JCTSE: Implementation of a Surgical Curriculum in ......1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Percent...
Transcript of JCTSE: Implementation of a Surgical Curriculum in ......1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Percent...
Portfolios and Courses
Edward D. Verrier, MDMerendino Professor of Cardiovascular Surgery
University of Washington
Surgical Director of Education
Joint Council on Thoracic Surgery Education
JCTSE: Implementation of a Surgical Curriculum
in Cardiothoracic Surgery
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
THORACIC SURGERY
continuous education
universe
Residentor
LearnerPortfolio
ProgramInformation
Portfolio
U.S ThoracicSpecialtyPortfolio
Educational PortfoliosEducational Portfolios
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Secure Learner PortfoliosSecure Learner Portfolios
WHAT IS A SECURE LEARNER PORTFOLIO?
Teaching
Curr Vitae
OR Cases
Research
Texts
Meetings
Courses
Self-As’ment
Journals
Exams
Learning Agenda
Creativity
CurriculumCopyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
Secure Learner PortfoliosSecure Learner Portfolios
SELECT FROM ABOVE FOLDERS TO PROCEEDSELECT FROM ABOVE FOLDERS TO PROCEED
INFO: WHAT LEARNING PROJECTS CAN I STORE ?
1. Traditional Learning ActivitiesMeetings, Courses, Journals, Texts
2. E-Learning ActivitiesCurriculum, Modules, e-journals, e-Texts, e-Courses, simulators
3. Curriculum VitaePublications, abstracts, presentations, honors, awards
4. Residency Work Hours5. Clinical Case-Based Activities
Volumes, distribution, skills, outcomes6. Learning Plans & Goals
Knowledge areas, Skills, Meetings, Readings, Study
EDIT ADD REPORT HOME REVIEW
USER INFO - YOUR SECURE LEARNER PORTFOLIO
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Secure Learner PortfoliosSecure Learner Portfolios
SELECT FROM FOLDERS ABOVE TO PROCEEDSELECT FROM FOLDERS ABOVE TO PROCEED
NEW LEARNING CONTENT ASSIGNMENTLEARNING PROJECTS ADDED TO RESIDENT GOALS &
OBJECTIVES
REVIEW EDIT REPORT
Project Code Due By
Title:
Project Code Due By
Title:
TSC 09-10 11/1/14
CLICK HERE TO ACCEPT PROJECTCLICK HERE TO ACCEPT PROJECT
John Smith, M.D.TSDA #04DEF210
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Mgmt Complications of Mitral Valve Repair
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
THORACIC SURGERY CURRICULUM UTILIZATION
Resident ActivityUNIVERSITY OF SOUTHERN MAINE
Univ S. MaineID HRD 554
access.Date
TopicActivity
MilestoneActivity
SummaryCharts
John Smith, MD00234HGF
7/1/04
NationalAverages
7/1/04
Select resident activity for detailed information.PrintReport
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
THORACICC SURGERY CURRICULUM UTILIZATION
Individual Resident Activity UNIVERSITY OF SOUTHERN MAINE
Resident NameID Number
Matricul.Date
TopicSessions
Total TSC
Hours
AssessmentQuiz
PercentComplete
John Smith, MD00234HGF
7/1/14 76 31 16 68%
First Use: 7/4/2013 Last Use: 11/21/2003 Today: 11/21/2013
Basic Cardiac Anatomy / Physiology CV 01-04
88% Thoracic Critical Care TS TS 07-08
22%
Normal Thoracic Anatomy / Physiology (TS 01-04
76% Endoscopy FundamentalsTS 09
45%
Ischemic Heart Disease CV 05-10
21% Lung & Airway DiseaseTS 10-15
32%
Valvular Heart DiseaseCV 11-15
56% Esophageal diseaseTS 16-22
87%
Great Vessel Disease 11% Mediastinum/Pleura/Chest Wall 77%
End stage CardiopulomaryDisease Cv 16
2% Academics, Ethics & Professionalism 54%
Cardiac Critical care CV 20 56% Congenital Heart Disease 58%Print
Report Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
THORACIC SURGERY CURRICULUM UTILIZATION
Individual Resident Activity UNIVERSITY OF SOUTHERN MAINE
First Use: 7/4/2003 Last Use: 11/21/2003 Today: 11/21/2003 PrintReport
0102030405060708090
100
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr
Percent Completion of TSCCurriculum
