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An Equal Opportunity University Med-Peds Residency Training.

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Presentation on theme: "An Equal Opportunity University Med-Peds Residency Training."— Presentation transcript:

1 An Equal Opportunity University Med-Peds Residency Training

2 An Equal Opportunity University

3 UK MedPeds is GREAT!!!

4 An Equal Opportunity University Goal of Training Prepare residents to be knowledgeable and compassionate physicians in their future practice: –Adult and pediatric primary care –Adult/pediatric subspecialty care –Academic medicine

5 An Equal Opportunity University FACULTY AND LEADERSHIP

6 An Equal Opportunity University Med-Peds Residency Program Curtis Cary, MD, FAAP, FACP –MedPeds Program Director –MedPeds Group Continuity Clinic Director John Stewart, MD –MedPeds Associate Program Director –Polk Dalton Continuity Clinic Director Chris Feddock, MD, FAAP, FACP –MedPeds Associate Program Director –Assistant Dean of Curriculum –Former MedPeds PD for 5 years

7 An Equal Opportunity University Med-Peds Chief Residents Amanda Foxx, MDJustin Purdy, MD

8 An Equal Opportunity University Internal Medicine Leadership Chairman: David Moliterno, MD Program Director: Kristy Deep, MD, MA Associate Program Directors: –Jackie Gibson, MD –Laura Fanucchi, MD, MPH –John Ragsdale, MD, MS (MedPeds Trained) VA Educational Site Director: Sean Lockwood, MD Education Specialist: Rachelle Aker

9 An Equal Opportunity University Pediatrics Leadership Chairman: Carmel Wallace, MD Program Director: Jenna Ross, MD (MedPeds Trained) Associate Program Director: Lindsey Ragsdale, MD Program Coordinator: Michael Fralix Residency Staff Support: Jim Duncan

10 An Equal Opportunity University Med-Peds Continuity Clinic Attendings Curtis Cary, MD –Pediatric Wards –Polk Dalton Clinic –HIV Medicine –HIV Education –Children’s Twilight Clinic John Stewart, MD –Polk Dalton Clinic Chris Feddock, MD –Salvation Army Clinic Chipper Griffith, MD, MSPH –Salvation Army Clinic

11 An Equal Opportunity University Med-Peds Hospitalist Faculty Internal Medicine Services Chandler Hospitalists –Paula Bailey, MD –T.J. Lile, MD –John Ragsdale, MD, MS –John Romond, MD –Alan Hall, MD Good Samaritan Hospitalists –Zack Roy, MD –John Romond, MD VA Hospitalists –Mary Duke, MD –Mike McCoy, MD Pediatrics Service Kentucky Children’s Hospital –Curtis Cary, MD –T. J. Lile, MD –Alan Hall, MD

12 An Equal Opportunity University Med-Peds Subspecialty Faculty Mike Anstead, MD –Adult and Pediatric Pulmonary Hubie Ballard, MD –Neonatology Deb Flomenhoft, MD –Adult Gastroenterology Brian Murphy, MD –Adult and Pediatric Infectious Diseases Donna Stanton, MD –General Pediatrics Michael Young, MD –Adult Infectious Disease Jenna Ross –General Pediatrics Jackson Smith, MD –Adult and Pediatric Endocrinology Doug Schneider, MD –Pediatric Cardiology Joe Auer, MD –Adult Gastroenterology Nicole Leedy, MD –Adult Infectious Diseases Scottie Day, MD –PICU

13 An Equal Opportunity University Community Med-Peds Faculty Fayette County –Amanda Smith, MD Clark County –Larry Ertel, MD Harrison & Nicholas County –Stephen Besson, MD –Andy Usery, MD Scott County –Andrew Balbaugh, MD –Joel Knight, MD –Erin Johnson, MD

