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VUMC Content Manager. Sponsor Dr. Doris Quinn Advisor Dr. Andrew Dozier. Meeting with Thoracic Surgery Coordinator. Robbie Maki: coordinator Transferred from Critical Care Residency Program in May Not only accredited but also received recognition of excellency.
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VUMC Content Manager Sponsor Dr. Doris Quinn Advisor Dr. Andrew Dozier
Meeting with Thoracic Surgery Coordinator Robbie Maki: coordinator • Transferred from Critical Care Residency Program in May • Not only accredited but also received recognition of excellency. • increased number of residents, maximum time for next review date. • Willing to implement a new technology to schedule. • Actually bought a software: GME Systems. • Evaluations • Prepared GME Internal Review Document 2 months ago. • Ultimate goal: Not only get accredited but also be able to increase the number of residents and accreditation period and create a manual for future coordinators.
Cardio-thoracic Surgery Program • Number of faculty members (physicians): 9 • 3 in Thoracic and 6 in Cardiac • Number of accredited residents: 3 • Number of non-accredited residents: 4 • Review • Date Last Reviewed: May, 2003 • Next Review Date ~ March, 2004
ACGME Report 1- Non-compliance with the required duty hours: 110hrs/week instead of 80hrs/week. Residents not given 1/7days free 2- Noncompliant institutional support: 2 new surgeons hired, duty hours still excessive 3- Lacking reorganization in the curriculum 4- Lacking improvement in the evaluation process
ACGME Report Continued 5- Developing goals and objectives Not incorporated into the curriculum 6- Non-compliant balance of service and education. 7- Insufficient number of qualified faculty to instruct and supervise residents **Request for an increase in the number of residents was declined.
Interview with Neurology Coordinator • Common Program Requirements • Program-Specific Requirements • Last Site Review Date: December 18, 2001Next Site Review Date (approximate): May 1, 2007 • Meeting with Residents • 5minute clinical consult-- palm pilot • Tracking patients: Residents Case Log System
Interview with Urology Coordinator • Residency Review Committee • Common Program Requirements • Program-Specific Requirements • SECTION 14. LIBRARY RESOURCES (PR II. A.2) • 1. Do the residents have ready access to a major medical library? ( ) YES ( ) NO • 2. Does the library include the electronic retrieval of information from medical databases? ( ) YES ( ) NO • 3. Does access include nights and weekends? ( ) YES ( ) NO • 4. Is there a library at each institution participating in the program? ( ) YES ( ) NO
Urology Coordinator (cont’d) • Site Visit • Provide List of Requirements • Could ask other things • Support with evidence
Software Research Update • Meet with Robbie Maki, Thoracic Coordinator • Is currently using Akcia’s GME Management System • Has been installed since August • Profiles only • No ability for residents to use system yet • Was able to request customization of the program • Despite the fact that Mrs. Maki is not using the system to its full extent, lots of valuable info about system and established an IT contact with Akcia • As of now not particularly impressed with Akcia’s system • Meeting with Ms. Maki convinced me of these software programs being only a part of the final solution • Much more research to be done to investigate more of what the program can do
Software Research Update • Been in contact with Steve Reed, President of New Innovations • New Innovations is now used in 30% of all ACGME accredited programs • Have obtains lots of information • Most importantly contact information for other intuitions currently using New Innovations products • Including intuitions in Tennessee and intuitions of comparable size to that of Vanderbilt. • Anesthesiology is currently using New Innovations Products • Went through Demo with Mr. Reed, product is more than addressing the needs of the coordinators and their current job task • Will definitely be able to customize • Discussed possibilities of on campus demo, just need to set up time with Dr. Quinn
Software Research • Meet with several people in the anesthesiology office • The are still in the very early phase of set up • Once again training is in adequate (for this situation) • The office overall was very pleased with the system and the support Mr. Reed and others have given them • The did look at Ackia’s product, decided too expensive • Coordinator voiced her concern with training, especially with training of the residents and doctors • All of their residents have palm units