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Faculty Development

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Francis Chu

on 17 December 2013

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Transcript of Faculty Development

Faculty Development
Developing a Center of Academic Excellence
Kaiser Riverside
Physician Roundtable
December 17, 2013

Francis Chu, MD
Asst Program Director
KP Riverside
Family Medicine Residency
Remember a Teacher
Who Made an Impact on You

What did they do?
Why did it impact you?
How has it changed you?

The Mediocre Teacher Tells
The Good Teacher Explains
The Superior Teacher Demonstrates
The Great Teacher INSPIRES
William Arthur Ward

Where Are We Headed?

Affiliated Residencies
in IM, Surgery, Ortho
(others to come?)

UCR Medical Students
(LACE and in 2 years -
Clinical Rotations!)
Where Have We Been?

20 Years of Family
Medicine Residents

Few Medical Students
& Affiliated Residents
Moving Towards
A Teaching Hospital

Alphabet Soup: ACGME, AOA and LCME
Accreditation Council for Graduate Medical Education (ACGME)
Residency Programs
Liaison Committee on Medical Education (LCME)
Medical Schools
NAS - the NEXT Accreditation System

RRC - Residency Review Committee

PD - Program Director

CCC - Clinical Competency Committee

PEC - Program Evaluation Committee
Clustered standards and
Web Based Accreditation
Sponsored by the Association of American Medical Colleges (AAMC)
and AMA
Sponsored by the AAMC, ABMS, AHA, AMA and CMSS
+ non-voting DHHS rep
ACGME Core Competencies
Medical Knowledge
Patient Care
Systems Based Practice
Communication
Professionalism
Faculty Development an
Essential Element in the
Training of Future Physicians
May 2011 Report
Are You Willing to Work to Become
the Teacher You Want to Be?
American Osteopathic Association (AOA)
Osteopathic Postdoctoral Training Institutions (OPTIs)
Currently the AOA has not aligned its standards with the new ACGME NAS (ongoing negotiations occuring)
What kind of teacher do you want to be?
Coming Soon!
Minimum requirements for active faculty members.
All physicians should have a basic understanding
of Graduate Medical Education (GME - Residency Training) and Medical Student teaching.
Dr. Rajaratnam and Dr. Flowers
both have the vision that RMC should
become a Center of GME Excellence
Areas for Faculty Development
Practice Based Learning
and Improvement

Affordability
Educator Training
Research / Scholarly Activity
Behavioral Medicine
Leadership
Administrative
Clinical
Educational Theory
Teaching Techniques
What Constitutes Scholarly Activity?
Discovery
Application
Integration
Teaching
Old Way vs. New Way:
GESTALT
Good / Bad Resident
Milestones
Objective measures of performance
Now Let's Talk Milestones!
Choose a milestone on the table that is applicable to you and...
RATE yourself!
Levels of Learners
Novice
Advanced Beginner
Competent
Proficient
Expert / Mastery
Bibliography:

William Arthur Ward (1921-1994), Author, Educator, Civic and Church Leader

The Next GME Accreditation System — Rationale and Benefits
Thomas J. Nasca et al., NEJM 366;11 March 15, 2012 pp. 1051-1056

The Josiah Macy Jr. Foundation May 2011 "Ensuring an Effective Physician Workforce in America: Recommendations for an Accountable Graduate Medical Education System. October 2010 Conference Report"

LCME New Standards for 2015 http://www.lcme.org/2015-reformat-project.htm

ACGME website: Competencies and Faculty Development requirements (found in Common Program Requirements), NAS, and Milestones
http://www.acgme.org/acgmeweb/tabid/429/ProgramandInstitutionalAccreditation/CommonProgramRequirements.aspx
http://www.acgme.org/acgmeweb/tabid/435/ProgramandInstitutionalAccreditation/NextAccreditationSystem.aspx
http://www.acgme.org/acgmeweb/tabid/430/ProgramandInstitutionalAccreditation/Milestones.aspx

Dreyfus, Stuart E.; Dreyfus, Hubert L. (February 1980). A Five-Stage Model of the Mental Activities Involved in Directed Skill Acquisition

Assessment Survey Taken from Indiana University School of Medicine Department of Family Medicine Faculty Development Needs Assessment - Self Assessment Version (M. Dankoski, PhD. 3/4/2005
no experience, no discretion, following rules
limited perception, lack of prioritization
analysis, planning, perception of action/result
holistic view, adaptation to situation
intuitive responses, new situations/problems
Explain to your partner why you rated yourself at that particular level .
What are some difficulties of rating someone based on Milestones?
Future Evaluations Divided into Competency areas and Milestones paired with Learner Levels
A Matrix of Evaluation Elements
Jump into the middle of things, get your hands dirty, fall flat on your face, and then reach for the stars.
- Ben Stein

Kaiser Permanente
Riverside Medical Center
Faculty Development Program

ACGME
Competencies
Levels of Learner
Milestones
Now, Let's
Review!
Great Teachers - INSPIRE
Who's Your Inspiration?
Harness that inspiration to take your teaching to the next level
RMC is turning into an Academic Medical Center
Multiple Residencies
UCR School of Medicine
ACGME, AOA, LCME
Changing Standards
Competency Based
Focus on Level of Learner
Milestones for Evaluation
Faculty Development
Requirements for Teaching
TRANSFORMING RMC INTO A
CENTER OF GME EXCELLENCE
Educational Training
Research/Scholarly Activity
Raising the Standard for Teaching
Basic Research
Clinical Research
https://www.surveymonkey.com/s/WVMPHCX
Pedagogy vs Androgogy
Full transcript