applying to the Emory program, competition is great. Over the last decade, 91% of graduating fellows have entered a career in academic medicine or public health. This past year, the ID fellows authored 18 publications and one fellow was selected as a Fogarty International Clinical Research Fellow. In addition to its outstanding research, clinical and global health opportunities, the fellowship has been the recipient of many notable awards, including two NIH Loan Repayment Program awards, an NIH K12 grant, a Vaccinology T32 award, and a BMS Virology Fellowship.
Cardiology Under the leadership of Dr. Maziar Zafari, the Cardiology fellowship training program is one of the premier programs in the country. The General Cardiology fellowship program graduated 16 fellows in June 2012, 5 receiving Assistant Professorship appointments at Emory and Vanderbilt, 9 pursuing subspecialty training in Heart Failure & Transplantation, Interventional Cardiology, Cardiovascular Imaging and Critical Care Medicine at Emory, Cedars-Sinai and The Johns Hopkins, as well as two fellows joining private practice groups in Atlanta and Washington, DC. More than 20 fellows presented the results of their scholarly activities at the November 2011 AHA and March 2012 ACC meetings, with one fellow competing for the prestigious ACC Young Investigator award, and two fellows recognized as rising stars. Emory cardiology fellows published more than 30 manuscripts, reviews and book chapters in major textbooks and high impact journals such as Circulation and Circulation Research. Several cardiology fellows successfully applied and obtained funding from the NIH and the AHA to pursue laboratory and clinical research. In June 2012 the Emory Division of Cardiology held its annual research symposium where more than 40 oral and poster presentations by cardiology fellows and postdoctoral trainees were featured and judged by this year's keynote speaker from the University of Virginia. Furthermore, two cardiology fellows received the DOM Fellow Teaching Award as chosen by the entire Emory Internal Medicine housestaff. Finally, more than 600 cardiology fellowship applicants have applied in July 2012 for 10-12 positions starting on July 1, 2013 at Emory.
Clinical Cardiac Electrophysiology Under the leadership of Dr. Michael Lloyd, the Clinical Cardiac Electrophysiology fellowship training program continues to innovate. A new website-based software that simulates actual electrophysiology study procedure was developed by Dr. Shahriar Iravanian, who graduated from the program in 2011. This simulation software uses an algorithm whose constraints are similar to the human heart itself. This computer simulator is the first of its kind for electrophysiology trainees and is now incorporated into the curriculum. The software will be displayed at the upcoming PD meeting at the Heart Rhythm Society. Furthermore, results of a new web-based broadcast ECG conference for cardiology fellows developed by the CCEP program faculty were presented by Dr. Sameer Satija at the third annual "Science of GME" project day. This ECG curriculum allows for fellows at multiple sites real-time interactive uniform ECG conference curriculum without travel.
Interventional Cardiology Under the leadership of Dr. John Douglas, the Interventional Cardiology fellowship training program boasts a 100% pass-rate on the Boards and four fellow regional/national scholarly presentations this past year.
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Pulmonary and Critical Care
Emory University Department of Medicine Education Report 2012
Under the leadership of Dr. David Schulman, the Pulmonary and Critical Care fellowship training program is in its fifth year of their well-developed OSCE program. As part of this program, there are fifteen simulated patient cases that are administered on a rotating basis to the first-year and senior fellows. The program is used to identify both individual and programmatic deficiencies. New this year, the fellowship has developed a new critical care ultrasound program requiring trainees to take a three-day didactic course and capture a minimum number of adequate ultrasound images during their training. While this is not yet an ACGME requirement for the specialty, Dr. Schulman is on the cutting-edge of education and will surely serve as a role model for what the requirements should be.
Digestive Diseases Under the leadership of Dr. Jan Klapparoth, the Digestive Diseases fellowship training program has increased the number of teaching faculty at Grady Memorial Hospital to four attendings, increased the number of lectures in biostatistics as part of the core lecture series, integrated emotional intelligence assessment into the fellow interview process, continues its established mentorship program for all of its fellows, and boasts a 100% ABIM exam pass rate for its 2011 graduates. The program also provided endoscopy simulation at Emory and the Atlanta VA Medical Center for residents and also led a national course on endoscopy at the American Society for Gastrointestinal Endoscopy. Finally, to further support the educational programs in the division, Dr. Julia Massaad was named the Director of Education for the Division of Digestive Diseases at Emory University.
