department of medicine clinical educator portfolio workshop...oct 22, 2014 · department of...

Department of Medicine Clinical Educator Portfolio

Workshop

Presented by: The Office of Faculty Development

October 22, 2014

CEP Workshop Agenda • Introduction

– Office of Faculty Development (OFD)

• WU CV and CEP – What’s the difference? – Appointments &

Promotion • Small Group Discussion &

CEP Review

• Dr. Angela Brown

• Dr. Victoria Fraser

Welcome and Overview

The Office of Faculty Development Department of Medicine 314-454-8960

http://ofd.wustl.edu

Office of Faculty Development Department of Internal Medicine

Mission Provide DOM faculty with

guidance & resources that foster professional and personal development to achieve academic and clinical excellence in a supportive environment.

Academic Career Pace?

Keep Track of Your Activities • NIH Biosketch • Curriculum Vitae (CV) • Clinician Educator Portfolio (CEP) • Other Support • Trainee Tables • Pertinent records of effort: lectures, teaching, clinical

time, administrative, service • Community activities • Scholarship, Research projects, abstracts and papers • Honors and awards • This is your “portfolio”

Interact With Mentors & Bosses • Update them regularly • Show them data, progress, goals & objectives, productivity • Don’t be shy, come with agenda and questions, lists • Foster regular performance goals & appraisals • Solicit feedback • Do self appraisals & ask for feedback • Make sure your goals and theirs align • Assess your top priorities vs how you actually spend time

Promotions Process

• Division Chief & Department Chair review all faculty annually

• Portfolio: CV, CEP, letters, manuscripts • Pillars of Excellence: research, clinical, education • APGAR document criteria w/ Departmental view • Internal departmental review committee • Ad Hoc Committee (no DOM members, 4-6 Dept

Chairs, 2-3 senior faculty reps) • Executive Faculty Review • WU Board Review

2009 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2019

Today

End Year 10 6/30/2019

Promotion 7/1/2018

End Year 8 6/30/2017

End Year 7 6/30/2016

Hire Date 10/1/2009

Start of Tenure Clock

7/1/2009

Promotion paperwork to Chair's Office 2/1/2017 - 3/1/2017

Board of Trustees Meeting 3/1/2018 - 3/31/2018

Terminal Letter (if necessary) 3/1/2018 - 3/31/2018

Packet Processing Timeline

Division Begins

Processing Packet

?? Division Packet is complete

??

Division Submits

Packet to Chairman’s

office

1 week

Department Chairman Approval

1-3 weeks Division

Chiefs Approval

2-4 months Ad Hoc

Committee Approval

1-4 months Executive Faculty

Approval

Tenure Only Board of Trustees

Packet is reviewed for proper format and

content

1 week

1 -4 months

Division makes decision to hire new faculty member or promote

existing faculty member Should start collecting documents immediately

Chairman’s Approval

• *) All documents presented should be in presentation-ready form.

• *) Proper spelling, grammar, punctuation and formatting should be used.

• *) Packet will be reviewed prior to being sent to committee.

Curriculum Vitae • Reflects the traditional emphasis on research, grants,

and publications • Propels the prevalent attitude that “scholar equals

researcher”

• Challenge to measuring academic success for those not primarily involved in research but engaged in promoting the institution’s clinical and education missions

Curriculum Vitae • All faculty members must have a comprehensive

curriculum vitae in the Washington University format

o https://facultyaffairs.wustl.edu.edu/ApptPromo/Pages/CurriculumVitaeWUSMFormat.aspx

o http://ofd.dom.wustl.edu/appointments-and-promotions/cv-guidelines-and-format.html

Do not need to force outline format with numbers and

letters that waste space and make narrow text columns!

Curriculum Vitae Washington University Format

• Date (date CV is prepared): • Personal Information (optional): Include a Picture!

Date of Birth Place of Birth

• Citizenship: USA_____ Other_____ • Address and Telephone Numbers: Office Home (not required)

NOT YOUR SSN or Private information


• Present Position: • Education:

Undergraduate Graduate Postgraduate

• Academic Positions / Employment: o Oldest to most recent


• University and Hospital Appointments and Committees:

• Military Service: (Optional) Continuing military obligations Status as a Vietnam Veteran

• Honors and Awards:


• Editorial Responsibilities: • Professional Societies and Organizations: • Major Invited Professorships and

Lectureships: • Consulting Relationships and Board

Memberships:


• Research Support (role, title, duration, amount) Governmental Non-governmental

• Patents • Clinical Title and Responsibilities: • Teaching Title and Responsibilities:


