TAB _A_

NCC Annual Report General Program Information Sep 2006 - August 2007 Program Allergy Program Director Michael Nelson, LTC, MC, USA Effective Date of Appointment 19-Sep-07 Associate Program Director 1 Michael Nelson, LTC, MC, USA Associate Program Director ACGME 2 Accreditation Status N/A Continued Accreditation Non-accredited Accreditation Effective Date 16-Sep-05 Next ACGME Review Date 01-Sep-10 Diagnostic Lab Immunology (non accredited) Michael Nelson, LTC, MC, USA 8-Aug-03 Mary Klote, MAJ, MC, USA N/A N/A N/A Anesthesia Paul Mongan, COL, MC, USA 3-Feb-03 Scott M. Croll MAJ, MC, USA Continued Accreditation 6-Oct-05 01-Oct-09 Regional Anesthesia Fellowship Chester C. Buckenmaier III, LTC, MC, USA 21-May-04 Scott M. Croll MAJ, MC, USA N/A Non-accredited N/A N/A Anesthesia Critical Care Christian Popa, LTC, MC, USA 1-Oct-00 David Chandler, MAJ, MC, USA N/A Continued Accreditation Continued Accreditation Continued Accreditation 30-Mar-06 01-Oct-09 Anesthesia Pain Management Dominique Schiffer, MD 2-Nov-99 N/A N/A 6-Oct-05 10-Jan-09 Thoracic Surgery WRAMC Robert W. Stewart, COL, MC, USA 15-Aug-06 William C. DeVries N/A 25-Jul-03 01-Jul-08 Dermatology George W. Turiansky, COL, MC, USA 1-Jul-01 Jonathan Bingham, LCDR, MC, USNR Continued Accreditation TBD TBD Family Medicine MGMC Robert E. Manaker, Col, USAF, MC 1-Aug-05 Lt Col Richard C. Derby, MC, USAF N/A Continued Accreditation 30-Jun-09 01-Sep-08 Family Medicine DACH Kevin Moore, MAJ, MC, USA 1 July 2004 Mark K. McPherson, MAJ(P), MC, USA Christine Lettieri, MAJ, MC, USA Continued Accreditation 23-May-05 01-May-10 FP Sports Medicine - Ft. Belvoir Kevin deWeber, LTC, MC, USA, FAAFP 1-Jun-04 Col Francis G. O'Conner, MC, USAF N/A Continued Accredited 23-May-05 01-May-10 General Surgery - WRAMC Craig Shriver, COL, MC, USA 1-Jun-98 Mathew Wakefield, MAJ, MC, USA Brennan Carmody, LTC, MC, USA Continued Accreditation TBD TBD GENERAL INFORMATION GENERAL INFORMATION NCC Annual Report General Program Information Sep 2006 - August 2007 Program General Surgery - NNMC Program Director Philip Perdue, CAPT, MC, USN Effective Date of Appointment Associate Program Director 1 Leonard Henry, CDR, MC, USN 22-Jun-05 Associate Program Director ACGME 2 Accreditation Status N/A Continued Accreditation Accreditation Effective Date 28-Jun-07 Next ACGME Review Date 01-Jun-10 Hand Surgery - WRAMC Gerald Farber, LTC, MC, USA 1-Jul-00 Martin F. Baechler, LTC, MC, USA N/A Continued Accreditation 9-Jun-07 01-Jun-12 Internal Medicine WRAMC Brian Cuneo, LTC, MC, USA 24-Oct-05 Travis Richardson, MD John Sherner, MD Continued Accreditation 30-Jan-04 01-Apr-09 Internal Medicine NNMC Terrence X. Dwyer, CAPT, MC, USN 30-Jun-03 Kevin Dorrance, LCDR, MC, USN William Shimeall, LCDR, MC, USN Continued Accreditation TBD TBD General Internal Medicine (non accredited) Jeffrey L. Jackson, LTC, MC, USA 1-Jun-05 Patrick O'Malley, LTC, MC,USA N/A N/A N/A N/A IM Cardiovascular John E. Atwood, COL, MC, USA 21-Feb-07 Michael A Ferguson, MD Lance Sullenberger, MA>, MC, USA Continued Accreditation 27-Jan-02 01-Apr-09 IM Critical Care Lawrence Lepler, COL, MC, USA 22-Jun-06 Stephen V. Silver, LTC, MC, USA N/A Continued Accrditation 30-Jan-04 01-Apr-09 IM Endocrinology Victor J. Bernet, COL, MC, USA 9-May-05 Patrick William CDR, MC, USN N/A Continued Accreditation TBD TBD IM Gastroenterology Inku Hwang, LTC, MC, USA 24-Jun-04 Dong Lee, LCDR, MC, USN Jason Lake, MAJ, MC, USA Continued Accreditation TBD TBD IM Hematology/Oncology Christopher M. Gallagher, MD 31-May-06 Celeste Bremer, MD Brendan Weiss, MD Continued Accreditation TBD TBD GENERAL INFORMATION GENERAL INFORMATION NCC Annual Report General Program Information Sep 2006 - August 2007 Program IM Infectious Disease Program Director Glenn, Wortmann, COL, MC, USA Effective Date of Appointment Associate Program Director 1 Tim Whitman, MD 1-Jul-04 Associate Program Director ACGME 2 Accreditation Status N/A Continuing Accreditation Accreditation Effective Date 30-Jan-04 Next ACGME Review Date 01-Apr-09 IM Nephrology Erin M. Bohen, COL, MC, USA 4-Sep-04 Fred Yeo, LCDR, MC, USN LTC James D. Oliver, III, MC, USA Continuing Accreditation 30-Jan-04 01-Apr-09 IM Pulmonary Critical Care Oleh W. Hnatiuk, COL, MC, USA 1-Jul-02 Angeline A. Lazarus, MD Stuart Roop, LTC, MC, USA Continued Accreditation 30-Jan-04 01-Apr-09 IM Rheumatology Jonathan Roebuck, MAJ, MC, USA 2-Jan-06 N/A N/A Continued Accreditation 30-Jan-04 01-Apr-09 Neurology Mark Landau, LTC, MC, USA 4-May-04 William D. Watson, CDR<, MC, USN N/A Continued Accreditation TBD TBD Child Neurology Michael Mitchell, COL, MC, USA 5-Jun-05 N/A N/A Continued Accreditation 4-Nov-04 01-Nov-08 Clinical Neurophysiology - NIH Susumu Sato, MD 1-Jul-96 Tanya J. Lehky, M.D. N/A Continued Accreditation Continuedl Accrediatation 9-Nov-2006 01-Nov-09 Clinical Neurophysiology - WRAMC Kristen Barner, LTC, MC,USA 1-Jul-01 N/A N/A TBD TBD Neurosurgery Rosner, Michael, LTC, MC, USA 1-Oct-07 N/A Continued Accreditation 25-Jun-04 01-Jun-09 Nuclear Medicine Jennifer Jurgens, LTC, MC, USA 14-Aug-07 N/A N/A Continued Accreditation Continued Accreditation 10-Nov-06 01-Nov-08 Obstetrics/Gynecology Col Christopher Zahn, USAF, MC 4-May-04 Brian Belson, LTC, MC, USA 17-May-07 01-May-12 GENERAL INFORMATION GENERAL INFORMATION NCC Annual Report General Program Information Sep 2006 - August 2007 Program Gynecology Oncology Program Director Scott Rose, LTC, MC, USA Effective Date of Appointment 3-Jul-05 Associate Program Director 1 Chard Hamilton, Maj, USAF, MC Associate Program Director ACGME 2 Accreditation Status Dr Armstrong Accredited by ABOG Accreditation Effective Date Next ACGME Review Date Repro Endocrinology J. Segars, M.D. 1-Nov-95 Alicia Armstrong, M.D. COL, MC, USA (Ret) N/A Accreditied by ABOG Occupational / Environmental Medicine Timothy M. Mallon, COL, MC, USA 28-Mar-05 Christopher Jankosky, CDR, MC, USA Richard Stutzman, M.D. N/A Continued Accreditation Continued Accreditation TBD TBD Ophthalmology Andrew Eiseman, LTC, MC, USA 15-Jan-05 30-May-03 17-Jan-08 Oral & Maxillofacial Surgery Julie Ann Smith, LTC, MC, USA 23-Mar-06 Ivo Miller, LCDR, MC, USN N/A Continued Accreditation Orthopaedics WRAMC/NNMC Patricia McKay, CDR, MC, USN 1-Jul-07 Richard A. Schafer, COL, MC, USA N/A Continued Accreditation 9-Jun-07 01-Jun-09 Otolaryngology Martin Sorensen, CDR, MC, USN 22-Sep-04 Scott Brietzke, MAJ, MC, USA N/A Continued Accreditation 9-Feb-06 01-Feb-08 Pathology Ross Barner, LTC, MC, USA 1-Aug-05 Rebecca Christensen, LCDR, MC, USN N/A Continued Accreditation 26-Mar-04 01-Mar-08 Forensic Pathology Criag T. Mallak, CDR, MC, USN 5-Dec-05 Scott A. Luzi, LCDR, MC, USN N/A Continued Accreditation 29-Sep-06 01-Sep-11 Pediatrics Clifton Yu, COL, MC, USA 1-Apr-03 Maureen Petersen MAJ, MC, USA N/A Continued Accreditation 24-Oct-04 01-Oct-09 Pediatric Endo Andrews J. Bauer, LTC, MC, USA 18-Oct-05 None N/A Continued Accreditation 24-Oct-04 01-Oct-09 Pediatric Gastroenterology Carolyn Sullivan, COL, MC,USA 2-Jan-01 None N/A Continued Accreditation 24-Oct-04 01-Oct-08 GENERAL INFORMATION GENERAL INFORMATION NCC Annual Report General Program Information Sep 2006 - August 2007 Program Pediatric Hematology/Oncology WRAMC Effective Date Program Director of Appointment Associate Program Director 1 Gary Crouch, Lt Col, USAF, MC, Ret N/A 1-Jul-99 Associate Program Director ACGME 2 Accreditation Status N/A Continued Accreditation Accreditation Effective Date 24-Oct-04 Next ACGME Review Date 01-Oct-09 Pediatric Infectious Disease Michael Rajnik, Maj, USAF, MC 22-Jun-06 None None Continued Accreditation 24-Oct-04 01-Oct-09 Pediatric Neonatology Russell R. Moores, COL, MC, USA 1-Jul-05 Edwin Doe N/A Continued Accreditation 24-Oct-04 01-Oct-09 Physical Medicine & Rehabilitation Jeff Gambel, COL, MC, USA 1-Sep-05 None N/A Continued Accreditation Continued Accreditation 24-Aug-07 01-Aug-12 Preventive Medicine Dana Bradshaw, Col, USAF, MC 1-Jul-00 Kenneth W. Schor CAPT, MC, USN N/A TBD TBD Psychiatry MAJ Scott Moran, MC, USA 11-Jul-07 Eden Temko, LT, MC, USN N/A Continued Accreditation 6-Apr-03 01-Apr-08 Child & Adolescent Psychiatry Nancy Black, LTC, MC, USA 1-Jul-00 Anne Cannard, MD N/A Continued Accreditation Continued Accreditation 31-Oct-03 01-Oct-08 Forensic Psychiatry MAJ Christopher Lange, MC,USA 1-Jul-07 N/A N/A 28-Apr-06 01-Apr-08 Geriatric Psychiatry Charles Milliken, LTC, MC, USA 15-Jul-02 Geoffrey Grammer, CPT, MC, USA N/A 31-Oct-03 01-Apr-08 Psych/Family Practice Jennifer Lange, MAJ, MC, USA 17-Oct-07 Scott C. Moran, MAJ, MC, USA N/A Non Accredited N/A N/A Psychatry/IM (non accredited) Scott Moran, MAJ, MC, USA 2-Mar-07 N/A N/A Non Accredited N/A N/A Radiation Oncology David Gius, MC Ph.D, (Interim) 1-Sep-07 Dean Alan Grant, LtCol, MC, USAF N/A Continued Accreditation Continued Accreditation 18-Jan-06 01-Jul-09 Diagnostic Radiology Fletcher Munter, LTC, MC, USA 24-Jan-05 William Carter, CDR, MC, USN N/A 2-Oct-03 01-Oct-08 GENERAL INFORMATION GENERAL INFORMATION NCC Annual Report General Program Information Sep 2006 - August 2007 Program Body Imaging (non- accredited) Program Director Elizabeth McGuigan, CDR, MC, USA Effective Date Associate Program Director ACGME of Appointment Associate Program Director 1 2 Accreditation Status Thomas C. Alewine, CDR, MC, USN N/A N/A 22-Nov-05 Accreditation Effective Date N/A Next ACGME Review Date N/A Transitional Year (NNMC) Jeffrey Blair, CDR, MC, USN (Interim) Mary M. Klote, MAJ, MC, USA (Interim) John Fischer, LtCol, MC, USAF 27-Nov-06 Jason Jigginson, LCDR, MC, USN N/A Continued Accreditation Continued Accreditation Approved by ABOG 17-Sep-04 01-Sep-09 Transitional Year (WRAMC) 1-Oct-06 N/A N/A TBD TBD Urogynecology Female Pelvic Medicine & Reconstructive Surgery (WRAMC) 4-May-04 Sohail Siddeque, CDR, MC, USN N/A Urology WRAMC Robert Dean, LTC, MC, USA 26-May-04 N/A N/A Continued Accreditation Continued Accreditation 24-Dec-03 01-Dec-08 Vascular Surgery Gillespie, David COL, MC, USA 13-Jul-03 Charles James Fox, LT, MC, USA N/A 