1. Department of Medicine December 19, 2014

2. Welcome New Faculty Cardiology: Eric Gauthier, MDAssistant Professor Pierre Znojkiewicz, MDAssistant Professor Dermatology: Elizabeth Zeeck, MDAssistant Professor Hematology-Oncology: George Atweh, MDProfessor Maura Barry, MDAssistant Professor Edmund Folefac, MDAssistant Professor

3. PCIM: Jason Bartsch, MDAssistant Professor Zail Berry, MD MPHAssociate Professor Diane Hakey, MDAssistant Professor Michael Latrielle, MDAssistant Professor Jessica Lunardini, MDAssistant Professor Elizabeth Rosy Hill, MDAssistant Professor Susan Weinstein, DOAssistant Professor Pulmonary/Critical Care (MPH Program): Lynn Rae Zanardi Blevins, MD MPHAssistant Professor

4. 1. Martin Blaser MD, Director Human Microbiome Program’ New York University – Topic: host microbiome Host, Beth Kirkpatrick 2. Anna Mae Diehl MD, Chief of Gastroenterology, Duke University Topic: nonalcoholic fatty liver disease Host: Steve Lidofsky 3. Talmadge King MD, Chair, Department of Medicine, UCSF Topic: interstitial lung disease Host: Polly Parsons Tisdale Lecturers for 2015-2016

5. The heart and science of medicine. UVMHealth.org/MedCenter Internal Medicine Residency Update Mark E. Pasanen, MD, FACP December 18, 2014

6. Overview Goals/Action Plan review –Survey results Increasing subspecialist exposure for residents –Morning report –Subspecialty rounds –Curriculum re-design Recent successes: –Board pass rate –Fellowship match –ACP Poster winners –Wellness committee iCompare trial Recruitment 6

7. Goals/Objectives: –Enhance visibility of strong teachers –Match attending teaching expertise to needs –Board pass rate = 100% –Match all residency slots Action Plans –Increase participation of subspecialties in IM Residency Program in didactic lectures, morning report, and role of teaching attending –Subspecialists have been offered significantly more slots for MR –Majority of didactics are already subspecialty based but the entire curriculum is being re-evaluated. –Reinvigorate subspecialty rounds. –Survey residents and faculty to get feedback on rotations and educational sessions (including subspecialty rounds) Workplan for Fiscal Year 2015 7

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11. Since the survey …. 11 Significantly increased subspecialists at MR Reemphasized the value of subspecialty rounds Ongoing curriculum re-design Ethics curriculum

12. Board pass rate 2014: 92.3% Fellowship Match: o Zubin Agarwal –Jackson Memorial/Miami (Cardiology) o Chris Dado – Brown (Pulm and Critical Care) o Sam Merrill -- Johns Hopkins (Heme/Onc) o Sam Raza – UT Southwestern (Cardiology) o Deva Sharma – Vanderbilt (Heme/Onc) ACP Clinical Vignette Winners: o Tara Scribner, Jackie O’Toole, Sam Raza “A Case of Adult Onset Urea Cycle Disorder” Wellness committee Recent successes 12

13. 1 year study beginning July 2015 –randomizing programs to current duty hours or to more flexible intervention rules. The intervention rules are constrained by only 3 standards, all averaged over 4 weeks: –80 hours maximum per week –1 day off in 7 –In-house call no more frequent than q3 nights Outcomes will be measured in patient safety and education Trainees will be asked to complete a baseline and end- of-year surveys (June, 2015 and 2016) 13

14. We’ve interviewed > 180 applicants thus far Goal is > 220 –Up > 20% compared to last year Significant interest from UVM students Recruitment 14 20112012201320142015 USG - categorical51115317574759345928 IMG - categorical1216912004119171208711885 Osteopath - cat81994992910171153 Programs/applicant USG IMG Osteopath 23.8 60.8 10.5 26.1 66.3 13.1 27.7 72.2 13.4 31.5 75.2 14.7 33.3 76.3 17.2

15. Varun Agrawal Kemper Alston Jason Bartsch Ryan Clouser Shaden Eldakar Nick Ferrentino Floh Foerg Eric Ganguly Garth Garrison Steve Grant Bill Hopkins David Kaminsky Laurie Leclair Allen Lee Mark Levine Bob Lobel Carrie Lyon Prema Menon Markus Meyer Kristin Pierce Rich Pinckney Mary Ramundo Allen Repp Amy Teleron Joe Winget Thanks to all our Interviewers !!! 15

16. The heart and science of medicine. UVMHealth.org/MedCenter Faculty Mentoring in the Department of Medicine

17. Annual review takes place using COM form100% Knows current promotion pathway100% Knows goals for coming year as documented at annual review77% Has strategy for achieving goals33% Understands the promotion timeline22% Has defined strategy for achieving promotion22% Understands the promotion process11% Had follow up of goals planned prior to next annual review11% Has an Identified mentor22% Informal Survey of Faculty

18. Junior Faculty Mentoring Survey –All junior faculty in the DOM (n=82) invited –57 responded: 70% response rate –Do you have an identified mentor?

19. Identified Mentor?

21. Junior Faculty Mentoring Survey –All junior faculty in the DOM (n=82) invited –57 responded: 70% response rate –Do you have an identified mentor? –Assess attitudes toward identified or ad hoc mentor –Ragins-McFarlin Mentor Role Instrument –33 Likert scale questions: Career & Psychosocial Dimensions –Career: Coach, Challenger, Sponsor, Promoter, Protector –Psychosocial: Acceptor, Friend, Role Model, Counselor, Social Associate, Parent

22. Attitudes Toward Mentor Likert scale: 1 (strongly disagree) to 7 (strongly agree)

23. Attitudes Toward Mentor: Gender Likert scale: 1 (strongly disagree) to 7 (strongly agree)

24. Attitudes Toward Mentor: Identified vs. ad hoc Likert scale: 1 (strongly disagree) to 7 (strongly agree)

25. Attitudes Toward Mentor: Identified vs. ad hoc Likert scale: 1 (strongly disagree) to 7 (strongly agree) ** * * ns

26. Mentoring Plan: 2014-2015 All junior faculty will be assigned a mentor –Suggested by faculty member and division chief –Within or outside of their division –Mentor and mentee establish goals and a plan to achieve these –Mentor and mentee meet regularly throughout year to “check- in” on progress/provide feedback toward attaining goals –Mentee ‘tool kit’ –Mentor ‘tool kit’ and training opportunities –Mentor, mentee, and division chief review these as a part of the annual review (i.e. mentor participates in the review)

27. The heart and science of medicine. UVMHealth.org/MedCenter Mentor Assignment Complete Oct Nov Dec Jan Feb Mar Apr (2014) Mentoring Plan: Timeline May Jun Jul Aug Sep Oct Nov Dec (2015) Annual Reviews Mentor/Mentee Meeting #1 Support tools for mentees/mentors: CV template; Green Sheet ‘cheat-sheets’ Timeline suggestions Pre-review checklist to flesh out goals, plans, and promotion timeline/assessment Resource lists During faculty review mentors will: Discuss the goals/plans from past year Detail goals/plans for the next year Assess progress to promotion Mentor/Mentee Meeting #2 Mentor Participates in Annual Review

28. The heart and science of medicine. UVMHealth.org/MedCenter Questions?