Dr. Smith
National
Resident NameID Number
Matricul.Date
TopicSessions
TSCHours
Milestonescompleted
PercentComplete
John Smith, MD00234HGF
7/1/14 76 31 16 68%
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
ProgramEducational
Portfolio
THORACIC SURGERY
continuous education
universe Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
THORACIC SURGERYCURRICULUM UTILIZATION
Resident ActivityUNIVERSITY OF SOUTHERN MAINE
Resident NameID Number
Matricul.Date
Total TSCSessions
Total TSCHours
AverageSession
PercentComplete
John Smith, MD00234HGF
7/1/04 76 31 16 68%
Mary Jones, MD00234HGF
7/1/04 21 6 12 22%
Richard Liu, MD00234HGF
7/1/05 5 2 21 18%
Margaret Jon, MD00234HGF
7/1/05 0 0 0 0%
Select resident name for individual information.Print
Report
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
THORACIC SURGERY CURRICULUM MILESTONES
Individual Resident Activity UNIVERSITY OF SOUTHERN MAINE
Resident NameID Number
Matricul.Date
Total TSCSessions
Total TSCHours
AverageSession
PercentComplete
John Smith, MD00234HGF
7/1/14 76 31 16 68%
First Use: 7/4/2013 Last Use: 11/21/2013 Today: 11/21/2013
Ischemic Hrt Dx Medical Knowledge 88% Critical Care Medical Knowledge 22%
ISHD Patient Care 76% Critical Care Patient Care 45%
Valvular Hrt Dx Medical Knowledge 21% Lung / Airway Medical Knowledge 32%
VHD Patient Care 56% Lung / Airway Patient care 87%
Great Vessel Medical Knowledge 11% Esophageal Disease Medical knowledge
77%
Great Vessel Patient Care 2% Esophageal Disease Patient Care 54%
End Stage Cardiopulmonary MK / PC 56% Mediastinum/Chest Wall / Pleural MK / PC
58%
PrintReport
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
THORACIC SURGERY CURRICULUM MILESTONES
Individual Program Activity UNIVERSITY OF SOUTHERN MAINE
First Use: 7/4/2003 Last Use: 11/21/2003 Today: 11/21/2003
Ischemic Hrt Dx Medical Knowledge 88% Critical Care Medical Knowledge 22%
ISHD Patient Care 76% Critical Care Patient Care 45%
Valvular Hrt Dx Medical Knowledge 21% Lung / Airway Medical Knowledge 32%
VHD Patient Care 56% Lung / Airway Patient care 87%
Great Vessel Medical Knowledge 11% Esophageal Disease Medical knowledge
77%
Great Vessel Patient Care 2% Esophageal Disease Patient Care 54%
End Stage Cardiopulmonary MK / PC 56% Mediastinum/Chest Wall / Pleural MK / PC
58%
PrintReport
Resident NameID Number
Matricul.Date
Total TSC Sessions
Total TSCHours
AverageSession
PercentComplete
Univ S. Maine00234HGF
7/1/14 304 124 16 68%
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
Program NameID Number
Matricul.Date
Total TSCSessions
Total TSCHours
AverageSession
PercentComplete
Univ South Maine00234HGF
7/1/14 304 134 16 68%
First Use: 7/4/2013 Last Use: 11/21/2013 Today: 11/21/2013Print
Report
0102030405060708090100
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr
Percent Completion of TSCCurriculum
National Dr. Smith
Dr. Jones Dr. Liu
Dr. Jon
THORACIC SURGERY CURRICULUM UTILIZATION
Aggregate Program Activity UNIVERSITY OF SOUTHERN MAINE
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
Program NameID Number
Matricul.Date
Total TSCSessions
Total TSCHours
AverageSession
PercentComplete
All US Programs 7/1/14 6,304 2,134 16 56%
First Use: 7/4/2013 Last Use: 11/21/2013 Today: 11/21/2013
PrintReport
0102030405060708090
100
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr
Percent Completion of Thoracic Surgery Curriculum
National
PGY-5
PGY-6
PGY-7
PGY-8
THORACIC SURGERY CURRICULUMUTILIZATION
National Program Activity
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National OverviewOverall Progress
0
10
20
30
40
50
60
70
80
90
100
12‐Nov 17‐Nov 22‐Nov 27‐Nov 2‐Dec 7‐Dec 12‐Dec 17‐Dec 22‐Dec
Course 1
Course 2
Course 3
Course 4
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
When are Quizzes Being Attempted?