26-Oct-06 01-Oct-08 Sleep Medicine David Kristo, COL, MC, USA 17-Oct-06 N/A N/A 1-Jul-06 01-Jan-09 Social Work Dean M. Rueckert, PhD., LCSW-C 24-Jan-07 Den Ellis, LCSW-C N/A N/A GENERAL INFORMATION GENERAL INFORMATION Significant Program Changes Sep 2006 - Aug 2007 PROGRAM ALLERGY DIAGNOSTIC IMMUNOLOGY LAB ANESTHESIA No. No. SIGNIFICANT PROGRAM CHANGES No. CRITICAL CARE No. PAIN MANAGEMENT No. REGIONAL ANESTHESIA Yes. The fellow and rotating anesthesiology residents spend 1 month at Landstuhl Regional Medical Center, Germany working with combat casualties using advanced regional anesthesia and other acute pain management modalities. CARDIO THORACIC SURGERY We have initiated a voluntary closure of our program. We will not interview any additional candidates. We will continue the program only until our current resident finishes in July 2008. COL Stephen Krivda is now officially the Chief of WRAMC/NNMC integrated Dermatology. This has streamlined the lines of authority and has simplified interactions for the Program Director who now interacts with one integrated and not two separate dermatology clinic chiefs at NNMC and WRAMC. New AV equipment that has arrived includes a digital dermatopathology projection system and a new plasma viewing screen. New furniture arrived as follows: chairs, large table, and podium for the conference room, new resident carrels for the two resident carrel areas, new resident full length upright lockers in the resident locker area, and new library book cases with glass doors. A full-time residency coordinator arrived this past spring. The first ever RN and LPN have been hired for the NNMC Dermatology Clinic. There is a new pigmented laser at NNMC Dermatology Clinic. DERMATOLOGY FAMILY MED - MGMC Yes. As part of Base Realignment and Closure (BRAC), the residency at Malcolm Grow Medical Center did not accept new residents for the first time since its inception in preparation for closure. Because of BRAC and readiness related shortfalls in nursing staff, the intensive care unit was closed in December 2006. Because of anticipated drop off in patient volume and acuity, the residency added two additional outside rotations at Inova Fairfax in Internal Medicine and at Langley AFB in obstetrics. Finally, in May 2006, the ACGME was notified of the Air Force’s intent to close the residency as of graduation of the last entering class in July 2009. Family MED - DACH None. FP SPORTS MEDICINE None GENERAL SURGERY (WRAMC) GENERAL SURGERY (NNMC) Yes. Started 2 month PGY-2 and 2 month PGY-3 rotations on General Surgery at WRAMC. HAND SURGERY NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 PROGRAM SIGNIFICANT PROGRAM CHANGES INTERNAL MEDICINE (WRAMC) Yes. There is an elective in Tactical, Operational, and Disaster Medicine in development. INTERNAL MEDICINE (NNMC) The ER rotation was changed from Washington Hospital Center (WHC), Washington, DC to Inova Fairfax Hospital, Arlington, VA due to new program requirements at WHC. GENERAL INTERNAL MEDICINE None IM CARDIOVASCULAR. No IM CRITICAL CARE Yes. New CCU rotation at WHC improves critical care cardiology experience. IM ENDOCRINOLOGY No IM GASTROENTEROLOGY IM HEMOTOLOGY ONCOLOGY No. No. IM INFECTIOUS DISEASE No. IM NEPHROLOGY IM PULMONARY/ CRITICAL CARE IM RHEUMATOLOGY New affiliations for elective rotations: 1. Univ. of MD Medical System, Pulmonary Hypertension Clinic; 2. USAMRC, Kericho, Kenya HIV-TB Clinic Yes. Curriculum continues to be updated/modified to align with ACGME core competencies NEUROLOGY No. CHILD NEUROLOGY NEURO CLIN NPH (NIH) NEURO CLIN NPH (WRAMC) NEUROSURGERY No. Yes. Program Director changed in January 2007 from COL William W. Campbell to LTC Kristen C. Barner $1.2million grant to participate in the Blast Lethality Injury Research Program. NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 PROGRAM NUCLEAR MEDICINE SIGNIFICANT PROGRAM CHANGES Yes. The ACGME has changed the duration of the program. The program used to be set at two years duration. Now there are three tiers to the program: if an applicant has completed a radiology residency, the program is one year; if an applicant has completed any other residency, the program is two years; if an applicant has not completed a residency, the program is three years. This change went into effect 1 JUL 07. 1) Rotations: For the PGY-4 residents, an Ambulatory OB/GYN rotation has been added, which promises to be a superb reinforcement of competency in ambulatory care. This rotation will incorporate supervision of junior residents in various clinics, providing the residents with supervisory experience for the upcoming roles as staff physicians, These residents will also provide didactic sessions during Resident Academics, enhancing their knowledge, interpersonal and communication skills, and the knowledge of their peers. 2) The American Board of Obstetrics and Gynecology Life-Long Learning Program: This program (similar to the Maintenance of Certification program used by Board-certified obstetrician/gynecologists) was initiated in AY 2006-2007 and will be maintained. 3) Skill sessions: Skill sessions, including simulation, were increasingly incorporated into the academic calendar for AY 2006-2007;; these sessions have been increased and modified to increase exposure to simulation for the academic calendar in AY 2007-2008. 4) DaVinci Robotic Surgery training: The DaVinci robotic surgery training sessions have been incorporated into the residents‘ academic schedule according to rotation in which this training is available. OBSTETRICS/ GYNECOLOGY GYNECOLOGY ONCOLOGY REPRODUCTIVE ENDOCRINOLOGY OCCUPATIONAL & ENVIRONMENTAL MEDICINE OPHTHALMOLOGY To enhance the retina experience, third year residents will spend two afternoons a month at National Naval Medical Center, participating in retinopathy of prematurity rounds. NNMC has the consolidated NICU so more opportunities are available at NNMC for retinopathy of prematurity evaluations. ORAL & MAXILOFACIAL SURGERY No. ORTHOPAEDICS WRAMC/NNMC All residents, both Army and Navy will complete an entire of research, making the program length 6 years. OTOLARYNGOLOGY Yes. Expanding our practice in cochlear implant surgery and new implantable hearing devices. Seven of our 11 full time staff members are fellowship trained in a Otolaryngology subspecialty. PATHOLOGY Yes. Reorganized the third year rotation schedule to minimize the dependence on AFIP, more rotations at NNMC and WRAMC, and continuity of surg path training all four years. Changes included: Renal (medical kidney) pathology at WRAMC rather than AFIP Molecular rotation at WRAMC rather than AFIP Converted one surg path elective at AFIP to a surg path rotation at either WRAMC or NNMC Modified chemistry rotation to a combined two months at both Wash VA and WRAMC (utilizing the expertise of both Dr. Dufuor and MAJ J. Abadie) FORENSIC PATHOLOGY No. NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 PROGRAM PEDIATRICS SIGNIFICANT PROGRAM CHANGES We are in the process of formalizing a rotation in international health through the Center for Disaster and Humanitarian Assistance Medicine (CDHAM) at USUHS. This rotation will take place in Honduras and will deal with a longitudinal public health project examining HIV exposure in dependent children of Honduran military members. PEDIATRIC ENDOCRINOLOGY Bailey K. Ashford Award in Laboratory Research, Mentor for MAJ Kirk Jensen, (3rd year fellow); Finalist. Thyroid Cancer invasion and metastasis: The role of Epithelial to Mesenchymal Transition. WRAMC, Department of Clinical Investigation, National Capital Consortium, Bethesda, MD. Jul/2007. Ogden C. Bruton Basic Science Award, Mentor for Dr. Kirk Jensen (3rd year fellow); 1st place, Mar 2007; Targeting of epigenetic regulators in thyroid cancer, 41th annual AAP Uniformed Services Pediatric Seminar, Bethesda, MD; Mar/2007. Howard Johnson Award, Mentor for Dr. Devon Kuehn, Pediatric Resident; 2nd place, Mar 2007: The role of integrin linked kinase expression in papillary thyroid cancer, 41th annual AAP Uniformed Services Pediatric Seminar, Bethesda, MD; Mar/07. 4. Val Hemming Award, Mentor for Ens Melissa Buryk, USU Medical Student; Expression of OCT3/4, an Embryonic Stem Cell Marker, in Metastatic Thyroid Carcinoma and Thyroid Cancer Cell Lines, Academy of Pediatrics Uniformed Services Pediatric Seminar, Bethesda, MD, Mar 2007. PEDIATRIC GASTROENTEROLOGY PEDIATRIC HEMOTOLOGY/ ONCOLOGY Yes. New affiliation with Georgetown University for an Intestinal and Liver Transplantation rotation. First rotation upcoming in January 2008. No. PEDIATRIC INFECTIOUS DISEASES Recent LOA with the Navy Research Facility in Peru for fellows to travel for research and tropical medicine rotations. PEDIATRIC NEONATOLOGY Yes. To be implemented this academic year: new affiliation with Cardiac ICU at Children's National Medical Center, and developed new OSCE modeled after formal neonatal simulation program used in Canada to observe delivery room resuscitation, NICU crisis management, parent interactions and literature review. Yes, Military Amputee Research Program funds to support intramural research, new Military Advanced Training Center (MATC) opening for advanced rehabilitation of injured Service members at WRAMC PHYSICAL MEDICINE & REHABILITATION SERVICE (PM&R) PREVENTIVE MED Yes. We added a third option for a county public health rotation, Fairfax County, to decongest scheduling issues at the main county health department rotation at Montgomery County now that we have six residents going for two months at a time. This also helps reduce commute times for residents in recognition of the diverse geographic “spread” of their living arrangements in the National Capital Area. We also completed an affiliation for an “one-time” policy rotation at the US Coast Guard, working in pandemic influenza preparedness. The residency program director, who also teaches the academic course PMO 680, Introduction to Public Health, completely revised the course curriculum