Endocrinology Under the leadership of Dr. Vin Tangpricha, the Endocrinology fellowship training program has initiated the use of patient simulations to further complement the training of the endocrinology fellows. One such simulator is a neck model with two thyroid nodules embedded inside. The fellows can practice fine needle aspiration biopsy with the use of this tool. The faculty have started using OSCE’s to provide further feedback and instruction on how to diagnose, treat, and counsel patients with endocrine disease.
Rheumatology Under the leadership of Dr. Sam Lim, the Rheumatology fellowship training program has undergone some exciting changes. The division is under new leadership with the arrival of Dr. Ignaki Sanz, and the program has increased the number of teaching faculty, particularly at Emory Midtown Hospital and the Atlanta VA Medical Center. Dr. Rob Geletka and Dr. Athan Tiliakos were also named Associate Program Directors. This year, the program has re-vamped the fellows’ didactic programs, in order to include more core curriculum lectures, journal clubs and case conferences. Finally, the program’s second year fellows had the opportunity to present cases at the Annual Georgia Society of Rheumatology Meeting.
Nephrology Under the leadership of Dr. James Bailey, the Nephrology fellowship training program boasts a 100% pass-rate on the Boards and eight fellow regional/national scholarly presentations this year. The program is unique because it offers training in renal ultrasound and is currently working to include simulation in the curriculum to supplement the fellows’ education during their clinical time in critical care. Finally, the program received plaudits from the National Institutes of Health when it not only renewed the training grant, but increased the number of positions it could offer from two to three. Given the dearth of federal dollars, this underscores the value of training at Emory.
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Geriatrics
Emory University Department of Medicine Education Report 2012
Under the leadership of Dr. Wilson Holland, the Geriatrics fellowship training program has received several accolades this past year. Drs. Ugochi Ohuabunwa and Nathan Flacker received a grant to implement Chief Resident immersion training at Grady. All three Geriatric fellows had poster presentations at the American Geriatrics Society meeting in Seattle. The Southeast Center for Excellence in Geriatric Medicine (a collaboration between Emory and UAB) hosted a Resident Summit which attracted approximately 40 residents from around the country in May 2012. Emory will be hosting this event in 2013. 2012 brought further accomplishments through newer fellowship programs such as Hospice and Palliative Medicine, Transplant Hepatology, and Sleep Medicine.
CONTINUING MEDICAL EDUCATION In 2012 the department offered multiple continuing medical education opportunities. Medicine Grand Rounds, led by Dr. Steve Gorbatkin occurs every Tuesday at noon and is broadcast to eight sites around Atlanta. In addition to having a new website, other improvements have been made to this regularly scheduled series. Led by Dr. Dominique Cosco, the Internal Medicine Board Review Course attracted more than 250 physicians from across the country. Led by Dr. Daniel Dressler, the 13th Annual Southern Hospital Medicine Conference attracted over 300 participants. The Division of Cardiology created the Cardiovascular Grand Rounds CME Series and made these lectures available for online viewing to doctors in the community.
DIVISION OF HOSPITAL MEDICINE EDUCATION HIGHLIGHTS Under the leadership of Dr. Daniel Dressler (Associate Division Director for Education), Drs. Joanna Bonsall and Dustin Smith were named as Division Assistant Directors for Education. The division trained more than fifty first-year non-physician providers in physical diagnosis through its Physician Assistant Student Physical Diagnosis Course. A newly developed mentoring infrastructure within the division is being led by Dr. Joanna Bonsall. In addition to over fifteen division faculty development grants/awards for development in leadership, education and/or quality improvement, the division also boasts multiple presentations and manuscripts on its work in Quality Improvement, Care Transitions, Simulation Training, Handovers, Critical Care Staffing Models, and others. Finally, the first Hospital Medicine Faculty Fellow in Quality Improvement and Education, Dr. Amanda Methvin, was hired.
FACULTY DEVELOPMENT IN EDUCATION The department offers multiple faculty development opportunities related to education and teaching. Each year, the Office of Education, in collaboration with faculty outside of the department, hosts the Clinical Skills Refresher workshop series. This unique opportunity allows faculty to improve their clinical skills by participating in a series of hands-on workshops. Topics include such things as EKG interpretation, the cardiovascular examination, the eye examination, the Master Teacher’s Approach to the Clinical Exam, to name a few. In addition, this past year, the Office offered a workshop on evaluation and feedback. Other faculty development initiatives focused on teaching and education include the novel “Faculty Morning Report”, created by Dr. Richard Pittman in the Division of General Medicine and Geriatrics. The Office is currently in the process of creating a teaching consultation service to be offered to any faculty who desires a peer review of their teaching in any venue (bedside teaching, lecture, small group facilitation, etc..).
