UNM Internal Medicine Residency Program - Hospitalist Training Track - PowerPoint Presentation

Slide1

UNM Internal Medicine Residency Program - Hospitalist Training Track

UNM Hospital Medicine Spring Retreat

2 June 2015

Charles

Pizanis

Patrick

Rendon

Food for Thought

In which aspects of your job as a hospitalist today do you wish you would have received more training during residency?

What is unique to your hospital which you feel residents interested in hospital medicine should experience?

Background of the UNM Hospitalist Training Track Idea

Hospital medicine is awesome

Hospital medicine is becoming more specialized and competitive

We have an amazing setup at UNM Division of Hospital Medicine

We can offer our residents a

quality

hospitalist training

UNM Hospitalist Training Track was born

Hospitalist Training Tracks

Programs across country have been developing training tracks

University of Colorado

Tulane

Northwestern

Banner Health

Applicants interested in hospital medicine

Graduates of these tracks go on to become community hospitalists, academic hospitalists, and leaders in hospital medicine

Some Elements of Hospitalist Training Tracks

Training in clinical areas of hospital medicine

Medical consultation and perioperative medicine

Procedural medicine

Transitions/post-acute care

Palliative Care, Neurology

Exposure to quality improvement (QI) and patient safety principles and participation in QI/research efforts

Promotion of growth in healthcare leadership traits and characteristics

Education on economic concepts affecting medical practice

End result: a highly trained resident skilled in clinical, quality, and economic aspects of hospital medicine

UNM Internal Medicine Residency Hospitalist Training Track Overview

Clinical Rotations

QI/

Research

Project

Consultative Medicine (UNMH)

SRMC Hospitalist (SRMC)

Medical Economics (UNMH)

Neurology Consults (UNMH or VA

)

Project

chosen by resident

Guidance by HTT mentor

Goal of presentation at conference and/or publication of project

Online Society of Hospital Medicine (SHM) ModulesOnline Institute for Healthcare Improvement (IHI) Open School CurriculumSmall Group Lecture Curriculum

Paired hospitalist mentorTrack mentorshipProject mentorshipCareer mentorship

Didactic Curriculum

Mentorship

Clinical Rotations

Consultative Medicine (UNMH)

SRMC Hospitalist (SRMC)

Medical Economics (UNMH)

Neurology Consults (UNMH or VA)

Rotations would be completed during PGY2 and PGY3 year during elective time

Quality Improvement/Research Project

P

roject

of either hospital medicine research or quality improvement to be completed by the end of the

track

Work together with mentor in identifying project, facilitating project, and monitoring

project

Goal: present at

research at a regional or national meeting

and/or publishing

article

Mentorship

Paired mentorship with hospitalist

Mentors meet with HTT participants regularly (quarterly

)

Guidance on

meeting requirements HTT, supervising the

quality/research

project, and assisting in career goals and advice

Didactic Curriculum

SHM Modules

I

HI Open School

Small Group Curriculum

Hospitalist Journal Club

Lecture Circuit

“Applying for Hospitalist Positions”

“Creating a solid CV”

“Turning QI into Research”

“Writing an Abstract”

“Documentation for the Hospitalist”

“Approach to the IRB”

Additional Elements

Societal membership

SHM

IHI

American College of Physicians (ACP)

Society of General Internal Medicine (SGIM)

Attendance at regional, national conferences

SHM

Quality Safety Educators Academy (QSEA)

ACP

Suggested HTT Timeline

PGY 1

Apply to HTT (early Spring)

Acceptance to track (Spring)

Meet with mentor (Spring)

Identify schedule

Identify/choose project

Select PGY2 schedule (Spring)

PGY 2

PGY 3

Begin required HTT rotations

Begin work on project

Begin SHM/IHI curriculum

Attend scheduled small group curriculum lectures

Meet with mentor (quarterly)Attend one regional, one national conference

Select PGY3 schedule (Spring)Complete required HTT rotations Complete work on project (Fall, Spring)Submit scholarly work (Fall, Spring)Complete SHM/IHI curriculum

Attend one regional, one national conferenceMeet with mentor (quarterly)Complete HTT

Upon Completion of HTT

Certification in QI (IHI)

Publication and/or presentation at regional or national conference

Certification of completion of University of New Mexico Internal Medicine Residency Program Hospitalist Training Track

Additional Future Areas

Potential rotations

Palliative Medicine

Procedural Medicine

VA QI rotation

Presbyterian Hospitalist

Potential areas

HM Journal Club

Divisional/Departmental/Hospital Committee membership

Benefits to Residents

Acquisition of skills to become future hospitalist

Mentorship from current hospitalist

Structure for QI/research project

Attendance at conferences

Peer, program identification as leaders in hospital medicine

Certification in IHI, QI

Certification of completion of UNM Hospitalist Training Track

Benefits to Faculty

Resident involvement in QI/research efforts

Pipeline to publication

CV building

Identification of future hospitalists

Satisfaction of mentorship, teaching

What Will Be Needed

Site directors

creation of rotation curriculum at site

overseeing orientation/scheduling of residents at site

periodic meetings with HTT director and other site director

Mentors

quarterly meetings with mentee

assisting mentee in identification, implementation of project

a

ssisting mentee in publishing of project

Small group leaders

creation of various talks on hospitalist topics

Open Forum

Proposal?

Additions/changes to curriculum?

Are there unique elements at your hospital which we should include in track?