14 An Equal Opportunity University Med-Peds in Leadership Positions Mary Duke, MD –Med-Peds Program Directors Association, President, 1997 –UK Med-Peds Program Director –Lexington VAMC Chief of Medicine –Former ACP Governor Christopher Feddock, MD, MS –Med-Peds Program Director –Assistant Dean for Curriculum Chipper Griffith, MD, MSPH –Senior Associate Dean for Medical Education Angela Dearinger, MD, MPH –Lexington VAMC Associate Chief of Staff for Education

15 An Equal Opportunity University Categorical Programs

16 An Equal Opportunity University Internal Medicine & Pediatrics Housestaff Residency ProgramsNumber per Year Med-Peds6 Internal Medicine Categorical Primary Care Preliminary Pediatrics Categorical Peds/Adult Psych/Child Psych Peds/Peds Neuro

17 An Equal Opportunity University Med-Peds as Categorical Chief Residents –John Stewart, MD, Internal Medicine –Catherine Habashy, MD, Internal Medicine –Martin Rains, MD, Internal Medicine –Amanda Smith, MD, Internal Medicine –Mark Wurth, MD, Pediatrics –Priya Veeraraghavan, MD, Pediatrics

18 An Equal Opportunity University Future Med-Peds Categorical Chief Residents –Kelli Trent, MD, Pediatrics –Carrie Gaby, MD, Pediatrics

19 An Equal Opportunity University Curriculum

20 An Equal Opportunity University Residency at a Glance PediatricsInternal Medicine Intern8 months Junior Resident8 months Senior Resident8 months Total24 months

21 An Equal Opportunity University Intern Level Curriculum Internal MedicinePediatrics Intern Level Rotations Ambulatory Consult Chandler Wards Emergency Medicine Inpatient Consult VA Wards Adolescent Medicine Behavior and Development General Pediatrics Clinic General Pediatrics Wards Hematology/Oncology Newborn Nursery NICU

22 An Equal Opportunity University Junior Level Curriculum Internal MedicinePediatrics Junior Level Rotations Ambulatory Consult Ambulatory MedPeds Chandler Wards CCU Consult MICU VA Wards “A” Selective CCHMC Emergency Medicine General Pediatrics Wards Individualized Ambulatory MedPeds Individualized Rotation NICU PICU Subspecialty Wards

23 An Equal Opportunity University Senior Level Curriculum Internal MedicinePediatrics Senior Level Rotations Ambulatory Consult Ambulatory MedPeds Chandler Wards Consult Elective Good Samaritan Wards MICU VA Wards “A” Selective Cardiology Community MedPeds General Pediatrics Wards Individualized Rotation UK Emergency Medicine

24 An Equal Opportunity University Pediatrics “Tracks” Primary CareAcademic MedicineHospitalist Medicine Ambulatory MedPeds Community MedPeds Gen Peds Wards Gen Peds Clinic/Advocacy/Twilight NBN Ambulatory MedPeds Gen Peds Wards Gen Peds Clinic/Advocacy/Twilight NBN Research/Resident as Teacher/Advocacy Ambulatory MedPeds Gen Peds Wards Gen Peds Wards or PICU or NBN Research/Resident as Teacher/Advocacy Subspecialty Rotation or Gen Peds Clinic SubspecialtyICU Ambulatory MedPeds Gen Peds Clinic/Advocacy/Twilight Research/Resident as Teacher/Advocacy Subspecialty Rotation Subspecialty Wards Ambulatory MedPeds NICU or PICU Research/Resident as Teacher/Advocacy Subspecialty Rotation

25 An Equal Opportunity University Med-Peds Rotations Emergency Department (intern) Ambulatory Med-Peds Elective –Primary Care clinics –Geriatrics Experiences –Surgical and Allied Health Experiences –Billing and Coding Experiences Community Med-Peds –Clinical experience with a combined practice Elective –Clinical or Non-clinical

26 An Equal Opportunity University Facilities

27 An Equal Opportunity University Facilities Lexington VA Medical Center Chandler Medical Center Good Samaritan Medical Center Kentucky Children’s Hospital Kentucky Clinic Polk Dalton Clinic University Health Services Building