for this pivotal entry level class required of all residents and students pursuing the Master’s degree in Public Health or Tropical Medicine and Hygiene. While retaining the previous (but now abbreviated) sections of the course on the history of public health and ethics, he introduced new lectures on the “Ten Essentials of Public Health”, public health competencies and career options, methodologies of the US Preventive Services Task Force and Task Force on Community Preventive Services. NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 PROGRAM PSYCHIATRY SIGNIFICANT PROGRAM CHANGES Yes. We have added DC Dept of Mental health to our participating institutions, to have increased community psychiatry experience. The residents now go to shifts in the DC DMH psychiatric ER, and doing ACT team rounds finding homeless mental patients in DC. Also we added a required Forensic Psychiatry requirement of 1 month, and changed the curriculum to allow the residents to have 5 selectives and 5 electives over the course of training. Selectives are exactly like the required clinical experience while electives are resident designed educational experiences. CHILD PSYCHIATRY Yes. Continuing for the 2nd year are 3 one-month rotations that meet the over-lap requirements for general psychiatry and child psychiatry for the 3/2 matriculation process. Anne Arundel Hospital System, Pathways Adolescent Substance Treatment Facility in Annapolis, is the only new site of care involved. The other two one-month rotations take place at Children’s National medical center and at WRAMC. FORENSIC PSYCHIATRY GERIATRIC PSYCHIATRY PREVENTIVE PSYCHIATRY PSYCHIATRY / FAMILY PRACTICE PSYCHIATRY/INTERNAL MEDICINE RADIATION ONCOLOGY RADIOLOGY No. Yes. Reinstated a nuc med physics course, 2 weeks, that senior residents must attend to meet didactic requirements for NM training. BODY IMAGING Yes: Broadened experience at WHC to include Cardiovascular Imaging TRANSITIONAL YEAR TRANSITIONAL YEAR (NNMC) Yes. Orthopedic (3 wks)/Sport Medicine (1 wk) mandatory rotation was changed to Sports Medicine (2 wks)/Physical Medicine and Rehabilitation (2 wks) TRANSITIONAL YEAR (WRAMC) Yes. 1. Introduced ―My mistake‖ where interns self evaluate a mistake that was made and examine any system factors that contributed. 2. Introduced ―The clinical question‖, where they evaluate a diagnostic or therapeutic question that came up on their patient. The staff evaluates their literature search and their interpretation of the literature. UROLOGY UROGYNECOLOGY VASCULAR SURGERY Sleep Medicine No. Discontinued affiliation with Washington Hospital Center. Fellows now go Fairfax INOVA NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 PROGRAM Social Work No. SIGNIFICANT PROGRAM CHANGES NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 NCC ANNUAL REPORT Significant Program Changes Sep 2006 - Aug 2007 NCC ANNUAL REPORT Significant Accomplishments Sep 2006 - Aug 2007 PROGRAM SIGNIFICANT ACCOMPLISHMENTS/AWARDS Fellow elected as national Fellow in Training Representative to the American College of Allergy, Asthma & Immunology Board of Regents. Fellow selected as national Fellow in Training Representative for the American Academy of Allergy, Asthma & Immunology. Program Director (Dr. Martin) awarded the Louis Aspey Mologne Award. This is the Surgeon‘s General Award for Military Academic Excellence. Faculty member (Dr. Klote) selected as Assistant Chief, Department of Clinical Investigations at Walter Reed Army Medical Center. 1 fellow and 1 faculty selected for 2 separate Clinical Immunology Society specialty school course presentations & attendance ALLERGY DIAGNOSTIC IMMUNOLOGY LAB ANESTHESIA Yes. JUN 2004 graduate and current assistant program director selected to the position of Assistant Chief, Department of Clinical Investigations, WRAMC (May 07) No CRITICAL CARE No. Program did not fill this year.1.Dr. David Chandler, 2005-2006 program graduate successfully passed his board examinations, maintaining the program‘s 100% 1st pass track record. 2. Dr. Christian Popa, the Program Director, has been appointed as an oral examiner by the American Board of Anesthesiology. PAIN MANAGEMENT No REGIONAL ANESTHESIA 1. Program featured in Newsweek magazine. 2. Program director received ‗A‘ designator. 3. Multiple publications from staff and residents. CARDIO THORACIC SURGERY DERMATOLOGY No. CPT Sung Cho was nominated for and won a Sulzberger Scholarship to participate in a military unique field experience in Honduras under the direction of Dr. Kemmer, a nutritional disease researcher. CPT Sarah Taylor was nominated and was selected to be a resident representative on the ACGME Review Committee for Transitional Year. LCDR Christopher K. Dolan was nominated for and won grant support to attend the European Academy of Dermatology and Venereology (EADV) Annual Meeting to be held 16-20 May 2006 in Vienna, Austria. LTC Richard Burroughs received a scholarship grant under the auspices of the World Congress of Dermatology fund to attend and present a poster at the 21st World Congress of Dermatology meeting 1-5 October 2007 in Buenos Aires, Argentina. LTC Richard Burroughs nominated for and was a finalist in the laboratory research category at the 33rd Annual Bailey K. Ashford Clinical and Laboratory Research Award Symposium for his protocol entitled: Intracellular and extracellular bacteria of Demodex folliculorum and the potential pathogenesis of acne rosacea. LTC Richard Burroughs poster presentation ―Intracellular and extracellular bacteria of Demodex folliculorum and the potential pathogenesis of acne rosacea‖ at the 22nd National Naval Medical Center Research Poster Competition, Bethesda, Maryland, 6 April 2007. FAMILY MED - MGMC Family MED - DACH No Yes. Faculty member Dr. Virginia Kalish completed the UNC-Chapel Hill Faculty Development Fellowship – June 2007 FP SPORTS MEDICINE Yes. Previous PD (LTC Fred Brennan): 1. Presented two case reports and a lecture on Military Sports Medicine at Annual Meeting of American College of Sports Medicine (ACSM); 2. Organized and presented at Sports Medicine Seminar at Uniformed Services Academy of Family Physicians (USAFP) Annual Meeting; 3. Organized and presented at sports medicine symposium at Uniformed Services Pediatric Seminar (USPS) Annual Meeting; 4. Presented at annual Capitol Conference; 5. Published two journal articles in peer reviewed publications. 6. Awarded with the Defense Meritorious Service Medal. COL Francis O'Connor: Published 3 articles and one case report in peer-reviewed journals. Accomplishments by Fellows: 1. Three USUHS IRB-approved research proposals; 2. One fellow participated in existing NIH research project; 3. All 4 fellows had either peer reviewed journal article or a book chapter written and accepted for publication; 4. All 4 fellows presented at USPS annual meeting; 5. 2006 graduates: 4 of 4 passed the CAQ exam in sports medicine from ABFP; 6. All 4 fellows presented at ACSM Annual Meeting; 7. One fellow presented at USAFP Annual Meeting. GENERAL SURGERY My RRC in Surgery came through on its routine, scheduled 5-year Site Vist in March 2007, and at the exit interview the Site Visitor was highly laudatory and expected full re-accreditation; I am awaiting the final letter formy RRC. NCC ANNUAL REPORT Significant Accomplishments Sep 2006 - Aug 2007 PROGRAM SIGNIFICANT ACCOMPLISHMENTS/AWARDS GENERAL SURGERY None reported HAND SURGERY Nothing Reported. Resident/Program significant accomplishment – Won a majority of the awards at a Navy-wide ACP Meeting. The medical jeopardy team won the Navy competition, the DC Chapter competition, and placed 3 rd in the country at the national American College of Physicians Meeting. INTERNAL MEDICINE INTERNAL MEDICINE GENERAL INTERNAL MEDICINE Yes, 1. Winner Society of General Internal Medicine Regional Research Competition, Bethesda, MD April 7 2006 (David Greenburg) . 2. Finalist Milton Hamolsky research award for Fellows, Society of General Internal Medicine, Toronto CA, April 17-22, 2006 3. 22 Publcations INTERVENTIONAL CARDIOLOGY IM CARDIOVASCULAR. GAUTAM NAYAK NNMC OUTSTANDING TEACHING AWARD 2007, LANCE SULLENBERGER OUTSTANDING STAFF TEACHING AWARD 2007, TODD VILLINES ARMY BRONZE STAR IM CRITICAL CARE IM ENDOCRINOLOGY TODD VILLINES ARMY BRONZE STAR Yes. Nicole Ehrhardt (Fellow) Semi-Finalist Bailey K Ashford Research Award May 2007. Robert Vigersky (Staff) Endocrine Society 2007 Sidney H. Ingbar Distinguished Service Award IM GASTROENTEROLOGY Yes, 1. APD deployed to Kuwait 2. PD deployed to Irag. 3. Chief of service deployed to Cuba. 4. KCF deployed to Kuvait IM HEMOTOLOGY ONCOLOGY IM INFECTIOUS DISEASE 1. LCDR Jarrod Holmes – 2007 ASCO merit research scholarship award. 