• Bibliography: Peer reviewed manuscripts: do not include submitted, Correct format, number articles, BOLD your name 1. Kaplan HJ, Streilein, JW. Do immunologically

priviledged sites require a functioning spleen? Nature 1974: 251: 553-554

Invited publications Movies, videotapes, etc.

o Oldest and progressing to most recent

Clinical Educator Portfolio • Required for all faculty members on the clinician track • Supplement to CV that is a detailed compilation of clinical,

educational, and community service activities

• Showcases the quality and extent of clinical expertise, educational scholarship, and other areas not covered in the traditional CV making this body of work peer reviewable

• Should not duplicate the CV (especially publications), but

content should be consistent

Clinical Educator Portfolio • “Real time” document • Can be used as a tool for strategic career planning

and development • Personal mission statement • Career goals and objectives • Long term strategic plan • Personal theory of teaching and learning

o https://facultyaffairs.wusm.wustl.edu/NewFac/Pages/ClinicalEducatorPortfolio.aspx

o http://ofd.dom.wustl.edu/clinical-educator-portfolio.html

Clinical Educator Portfolio Components

• Clinical contributions

• Educational Contributions

• Community service contributions

Summaries of ongoing clinical activities

Describe all inpatient and outpatient clinical activities including: Location

o (BJH, CAM, outreach) Type of service

o Inpatient, consult service, and general ward attending Time on service

o Weeks or months per year, quarter, etc. Responsibilities

o Describe what you do in terms that a non-clinical person would understand

Summaries of ongoing clinical activities Describe all inpatient and outpatient clinical activities including: Clinic volume (can query Allscripts, number of sessions

per month, number of patient visits per year, consults, number of procedures)

Specialty clinics you developed or oversee o Asthma, Hypertension, IBD, Diabetes o Describe activities, role, responsibilities

Document year by year o Include most recent 5 years if available o Update yearly o For more senior faculty, may include a summary of earlier

work


• Traditional CV • Clinical Title and Responsibilities

– Internal Medicine Inpatient attending, Barnes-Jewish Hospital

• CEP • Internal Medicine Inpatient

Attending – Daily supervision and teaching

of IM residents and medical students in management of general internal medicine patients admitted to BJH

– Daily documentation of all findings, review of records and resident notes, meeting with ancillary staff

– Supervised all procedures – Lead medical care and family

meetings – 3 hours per day, 2 months per

academic year


• CEP • General Medicine Clinic

Attending, Center for Outpatient Health, Barnes-Jewish Hospital – 2011-2012 – Supervised 4 residents, three ½

day clinics per week – 741 total outpatient visits – Supervised initiative to improve

immunization delivery to all patients

– 2012-2013 – Supervised 5 residents, three ½

day clinics per week – 813 total outpatient visits (10%

increase in volume) – Continued immunization

initiative (30% increase) – Developed protocol for

scheduling bone density studies for post-menopausal women

• Traditional CV • Clinical Title and

Responsibilities – General Medicine Clinic

Attending, Center for Outpatient Health, Barnes-Jewish Hospital


• Traditional CV • Clinical Title and

Responsibilities – Director, Renal Fellows Clinic,

Division of Renal Medicine, Washington University School of Medicine

• CEP • Director, Renal Fellows Clinic,

Division of Renal Medicine, Washington University School of Medicine – Weekly supervision and

teaching of renal fellows in the outpatient continuity clinic

– Management of patients with diverse renal diseases, including patients with chronic kidney disease, glomerulonephritis, nephrotic syndrome, kidney stones

– 15-18 patients per session – Supervision of renal biopsies,

4-5 per month

Development of methods to improve quality and efficiency of clinical care

• Describe the area of need and what was developed • Documentation guidelines for your area • Outreach clinics • Policy and procedure development • Involvement in QI initiatives (document change, evaluation, updates)

• Who was involved in the development (solo,

panel, team) and target audience


Renal replacement therapy was delivered sporadically in our ICU prior to 2002. With advancing technology, gaps in knowledge were identified. In conjunction with our nephrologists, we spearheaded an intensive educational program for the MDs & RNs caring for the pts. receiving CRRT

. Standard orders, bedside flowsheets, & safety tools were

constructed. A core team of RNs were recruited, & underwent an extensive didactic & practical training program. Comparison of data before & after the program demonstrated a 45% reduction in mathematical flowsheet errors.

Data was presented at the 2004 ASN Meeting.


“I have been very interested in the interface between medicine, IT, & patient safety. I began an initiative to improve resident handoffs in pediatrics. In 2006-2007, I was part of a committee that designed, developed, & implemented “E-report”, a web-based auto-populated resident handoff application. In 2012, “E-report” was replaced with IPASS, a hand-off application within the Sunrise Eclipsys EMR. Both “E-report” & IPASS serve to improve communication & decrease medical errors incurred through patient hand-offs & transitions of care. Because “E-report” is internally maintained by BJC IS, we do not carry the risk of costly proprietary maintenance and updates.”