28 An Equal Opportunity University The New UK Healthcare Chandler Medical Center

29 An Equal Opportunity University Kentucky Clinic and UHS

30 An Equal Opportunity University Polk Dalton Clinic

31 An Equal Opportunity University VA Complex New Chandler Medical Center Gill Heart Center Children’s Hospital Old Chandler Medical Center You Started Here This AM Allied Health Building Markey Cancer Center

32 An Equal Opportunity University Pediatrics

33 An Equal Opportunity University Pediatric Inpatient Teams General Pediatrics Ward Services (2 Resident Teams) –Staffed by Pediatric Hospitalists and Med-Peds Attendings –Two residents on each team –Two - Three interns on each team –Two 3 rd year medical students on each team Subspecialty Pediatrics Ward Services (1 Team) –Staffed by Pediatric Subspecialist Attendings Endocrine, Pulmonology, Nephrology, Cardiology, Gastroenterology –Two – Three residents (upper level + interns) on the team 56 Hospital Beds –Over 7,000 admissions per year

34 An Equal Opportunity University Pediatric Intensive Care Unit 12 bed unit –Multidisciplinary care Trauma – General Surgery, Neurosurgery, Orthopedics Cardiac – Cardiology –All patients staffed by Pediatric Critical Care Team –900 admissions average per year Three - Four resident team –1 week of night shifts per resident

35 An Equal Opportunity University Neonatal Intensive Care Unit 60 bed acute and transitional care unit 850 admissions average per year Residents –One senior level resident –Two - Three junior level residents and/or interns

36 An Equal Opportunity University Specialized Pediatric Clinics BMI and Healthy Weight Clinic International Adoption Clinic Cystic Fibrosis Center Sleep Clinic Twilight Children’s Clinic HIV Clinic Baby Health Diagnostic Clinic Dermatology Clinic Survivors of Childhood Cancer Clinic Young Parents’ Program ADHD Clinic NICU Graduate Clinic GI Young Adult Clinic Mommy and Me Clinic Lipid Clinic Family Care Center

37 An Equal Opportunity University Internal Medicine

38 An Equal Opportunity University Internal Medicine Wards Chandler Medical Center –3 Resident Teams Good Samaritan Hospital –2 Resident Teams –3 Academic Hospitalist Teams –1 Private Hospitalist Team VA Medical Center –3 Resident Teams –2 Hospitalist Teams

39 An Equal Opportunity University Diversity of Experience Chandler Medical Center –Tertiary and Quaternary Care Hospital –Active Transplant Program –Top 25% of hospitals by patient complexity Good Samaritan Hospital –Community-Based Primary Care –Referral Center for general & subspecialty medicine VA Medical Center –Community-Based Primary Care

40 An Equal Opportunity University Chandler Medical Center

41 An Equal Opportunity University Good Samaritan Hospital

42 An Equal Opportunity University Good Samaritan Hospital Hospitalist Rotation Each team with 2 residents –3 rd year resident –2 nd year resident Private Hospitalist Night Coverage Residents rotate “late shift” –Work until 8pm every 4 th night

43 An Equal Opportunity University Lexington VA Medical Center

44 An Equal Opportunity University VA Medical Center Resident Team –1 upper-level resident –2 interns Team Cap ~ 14 patients Interns rotate night float call schedule: every 6 th night Resident night float to supervise admissions

45 An Equal Opportunity University Chandler MICU Two Resident Teams –Each led by attending and fellow –Resident structure depends on time of year 3-4 residents per team w/ 1-2 residents on night float Attending coverage 24/7

46 An Equal Opportunity University Residents as Teachers

47 An Equal Opportunity University Med-Peds Housestaff Teaching Awards Clark Sleeth – Best Intern Teacher (2013) Carrie Gaby – Internal Medicine (2013) John Romond – Pediatrics (2012) Kelli Trent – Pediatrics (2012) Carrie Gaby – Internal Medicine (2012) Martin Rains – Best Resident Teacher (2011) Joseph Brown – Best Intern Teacher (2011) John Romond – Internal Medicine (2011) Catherine Habashy – Pediatrics (2011) Julie Griffin – Pediatrics (2010) Catherine Habashy – Pediatrics (2009)

