Columbus OH,
10/22/04
Joint Session
10:00-11:00
ACGME Case (Procedure) Log discussion: Problems and Successes
Lead by Jerry Rushton and John Mahan
Representatives of 11 of the 22 programs in the Mid-America
region made the trek to Columbus for the meeting. After greetings and introductions, a group discussion of the various strategies
that programs were using to address this ACGME requirement was lead by John
Mahan.
- Most programs were relying on
residents to enter data (2 programs had coordinators entering data from
procedure cards).
-
The survey of PD’s conducted by the ACGME Pediatric Resident Case Log
Procedure Action Team was highlighted by Jerry Rushton.
- PDA transmission of data was tried by two programs without success.
Everyone agreed that the procedure codes for pediatrics need work.
-
The inability to actually verify competence with this system was a major source
of concern. Several members thought it “ironic” that the ACGME
would introduce a system with no competency assessment component.
- One program has My Evaluation, 3 New Innovations for procedure log use.
- The issue of JACHO requirements for procedure verification and lack
of access to this system for that data was identified as a concern
John Mahan and Jerry Rushton highlighted the APPD Action Team
process and the upcoming opportunity or APPD members to join with the ACGME
to improve
the system and incorporate the revisions needed by PD’s.
11:00-12:00
Experience with procedures in Mid America programs:
survey results
Lead by Anne Burke
Methods for teaching procedures – from handouts to models to real live
patients
Lead by Leslie Mihalov
Please bring examples of procedure training methods (handouts, simulations,
workshop methods, bedside methods) for discussion
Anne Burke presented information on the Procedure Tracking
performed by programs in the Mid-America Region.
Leslie Mihalov presented information on the Technical
Skills Assessment program that she conducts for incoming interns at Children’s Hospital in Columbus.
Members discussed a variety of methods now in operation for procedure
training and competency assessment for residents in their programs:
- Technical Skills Assessment Course
(content on procedures, demonstration by individual residents of competency
on models)
-
ED procedure months – some for interns, some for senior residents
(may include time in OR, PICU, cath lab)
- Technical skills shifts in ED during
rotations
- Simulation Center 4 hour shifts during
selected rotations (eg., NICU, on electives) to demonstrate competency
in skills
- Mock Codes
(eg., twice a month for floor residents as graded exercise)
- Procedure Fair to practice and demonstrate
competency in procedures twice a year (12 stations, attendance voluntary
but kept)
- Procedure Electives
- Time assigned to rotate with
IV Treatment team
- Peds Surgery/Anesthesia rotations
12:00-1:00
Lunch: opportunity for program directors and
chief residents to converse
Program Directors and Chief Resident Session
1:00-3:00
Evidence for Documentation of Competency in the Proposed Draft
of the New RRC Requirements (as annotated by Carol Carrachio, MD.,
member of
Pediatric RRC): How program can respond to the 18 “musts”
Lead by John D Mahan (handout courtesy of Dr Carrachio)
[See attached handout on Evidence for Documentation in Proposed RRC Requirements
2005]
Coordinators Session
1:00 – 3:00
Coordinators’ Certification Update
Lead by Jeri Whitten
Open discussion time
How do you and/or your program do your duties?
Collect procedures for ACGME?
Use electronic evaluations?
3:00
John Mahan thanked everyone for attending
and participating in the stimulating discussion. The Evidence for Documentation
in Proposed RRC Requirements 2005
form will be distributed with the minutes to all of the Mid-America Region
members and the information will also be loaded up in the APPD Web site. We
will meet again in May at the Spring APPD meeting. Good luck with Recruiting!
Submitted by Deb Saunders and John D Mahan, MD |