Development of Clinical Guidelines or Carepaths

• Describe the area of need and what was developed

• Who was involved in the development

• Target audience

Development of clinical guidelines or carepaths

• Inpatient asthma pathways

• ED head injury protocols

• Nurse answer line triage information

• Physician leader for BJH participation in Organ Transplant Breakthrough Collaborative, multidisciplinary initiative by the DHHS designed to improve donation practices in the AA communityUS. Intensive regional meetings and ongoing communication with hospital colleagues over the last six months with the plan to achieve the national goal of 75% recovery of potential organ donors.

Involvement in Clinical Trials Trials or Grants • Include only trials related to patient-oriented

research • List trial name and time period • Do not include budget information • Describe your role in the trial • May include relevant industry sponsored trials • Non-governmental granting agencies

Clinical administrative responsibilities

• Clinical director of an area, e.g., heart station

• Fellowship or residency training program • PA or NP oversight in your division • Brief description including your role,

responsibilities, activities, time commitment, etc.

Clinical administrative responsibilities

• Traditional CV o Program Director of

Renal Medicine Fellowship

• CEP o PD of Renal Fellowship: Fellowship

program consists of 10-12 trainees in renal medicine. Responsibilities include recruitment of new trainees, coordination of application process & evaluation of applicants; orientation to program; evaluation & review of trainees; feedback to trainees on clinical performance; clinical service schedule for trainees; assurance program meets ABIM & ACGME requirements; coordinate fellowship education program; assistance with research mentor selection & research progress; career guidance; general liaison between trainees & attending staff.

Original Contributions to Medical Literature

• DO NOT duplicate CV • May indicate “See CV” • Include non-traditional publications – online

submissions, non-peer reviewed journals • Educational pamphlets CDs, or DVDs for

health professionals (not lay literature) • Number Chronologically from oldest to most

recent

Original Contributions to Medical Literature

• Bereavement multi-media DVDs o Lammert C, Duffy R, Executive Producers. Duffy

D, Producer. Grieving in the NICU – Mending Broken Hearts when a Baby Dies. DIA Productions LLC in Collaboration with Washington University School of Medicine, 2007

Case Reports and Reviews

• May show focus on one particular area of interest or expertise

• Point out evolution of involvement in focus area o case reports o clinics o national recognition

Development of patented material or techniques

• Do not duplicate the CV • Medical school has specific guidelines for

intellectual property

Feedback • Medical student feedback from inpatient

rotations goes to your division director on an annual basis

• Resident and fellow feedback if available • Faculty Practice Plan survey date (online at

http://fpp.wusm/wustl.edu/) • Feedback from families (selective) • Consider having someone write a summary of

available objective data

Didactic Teaching Sessions • Indicate your role - course master, lecturer, small group leader

• Describe courses, lectures, symposia, panels

• Indicate target audience and number impacted – medical

students, residents, fellows, PT/OT students, nursing groups • Time commitment - number of hours per week, month, or

year • Don’t undervalue yourself – even if it’s the same talk, it has

value

Didactic Teaching Sessions

• Traditional CV o Teaching Title and

Responsibilities − Coursemaster, Doctors on

Film 4th Year Elective (M25 839), Washington University School of Medicine, 2005-present

• CEP o Coursemaster, Doctors on

Film 4th Year Elective (M25 839), Washington University School of Medicine, 2005-present − Two 4-week sessions

with 6-8 students each per academic year, total student contact time 36 hours per year

Didactic Teaching Sessions

• Traditional CV o Teaching Title and

Responsibilities – Lecturer, Ambulatory Care

Experience for Students (ACES) Program (M25 710), Washington University School of Medicine, 1996-present

• CEP o Lecturer, Ambulatory Care

Experience for Students (ACES) Program (M25 710), Washington University School of Medicine, 1996-present − 2-3 hours of small group (6-12

third year medical students) discussion per week regarding major ambulatory internal medicine topics, total student contact time 120 hours per year

New Courses or Lectures

• Describe purpose of course and gap filled • Target audience o Coursemaster. “Introduction to Newborn Medicine”.

WUMS-I Selective The purpose of this 10 hour course is to provide an

introduction into newborn medicine not otherwise offered in the first year curriculum. Students review functional organ system development and correlate normal physiology with pathologic condition in newborn infants.