48 An Equal Opportunity University UK Healthcare Resident of the Month May 2014: Heather Relyea November 2013: Justin Purdy September 2013: Carrie Gaby April 2013: Heidi Frazier February 2013: Wendy Ballenger November 2012: Erin Marcotsis August 2012: Priya Veeraraghavan June 2012: Candice Olechowski January 2012: Matt Bacon September 2011: Stephanie Misciasci August 2011: Joseph Brown

49 An Equal Opportunity University Conferences and Independent Learning Activities

50 An Equal Opportunity University Curriculum Internal Medicine Johns Hopkins Ambulatory Modules Med-Peds Board Review MKSAP Morning Report Noon Conference Pediatrics AAP PREP Curriculum Med-Peds Board Review Morning Report Noon Conference

51 An Equal Opportunity University Pediatric Conferences AM Conferences –Morning report case conferences –Grand Rounds: Thursday Noon Conferences –Daily –Structured Curriculum –General Pediatrics and Subspecialty Conferences –Advocacy Training and Conferences –Business of Medicine Conferences

52 An Equal Opportunity University Internal Medicine Morning Report VA Morning Report – Mondays & Wednesdays UK Morning Report – Tuesday, Thursday, & Friday –UK Ambulatory Morning Report Autopsy Conference – Monthly Focus on clinical decision-making –Minimize the rare presentation of the rare disease –Resident responsible for 3 teaching points

53 An Equal Opportunity University Med-Peds Conferences Med-Peds Board Review –Weekly on Mondays and Wednesdays Med-Peds Noon Conference and Journal Club –Monthly w/FREE FOOD Med-Peds Grand Rounds –Quarterly

54 An Equal Opportunity University Continuity Clinic

55 An Equal Opportunity University Med-Peds Continuity Clinic Sites –MedPeds Group (UHS Building) –Polk Dalton Clinic Clinic Attendance –Once per week as an intern –Twice per week as an upper-level resident –Additional clinics scheduled on ambulatory months

56 An Equal Opportunity University Program Specifics

57 An Equal Opportunity University Fellowship Matches Since 2004 Med-Peds –2010: Academic Medicine (Pitt) –2007: Sports Medicine (UL) –2006: Allergy (Vanderbilt) Pediatrics –2015: Cardiology (Emory) –2012: Pulmonary/Allergy (Vanderbilt) –2012: PICU (Vanderbilt) –2011: Cardiology (Baylor) –2009: PICU (UAB) –2006: PICU (Vanderbilt) –2004: Pulmonary (Baylor) Internal Medicine –2014: Endocrinology (UK) –2013: Cardiology (MUSC) Pulmonary (UK) –2011: Cardiology (UK) –2011: ID (UK) –2010: Pulmonary (Utah) –2009: GI (UK) –2005: Heme/Onc (UK) –2004: Academic Medicine (UK)

58 An Equal Opportunity University Board Pass Rates # Passing# Taking Exam# Passing# Taking Exam Class of Class of Class of Class of Class of Last 5 Years Average86%91%

59 An Equal Opportunity University Retreats and Social Events Med-Peds –Journal Club Monthly –Switch Party –End-of-Year Party Internal Medicine –Annual Level Specific Retreats –ACP Retreat w/UL Pediatrics –Intern Retreat –AAP Retreat w/UL –Pint Night

60 An Equal Opportunity University Switch Party

61 An Equal Opportunity University Housestaff Stipends UK Southern US* Midwest US* PGY-1 $ 49,294 $48,327$50,219 PGY-2 $ 50,946 $49,947$52,007 PGY-3 $ 52,689 $51,656$53,763 PGY-4 $ 54,721 $53,648$55,804 *2013 AAMC Survey of Resident/Fellow Stipends and Benefits