2. LCDR Jarrod Holmes – 2007 Bailey K. Ashford research poster award winner Yes. 1. Order of Military Merit (Glenn Wortmann, Dec 06) 2. Fellowship, Infectious Disease Society of America (Glenn Wortmann, Aug 07) IM NEPHROLOGY IM PULMONARY/ CRITICAL CARE No IM RHEUMATOLOGY 1. Army commendation Medal LTC Jean Tofferi June 2007; 2. Army commendation Medal LCDR Rob OBrian June 2007; 3. Meritorious Service Medal LTC Leslie Jackson June 2007; 4. Meritorious Service Medal COL William Gilliland March 2007 NEUROLOGY None Reported. NCC ANNUAL REPORT Significant Accomplishments Sep 2006 - Aug 2007 PROGRAM CHILD NEUROLOGY No. SIGNIFICANT ACCOMPLISHMENTS/AWARDS NEURO CLIN NPH (NIH) NEURO CLIN NPH Yes. John Ney won the AANEM Junior Achievement award (2004-2005); There are several approved active DCI protocols; and Craig Carroll won a AANEM grant for an ulnar nerve study. NEUROSURGERY Dr Robert Rosebaum became board certified. We placed top ten programs with the ABNS for the residency exams this year. Dr. Rosner was named Chief of the Service and just named Program Director. One of our residetns scored in the top 5% in the nation on his Neurosurgery Board. NUCLEAR MEDICINE 1. Dr. Stocker awarded RSNA Research Award (6/07); 2. Dr. Stocker named as finalist for the Bailey K. Ashford Award (6/07); Dr. Jurgens elected to Board of Directors for the Brain Imaging Counsel of the SNM (6/07) OBSTETRICS/ GYNECOLOGY ) Program: received maximal (5-year) accreditation from the ACGME; this is the first consecutive maximal accreditation for any OB/GYN program in the DoD, and is likely one of few consecutively maximally accredited programs of any specialty in the DoD. 2) Awards provided at resident graduation and end-of-year program (June 2007): -National Naval Medical Center Outstanding Resident Teaching Award: CPT Brad Dolinsky (PGY-4) -Walter Reed Army Medical Center Department of Obstetrics and Gynecology Annual Research Award; LT Whitney You (PGY-4) 3) Council on Resident Education in Obstetrics and Gynecology (CREOG) National Faculty Award for Excellence in Resident Education (June 2007): LCDR Cathleen Mills (faculty) 4) CREOG Annual In-Service Examination (January 2007): -83% of residents scored above the mean, -21% of residents scored > 1 SD above the mean 5) American College of Obstetricians and Gynecologists Armed Forces District Professor of the year Award (October 2006): Col Christopher M. Zahn (faculty) 6) ACOG AFD Meeting (Sonthofen, Germany; October 2006): -USROG had the highest representation of any DoD program at the meeting -18 residents presented 26 research projects, -program responsible for 26% of the abstracts submitted from DoD GYNECOLOGY ONCOLOGY REPRODUCTIVE ENDOCRINOLOGY OCCUPATIONAL & ENVIRONMENTAL MEDICINE OPHTHALMOLOGY Dr. Fechter was runner-up at the 2007 American Society of Cataract and Refractive. Surgeons meeting in the film festival awards ceremony for his surgical video presentation. Course given at national meeting of American Academy of Ophthalmology by Dr. Fechter, Eiseman, et al, received top 10% of lecturers award, October 2006. NCC ANNUAL REPORT Significant Accomplishments Sep 2006 - Aug 2007 PROGRAM ORAL & MAXILOFACIAL SURGERY SIGNIFICANT ACCOMPLISHMENTS/AWARDS Yes: We had a successful accreditation site visit by the Commission on Dental Accreditation on 16 May 2007. We have not received a final copy of our accreditation document, but according to the draft, our program will receive accreditation for 5 years (the maximum) and there were no citations or recommendations. 1. CAPT David Bitonti was named as Director of Surgical Services of the National Naval Medical Center on 19 April 2007. 2. Daniel Theberge Award for excellence in teaching—Jihad I Haddad, 2007 ORTHOPAEDICS WRAMC/NNMC 1. CDR Patricia L. McKay: Zimble Award for Program Directors. 2. MAJ Matthew Javernick: Mologne for outstanding graduating resident. 3. MAJ Kyle Potter: Erskine graduation award for outstanding physician. 4. MAJ Kyle Potter: B. K. Ashford award for research. 5. MAJ Leon Nesti: Norman Kirk Award given by Society of Military Ortho Surgeons. 6. LT Scott Tintle: Louise House Award given by Society of Military Ortho Surgeons. 7. LT Scott Tintle: Outstanding intern award OTOLARYNGOLOGY 1. 3 of our 4 graduating residents selected for fellowship training this year. 2. Continually improving National Inservice Scores. 3. 100% First time Board Certification in last 4 years. 4. This year our residents scored in the top four programs in the country on the Home Study Course and will participate in the Academic Bowl at the National Academy Meeting SEP2007. 5. Dr. Sofola will be recognized and will receive and award for his outstanding care of Operation Iraqi Freedom patients at the National Academy Meeting SEP2007. 6. Dr. Markwell will serve on a panel discussion for medical ethics At the National Academy Meeeting with other selected Otolaryngologists who also hold a law degree. SEP2007 PATHOLOGY Yes. 1. Recent graduates (2007) all passed ABP certification exam (5/5). 2. Program scored in the top 25% of all pathology residencies on the annual RISE; more than 1/3 in the top 10% inidividually 3. Continued well-rounded pathology curriculum. 4. Integrated new WRAMC staff 2006 and beginning to integrate new NNMC staff 2007. FORENSIC PATHOLOGY ACGME accreditation, five year, Edward Mazuchowski, AAFS presentation, Scott Luzi, American Journal of Forensic Pathology and Medicine article, Carol Solomon, American Journal of Forensic Pathology and Medicine article PEDIATRICS CPT Devon Kuehn was elected District X Chairperson of the American Academy of Pediatrics Resident Section November 2006. . Capt Matthew Darling was selected in June, 2007 by the North American Society for Pediatric Gastroenterology and Nutrition (NASPGAN) for its Teaching and Tomorrow Program for promising pediatric residents going into pediatric gastroenterology (including a travel grant to the annual meeting in Salt Lake City where he also has been selected for a poster presentation). LT Chad Mao was selected as a finalist at the Pediatric Academic Societies Meeting for his research on breastfeeding practices in active duty military mothers which was presented in Toronto in May 2007. COL Clifton Yu was elected as vice-chair for faculty development for the Association of Pediatric Program Directors (April 2007), appointed to the APPD‘s Strategic Leadership Council (October 2007) and continued to serve as the Chairman of the APPD‘s Mid-Atlantic Region PEDIATRIC ENDOCRINOLOGY Bethesda, MD. Jul/2007. Ogden C. Bruton Basic Science Award, Mentor for Dr. Kirk Jensen (3rd year fellow); 1st place, Mar 2007; Targeting of epigenetic regulators in thyroid cancer, 41th annual AAP Uniformed Services Pediatric Seminar, Bethesda, MD; Mar/2007. Howard Johnson Award, Mentor for Dr. Devon Kuehn, Pediatric Resident; 2nd place, Mar 2007: The role of integrin linked kinase expression in papillary thyroid cancer, 41th annual AAP Uniformed Services Pediatric Seminar, Bethesda, MD; Mar/07. 4. Val Hemming Award, Mentor for Ens Melissa Buryk, USU Medical Student; Expression of OCT3/4, an Embryonic Stem Cell Marker, in Metastatic Thyroid Carcinoma and Thyroid Cancer Cell Lines, Academy of Pediatrics Uniformed Services Pediatric Seminar, Bethesda, MD, Mar 2007. The Endocrine Fellows Foundation Research Grant Award- Epigenetic Regulation of Epithellial-to-Mesenchymal Transition in Thyroid Cancer; MAJ Britney Frazier (2nd year fellow); Oct/2006. Co-chair, clinical/translational symposium on the Molecular Insights into Pediatric Growth Disorders at the 89th Endocrine Society Meeting, Jun/2007, Toronto, Canada; LTC Andrew Bauer, PD. Pilot Test Examiner, American Board of Pediatrics pediatric endocrinology subspecialty exam; LTC Andrew Bauer, PD; May/2007. President-Elect, USU Faculty Senate; LTC Andrew Bauer, PD, Jul/2007. PEDIATRIC GASTROENTEROLOGY PEDIATRIC HEMOTOLOGY/ ONCOLOGY PEDIATRIC INFECTIOUS DISEASES Yes. Faculty member MAJ Thomas Sutton was finalist and semi-finalist (different projects) in 2007 Ogden Bruton research competition sponsored by AAP, Uniformed Services Pediatric Section. Third year fellow, Diana Riera accepted into CCFA Visiting Fellow IBD Rotation Program Yes. Major Kratovil 6 pubs, Mj Stephen Roberts 4 pubs, Lt Col Salzer 3 pubs 1. Robert Ellwood won the Bailey K. Ashford Basic Science Award 06/07. 2. Deena Sutter was a finalist for the Bailey K. Ashford Clinical Science Award 06/07. 3. Patrick Hickey was a semi-finalist for the Bailey K. Ashford Award. 4. Ashley Maranich won the Howard Johnson Award at the USPS – 03/07. 5. Matthew Eberly won the Leo Geppart Award at the USPS – 03/07. 6. Patrick Hickey was named teaching fellow of the year by the NCC Pediatrics Dept NCC ANNUAL REPORT Significant Accomplishments Sep 2006 - Aug 2007 PROGRAM SIGNIFICANT ACCOMPLISHMENTS/AWARDS PEDIATRIC NEONATOLOGY Yes. MAJ Aune to receive Thomas Jefferson Basic Science Research Award at the Mid-Atlantic Perinatal Research Conference; semi-finalist for Bailey K. Ashford Award; and runner-up for Ogden Bruton Basic Science Research Award. LT Holston, Resident Coordinator for American Academy of Pediatrics District I. LCDR Higginson awarded Sullivan Scholar in Bioethics and Health Policy for Loyala University, Chicago. PHYSICAL MEDICINE & REHABILITATION SERVICE (PM&R) PREVENTIVE MED Yes, Five year residency accreditation after June 2007 site visit (8/07) 1. A recent graduate, Dr. Paul D. Rockswold, was chosen for the prestigious William Kane Rising Star Award of the American College of Preventive Medicine, based upon a nomination from the program director listing his achievements both during and following residency training. The award was conferred at the annual ACPM meeting in February 2007; 2. A current resident, Dr. Robert Lipsitz, was competitively accepted into the Pfizer mini-fellowship at the American College of Preventive Medicine Washington DC office. This is the second year in a row a NCC (USUHS) Preventive Medicine resident has received this honor; 3. PGY-3 residents scored collectively in the top 25% of the nation on the 2006 in-service examination, with one resident in the top 4%. We have had one or more residents scoring in the top 5% each of the last three years; 4. Overall Board Certification performance by program graduates also continues to be impressive. On the 2006 exam, the program average score for the ―Core‖ exam was 659 compared to 600 for all programs nationally. In the specialty area, our residents averaged 669 while the national average was only 588. One resident‘s specialty score was an amazing 892, easily ranking in the top 1% of her peers! In each area the minimum passing score is only 450; 5. PSYCHIATRY Yes. LCDR Carr (PGY-4) published in American Journal of Psychiatry. MAJ Bedno had 3 publications and 1 poster presentation. CPT (P) Navarro - Bailey K. Ashford Award semifinalist. CTP Sarmiento (PGY-4) poster presentation at Army Regional ACP in both 2005 and 2007. CHILD PSYCHIATRY Yes. 1. Black, Chun, Leiner: all co-authors in manuscript being completed for Military Psychiatry text. 2. Black had 2 presentations [Child Soldiers. EFMP update] accepted for the U.S. Army Force Health Protection/Behavioral Health Short Course Aug 07; 2 presentations accepted for the American Academy of Child & Adolescent Psychiatry Oct 07 [Child Soldiers, a Clinical Case Conference]. 