New Handouts or Other Guides for Trainees

• Handouts, slides, syllabi or other guides • Include enduring material

o e.g. – “10 Minute Neuro Consult” for 3rd year medical students on internal medicine rotation

Curriculum Development

• Describe course content o New course o Description of changes made to existing course

• Target audience o Resident rotations, electives, student interest groups,

clerkships • Time commitment

Curriculum Development

• Director, Ambulatory Care Experience for Students (ACES) Program (M25 710), Washington University School of Medicine, 1996-present

This 4-week rotation is dedicated to outpatient care and occurs during the total 12 week internal medicine 3rd year rotation. The mission is to provide medical students the opportunity to gain basic knowledge, skills, attitudes, and insights regarding the practice of ambulatory internal medicine which traditional inpatient training does not provide.

Development of New Methods of Education

• Simulation Modules • Assessment tools developed

o Such as exam questions, checklists, objective structured clinical examination

o “Three Minute Daily Feedback” Form for medical

student evaluation – I developed a daily evaluation form to help pediatric hospitalists provide regular constructive feedback to third year medical students participating in the Progress West Pediatric Clerkship.

Mentoring Trainees: Graduate Students, Fellows, Medical Students, Residents for Whom Mentorship Was

Provided • List name of mentee, time-period, activity • Should include current position of mentees who

have completed mentorship period • Briefly describe type of mentorship provided

o graduate and medical students, residents, fellows, other faculty

o career development o one-on-one training in particular area of expertise

Mentorship • Faculty Advisory Program, Washington

University School of Medicine, 15 students, 2009-2010

• AMWA o Xxxx Xxxx, 2009 -2010

• Cardiology Fellows Research Program o Xxxx Xxxx, 2007-2010, currently Assistant Professor

at University of Michigan, Department of Cardiology

o Xxxx Xxxx, 2010-2013 o Xxxx Xxxx, 2011-2013

Development or participation in CME Courses

• Include conferences, workshops, seminars, grand rounds

• List course name, role (chair, lecturer), topic,

location, date

• List chronologically by year (oldest to most recent)

Development or participation in CME Courses

• Course Co-Chairman, Comprehensive Review of Internal Medicine and Board Preparation Course, Department of Internal Medicine, Washington University School of Medicine, 2000-2007

• “DLG1 and CASK cooperate to influence nephron progenitor proliferation and migration”. 43rd annual meeting of the ASN, Denver, CO, November 2010

Feedback & Honors/Awards

• May include course evaluations o e.g., letter from dean of medical education or coursemaster

with summary of evaluation scores • Awards and recognition for educational excellence • Medical School or other grants

o 2008-2010 Loeb Teaching Fellowship, Washington University School of Medicine and Barnes-Jewish Hospital

o 2011 Distinguished Service Teaching Award, Washington University School of Medicine

Clinical Lecturer of the Year Award, Washington University School of Medicine

Clerkship Director of the Year, Washington University School of Medicine

Lay Literature

• Include relevant articles, pamphlets, DVDs, online content geared toward lay audience

Participation in Department, School of Medicine, University, Hospital Committees/Activities

• Pursue leadership opportunities

• Make specific contributions

• Describe committee/activity and your role

• Time commitment

Participation in Local, Regional, National Committees

• Pursue leadership, utilize for networking & career development

• Describe committee and your role

• Time commitment

• May include participation on editorial boards, manuscripts review, grant review

Media Activities • Include radio, TV, and newspaper interviews • Include medical school or hospital public

relations community outreach events o e.g. – lecture on your topic of expertise at

WUSM-sponsored women’s health evening symposium

Community Service Contributions

• Traditional CV o Clerkship Directors

in Internal Medicine, 2001-present

• CEP o Clerkship Directors in Internal

Medicine – CDIM is a specialty organization

representing departments of internal medicine at medical schools and teaching hospitals in the United States and Canada.

– 2001-2004 Education Committee – 2005-2007 Vice-chair Curriculum

Committee, Councilor – 2007-2009 Treasurer – 2009-2010 President-Elect – 2010-present President

Other

• Any relevant and unique clinical or educational contribution that is not included in the CV or elsewhere in this document

SUMMARY • APGAR document

– http://ofd.wustl.edu/appointments-and-promotions.html

• WU Curriculum Vitae Format

– http://ofd.wustl.edu/curriculum-vitae-wusm-format.html

• Clinical Educator Portfolio

– http://ofd.dom.wustl.edu/clinical-educator-portfolio.html

Thank You! Please take a few minutes to fill out

your workshop evaluation

The Office of Faculty Development Department of Medicine

Washington University School of Medicine 660 South Euclid, Campus Box 8051

: 314-454-8960 Fax: 314-454-8279

WEB: http://ofd.wustl.edu

department of medicine clinical educator portfolio workshop...oct 22, 2014 · department of...

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