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Emory University Department of Medicine Education Report 2012
MEDICAL EDUCATION ADMINISTRATION (OFFICE OF EDUCATION)
The Office of Education supports the educational programs in the Department of Medicine and promotes collaboration, innovation, and excellence across the continuum of medical education. The office is led by Dr. Erica Brownfield, Vice Chair for Education, and Ms. Jennifer Hill. In addition to working with the program directors and clerkship directors, the Office of Education has taken responsibility over the following initiatives and programs: Education website Faculty teaching evaluation reviews Education budget Oversight of the Academy of Medical Educators (with Dr. Manuel Eskildsen as the current chair) Oversight of Medicine Grand Rounds (with Dr. Steve Gorbatkin as the leader) Oversight of creating and updating the Master Rotation Calendar/Schedule DOM Monthly Challenges Medical Eponym of the Week series Oversight of the Executive Education Committee and its initiatives Enforcing the visiting student policy throughout the department Helping to write letters of recommendations for students and others Helping to implement the education strategic plan Creation of faculty development opportunities in teaching and education Collaborates with other vice chairs for education both in other departments at Emory and in departments of medicine outside of Emory on innovations in medical education and sharing best practices
ACADEMY OF MEDICAL EDUCATORS The Academy of Medical Educators first launched in 2011 with its charter class of eight clinician educators. This inaugural class developed a charter which defines its organizational structure and intended activities, and also plans for how it will add to its membership. As its initial project, the charter members developed the “TEACH 12” initiative, which intends to effect culture change with a goal of prioritizing education among other elements of the Department’s mission. As part of “TEACH 12”, the Academy has developed a set of twelve core behaviors that physicians can model, to advance the above goal. The Academy will share resources related to each of these behaviors on a monthly basis, to keep awareness of the importance of education throughout the year. The Academy welcomed its second group of members this past summer. The department recognized the following outstanding educators by inducting them into the Academy: Drs. Kenneth Walker, William Branch, Joyce Doyle, Laurence Sperling, David Schulman, Stacy Higgins, and Jonathan Flacker. Plans for this year include naming a new Executive Committee of the Academy, further promoting the “Teach 12” initiative, including trainees into membership and creating new educational initiatives. The Academy recently had a retreat to refine its strategic plan going forward.
AWARDS: FACULTY Our talented teachers are recognized every year with many teaching awards from the school and department. This year was no different. Following is a list of the teaching awards given to our remarkable faculty.
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Emory University Department of Medicine Education Report 2012
School of Medicine Dean’s Teaching Award: Drs. David Schulman and Jonathan Flacker School of Medicine Evangeline Papageorge Teaching Award: Dr. Kimberly Manning Juka P. Kokko Award: Dr. Joyce Doyle Outstanding Conference Leadership Award: Drs. Jeffrey Lennox and Carlo del Rio Golden Apple Awards: Emory Hospital - Midtown: Drs. Willie Smith and Dan Sorescu Emory Hospital: Drs. Wendy Armstrong and David Krakow Grady Hospital: Drs. Allen Dollar and Girish Kalra Atlanta VA Medical Center: Drs. Julie Jackson-Murphy and Lynn Schlanger Wesley Woods Medical Center: Drs. Jonathan Flacker and Ned Wilson Holland, Jr. Department of Medicine Educator Impact Award: Dr. Wendy Armstrong American College of Physicians J. Willis Hurst Teaching Award – Dr. Stacy Higgins American College of Physicians Mark Silverman, MD, MACP Award – Dr. Joyce Doyle Accreditation Council for Graduate Medical Education “Courage to Teach” Award – Dr. David Schulman American Geriatrics Society Education Committee Outstanding Service Award – Dr. Nathan Flacker
AWARDS: TRAINEES In addition to our faculty being recognized, the following residents and fellows received teaching awards in 2012:
Fellow Teaching Awards: Drs. Neal Dickert, Jr., Ralitza Martin, Ayaz Rachman, Bashar Staiteh, and Edward Stenehjem J. Willis Hurst Demonstration of Teaching Excellence Award: Dr. Eddie Stenehjem Resident Achievement Awards: Drs. Scott Babin, Anita Saraf, Kiran Valiani, Salim Hayek, Amirali Masoumi, Roger Alvarez, Lindsay Margoles, and Ambili Ramachandran Ambulatory Awards: Drs. Jenna Kay, David Dunhill, and Ambili Ramachandran Global Health Distinctions Award: Drs. Aaron Harris, James Lee, Lindsay Margoles, and Faresa Zarreen Quality Improvement Distinctions Award: Drs. Anthony Gamboa, and Meena Anad Prasad Citizenship Awards: Drs. Song Li, Maya Varthi, Mahmoud Abdou, Robert Kung, Robert Busch, and Tait Jones Award of Distinction in Teaching: Dr. Roger Alvarez Award of Distinction in Social Medicine: Drs. Roger Alvarez, Aida Venado Estrada, and Gayathri Suresh Kumar Georgia Chapter Meeting of the American College of Physicians Best Oral Vignette: Dr. Curtis Jamison Southern Hospital Medicine Conference 1st place Research Poster: Dr. Komal D’Souza