3. Michael: assuming PI role for a telepsychiatry research protocol. 4. Edelman: assuming PI role for a pediatric seasonal affective disorder research protocol. 5. Edison: completed chapter for Deployment Health manuscript. 6. Cannard: Associate PI for telepsychiatry research protocol. 7. Schneider: coauthors in manuscript being completed for Military Psychiatry text FORENSIC PSYCHIATRY Yes. Two articles accepted for publication GERIATRIC PSYCHIATRY PREVENTIVE PSYCHIATRY PSYCHIATRY / FAMILY PRACTICE PSYCHIATRY/INTERNAL MEDICINE RADIATION ONCOLOGY NCC ANNUAL REPORT Significant Accomplishments Sep 2006 - Aug 2007 PROGRAM RADIOLOGY SIGNIFICANT ACCOMPLISHMENTS/AWARDS LCDR William Carter (associatePD) –NNMC Teacher of the Year at graduation 2007. LCDR Mark Travis – RSNA Resident Research Award. LCDR Hugh Dainer – Awarded scholarship to attend ARRS Intro to research course 1Program Director – invited lecturer at North American Society of Cardiac Imaging 2007. 2. Other accomplishments as listed by Diagnostic Radiology Annual Report BODY IMAGING TRANSITIONAL YEAR (NNMC) TRANSITIONAL YEAR (WRAMC) 100% of trainees passed Step III 100% USMLE Step III pass rate. WRAMC Pediatric Rotator of the year – Jun 07 (Dr. Christine Ko) UROLOGY UROGYNECOLOGY No. VASCULAR SURGERY SLEEP MEDICINE SOCIAL WORK 1. Completed an agreement with Manor View Elementary School, Anne Arundel County School System at Ft. Meade, Maryland, to have social work fellows participate as co-facilitators with the school counselor in providing psycho-social groups for students and parent-education groups for their parents. 2. Began a very successful program for fellows to participate at NNMC (Bethesda) as co-facilitators of social skills therapy groups for children of all ages with challenges in the autistic spectrum of emotional disorders. 3. In the process of establishing a similar agreement with the Reginald S. Lourie Center for Infants and Children at Rockville, Maryland. NCC ANNUAL REPORT Board Examination "3 Year Past Board Certification" Sep 2006 - Aug 2007 PROGRAM ALLERGY DIAGNOSTIC IMMUNOLOGY LAB ANESTHESIA CRITICAL CARE PAIN MANAGEMENT REGIONAL ANESTHESIA CARDIO THORACIC SURGERY DERMATOLOGY FAMILY MED - MGMC Family MED - DACH FP SPORTS MEDICINE GENERAL SURGERY (WRAMC) Dates of Results From: To: 1 Jul 04 - 30 Jun 06 AY2004-5 - AY2006-7 2002-2005 2003 - 2006 Jul 2004 - June 30 2007 N/A 2004 - 2007 2004 - 2006 2004-2006 8/2004 - 8/2007 8/2004 - 8/2007 2003-2006 Total # of Graduates Total # of Examinees Certified Comments 13 1 50 1 8 N/A 3 16 28 18 10 11 13 0 50 1 3 N/A 3 16 28 18 10 11 12 0 46 1 3 N/A 3 15 28 18 10 11 Of note, the WRAMC/Gen Surgery Residency, for the past Ten Years, has maintained a First-Time Board Pass Rate of 100%, putting us in the top ten of all 250 Programs in the nation. 100% success rate on first attempt N/A GENERAL SURGERY (NNMC) HAND SURGERY INTERNAL MEDICINE 2004-2006 9 9 7 2004 - 2006 39 39 38 Board Examination "3 Year Past Board Certification" Sep 2006 - Aug 2007 PROGRAM Dates of Results From: To: Total # of Graduates Total # of Examinees Certified Comments INTERNAL MEDICINE GENERAL INTERNAL MEDICINE 2003 - 2006 30 30 30 28 (first attempt) All are currently board certified. IM CARDIOVASCULAR. IM CRITICAL CARE IM ENDOCRINOLOGY 2003 - 2006 2004-2006 2004 - 2006 Nothing Reported 3 6 Nothing Reported 3 6 14 (1 off cycle) 11 12 Nothing Reported 3 6 IM GASTROENTEROLOGY IM HEMOTOLOGY ONCOLOGY 2004 - 2006 2004 - 2006 2004 - 2006 15 11 12 14 11 11 IM INFECTIOUS DISEASE IM NEPHROLOGY IM PULMONARY/ CRITICAL CARE IM RHEUMATOLOGY NEUROLOGY CHILD NEUROLOGY NEURO CLIN NPH (NIH) 2004 - 2007 10 9 8 2004 - Present 12 12 10 2004 - 2007 5 3 3 Board Examination "3 Year Past Board Certification" Sep 2006 - Aug 2007 PROGRAM NEURO CLIN NPH NEUROSURGERY NUCLEAR MEDICINE Dates of Results From: To: 2004-2007 2005-2007 Jul 04 - Jun 07 Total # of Graduates Total # of Examinees Certified Comments 5 3 5 1 3 3 1 3 3 OBSTETRICS/ GYNECOLOGY Jun 04 - 06 18 18 18 GYNECOLOGY ONCOLOGY REPRODUCTIVE ENDOCRINOLOGY OCCUPATIONAL & ENVIRONMENTAL MEDICINE OPHTHALMOLOGY 2002 - 2004 10 10 10 Of note, Board Certification requires successful completion of a written exam as well as an oral exam. ORAL & MAXILOFACIAL SURGERY ORTHOPAEDICS WRAMC/NNMC OTOLARYNGOLOGY PATHOLOGY 2003 - 2005 2004 - 2007 2004-2006 2005 - 2007 6 9 11 16 6 9 11 16 4 8 11 15 FORENSIC PATHOLOGY PEDIATRICS PEDIATRIC ENDOCRINOLOGY 9/04 - 9/06 2003 - 2006 2003 - 2007 5 28 7 5 28 2 24 24 2 Board Examination "3 Year Past Board Certification" Sep 2006 - Aug 2007 PROGRAM PEDIATRIC GASTROENTEROLOGY PEDIATRIC HEMOTOLOGY/ ONCOLOGY PEDIATRIC INFECTIOUS DISEASES PEDIATRIC NEONATOLOGY PHYSICAL MEDICINE & REHABILITATION SERVICE (PM&R) Dates of Results From: To: 2002-2005 Total # of Graduates Total # of Examinees Certified Comments 5 5 5 2004 - 2007 2003 - 2005 2002-2005 3 3 5 3 3 5 3 3 5 8 8 8 Note that last year I inadvertently reported on a four rather than three year period. PREVENTIVE MED PSYCHIATRY CHILD PSYCHIATRY FORENSIC PSYCHIATRY GERIATRIC PSYCHIATRY PREVENTIVE PSYCHIATRY PSYCHIATRY / FAMILY PRACTICE 2004-2006 9 9 8 2004 - 2006 2003 - 2006 8 5 8 4 5 4 None PSYCHIATRY/INTERNAL MEDICINE RADIATION ONCOLOGY 2004- 2007 5 5 4 RADIOLOGY 6/2005 - 6/2007 27 27 25 Board Examination "3 Year Past Board Certification" Sep 2006 - Aug 2007 PROGRAM BODY IMAGING Dates of Results From: To: 2004 - 2007 Total # of Graduates Total # of Examinees Certified Comments 3 3 3 NA (100% Pass Rate of Step III) TRANSITIONAL YEAR (NNMC) TRANSITIONAL YEAR (WRAMC) UROLOGY Jul 2004 - July 2007 N/A 36 36 UROGYNECOLOGY VASCULAR SURGERY SLEEP MEDICINE No board exam available at the current time 2004 - 2007 8 3 Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS (3) 360-degree evaluation; (1) Portfolios; (1) Procedure, operative or case logs; (3) Standardized Written Assessment; (1) Simulation exercises; (1) OSCE or equivalent; (2) Mini CEX PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices ALLERGY (3) 360-degree evaluation; (2) Portfolios; (3) Procedure, operative or case logs; (3) Standardized Oral Assessment; (3) Simulation or OSCE; (3) Mini-CEX (2) 360-degree evaluation; (3) Portfolios; (2) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Simulation or OSCE (3) 360-degree evaluation; (2) Portfolios; (1) Procedure, operative or case logs; (3) Standardized Written Assessment; (2) Simulation or OSCE; (2) Mini-CEX (2) 360-degree evaluation; (3) Portfolios; (2) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Chart or record review; (1) Simulation or OSCE; (1) Mini-CEX (2) 360-degree Conference attendance sheet evaluation; (2) mapping presentation topics to Portfolios; (2) program requirements Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Chart or record review; (1) MiniCEX Porfolios; Standardized written assessment; Chart or record review DIAGNOSTIC IMMUNOLOGY LAB Portfolios; Standardized written assessment; Chart or record review Portolios; Standardized written assessment; Chart or record review Porfolios; Standardized written assessment; Chart or record review Portfolios; Standardized written Portfolios, Standardized Assesement; Chart or record written assessment; Chart or review record review ANESTHESIA Portfolios; Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Chart or record review; Simulation exercises Procedure, operative or case logs; Standardized Written Assessment; Chart or record review; Direct observation of how fellows conduct rounds and provide patient care. Portfolios; Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Simulation exercises Portifolios; Standardized Written Assessment; Standardized Oral Assessment; Simulation exercises Portifolios; Standardized Written Assessment; Standardized Oral Assessment; Chart or record review; Simulation exercises Portifolios; Standardized Written Assessment; Standardized Oral Assessment; Simulation exercises Portifolios; Standardized Written Assessment; Simulation exercises CRITICAL CARE Standardized Written Direct observation of how Assessment; Chart or record fellows conduct rounds and review; Direct observation of provide patient care. how fellows conduct rounds and provide patient care. Standardized Written Assessment; ): Direct observation of how fellows conduct rounds and provide patient care. Feedback from other hospital Services, patients, unit nursing staff. Standardized Written Assessment; Chart or record review; Direct observation of how fellows conduct rounds and provide patient care. Feedback from other hospital Services Standardized Written Assessment; Direct observation of how fellows conduct rounds and provide patient care. Feedback from other hospital Services; Chart or record review PAIN MANAGEMENT 360-degree evaluation; Standardized Written Assessment; Standardized Oral Assessment; Chart or record review Procedure, operative or ase logs, Standardized Written Assessment; Standardized Oral Assessment; Chart or recored review; Case Logs 360-degree evaluation; Standardized Written Assessment; Standardized Oral Assessment Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment REGIONAL ANESTHESIA Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Regional Anesthesia Outcomes Reporting database Standardized Written Procedure, operative or Assessment; Standardized Oral case logs; Daily patient Assessment; Monthly journal rounds club and lecture series; Chart or record review; Case Logs Procedure, operative or case logs; Case Logs Procedures, operative or case Procedures, operative Procedures, operative or case logs; Case logs or case logs; Case logs; Simulation exercises logs Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices CARDIO THORACIC SURGERY 360-degree evaluation; (2) Chart stimulated recall Standardized Written Assessment; (2) Case logs 360-degree evaluation; (2) Chart stimulated recall 360-degree evaluation; (2) Chart