62 An Equal Opportunity University Fringe Benefits Vacation –PGY-1 = 2 weeks –PGY-2 and above = 3 weeks –Reading Week – yearly on Internal Medicine Eight holidays Four bonus days in December/January

63 An Equal Opportunity University Fringe Benefits Insurance: Health, Life & Malpractice Parking Permit – covered lots close to hospital Alphanumeric Pagers Lab Coats - 3 per year Meal Stipends Student ID and Activity Cards

64 An Equal Opportunity University Fringe Benefits Participation in UK Wellness Program –Available for UK employees, spouses, and retirees. Employee education program (EEP) –18 credit hours per year: 6 hours for spring, fall, and summer at no cost Johnson Sports/Exercise Center Basketball and football tickets!! Go Big Blue!!

65 An Equal Opportunity University Global Health Opportunities (http://www.stsglobal.org/)

66 An Equal Opportunity University Educational Scholarship ACP Membership AAP Membership NMPRA Membership Books –Harriet Lane Handbook (PGY-1) –Zitelli Atlas of Pediatric Physical Diagnosis (PGY-1) –Philadelphia Guide: Inpatient Pediatrics (PGY – 1) –Nelson Textbook of Pediatrics –MKSAP (PGY-2) Travel stipends if presenting at regional/national meeting Board Exam Funds of ~ $4000 –PGY-2: $800 –PGY-3: $1000 –PGY-4: $2500 Pediatric Board Review Course

67 An Equal Opportunity University Lexington and Surrounding Areas

68 An Equal Opportunity University Lexington, KY

69 An Equal Opportunity University Business Rankings Forbes –#1 Best City for Finding a Job (2011) –#4 Best City for Business and Careers (2011) Business Facilities –#2 Most Educated Workforce (2008) –#6 Low Cost Manufacturing Center (2010) –Editors Location Pick (2010) CNN Money –#6 Best Mid-Size to Start a Small Business (2009) KPMG Competitive Alternatives –#7 Best City for Business Costs (2010)

70 An Equal Opportunity University Education Rankings Blue Ribbon Education Quotient (2007) –Top 1/3 of districts nationwide and highest score in Kentucky U.S. Census Bureau (2009) –13 th Highest City with Bachelor’s Degrees –7 th Highest City with Advanced Degrees University of Kentucky –8th Best College of Pharmacy –26th Best College of Nursing –31st Best College of Public Health

71 An Equal Opportunity University Quality of Life America’s Promise Alliance –Top 100 Best Communities for Young People (2010) Next Cities –13 th Top Hotspot for Young, Talented Workers (2009) Parenting Magazine –2nd Best City for Education (2010) –5th Best City to Raise a Family (2010) Forbes –5th Best College Sports Town (2009) Kiplinger –6 th Best Value City (2011)

72 An Equal Opportunity University Lakes Within 1 Hour: Cave Run Lake Taylorsville Lake Herrington Lake Guist Creek Cedar Creek Worth Driving To: Dale Hollow Lake Lake Cumberland Green River Lake Laurel Lake Kentucky Lake Lake Barkley

73 An Equal Opportunity University World Famous Lake Cumberland Moonbow

74 An Equal Opportunity University Hiking and Climbing Red River Gorge (www.redriverclimbing) Palisades/Jim Beam Nature Preserve Torrent Falls (www.torrentfalls.com) Muir Valley Natural Bridge Raven Run Arboretum

75 An Equal Opportunity University

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77 Thoroughbreds Keeneland – April and October Churchill Downs – Spring and Fall Meets Kentucky Horse Park

78 An Equal Opportunity University Kentucky Bourbon Trail Buffalo Trace – Frankfort Four Roses – Lawrenceburg Heaven Hill – Bardstown Jim Beam – Clermont Maker’s Mark – Loretto Woodford Reserve – Versailles Wild Turkey – Lawrenceburg Tom Moore – Bardstown

79 An Equal Opportunity University Vineyards and Wineries Chrisman Mill Vineyards Equus Run Jean Farris Talon Winery

80 An Equal Opportunity University

81 QUESTIONS


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