SCHOLARSHIP The residents, fellows, and faculty in the department of medicine have had a successful year in scholarship. As outlined earlier, thirty-six residents presented their scholarship (basic science or clinical research, clinical vignettes) at regional and national meetings. Twenty-eight resident research posters were presented at the Department of Medicine Resident Research Day. There were a total of fifteen resident-driven Performance Improvement Projects occurring in the outpatient clinics; four of these were
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Emory University Department of Medicine Education Report 2012
presented at the School of Medicine’s Fourth Annual Science of Graduate Medical Education Day. Three residency-based projects were presented by faculty in various national meetings. One, presented by Dr. Manuel Eskildsen, won the “Best Education Poster” at the 2012 American Geriatrics Society annual meeting. Fellow scholarship is noted above under each specific specialty. In terms of other educational scholarship, Dr. Erica Brownfield published “The Activities and Responsibilities of the Vice Chair for Education in U.S. and Canadian Departments of Medicine”, in Academic Medicine.
STRATEGIC PLAN FOR EDUCATION Based on a five-year review, the department developed a strategic plan for education. The following items are part of the strategic plan: Reorganize the residency education administrative team – this is complete, with the hiring of Ms. Jennifer Hill as the Residency Program Administrator, Ms. Lynn Wiley as the Accountant, Ms. Danielle Terrell as a Program Coordinator, Ms. Gwendolyn President as a Program Coordinator, and the promotion of Ms. Thedis Carries to Program Coordinator Continue to refine an educational budget to include all education programs within the department (in-progress) o Ensure funding for fellowship program directors o Prioritize spending for education-related initiatives and innovations Hire new program coordinators to support smaller fellowship programs (achieved) Working with division chiefs, implement regular reviews of teaching faculty with a plan to offer more faculty development focused on teaching to anyone, but particularly those struggling as evidence by suboptimal teaching evaluations (in-progress) Strengthen the accountability of program directors and administrative staff o Clearly define job descriptions and expectations o Regularly assess progress in achieving expectations Incorporate additional education metrics into annual goals of division chiefs (achieved) Continue to develop more online education resources for teaching faculty (ongoing)
OTHER FUTURE EDUCATION PLANS With a huge range of possibilities in education coupled with the enormous talent in the department, it is indeed an exciting time in medical education. With abundant opportunities, challenges still exist. In addition to implementing the noted strategic plans, the department will work on improving and continuously updating the education website. The graduate medical education programs are preparing for the next accreditation system which will utilize milestones and entrustable professional activities effective in 2013. Furthermore, the residents’ experience in continuity clinic continues to be a focus for improvement. The development of an innovative “Emory way” for bedside rounds is currently under consideration. The Academy of Medical Educators will continue to refine its goals and focus for the upcoming year, with consideration being given to including trainees at all levels as members as well as play a role in a new peer teaching consultation service to be offered. The Office of Education will continue to develop new teaching and education faculty development programs. Long-term goals include developing a medicine curriculum that spans across the undergraduate, graduate, and continuing medical education continuum and continuing to elevate standards in medical education within the department.
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Emory University Department of Medicine Education Report 2012
Finally, we’d like to thank Dr. Alexander for his tremendous support in education over the past decade. We look forward to continuing to work with him on education-related activities and are optimistic our educational programs will prosper under new leadership.
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