What it Means to be a Program Director

1. What it Means to be aProgram Director Rita M Patel MD Professor of Anesthesiology & Vice-Chair, Education Department of Anesthesiology Associate Dean for Graduate Medical Education University of Pittsburgh School of Medicine ACGME/NRMP Designated Institutional Official UPMC Medical Education

2. Disclosure • Former Program Director Anes Residency UPMC • Vice-Chair, Education • Oversight of all edu programs, inc med student, residency, fellowships and CME • UPMC ACGME/NRMP DIO • Oversight of 110+ residency/fellowship programs • Member of Anes RRC • OPINIONS EXPRESSED ARE MY OWN and NOT ON BEHALF OF THE RRC, ACGME OR UPMC

3. Timeline • RRC meets Oct 27 & 28 2011 • Following the ASA • PIF is produced by a separate area of the ACGME & must be reviewed by the RRC • Program Requirements, PIF, FAQs typically posted at same time • Plan is PIF availability for potential January submission of program applications for consideration at April meeting

4. Anesthesiology & Subs2010-2011

5. Multiple Impacts on GME • Organizations – AAMC, AHME, FSMB, AHME, AHA, ABMS • ABMS American Board of Medical Specialties • American Board of Anesthesiology • FSMB Federation of State Medical Boards • Licensing Board of Medicine for State • Local Sponsoring Institution • May be medical school or hospital system

6. More Info – www.ACGME.org Rita M Patel MD - Dec 2010 • Residency Review Committee – Anesthesiology • RRC Members & Staff (Pat Surdyk & Billy Hart) • Common Program Requirements – 7/2011 • Program Director Guide to the CPRs • Anes & Subs PRs* • FAQs – Frequently Asked Questions • PIFs – Program Information Form* • Responsibilities of Residency & Fellowship Program Directors

7. Responsibilities of Residency & Fellowship Program DirectorsRRC 2007 Accreditation Issues Educational Program Administration Institutional Role

9. TIME – Practical Suggestions DEVELOP existing teachers HELP from institutional sponsor USE SEA, ASA, SOAP, AMA, SI EXPAND existing structures SHARE information PRODUCE new material MONITOR implementation DISCARD things that don’t work Rita M. Patel, MD

10. Accreditation Issues • Demonstrate “Substantial Compliance” with Program Requirements • Comply with Institutional Process – Int Review • Prepare accurate & complete PIF+ • Ensure DIO reviews & Co-signs PIF+ • Maintain program & trainee files • Develop Policies & Procedures • Work with Residency PD & other Fellowship PDs + Dept Chair Rita M. Patel, MD

11. Documentation – Practical Suggestions • Make it EASY • Web-Based/Electronic • Evaluation System • Duty-Hours Monitoring • Post Important items on Website • Give AWARDS & RECOGNITION Rita M. Patel, MD

12. Educational Program Elements FACULTY Recruitment and Selection Clinical and Didactic Curriculum Evaluation and Competence Administration and Review

13. Recruitment & Selection Faculty of 3 is a committee Ensure that only eligible individuals are enrolled All applicants at time of interview must be provided with terms & conditions of employment, benefits, & contract Program-Specific Selection Policy Must review NRMP history of applicant for match violations PRIOR to contact

14. Think of the physician you want to take care of your mother, father or child RELIABLE EXPLAIN WHAT’S GOING ON UNDERSTANDING RESPECTFUL What characteristics does that doctor possess? KIND SMART ETHICAL EASY TO TALK TO GOOD HANDS KEEP THINGS PRIVATE HONEST UP-TO-DATE KNOW WHAT TO DO

15. ACGME General Competencies Medical Knowledge Patient Care Interpersonal and Communication Skills Professionalism Practice-Based Learning and Improvement Systems-Based Practice

16. Clinical & Didactic Curriculum • Write Competency-Based Goals & Objectives for each rotation & overall program • Describe how they will be taught • Clinical Experience – specific rotations, types and volume of cases & appropriate faculty • Didactic – lectures, workshops, simulation & appropriate faculty • Share curriculum with faculty & fellows at least annually

17. Evaluation & Competence • Fellow - Evaluation of achievement in all competencies • Multi-Source is not the same as 360 • Obtain confidential written evaluations • of the faculty by the fellows • of the program by the fellows • of the program by the faculty • Conduct Annual Program Evaluation • Formal, documented, minutes kept

18. Administration & Review • Program-Specific Policies • Selection, Evaluation, Promotion, Dismissal, Duty Hours, Moonlighting • Manage clinical scheduling – on call, rotation & ensure supervision & backup systems available • Implement & follow institutional policies ie. for grievance & due process • Know what requires DIO, GMEC & RC approval

19. What to do Now • Go to the ACGME website • Begin learning terminology -the language of the ACGME: G& Behavioral O, Multi-Source Eval • Meet with your Faculty, Chair, Div Chief & the Core PD - FUNDING • Establish timeline for GMEC & DIO review • Read Common Program Requirements • Keep them on your desktop • Refer to them frequently • Look at the PD Guide to the CPR

20. Pain Program PIF

21. After PR & PIF becomes available… • Accurate & Complete PIF • Answer the Question being asked. • PD & Faculty Qualifications ABA-certified, CV briefs demonstrate qualifications in PRs • Rotation Schedule/Didactic Schedule/Goals & Objectives/Evaluation Forms • Description of Rotations &/or Experiences • Provide correct data

22. Pay Attention!Avoid risky behaviors • DUTY HOURS • SUPERVISION & RESPONSIBILITY • ACGME COMPETENCIES • Teaching • Evaluating • OUTCOMES • POLICIES/PROCEDURES • Contracts • Grievance & Appeals

23. UPMC Programs to Develop the GME Community

25. Thank You rpatel@pitt.edu patelrm@upmc.edu