stimulated recall Procedure, operative or case logs; (2) Simulation oor OSCE Procedure, operative or case logs; (2) Simulation or OSCE DERMATOLOGY (3) Portfolios; (3) Procedure, operative ot case logs; (3) Standardized Oral Assessment; Resident written evaluations, OERs, Fitness Reports; 360 degree peer and ancillary staff surveys, procedure sign off sheets, post graduation surveys; (3) Chart or record reivew; (3) Case logs (3) Portfolios; (3) Procedure, operative ot case logs; (3) Standardized Oral Assessment; Resident written evaluations, OERs, Fitness Reports; 360 degree peer and ancillary staff surveys, procedure sign off sheets, post graduation surveys; (3) Chart or record reivew; (3) Case logs; Standardized written examinations (3) Portfolios; (3) Resident written evaluations, OERs, Fitness Reports, 360 degree self, peer, and ancillary staff surveys, post graduation surveys; (3) chart or record review (3) Portfolios; (3) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Chart or record reivew; (3) Case logs (3) Resident written evaluations; OERs; Fitness Reports, 360 degree self, peer, and ancillary staff surveys (3) Portfolios; (3) Chart or record review; (3) resident evaluations, 360 degree self peer, and ancillary staff surveys, cost analysis during Pharmacy Moment presentation, FOCUS PDCA project evaluation in third year of residency, anonymous and of year resident evaluations of the program and of the staff, QA log books for skin cancer and would complications, post graduation surveys (3) Portfolios; (3) Procedure, operative or case logs; (3) Chart or record review; (3) Staff oberservations during staffing of follow up patients, resident sharing of knowledge via email, resident evaluations, 360 degree surveys by self, peers, and ancillary staff, post graduation surveys 360 degree self surveys are given to each of the Chief Residents who then compare their own assessments with the 360 degree peer surveys on the same evaluation criteria for performance during their 2month blks of Chief Resident. This has been very useful as peer input is usually taken seriously by the residents and often echoes comments brought forth by the teaching staff. We look to see if the Chief Residents have any insight into their performance. Successive annual surveys of the residents by the ancillary staff have resulted in outcomes that have improved the dermatology clinics via feedback resultingin increased teaching, mentoring, and development of the ancillary staff/improved teamwork as related to systems-based practice. Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS (X) 360-degree evaluation; (X) OSCE or equivalent; (X) Other: In addition to specific clinical goals, an assessment of ACGME Core Competencies as observed by the responsible attending(s). PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT (X) Other: In addition to specific clinical goals, an assessment of ACGME Core Competencies as observed by the responsible attending(s); Journal Club for residents to present jornal articles using critical appraisal skills and selecting articles that apply to their practices; POEMS specific evidencebased didactic sessions which review FP topics based solely on evidence-based medicine. Please describe any innovations or best practices FAMILY MED - MGMC (X) Procedure, operative or case logs; (X) Standardized written assessment; (X) Chart or record review; (X) OSCE or equivalent; (X) Other: In addition to specific clinical goals, an assessment of ACGME Core Competencies as observed by the responsible attending(s). (X) Procedure, operative or case logs; (X) Standardized written assessment; (X) Chart or record review; (X) OSCE or equivalent; (X) Other: In addition to specific clinical goals, an assessment of ACGME Core Competencies as observed by the responsible attending(s). (X) Chart or record review; (X) OSCE or equivalent; (X) Other: In addition to specific clinical goals, an assessment of ACGME Core Competencies as observed by the responsible attending(s). (X) Other: In addition to specific clinical goals, an assessment of ACGME Core Competencies as observed by the responsible attending(s). Family MED - DACH 3 - 360 degree evaluations; 3 Portfolios; 3 Procedure, operative or case logs; n/a Chart Stimulated Recall; 3 Chart or record review; 3 Simulation of OSCE; 3 Standardized Written Assessment 3 360-degree evaluation; 1 Procedure, operative or case logs; 2 Standardized Written Assessment; 2 Chart or record review; 3 Simulation exercises; 3 OSCE or equivalent 3 360-degree evaluation; 1 Procedure; 2 Standardized Written Assessment; 2 Chart of record review; 3 Simulation exercises; 3 OSCE or equivalent 3 360 degree evaluation; 1 Procedure, operative or case logs; 2 Chart or record review; 3 Simulation or OSCE 2 360-degree evalution; 1 procedure, operative or case logs; 3 standardized written assessment; 3 chart or record review; 2 simulation or OSCE 2 360-degree evalution; 1 procedure, operative or case logs; 3 standardized written assessment; 3 chart or record review; 2 simulation or OSCE Standard written access. POLEC is a standardized patient-oriented longitudinal evaluation of care exercise we utilize in our PGY2 year of training. FP SPORTS MEDICINE (3) Procedure, operative or case logs; (3) Standardized written assessment; (3) Chart stimulated recall; (3) Chart or record review; (3) Stimulation or OSCE (3) Procedure, operative or case logs; (3) Standardized written assessment; (3) Chart or record review; (3) Stimulation or OSCE; (3) Other: Observation of patient interactions in the exam room and discussion with preceptors. (1) Procedure, operative or case logs; (1) Standardized written assessment; (1) Chart or record review; (1) Simulation exercises; (3) Other: Observation of patient interactions in the exam room and discussion with preceptors. (3) Chart or record review; (3) Simulation or OSCE; (3) Other: Observation of patient interactions in the exam room and discussion with preceptors. (2) Procedure, operative or case logs; (3) Standardized written assessment; (3) Chart or record review; (3) Simulation or OSCE; (3) Other: Observation of patient interactions in the exam room and discussion with preceptors. (3) Standardized None written assessment; (3) Other: Observation of patient interactions in the exam room and discussion with preceptors. Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS 360-degree evaluation; Portfolios; Procedure, operative or case logs; Breaking Bade New Course as PGY 1s PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT 360-degree evaluation; Portfolios; Procedure, operative or case logs; Chart or record review Please describe any innovations or best practices GENERAL SURGERY (WRAMC) 360-degree evaluation; Portfolios; Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Case logs 360-degree evaluation; Portfolios; Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Cast Logs 360-degree evaluation; 260-degree evaluation; Portfolios; Procedure, operative Portfolios; Procedure, or case logs operative or case logs; Chart or record review GENERAL SURGERY (NNMC) 360 degree evaluation; procedure, operative or case logs; standardardized written assessment; chart or record review; simulation or OSCE; casee logs; standardized oral assessment 360 degree evaluation; procedure, operative or case logs; standardized written assessment; standardized oral assessment; simulation or OSCE 360 degree evaluation; standardized oral assessment; OSCE or equivalent 360 degree evaluation; standardized oral assessment; simulation or OSCE 360 degree evaluation; procedure, opertive or case logs; standardized oral assessment; simulation or OSCE 360 degree evaluation; procedure, operative or case logs; standardized written assessment; standardized oral assessment; simulation or OSCE Videotaped, multi-institutional mock oral exam, Surgical simulation cirriculum at USUHS Simulation Center (Fundamental of Laparoscopic Surgery) HAND SURGERY INTERNAL MEDICINE 360-degree evaluation; Portfolios; Procedure, operative or case logs; Chart or record review; Simulation or OSCE; Standardized Written Assessment; Standardized ral Assessment; Mini-CEX 360-degree evaluation; Intern PBLI; chart or record review; simulation exercises; OSCE or equivalent; Mini-CEX 360-degree evaluation; Portfolios; Mini-CEX 360-degree evaluation; 360-degree evaluation; Standardized Written Portfolios; Mini-CEX Assessment; Standardized Oral Assessment; Chart or record review; Simulation exercies; Mini-CEX 360-degree evaluation; Portfolios; Standardized Written Assessment; Chart or record review; Mini-CEX 360-degree evaluation; Portfolios; Standardized Written Assessment; MiniCEX We have started a Practicbased Learning Improvement Project requirement in our program which can be completed in the ambulatory or the inpatient setting. GENERAL INTERNAL MEDICINE (NNMC) 360-degree evaluation; standardized written assessment; chart or record review; simulation exercise; OSCE or equivalent; Mini-CEX 360-degree evaluation; portfolios; simulation exercises; OSCE or equivalent; Mini-CEX 360-degree evaluation; portfolios; Intern Clinica projects; chart or record review; simulation exercises; OSCE or equivalent; Mini-CEX 360-degree evaluation; porfolios; chart stimulated recall; chart or record review; simulation exercises; OSCE or equivalent; Mini-CEX 360-degree Evidence Based Medicine evaluation; Rounds; Intern PBLI projects portfolios; EvidenceBased Medicine Rounds; Chart or record review; Simulation exercises; OSCE or equivalent; Mini-CEX Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices GENERAL INTERNAL MEDICINE (WRAMC) ACGME Core Competencies: Our program does not fall within ACGME, it is a faculty development program, so none of the questions apply. Outcomes we assess includes: Progression toward completion of the MPH degree. Research: Progression toward completion of a primary research project. Number of research projects involves in. Number of presenations of abstracts