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Context. University Medical School2 Community HospitalsPractice Plan separate from hospitalsCategorical, Preliminary, Med/Psych residencies and 4 fellowships (ID, Endo, Pulm, GI)Full time faculty number 60. Pre-EIP Innovations. Open access model for GIM division and resident clinicsResidents a
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1. Southern Illinois UniversitySpringfield, Illinois
2. Context University Medical School
2 Community Hospitals
Practice Plan separate from hospitals
Categorical, Preliminary, Med/Psych residencies and 4 fellowships (ID, Endo, Pulm, GI)
Full time faculty number 60
3. Pre-EIP Innovations Open access model for GIM division and resident clinics
Residents assigned a specific cohort of patients with a single ambulatory mentor
One of 22 programs in the Academic Chronic Care Collaborative
4. Developed resident competency demonstration tool utilizing a modified mini-cex format
Resident led QI projects
Residents as teachers curriculum
Patient Safety Conference monthly
5. SIU Main Areas of Focus Communication / Professionalism Curriculum
Patient outcomes assessment
Evaluation portfolio integration
Quality Improvement
Creation of a culture of patient safety and error reduction
Resident centered learning paradigms
6. Communication / Professionalism Improve transfers of care
- incorporate report function into
sign-in / sign-out rounds
- Direct observation of handoffs
Communication Curriculum (PGY 2)
- Group sessions
- Didactic curriculum
- Standardized patient encounters
- Empathy Sessions
- Summative evaluation in PDL
7. Patient Outcomes Assessment In-patient
- hospital (JCAHO) initiatives
Out-patient
- Extending DM to all residents
- Pilot another chronic illness
8. Evaluation Portfolio Organized to create a single mean by level of training across 6 ACGME competencies
360 degrees
Integration of patient outcome data
Break free the chains of any commercial vendor
Culture of safety assessment (program wide)
Annual program evaluation
Annual faculty evaluation
9. Quality Improvement Extend expectation of resident involvement to divisional QI projects
Continue resident led QI projects in DGIM
10. Resident Centered Learning Weekly conference on every rotation around questions centered at the point of care
Contraction of rotations
Selection of tracks for PGY-3 year
Flexibility for research months in PGY-2 year
11. EIP Process Faculty Retreat
EIP Planning Committee
Four working groups
Comm / Professionalism
Inpatient QI
Outpatient QI
Evaluation
Faculty / Residents Surveys
12. “There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things.” Niccolo Machiavelli (The Prince)