creating a model program in the era of nas: a synthesis of best p ractices
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Creating a Model Program in the Era of NAS: A synthesis of best p ractices. Kim Walker, Ph.D. Education Specialist Graduate Medical Education Stanford Hospital and Clinics [email protected]. Surgery Psychiatry Urology Pediatrics. Cardiology. - PowerPoint PPT PresentationTRANSCRIPT
Graduate Medical Education
Creating a Model Program in the Era of NAS: A synthesis of best practices
Kim Walker, Ph.D.Education SpecialistGraduate Medical EducationStanford Hospital and [email protected]
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AnesthesiaInternal Medicine
Radiology Dermatology
Cardiology Sports Medicine Oncology Pathology
Surgery Psychiatry Urology Pediatrics
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Program A Program B Program C Program D
A+ ?
Life in the silos…
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Residents Program Directors
Faculty GME/DIOs
ACGME & RRCs
What are the best practices in GME (that allow everyone to smile)?
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Purpose: Qualitative analysis of surveys and internal review reports on residencies and fellowships over a two-year period to identify program-level best practices. Process: Two coders thematically analyzed each document specifically for the questions on best practices or strengths about the program. Abductive coding started with codes determined a priori (ACGME core competencies). New codes were added when additional patterns in vivo emerged, derived from the responses themselves. This iterative coding process provided strong evidence for both a priori and emergent themes related to Best Practices in residencies and fellowship programs at Stanford University.
Research Design
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DEDOOSE
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Example for Quality Improvement
Excerpts Define Best Practice
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Examples for Didactics
Excerpts Define Practice
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Most # of coded categories
Code Category # of excerpts coded
Didactics sessions 128
Research Opportunities 154
Participating Sites 170
Patient Case Variety/Load 436
Program Personnel/Resources 407
Educational Atmosphere 147
Faculty (development, participation, qualifications) 717
Program Director (including leadership and responsiveness to residents)
420
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Deciphering the codes: A model emerges
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Best Practices and Sharing from Silos
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Wiki Power
Web-based; easy access; easy content addition and evolution
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THINK – PAIR – SHARE
THINK: What is one “best practice” that stands out in your mind from your institution or particular program? In what category of program administration, teaching or learning does it apply?
PAIR: Take turns sharing your best practice with someone sitting next to you, even if it means saying, “I can’t think of any!”
SHARE: If willing and interested, share your best practice with the greater GME community. Post to:
http://gmebestpractices.wikispaces.com/
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REASONS TO BUILD COMMUNITY & RESOURCES
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MORE REASONS…
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MORE BEST PRACTICES…
DISCLOSURE: While numerous best practices emerged from this study, we definitely have our fair share of program weaknesses that counter-balance the strengths. But this study was focused on what is working…
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TO TAKE DOWN THE SILOS!!
IT’S TIME….