ACCREDITATION AND GENERAL INFORMATION Original Accreditation Date: March 8, 1956

1. Residency in Anatomic & Clinical PathologyMontefiore Medical CenterAlbert Einstein College of Medicine of Yeshiva Univ, Bronx, NY ACCREDITATION AND GENERAL INFORMATION Original Accreditation Date: March 8, 1956 Accreditation Status: Continued Full Accreditation Looking Forward to Fifty Years of Continuous FULL Accreditation Montefiore Pathology Residency

2. Who are we? Montefiore Pathology Residency

3. Introduction • Theme & goal: kind, nurturing, competent yet visionary residency • The major duty of the resident is to learn • One of largest pathology residencies in US • ACGME/RRC Fully & Continuously Approved: Pathology, Neuropathology, Hematopathology, Cytopathology; also GYN, Renal/GU, & Surgical Pathology (non-RRC) • Forward looking “competencies” included in residency and evaluations Montefiore Pathology Residency

4. The Moodle Revolution Montefiore Pathology Residency

5. ELEARNING PROGRAM (http MOODLE://moodle.org/) http://pathology-ed.aecom.yu.edu. • Moodle is our course management system - a software package designed to help educators create quality online courses. Such e-learning systems are sometimes also called Learning Management Systems or Virtual Learning Environments. One of the main advantages of Moodle over other systems is a strong grounding in social constructionist pedagogy. Moodle is Open Source software. Montefiore Pathology Residency

6. MOODLE Philosophy (http://moodle.org/doc/?frame=philosophy.html): • The design and development of Moodle is guided by a particular philosophy of learning, a way of thinking that you may see referred to in shorthand as a "social constructionist pedagogy". Montefiore Pathology Residency

7. MOODLE 1. Constructivism: • This point of view maintains that people actively constructnew knowledge as they interact with their environment. Montefiore Pathology Residency

8. MOODLE 2. Constructionism: • Constructionism asserts that learning is particularly effective when constructing something for others to experience. Montefiore Pathology Residency

9. MOODLE 3. Social Constructivism: • This extends the above ideas into a social group constructing things for one another, collaboratively creating a small culture of shared artifacts with shared meanings. When one is immersed within a culture like this, one is learning all the time about how to be a part of that culture, on many levels. Montefiore Pathology Residency

10. MOODLE 4. Connected and Separate: • Separate behavior is when someone tries to remain 'objective' and 'factual'. In general, a healthy amount of connected behavior within a learning community is a very powerful stimulant for learning, not only bringing people closer together but promoting deeper reflection and re-examination of their existing beliefs. Montefiore Pathology Residency

11. MOODLE 5. Teacher: • A 'teacher' can change from being 'the source of knowledge' to being an influencer and role model of class culture, connecting with students in a personal way that addresses their own learning needs, and moderating discussions and activities in a way that collectively leads students towards the learning goals of the class. Montefiore Pathology Residency

12. MOODLE 6. eLearning • We have made dramatic strides in our eLearning, and web based self-assessment (MOODLE MONTEFIORE), which will allow both residents and faculty to be more consistently and strongly involved in this type of communal education. Montefiore Pathology Residency

13. MOODLE 7. Curricula, Goals & eTest • Residents are also supplied with Curricula, Goals & eTest (optimally before & after rotation) on MOODLE MONTEFIORE • More “robust” information, e.g., ADDENDA • NB – and EVALUATIONS! Montefiore Pathology Residency

14. MOODLE 8. Evaluations: • 1. EXAMPLE OF MOODLE REMINDER FOR EVALUATION: • 2. CUMULATIVE EMAIL WEEKLY UPDATE OF OUTSTANDING EVALUATIONS • 3. Template – End of Rotation COMPETENCY Evaluation of Residents • 4. Professionalism – Self-Assessment • 5. Communication Skills and Professionalism –360 EVALUATION • 6. FINAL ASSESSMENT Montefiore Pathology Residency

15. MOODLE 9. Calendar - Weekly conferences: • Calendar: You will find a listing of the weekly conferences that occur on the East and West campuses when we review our MOODLE SITE. • Email reminder of conferences DAILY – required & suggested – to each resident & faculty member. Montefiore Pathology Residency

16. MOODLE MONTEFIORE & Community of Information: • MOODLE MONTEFIORE & Community of Information: The Residency maintains active bulletin boards on jobs, meetings, and issues in pathology and medicine. This coupled with numerous mailings on issues like competency creates the connectivity glue that a thriving residency and faculty wants, benefit from and maintain spirit. The numerous events as the residents’ research night, the pathology annual retreat, the winter gala, the farewell and awards dinner, and the incoming breakfasts maintains this sense of community. Montefiore Pathology Residency

