Anesthesiology, Perioperative and Pain Medicine

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August 2014

Education Committee Meeting Minutes August 15, 2014

In Attendance: Drs. Adriano, Aggarwal, Angelotti, Chang, Djalali, Fanning, Gross, Hassan, Hennessy, Hsu, Jeter, Johns, Joseph, Kalra, Kulkarni, Lau, Macario, McCage, Miller, Newmark, O’Hear, Painter, Press, Saw, Schwab, Steffel, Tanaka, Travkina; Ahearn, David, Roberts

Welcome: Dr. Tanaka welcomed the new resident members of the Education Committee and reviewed the purpose and areas of oversight for the Education Committee. (Appendix A)

QI Projects: All residents must participate in QI projects during their residency training to meet ACGME requirements and to also obtain knowledge and application for their future practice. Dr. Ruth Fanning pointed out that QI is already embedded in much of our daily practice at Stanford but is often not recognized as such. A new initiative to launch this academic year is to divide the CA2 resident class into 4 groups of 6-7 with each group tackling a QI project for the next 12-18 months. Dr. Ruth Fanning will be the Faculty Director and will lead one of the 4 groups. Dr. Sam Wald (OR Medical Director), Dr. Bryan Bohman (Chief Medical Officer for University HealthCare Alliance) and Dr. Tom Caruso (Pediatric anesthesia) will each lead one of the 3 other groups. The plan is to first have the residents complete an online survey to list and prioritize QI projects they would like to see addressed. Then each group will choose a project that likely will be of highest yield and then invite other potential stakeholders such as from nursing to join the working team. The results of the project will be presented at a resident conference.

Feedback Tool: A feedback tool is available on MedHub and is being piloted with the residents. It is designed to promote daily feedback between attendings and residents in a brief, concise format. This is not meant to be a summary of the day but an opportunity for concrete, behavior specific, on the day of feedback. Residents can initiate this feedback form and/or they can ask their attending to initiate. To try out please go to: https://stanford.medhub.com/functions/evaluations/index.mh?p=anes

New Cardiac Electrophysiology Rotation: Drs. Eric Gross and Tanya Travkina are rotation directors for a new 2 week rotation based in the multispecialty division. This rotation will be offered to CA2 residents and CA1 residents near the end of their first year and is intended to fill a perceived education gap (e.g., radiation, pacemakers). There will be 10 topics, one per weekday, covered while the residents work in the Cath Lab that should be beneficial given the increase in these out-of-OR cases around the country.

MSICU Rotation Review: Dr. Tim Angelotti is the new rotation director of the MSICU rotation and he reviewed the upcoming plans for the rotation. A summary of the rotation evaluations was reviewed. Dr. Angelotti indicated the critical care faculty is moving away from daily noon lectures to online lectures with a plan to carve out some time for residents to view these lectures. They are also planning a series of applied learning lectures with dedicated teachers for specific subjects to be taught during each month. Dr. Angelotti will report back in 6 months for an update.

STARTprep Update: Amy Ahearn reviewed the STARTprep program (http://www.startprep.org/), a year-long, online, micro-learning course designed to instruct residents in the anesthesia basic sciences. Based on feedback, the program has made several changes including that questions are now available to CA2 and CA3 residents to use in their daily studies.

Pain Simulation Project: Dr. Jordan Newmark has developed a pain medicine simulation experience for the residents. This three hour simulation course will be scheduled twice during the 2014-2015 academic year with eight residents participating in each session. The plan is to schedule this during a CA3 resident lecture time period.

Chief Resident Update: The chiefs are currently working on scheduling the resident schedule several months in advance, and are finishing November and December schedules. A separate issue raised wrt the yearly rotation schedule is that once residents are finished with their subspecialty months such as cardiac anesthesia or pediatric anesthesia, they may not take care of those types of patients again during the residency. Such cases are available at the Valley for instance if a resident has a senior rotation there. There are existing senior electives in peds and cardiac but not every resident will do such an elective. The chief residents have proposed that it made possible for the 4 week senior electives on VA cardiac and pediatric anesthesia at Packard to occasionally be split into 2 week blocks for a few months in the yr so that two senior residents interested in a repeat experience can rotate through.

Transform Program: Dr. James Lau (Surgery) attended the meeting to inform the residency of the Transform Program that will soon rollout beginning with the E2ICU. The goal of the Transform Program is to emphasize interprofessional communication and teamwork on patient wards. A 45 minute health stream course introducing the language of teamwork will be followed via in-situ simulation training and debriefs, as well as quarterly patient safety conferences.


Appendix A.
EDUCATION COMMITTEE
Pedro Tanaka, M.D.
Committee Chairman

This committee oversees educational needs and programs for residents. The overall goals of the Committee are:
• earnest and helpful advocate for residents and their education
• to critically evaluate and change our teaching program as needed including clinical curriculum, workshops, and didactic conferences
• elicit feedback from residents and faculty about quality of curriculum
• remain informed about accreditation requirements, and recommend and implement program changes as necessary for compliance, such as with the milestones
• to support educational efforts to facilitate the transition from medical school to residency training and then from residency training into practice
• to promote a supportive milieu to ensure the best environment for educational experiences and optimal educational outcomes
• work together on fixable problems by combining ideas and efforts of housestaff and faculty
• to encourage and provide methods for faculty development in teaching and evaluation
• advise the Chairman and Program Director on above issues

The committee consists of faculty members, the chief residents and representatives from each residency class. Meetings are held every month, usually the second Thursday of the month. Please speak to your representative or any faculty on the committee with suggestions or comments that may improve the education for you and your fellow residents.

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