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Creating a Model Program in the Era of NAS: A synthesis of best p ractices

Creating a Model Program in the Era of NAS: A synthesis of best p ractices. Kim Walker, Ph.D. Education Specialist Graduate Medical Education Stanford Hospital and Clinics kwalker5@stanford.edu. Surgery Psychiatry Urology Pediatrics. Cardiology.

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Creating a Model Program in the Era of NAS: A synthesis of best p ractices

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  1. Creating a Model Program in the Era of NAS: A synthesis of best practices Kim Walker, Ph.D. Education Specialist Graduate Medical Education Stanford Hospital and Clinics kwalker5@stanford.edu

  2. Surgery Psychiatry Urology Pediatrics Cardiology Sports Medicine Oncology Pathology Internal Medicine Dermatology Anesthesia Radiology

  3. Life in the silos… ? A+ Program A Program B Program C Program D

  4. ACGME & RRCs Residents Program Directors What are the best practices in GME (that allow everyone to smile)? Faculty GME/DIOs

  5. Research Design • Purpose: Qualitative analysis of surveys and internal review reports on residencies and fellowships over a two-year period to identify program-level best practices. • Process: • Two coders thematically analyzed each document specifically for the questions on best practices or strengths about the program. • Abductive coding started with codes determined a priori (ACGME core competencies).  New codes were added when additional patterns in vivo emerged, derived from the responses themselves.   • This iterative coding process provided strong evidence for both a priori and emergent themes related to Best Practices in residencies and fellowship programs at Stanford University.

  6. DEDOOSE

  7. Excerpts Define Best Practice Example for Quality Improvement

  8. Excerpts Define Practice Examples for Didactics

  9. Most # of coded categories

  10. Deciphering the codes: A model emerges

  11. Best Practices and Sharing from Silos

  12. Wiki Power Web-based; easy access; easy content addition and evolution

  13. THINK – PAIR – SHARE THINK: What is one “best practice” that stands out in your mind from your institution or particular program? In what category of program administration, teaching or learning does it apply? PAIR: Take turns sharing your best practice with someone sitting next to you, even if it means saying, “I can’t think of any!” SHARE: If willing and interested, share your best practice with the greater GME community. Post to: http://gmebestpractices.wikispaces.com/

  14. REASONS TO BUILD COMMUNITY & RESOURCES

  15. MORE REASONS…

  16. MORE BEST PRACTICES… DISCLOSURE: While numerous best practices emerged from this study, we definitely have our fair share of program weaknesses that counter-balance the strengths. But this study was focused on what is working…

  17. It’s time…. To take down the Silos!!

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