17. MOODLE & Governance: • The broad based input by residents and faculty, and checks & balances in the governance of the residency are a great strength. Formal meetings on the residency occur every two weeks with the Residency Advisory Committee and then with the Chair and Chief Residents with Program Director in attendance. Decisions are typically communal, with the right to appeal and in most cases go directly to the representative RAC, which includes all the chief residents. Montefiore Pathology Residency

18. MOODLE MONTEFIORE – our “Virtual Community of Learning” : • Over the past two year we have actively met monthly, met as a group and had a retreat to institute construction, fielding, implementation, usage, and analysis of our Competency evaluations, goals & curricula, and self-assessment/eTests. This is all via our MOODLE Site. This has been highly successful as a way of expanding our goals via the Competencies, and impacting resident & faculty education. This modality has richly enhanced all aspects of our educational initiative and could be a “Best Practice” opportunity for all programs (we have shared this information with programs across North America & exhibited this at ACGME via poster & individual sessions with Drs. Leach, Nestler & the ACGME MIS group). Montefiore Pathology Residency

19. Moodle – eTesting & Course Development • Course Management System (CMS) • Web-based eTesting • Web-based updating • Automated record-keeping of testing & surveys • E-Tests • Course content • Lessons • Discussions Montefiore Pathology Residency

20. Moodle – Faculty Training Montefiore Pathology Residency

21. The Dubler Residency Ethics Curriculum: First in Pathology • Chapter I: Ethical Foundations of Clinical Practice • •                      A brief history of ethics in the clinical setting • •                      The role of ethics in clinical medicine • •                                              Clinical ethics consultation • •                                              Bioethics committees • •                      Fundamental ethical principles • •                                              Respecting patient autonomy • •                                              Beneficence • •                                              Nonmaleficence • •                                              Justice • •                      Principlism and alternative approaches • •                      Conflicting obligations and ethical dilemmas Montefiore Pathology Residency

22. The Moodle eTest Montefiore Pathology Residency

23. Moodle-Dubler’s eTest in Ethics Montefiore Pathology Residency

24. Moodle - Content • Images • PDF’s • Lessons • PowerPoint • Word documents • Discussions Montefiore Pathology Residency

25. The Moodle Site: pathology-ed.aecom.yu.edu • http:// pathology-ed.aecom.yu.edu/moodle Montefiore Pathology Residency

26. Leaders in National Pathology Recruitment Module for USA Medical Schools Career Opportunities inPATHOLOGYThe Intersociety Committee on Pathology Information. Montefiore Pathology Residency

27. National Leadership in GME & Competency – Few in Pathology Montefiore Pathology Residency

28. Patient Care Professionalism Interpersonal & Communication Skills Competency: The Resident Perspective Practice-Based Learning & Improvement Systems Based Practice Medical Knowledge Montefiore Pathology Residency

29. Competency: Where we are…. • Competency Working Group • Evaluations, eTests, Curriculum • Opportunities for Resident Input • Residency Town Hall Meetings • CP Town Hall Meeting • Resident Surveys • Opportunities to provide feedback • Mid-year review • Chief Residents Meetings • End-of-rotation evaluation of rotation and faculty Montefiore Pathology Residency

30. National Resident Perspective: Our Participation • AAMC – Organization of Resident Representatives • USCAP, ASCP – future directions • CAP – Residents Forum • Retreats with residents involved in revising/modifying goals & objectives • Addition of Ethics, Professionalism, and Health Care Delivery & Management to Didactic Lecture Series • Re-structuring of Departmental Conferences Montefiore Pathology Residency

31. Future Directions (1) • Patient Care (Related Activities) • Practicum-based evaluations • Conferences that document “Learning Curve” • Medical Knowledge • DETAILED CORE • Full cadre of Etests • Practice Based Learning & Improvement • Resident Portfolios • Quality Assurance/Improvement Studies Montefiore Pathology Residency

32. Future Directions (2) • Interpersonal & Communication Skills and Professionalism • 360° evaluations – support staff, techs, supervisors, lab managers, clinicians from other services, as well as supervising Pathology attending(s) • Simulated “professional” interactions • Ethics • Systems-Based Practice • Expanded Laboratory Management Component with emphasis on Pathology’s role in health care delivery • More inclusive Didactic Lecture Series Montefiore Pathology Residency

33. Competency Leadership: Why us? In a few short years residents and fellows will be Attending Pathologists at institutions with residency training programs and will be (to some extent) responsible for that program remaining accredited on the basis of their ability to produce “COMPETENT” pathologists. If we are part of the process now, we will understand and control what we need to do later!! Montefiore Pathology Residency

34. Thanks for Presentation Help…. • Dr. Tylis Chang – Moodle Presentation • Dr. Samson Fine – Competency Presentation • Ms. Betty Edwards – Residency Information Montefiore Pathology Residency

35. Half-a-Century of Educational Excellence: Past, Present & Future Montefiore Pathology Residency

36. The espirit Montefiore Pathology Residency