at national meetings. National and regional research awards. Edcation: successful completion of the SFDP. Result of evaluation of teaching by fellows by faculty. Completion of a core of didactics on educatinal theory and practice. INTERVENTIONAL CARDIOLOGY IM CARDIOVASCULAR (3) 360-degree evalution; (2) Portfolios, (2) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Chart stimulated recall; (2) Chart or record review; (3) Simulation or OSCE, (2) Case Logs (2) 360-degree evaluation; (3) Standardized Written Assessment; (3) Chart stimulated recall; (3) Chart or record review (3) 360-degree evaluation; (1) Portfolios; (1) Procedure, operative or case logs; (1) Standardized Written Assessment; (3) chart stimulated recall; (3) Chart or record review (3) 360-degree evaluation; (1) Portfolios; (1) Procedures, operative or case logs; (1) Standardized Written Assessment; (1) Chart stimulated recall; (3) Chart or record review (2) 360-degree evaluation; (1) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Chart stimulated recall; (3) Chart or record review (2) 360-degree evaluation; (1) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Chart stimulated recall; (3) Chart or record review IM CRITICAL CARE (2) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized written assessment; (2) Chart or record (2) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized written assessment; (2) Chart or record (3) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized written assessment; (2) Chart or record (2) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized written assessment; (2) Chart or record (2) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized written assessment; (2) Chart or record (2) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized written assessment; (2) Chart or record (2) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized written assessment; (2) Chart or record IM ENDOCRINOLOGY (3) 360-degree evaluation; (3) Procedure, operative or case logs, (3) Global monthly fellow evaluation; (3) Chart or record review (3) Procedure, operative or case logs; (3) Global monthly fellow evaluation; (3) Chart or record review (3) 360-degree evaluation; (3) Procedure, operative or case logs; (3) Global montly fellow evaluation (3) 360- degree evaluation; (3) Procedure, operative or case logs; (3) Chart or record review (3) 360-degree evaluation; (3) Global montly fellow evaluation; (3) Chart or record review (3) PBLI Project for each Fellow; (3) Global montly fellow evaluations; (3) Fellow lecturer IM GASTROENTEROLOGY (3) 360-degree evaluation (2) Portfolio (3) Procedure, operative or case logs (3) Standardized written assessment (3) 360-degree evaluation (2) Portfolio (3) Procedure, operative or case logs (3) Standardized written assessment (3) 360-degree evaluation (2) Portfolio (3) Procedure, operative or case logs (3) Standardized written assessment (3) 360-degree evaluation (2) Portfolio (3) Procedure, operative or case logs (3) Standardized written assessment (3) 360-degree evaluation (2) Portfolio (3) Procedure, operative or case logs (3) Standardized written assessment (3) 360-degree evaluation (2) Portfolio (3) Procedure, operative or case logs (3) Standardized written assessment Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices IM HEMOTOLOGY ONCOLOGY (2) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (2) Chart stimulated recall; (2) Chart or record review (2) 360-degree evaluation; (3) Portfolios; (2) Procedure, operative or case logs; (3) Standardized Written Assessement; (2) Chart stimulated recall; (2) Chart or record review (3) 360-degree evaluation; (3) Portfolios; (1) Procedure, operative or case logs; (3) Standardized Written Assessement; (1) Chart stimulated recall; (1) Chart or record review (3) 360-degree evaluation; (3) Portfolios; (1) Procedure, operative or case logs; (2) Standardized Written Assessement; (1) Chart stimulated recall; (1) Chart or record review (3) 360-degree evaluation; (3) Portfolios; (1) Procedure, operative or case logs; (1) Standardized Written Assessement; (1) Chart stimulated recall; (3) Chart or record review (1) 360-degree evaluation; (3) Portfolios; (1) Procedure, operative or case logs; (2) Standardized Written Assessement; (3) PBLI project; (2) Chart stimulated recall; (1) Chart or record review IM INFECTIOUS DISEASE (2) 360-degree evaluation; (2) Portfolios; (3) Standardized Written Assessment; (2) Chart or record review (2) 360-degree evaluation; (2) Portfolios; (3) Standardized Written Assessment; Annual Inservice Exam, weekly quizzes; presentation evaluations (2) 360-degree evaluation; (2) Portfolios; (3) Standardized Written Assessment; Presentation evaluations (2) 360-degree evaluation; (2) Portfolios; (3) Standardized Written Assessment; Presentation evaluations (2) 360-degree evaluation; (2) Portfolios; (3) Standardized Written Assessment; Birth Month Annual Review Training; Presentation Evaluations IM NEPHROLOGY Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS (3) 360-degree evaluation; (2) Standardized Written Assessment; (3) Monthly Evaluation; Direct observation especially of a) H&P performance in ICU; b) teaching residents and medical studetns in clinic and ICU; and c) Journal Club Conference; Pathology Conference; Research Conference; Radiology Conference; CT Surgery Conference; NNMC Combined Surgery/Radiology/Patholo gy Conference; OERs PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT (3) 360-degree evaluation; (3) Standardized Written Assessment; (3) Montthly Evaluation; Direct observation especially of a) H&P performance in ICU; b) teaching residents and medical students in clinical and ICU; and c) Journal Club Conference; Pathology Conference; Research Conference; Radiology Conference; CT Surgery Conference; NNMC Combined Surgery/Radiology/P athology Conference; OERs Please describe any innovations or best practices IM PULMONARY/ CRITICAL CARE (3) 360-degree evaluation; (2) Procedure, operative or case logs; (3) Standardized Written Assessment, (3) Chart or record review; (3) Monthly Evaluation; Direct observation especially of a) H&P performance in ICU; b) teaching residents and medical students in clinic and ICU; and c) Journal Club Conference; Pathology Conference; Research Conference; Radiology Conference; CT Surgery Conference; NNMC Combined Surgery/Radiology/Pathology Conference; OERs (2) 360-degree evaluation; (2) Procedure, operative or case logs; (3) Monthly Evaluations; Direct observation especially of a) H&P performance in ICU; b) teaching residents and medical students in clinic and ICU; and c) Journal Club Conference; Pathology Conference; Research Conference; Radiology Conference; CT Surgery Conference; NNMC Combined Surgery/Radiology/Pathology Conference; OERs (3) 360-degree evaluation; (2) Standardized Written Assessment; (3) Monthly Evaluation; Direct observation especially of a) H&P performance in ICU; b) teaching residents and medical studetns in clinic and ICU; and c) Journal Club Conference; Pathology Conference; Research Conference; Radiology Conference; CT Surgery Conference; NNMC Combined Surgery/Radiology/Pathology Conference; OERs (3) 360-degree evaluation; (3) Standardized Written Assessment; (3) Montthly Evaluation; Direct observation especially of a) H&P performance in ICU; b) teaching residents and medical students in clinical and ICU; and c) Journal Club Conference; Pathology Conference; Research Conference; Radiology Conference; CT Surgery Conference; NNMC Combined Surgery/Radiology/Pathology Conference; OERs Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices (2) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Standardized written assessment; (3) Chart stimulated recall; (3) Chart or record review; (2) Mini-CEX IM RHEUMATOLOGY (2) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative and case logs; (3) Standardized written assessment; (3) Chart stimulated recall; (3) Chart or record review; (2) Mini-CEX (3) Portfolios; (3) Procedure, operative and case logs; (3) Standardized written assessment; (3) Chart stimulated recall; (3) Chart or record review; (2) MiniCEX (2) 360-degree evaluation; (3) 360-degree evaluation; (3) (3) Portfolios; (2) Portfolios; (1) Chart Review; Procedure, operative and (3) Mini-CEX case logs; (2) Chart stimulated recall; (2) Chart or record review; (2) MiniCEX (3) Portfolios; (3) Chart stimulated recall; (3) Chart or record review; (2) Standardized written assessment; (2) Mini-CEX (3) Portfolios; (3) Standardized written assessment; (3) Chart stimulated recall; (3) Chart or record review; (2) MiniCEX NEUROLOGY (1) 360-degree evalaution; (1) Portfolios; (1) Procedure, operative or case logs; (3) Standardized Oral Assessment; (3) Mini-CEX (1) 360-degree evaluation; (1) (1) 360-degree evaluation; (1) 360-degree evaluation; (2) Portifolios; (2) Chart stimulated (3) Standardized Oral Standardized oral Assessment; recall; (1) Chart or record Assessment; (3) Mini-CEX (2) Mini-CEX review; (3) Standardized Written Assessment; (3) Standardized Oral Assessment; (3) Min-CEX (1) 360-degree evaluation; (1) Portfolios; (1) Procedure, operative or caselogs; (1) Chart stimulated recall; (1) Chart or recorde review (1) 360-degree evaluation; (1) Portfolios; (1) Procedures, operative or case logs; (1) Standardized Writeen Assessment; (2) Standardized Oral Assessment; (1) Chart stimulated recall; (1) Chart or record review; (2) Mini-CEX CHILD NEUROLOGY NEURO CLIN NPH (NIH) 360-degree evaluation; Procedure, operative or case logs; Chart or record review Procedure, operative, or case 360-degree evaluation; logs; Standardized written Standardized Written Assessement; Standardized Oral Assessment Assessment; Chart or record review (X) 360-degree evaluation; (X) (X) 360-degree evaluation; Standardized written assessment; (X) Standardized written (X) Chart or record review. assessment; (X) Chart or record review. 