MPPDA Research Committee MPPDA Annual Meeting Nashville 2013

Why research for Med-Peds? Insert plug to join the research committee here. Insert plug to join the research committee here.

Members Michael Aronica MD, Chair, SUNY Buffalo Michael Aronica MD, Chair, SUNY Buffalo Bob Hopkins MD, U Arkansas Bob Hopkins MD, U Arkansas Ronald Williams, Penn State Ronald Williams, Penn State Princess Dennar, Tulane Princess Dennar, Tulane Steve Strausbaugh, Case Western Steve Strausbaugh, Case Western Depak Palaksheppa, MGH Depak Palaksheppa, MGH Patrice Thibodeau, Maine Patrice Thibodeau, Maine Sharon Wretzel, Baystate Sharon Wretzel, Baystate Anoop Agrawal, Baylor Anoop Agrawal, Baylor Jen Lindstrom, Albany Jen Lindstrom, Albany

Review of Charges Developing a “gate-keeping” process such that all surveys and research data requests of the MPPDA membership are vetted by the committee. Developing a “gate-keeping” process such that all surveys and research data requests of the MPPDA membership are vetted by the committee. Maintaining a database of publications authored by members of or about Med-Peds programs Maintaining a database of publications authored by members of or about Med-Peds programs Updating the annual survey of Med-Peds Program Obtaining IRB approval with expectations of publishing data obtained in the annual program survey Updating the annual survey of Med-Peds Program Obtaining IRB approval with expectations of publishing data obtained in the annual program survey Submitting at least 1 (one) manuscript yearly for publication Submitting at least 1 (one) manuscript yearly for publication Creating an environment for Med-Peds collaborative research among programs Creating an environment for Med-Peds collaborative research among programs Keeping a list of active committee members for yearly submission to the Executive Committee for documentation of participation Keeping a list of active committee members for yearly submission to the Executive Committee for documentation of participation Preparing and presenting quarterly reports to the Executive Committee, including strategies for meeting objectives not currently met. Preparing and presenting quarterly reports to the Executive Committee, including strategies for meeting objectives not currently met.

Deliverables for Fourth Annual Med-Peds program Survey in Summer. Fourth Annual Med-Peds program Survey in Summer. Format Med-Peds Bibliography Format Med-Peds Bibliography Compile list of Med-Peds graduates from each program and AAP Med-Peds Section Compile list of Med-Peds graduates from each program and AAP Med-Peds Section

Long Term goals for the MPPDA research Committee Obtain annual MPPDA national survey data with analysis and survey revision. Obtain annual MPPDA national survey data with analysis and survey revision. Support MPPDA in data collection for executive committee initiatives Support MPPDA in data collection for executive committee initiatives Improving research networking and development of a National Med-Peds PBRN Improving research networking and development of a National Med-Peds PBRN Increase and support Med-Peds faculty publication Increase and support Med-Peds faculty publication

Annual Med-Peds Program Survey Program Characteristics Program Characteristics Recruitment Recruitment Program/Program Director Support Program/Program Director Support Ambulatory Training Ambulatory Training Board Certification Board Certification Graduates Graduates Curriculum & Transitional committees Curriculum & Transitional committees Miscellaneous Miscellaneous

Annual Program Survey Survey conducted during Summer 2012 Survey conducted during Summer 2012 Contacts s were found from MPPDA & ACGME databases Contacts s were found from MPPDA & ACGME databases SurveyMonkey survey method SurveyMonkey survey method 62 out of 77 programs responded (81% response rate) 62 out of 77 programs responded (81% response rate)

Annual Med-Peds Program Survey: Program Characteristics ITEMMeanSD Number of Residents/ Program 18.6 ’10/’11 = 18.1/18.6 +/- 8.3 Number of faculty FTE’s/Program 6.5 ’10/’11 = 6.9 /8.5 +/- 8.7 (Median=4) Number of Core faculty FTE’s/Program 3.8 ‘10/11 = 3.4/3.9 +/- 2.3 Year Program Started 1989+/- 8.5 years Mean number Resident/Faculty FTE = 2.9 (’10/’11 = 2.4/2.2)

Annual Med-Peds Program Survey: Program Characteristics ACGME Sponsoring Institution ACGME Sponsoring Institution

Annual Med-Peds Program Survey: Program/Program Director Support ITEMMEANSD Length of Time as PD 6.1 years 2011 = 6.1 years +/- 4.3 Years Age of PD45 years+/ years PD annual salary$180,000 10/11 = 169K/165K +/- $36,900 Program Director time dedicated to program 0.41 FTE ‘10/’11 = 0.42/0.41 +/ FTE APD time0.25 FTE ‘10/’11 = 0.22/0.27 +/ FTE PA/PC time0.77 FTE ‘10/’11 = 0.76/0.68 +/ FTE

Annual Med-Peds Program Survey: Program/Program Director Support PD Gender: 57% Male (‘10/’11 = 55/52% male) PD Gender: 57% Male (‘10/’11 = 55/52% male) Have an APD: 61% of programs (‘10/11= 66/68) Have an APD: 61% of programs (‘10/11= 66/68) Have a separate/own Program administrator: 82% of programs (‘10/’11 = 82/79%) Have a separate/own Program administrator: 82% of programs (‘10/’11 = 82/79%) Have a Med-Peds Chief Resident: 93% of Programs (‘10/’11 = 87/87%) Have a Med-Peds Chief Resident: 93% of Programs (‘10/’11 = 87/87%) Have a PD controlled Budget: 65% of Programs (‘10/’11 = 57/63%) Have a PD controlled Budget: 65% of Programs (‘10/’11 = 57/63%)

Annual Med-Peds Program Survey: Program/Program Director Support Ambulatory PD’s decreased from 42% to 37% from Hospitalist PD’s increased from 11% – 16%.

Annual Med-Peds Program Survey: Ambulatory Training ITEMMeanSD Number of Continuity Sites 2.3 sites/ program (‘10/’11 = 2.2/2.3) +/- 2.2 (Median=1) NCQA Sites0.6 sites/program+/ Programs have at least 1 NCQA certified ambulatory clinic 24 Programs have at least 1 NCQA certified ambulatory clinic

Annual Med-Peds Program Survey: Graduates

Annual Med-Peds Program Survey: Miscellaneous Programs with access to a handoff curriculum: 91% Programs with access to a handoff curriculum: 91% Patient safety curriculum: Patient safety curriculum: Own Program runs: 7% Own Program runs: 7% Core Programs run: 70% Core Programs run: 70% Institution Runs: 57% Institution Runs: 57%

Annual Med-Peds Program Survey: Academic Productivity Program Director Program Director Manuscripts: 1.6/Program +/- 2.4 (median = 1) Manuscripts: 1.6/Program +/- 2.4 (median = 1) Poster Presentations: 1.7/Program +/- 2.4 (median = 1) Poster Presentations: 1.7/Program +/- 2.4 (median = 1) Oral Presentations: 2.2/Program +/- 3.1 (median = 2) Oral Presentations: 2.2/Program +/- 3.1 (median = 2) Residents Residents Manuscripts: 2.9/Program +/- 3.1 (median = 2) Manuscripts: 2.9/Program +/- 3.1 (median = 2) Poster Presentations: 5.2/Program +/- 4.3 (median = 4.5) Poster Presentations: 5.2/Program +/- 4.3 (median = 4.5) Oral Presentations: 3.8/Program +/- 3.7 (median = 3) Oral Presentations: 3.8/Program +/- 3.7 (median = 3)

Annual Med-Peds Program Survey: Changes for 2013 NAS support questions Data on graduates who fail the certification exams