UNM INTERNAL MEDICINE RESIDENCY PROGRAM - HOSPITALIST TRAINING TRACK

UNM Hospital Medicine Spring Retreat

2 June 2015

Charles Pizanis

Patrick Rendon

Food for Thought

• In which aspects of your job as a hospitalist today do you wish you would have received more training during residency?

• What is unique to your hospital which you feel residents interested in hospital medicine should experience?

Background of the UNM Hospitalist Training Track Idea

• Hospital medicine is awesome• Hospital medicine is becoming more specialized and

competitive• We have an amazing setup at UNM Division of Hospital

Medicine

• We can offer our residents a quality hospitalist training

• UNM Hospitalist Training Track was born

Hospitalist Training Tracks• Programs across country have been developing

training tracks• University of Colorado • Tulane• Northwestern• Banner Health

• Applicants interested in hospital medicine

• Graduates of these tracks go on to become community hospitalists, academic hospitalists, and leaders in hospital medicine

Some Elements of Hospitalist Training Tracks• Training in clinical areas of hospital medicine

• Medical consultation and perioperative medicine• Procedural medicine• Transitions/post-acute care• Palliative Care, Neurology

• Exposure to quality improvement (QI) and patient safety principles and participation in QI/research efforts

• Promotion of growth in healthcare leadership traits and characteristics

• Education on economic concepts affecting medical practice

• End result: a highly trained resident skilled in clinical, quality, and economic aspects of hospital medicine

UNM Internal Medicine Residency Hospitalist Training Track Overview

Clinical Rotations

QI/Research Project

• Consultative Medicine (UNMH)• SRMC Hospitalist (SRMC)• Medical Economics (UNMH)• Neurology Consults (UNMH or

VA)

• Project chosen by resident• Guidance by HTT mentor• Goal of presentation at

conference and/or publication of project

• Online Society of Hospital Medicine (SHM) Modules

• Online Institute for Healthcare Improvement (IHI) Open School Curriculum

• Small Group Lecture Curriculum

• Paired hospitalist mentor• Track mentorship• Project mentorship• Career mentorship

Didactic Curriculum

Mentorship

Clinical Rotations

• Consultative Medicine (UNMH)• SRMC Hospitalist (SRMC)• Medical Economics (UNMH)• Neurology Consults (UNMH or VA)

• Rotations would be completed during PGY2 and PGY3 year during elective time

Quality Improvement/Research Project

• Project of either hospital medicine research or quality improvement to be completed by the end of the track

• Work together with mentor in identifying project, facilitating project, and monitoring project

• Goal: present at research at a regional or national meeting and/or publishing article

Mentorship

• Paired mentorship with hospitalist

• Mentors meet with HTT participants regularly (quarterly)

• Guidance on meeting requirements HTT, supervising the quality/research project, and assisting in career goals and advice

Didactic Curriculum

• SHM Modules• IHI Open School• Small Group Curriculum

• Hospitalist Journal Club• Lecture Circuit

• “Applying for Hospitalist Positions”• “Creating a solid CV”• “Turning QI into Research”• “Writing an Abstract”• “Documentation for the Hospitalist”• “Approach to the IRB”

Additional Elements• Societal membership

• SHM• IHI• American College of Physicians (ACP)• Society of General Internal Medicine (SGIM)

• Attendance at regional, national conferences• SHM• Quality Safety Educators Academy (QSEA)• ACP

Suggested HTT TimelinePGY 1

• Apply to HTT (early Spring)

• Acceptance to track (Spring)

• Meet with mentor (Spring)

• Identify schedule• Identify/choose

project• Select PGY2

schedule (Spring)

PGY 2 PGY 3

• Begin required HTT rotations

• Begin work on project• Begin SHM/IHI

curriculum• Attend scheduled

small group curriculum lectures

• Meet with mentor (quarterly)

• Attend one regional, one national conference

• Select PGY3 schedule (Spring)

• Complete required HTT rotations

• Complete work on project (Fall, Spring)

• Submit scholarly work (Fall, Spring)

• Complete SHM/IHI curriculum

• Attend one regional, one national conference

• Meet with mentor (quarterly)

• Complete HTT

Upon Completion of HTT

• Certification in QI (IHI)

• Publication and/or presentation at regional or national conference

• Certification of completion of University of New Mexico Internal Medicine Residency Program Hospitalist Training Track

Additional Future Areas• Potential rotations

• Palliative Medicine• Procedural Medicine• VA QI rotation• Presbyterian Hospitalist

• Potential areas• HM Journal Club• Divisional/Departmental/Hospital Committee

membership

Benefits to Residents• Acquisition of skills to become future hospitalist

• Mentorship from current hospitalist

• Structure for QI/research project

• Attendance at conferences

• Peer, program identification as leaders in hospital medicine

• Certification in IHI, QI

• Certification of completion of UNM Hospitalist Training Track

Benefits to Faculty

• Resident involvement in QI/research efforts

• Pipeline to publication

• CV building

• Identification of future hospitalists

• Satisfaction of mentorship, teaching

What Will Be Needed• Site directors

• creation of rotation curriculum at site• overseeing orientation/scheduling of residents at site• periodic meetings with HTT director and other site director

• Mentors• quarterly meetings with mentee• assisting mentee in identification, implementation of project• assisting mentee in publishing of project

• Small group leaders• creation of various talks on hospitalist topics

Open Forum

• Proposal?

• Additions/changes to curriculum?

• Are there unique elements at your hospital which we should include in track?