0
5
10
15
20
25
30
35
40
45
50
Midnight to 4AM
4 AM to 8 AM 8 AM to Noon Noon to 4 PM 4 PM to 8 PM 8 PM toMidnight
Percentage of Quiz Attempts Throughout the Day
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
Basic Course #3Disorders of the Trachea and Bronchus
Basic Course #4Tracheal and Bronchial Surgery
There have been 22 quiz attempts by 10 individuals.
The graph shows the highest grades for the 12 individuals.
10 individuals have passed this courseMayo 4 of 6MDACC 3 of 4UTSCSA 3 of 5UM 0 of 4
Mean ± SD quiz attempts to complete this course2.0 ± 1.2
There have been 45 quiz attempts by 15 individuals.
The graph shows the highest grade for the 15 individuals.
6 individuals have passed this courseMayo 3 of 6MDACC 2 of 4UTSCSA 1 of 5UM 0 of 4
Mean ± SD quiz attempts to complete this course4.3 ± 1.5 Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
ResidentProgram
Dash Board
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Thoracic Surgery CurriculumDashboard Project
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Thoracic Surgery CurriculumDashboard Project
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
Thoracic Surgery Curriculum ProjectsResident Dashboard Implementation Strategy
RESIDENT ITE PERFORMANCERESIDENT ITE
PERFORMANCE
65% 45-99 68%
% -TILE TSITE SCORE
Resident Mean Value
Program Value Range
National Mean Value
PerformanceParameter
Value Scale
Resident Value
ProgramRange
ScaleUnits
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
Thoracic Surgery Curriculum ProjectsProgram Dashboard Implementation Strategy
75% 65-99 88%
100
0.00
ITE SCOREPERFORMANCE Performance
Parameter
ProgramMean
ProgramRange
NationalMean
Value Scale& Range
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
WEEKLY AVGWORK HOURS
THORACIC SURGERYCURRICULUM
FACULTYEVALUATION
SURGICALCASE VOLUME
MILESTONECUIRRICULUM
INTRAININGEXAM SCORE
65% 75-99 88%
t5 45-99 78 75% 35-99 50%55% 45-99 48%
75% 45-99 68% 60% 75-99 88%
%-TILE SCOREOVERALL
% COMPLETIONPRC
% COMPLETIONCRC
OVERALL % MAX360 EVALS
% COMPLETIONOVERALL
% COMPLETIONCRC75% 65-99 88%
100
0.00
JOHN R. SMITH, MDOVERALL
PERFORMANCE
THORACIC RESIDENT PERFORMANCEPaul R. Jones, M.D.July-December 2013
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
WEEKLY AVGWORK HOURS
TSC CURRICULUM FACULTYEVALUATION
SURGICALCASE VOLUME
MILESTONECUIRRICULUM
INTRAININGEXAM SCORE
95% 75-79 78%
25% 25-99 78% 35% 35-99 50%85% 45-99 48%
40% 45-99 68% 55% 55-99 88%
%-TILE SCOREOVERALL
WEEKLYWORK HOURS
% COMPLETIONPRC
OVERALL % MAX60 EVALS
% COMPLETIONOVERALL
THORACIC RESIDENT PERFORMANCEJohn G. Smith, MDJuly-December 2013
65% 65-99 88%
100
0.00
PAUL R. JONES, MDOVERALL
PERFORMANCE
% COMPLETIONPRC
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
WEEKLY AVGWORK HOURS
TSCCURRICULUM
FACULTYEVALUATION
SURGICALCASE VOLUME
MILESTONECURRICULUM
INTRAININGEXAM SCORE
95% 75-99 88%
65% 45-99 78% 35% 35-99 50%65% 45-99 48%
65% 45-99 68% 75% 75-99 88%
%-TILE SCOREOVERALL
% COMPLETIONPRC
% COMPLETIONCRC
OVERALL % MAX360 EVALS
% COMPLETIONOVERALL
WEEKLY HOURSAVERAGE75% 65-99 88%
100
0.00
UNIV S. MAINETS RESIDENCY
OVERALLPERFORMANCE
THORACIC PROGRAM PERFORMANCEUniversity of S. MaineJuly-December 2013
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
Courses
• Curriculum can be viewed as a course
• Design specific topic courses
– Prerequisite basic learning modules
– Advanced higher cognitive learning modules
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CoursesGeneral Thoracic Surgery
Evaluation and Management of Surgical Disorders of the Trachea
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Basic Prerequisite Modules
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