Department of Medicine December 19 2014 Welcome

Department of Medicine December 19, 2014

Welcome New Faculty Cardiology: Eric Gauthier, MD Pierre Znojkiewicz, MD Dermatology: Elizabeth Zeeck, MD Hematology-Oncology: George Atweh, MD Maura Barry, MD Edmund Folefac, MD Assistant Professor Assistant Professor

PCIM: Jason Bartsch, MD Zail Berry, MD MPH Diane Hakey, MD Michael Latrielle, MD Jessica Lunardini, MD Elizabeth Rosy Hill, MD Susan Weinstein, DO Assistant Professor Associate Professor Assistant Professor Assistant Professor Pulmonary/Critical Care (MPH Program): Lynn Rae Zanardi Blevins, MD MPH Assistant Professor

Tisdale Lecturers for 2015 -2016 1. Martin Blaser MD, Director Human Microbiome Program’ New York University – Topic: host microbiome Host, Beth Kirkpatrick 2. Anna Mae Diehl MD, Chief of Gastroenterology, Duke University Topic: nonalcoholic fatty liver disease Host: Steve Lidofsky 3. Talmadge King MD, Chair, Department of Medicine, UCSF Topic: interstitial lung disease Host: Polly Parsons

The heart and science of medicine. UVMHealth. org/Med. Center Internal Medicine Residency Update Mark E. Pasanen, MD, FACP December 18, 2014

Overview • Goals/Action Plan review – Survey results • Increasing subspecialist exposure for residents – Morning report – Subspecialty rounds – Curriculum re-design • Recent successes: – – Board pass rate Fellowship match ACP Poster winners Wellness committee • i. Compare trial • Recruitment 6

Workplan for Fiscal Year 2015 • Goals/Objectives: – – Enhance visibility of strong teachers Match attending teaching expertise to needs Board pass rate = 100% Match all residency slots • Action Plans – Increase participation of subspecialties in IM Residency Program in didactic lectures, morning report, and role of teaching attending – Subspecialists have been offered significantly more slots for MR – Majority of didactics are already subspecialty based but the entire curriculum is being re-evaluated. – Reinvigorate subspecialty rounds. – Survey residents and faculty to get feedback on rotations and educational sessions (including subspecialty rounds) 7

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Since the survey …. • Significantly increased subspecialists at MR Specialty Cardiology Endocrine GI H/O ID Med Renal Pulm Rheum July Aug 1 2 12 1 4 1 8 1 7 1 Total 20 20 1 1 Sept 1 1 5 3 4 16 Oct 1 1 2 2 5 3 6 2 22 Nov 1 1 1 Dec 1 1 6 1 5 2 1 1 2 4 3 5 1 18 18 • Reemphasized the value of subspecialty rounds • Ongoing curriculum re-design • Ethics curriculum 11

Recent successes • Board pass rate 2014: 92. 3% • Fellowship Match: o o o Zubin Agarwal –Jackson Memorial/Miami (Cardiology) Chris Dado – Brown (Pulm and Critical Care) Sam Merrill -- Johns Hopkins (Heme/Onc) Sam Raza – UT Southwestern (Cardiology) Deva Sharma – Vanderbilt (Heme/Onc) • ACP Clinical Vignette Winners: o Tara Scribner, Jackie O’Toole, Sam Raza “A Case of Adult Onset Urea Cycle Disorder” • Wellness committee 12

• 1 year study beginning July 2015 – randomizing programs to current duty hours or to more flexible intervention rules. • The intervention rules are constrained by only 3 standards, all averaged over 4 weeks: – 80 hours maximum per week – 1 day off in 7 – In-house call no more frequent than q 3 nights • Outcomes will be measured in patient safety and education • Trainees will be asked to complete a baseline and end-of -year surveys (June, 2015 and 2016) 13

Recruitment 2011 2012 2013 2014 2015 USG - categorical 5111 5317 5747 5934 5928 IMG - categorical 12169 12004 11917 12087 11885 Osteopath - cat 819 949 929 1017 1153 Programs/applicant USG IMG Osteopath 23. 8 60. 8 10. 5 26. 1 66. 3 13. 1 27. 7 72. 2 13. 4 31. 5 75. 2 14. 7 33. 3 76. 3 17. 2 • We’ve interviewed > 180 applicants thus far • Goal is > 220 – Up > 20% compared to last year • Significant interest from UVM students 14

Thanks to all our Interviewers !!! Varun Agrawal Kemper Alston Jason Bartsch Ryan Clouser Shaden Eldakar Nick Ferrentino Floh Foerg Eric Ganguly Garth Garrison Steve Grant Bill Hopkins David Kaminsky Laurie Leclair Allen Lee Mark Levine Bob Lobel Carrie Lyon Prema Menon Markus Meyer Kristin Pierce Rich Pinckney Mary Ramundo Allen Repp Amy Teleron Joe Winget 15

The heart and science of medicine. UVMHealth. org/Med. Center Faculty Mentoring in the Department of Medicine

Informal Survey of Faculty Annual review takes place using COM form 100% Knows current promotion pathway 100% Knows goals for coming year as documented at annual review 77% Has strategy for achieving goals 33% Understands the promotion timeline 22% Has defined strategy for achieving promotion 22% Understands the promotion process 11% Had follow up of goals planned prior to next annual review 11% Has an Identified mentor 22%

Junior Faculty Mentoring Survey – All junior faculty in the DOM (n=82) invited – 57 responded: 70% response rate – Do you have an identified mentor?

Identified Mentor?

Junior Faculty Mentoring Survey – All junior faculty in the DOM (n=82) invited – 57 responded: 70% response rate – Do you have an identified mentor? – Assess attitudes toward identified or ad hoc mentor – Ragins-Mc. Farlin Mentor Role Instrument – 33 Likert scale questions: Career & Psychosocial Dimensions – Career: Coach, Challenger, Sponsor, Promoter, Protector – Psychosocial: Acceptor, Friend, Role Model, Counselor, Social Associate, Parent

Attitudes Toward Mentor Likert scale: 1 (strongly disagree) to 7 (strongly agree)

Attitudes Toward Mentor: Gender Likert scale: 1 (strongly disagree) to 7 (strongly agree)

Attitudes Toward Mentor: Identified vs. ad hoc Likert scale: 1 (strongly disagree) to 7 (strongly agree)

Attitudes Toward Mentor: Identified vs. ad hoc ** ** ** * * ns ns Likert scale: 1 (strongly disagree) to 7 (strongly agree)

Mentoring Plan: 2014 -2015 All junior faculty will be assigned a mentor – Suggested by faculty member and division chief – Within or outside of their division – Mentor and mentee establish goals and a plan to achieve these – Mentor and mentee meet regularly throughout year to “checkin” on progress/provide feedback toward attaining goals – Mentee ‘tool kit’ – Mentor ‘tool kit’ and training opportunities – Mentor, mentee, and division chief review these as a part of the annual review (i. e. mentor participates in the review)

Mentoring Plan: Timeline The heart and science of medicine. UVMHealth. org/Med. Center Mentor/Mentee Assignment Meeting #2 Complete Mentor/Mentee Meeting #1 (2014) (2015) Mentor Participates in Annual Review Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep. Oct Nov Dec Annual Reviews Support tools for mentees/mentors: During faculty review mentors will: • CV template; Green Sheet ‘cheat-sheets’ • Timeline suggestions • Pre-review checklist to flesh out goals, plans, and promotion timeline/assessment • Resource lists • Discuss the goals/plans from past year • Detail goals/plans for the next year • Assess progress to promotion

The heart and science of medicine. UVMHealth. org/Med. Center Questions?