360-degree evaluation; Standardized Written Assessment 360-degree evaluation; Standardized Written Assessment 360-degree evaluation; Standardized Oral Assessment NEURO CLIN NPH (X) 360-degree evaluation; (X) Standardized written assessment; (X) Chart or record review. (X) 360-degree evaluation; (X) Standardized written assessment; (X) Chart or record review. (X) 360-degree evaluation; (X) Standardized written assessment; (X) Chart or record review. (X) 360-degree (X) 360-degree evaluation; evaluation; (X) (X) Chart or record review. Standardized written assessment; (X) Chart or record review. NEUROSURGERY Procedure, operative or case logs; Standardized Oral Assessment Standardized written assessment; 360-degree evaluation Board Scores/Conference/Clinical Evaluation Sheets 360-degree evaluation; Patient satifcation evaluations 360-degree evaluation 360-degree evaluation; Patient satisfaction evaluations, M&M write-ups Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices NUCLEAR MEDICINE (1) 360-degree evaluation; (2) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Director Faculty Observation (1) 360-degree evaluation; (2) (1) 360-degree evluation; Procedure, operative or case (3) Director Faculty logs; (3) Standardized Written Observation Assessment; (3) Director Faculty Observation (1) 360-degree evluation; (3) Director Faculty Observation (1) 360-degree evluation; (3) (1) 360-degree Director Faculty Observation evluation; (3) Director Faculty Observation OBSTETRICS/ GYNECOLOGY GYNECOLOGY ONCOLOGY (3) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Standardized Written Assessment; Focused Assessment of Competency (generic), Surgical Focused Assessment of Competency, Communication Focused Assessment of Competency, Skills Sessions, multiple conferences; (3) Simulation or OSCE (3) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Standardized Written Assessment; Focused Assessment of Competency (generic), Surgical Focused Assessment of Competency, Communication Focused Assessment of Competency, Skills Sessions, multiple conferences; (3) Simulation or OSCE (3) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Standardized Written Assessment; Focused Assessment of Competency (generic), Surgical Focused Assessment of Competency, Communication Focused Assessment of Competency, Skills Sessions, LIFE Curriculum, multiple conferences; (3) Simulation exercises (3) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Standardized Written Assessment; Focused Assessment of Competency (generic), Surgical Focused Assessment of Competency, Communication Focused Assessment of Competency, Skills Sessions, Officer Evaluation Reports (Army), Fitness Reports (Navy), multiple conferences (3) Simulation or OSCE (3) 360-degree evaluation; (3) Portfolios; (3) Standardized Written Assessment; (3) Focused Assessment of Competency (generic), Surgical Focused Assessment of Competency, Communication Focused Assessment of Competency, Skills, Sessions, multiple conferences, work hour reviews, Tricare AHLTA review sessions; (3) Chart or record review; (3) Simulation of OSCE (3) 360-degree Portfolios; Procedure, evaluation; (3) operative/case logs; Portfolios: Portfolios; (3) resident Training Files are Procedure, operative maintained; separate files or case logs; (3) contain competency-based Standardized Written forms. These 2 folders form Assess; (3) the Resident Portfolios. Simulation or OSCE; -Procedure Log: maintained by (3) Focused Assess the ACGME. Competency of Competency forms: listed as above (general (generic), Surgical and focused assessments). Focused Assess of Skills sessions added to Competency, academic calendar. Communication ABOG LifeLong Learning Focused Assess of Curriculum: patterned after Competency, Skills ABOG Maintenance of Sessions, ABOG Certification program; LifeLong Learning prepares residents for life-long Curriculum, evidence- learning. based medicione Multiple conferences are held, reviews, resident addressing numerous aspects research, multiple of the competencies (M&M, conferences Pre-Op Conference, Morning Report, ethics conferences, lifelong learning, several interdisciplinary conferences -Resident research highly emphasized; teaches evidencebased medicine and practicebased learning and improvement -Several particular topics to address aspects of competencies: -Learning to Address REPRODUCTIVE ENDOCRINOLOGY Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices OCCUPATIONAL & ENVIRONMENTAL MEDICINE OPHTHALMOLOGY (2) 360-degree evaluation; (2) Procedure, operative or case logs; (2) Standardized Written Assessment; (2) Standardized Oral Assessment; (2) Chart stimulated recall; (2) Chart or record review; (2) Case Logs (2) 360-degree evaluation;(2) Standardized Written Assessment; (2) Standardized Oral Assessment; (2) Chart or record review; (1) Case Logs (2) 360-degree evaluation; (2) Standardized Written Assessment; (2) Standardized Oral Assessment; (2) OSCE or equivalent (2) 360-degree evaluation; (2) Standardized Written Assessment; (2) Standardized Oral Assessment (1) 360-degree evaluation; (1) Procedure, operative or case logs; (2) Standardized Written Assessment; (2) Standardized Oral Assessment; (2) Chart or record review; (2) Simulation or OSCE; (2) Case logs (1) 360-degree Standardized Written evaluation; (1) Assessment Procedure, operative or case logs; (2) Standardized Written Assessment; (2) Standardized Oral Assessment; (1) Chart or record review; (1) Simulation or OSCE ORAL & MAXILOFACIAL SURGERY Procedure, operative or case logs; Standarlized written assessment; Standarlized oral assessment; Chart or record review; Case Logs Procedure, operative or case logs; Standarlized written assessment; Standarlized oral assessment; Chart or record review; Case Logs Procedure, operative or case logs; Standarlized written assessment; Standarlized oral assessment; Chart or record review; Procedure, operative or case logs; Standarlized written assessment; Standarlized oral assessment; Chart or record review; Case Logs Procedure, operative or case logs; Standarlized written assessment; Standarlized oral assessment; Chart or record review; Case Logs Procedure, operative or case logs; Standarlized written assessment; Standarlized oral assessment; Chart or record review; Case Logs Procedure, operative or case logs; Standarlized written assessment; Standarlized oral assessment; Chart or record review ORTHOPAEDICS WRAMC/NNMC 360 degree evaluation; Procedure, operative or case logs; Standardized Written Assessment; Conference participation, direct observation, discussion in patient care settings to include OR; Chart stimulated recall; Chart or record review 360 degree evaluation; 360 degree evaluation; Procedure, operative or case Chart or record review logs; Standardized Written Assessment; Conference participation, direct observation, discussion in patient care settings to include OR; Chart or record review 360-degree evaluation; Procedure, operative or case logs; feedback from military command, re: officership, completion of required duties, etc 360-degree evaluation; direct Conference Daily morning conference observation, discussion participation, follow where entire faculty and up on questions residents are available. Residents present at the podium frequently, presenting call cases, preops postops. Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS (X) 360-degree evaluation; (X) Standardized written assessment; (X) Standardized oral assessment (X) Simulation exercises; (X) Other: Direct observation of patient and family counseling. PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT (X) Procedure, operative or case logs; (X) Standardized written assess; (X) Standardized oral assess (X) Chart or record review; (X) Other: Evidence based medicine lecture series, Journal Club discussions; Grd Rds speakers; weekly mortality and morbidity conferenceResidents are encouraged to maintain a ―toolbox‖ of strategies which they share with their fellow residents to help them increase efficiency in dealing with: the busy clinic, resident presentations, study habits, inservice preparation, achieving goals and objectives, transitioning from one rotation to the Please describe any innovations or best practices (X) Procedure, operative or case logs; (X) Other: We regularly review case coding with residents and track case equity. Staff presents a formal yearly inservice review program. Monthly combined academics between WRAMC and NNMC. OTOLARYNGOLOGY (X) 360-degree evaluation; (X) Procedure, operative or case logs; (X) Standardized written assessment; (X) Standardized oral assessment (X) Chart or record review; (X) case logs (X) 360-degree evaluation; (X) Procedure, operative or case logs; (X) Standardized written assessment; (X) Standardized oral assessment (X) Chart or record review; (X) case logs (X) 360-degree evaluation; (X) Other: Direct observation of resident/patient interactions by staff (X) 360-degree evaluation; (X) Procedure, operative or case logs; (X) Standardized written assessment; (X) Standardized oral assessment (X) Chart or record review; (X) Other: Evidence based medicine lecture series, Journal Club discussions; Observation of performance in multidisciplinary tumor board; staff observe residents in their interaction with other hospital services. PATHOLOGY 360-degree evaluation; Procedure; operative or case logs; Standardized Oral Assessment Portfolios; Standardized Written Portfolios; End of month Assessment; Daily surg path sign rotation eval out eval 360-degree evaluation; Procedure, operative or case logs; Standardized Written Assessment; End of month rotation evals 360-degree evaluation; procedure, operative or case logs, chart or record review Standardized Written Assessment; Journal Club FORENSIC PATHOLOGY 360-degree evaluation; procedure, operative or case logs; char or record review 360-degree evaluation; procedure, operative or case logs, chart or record review 360-degree evaluation; procedure, operative or case logs; chart or record review 360-degree evaluation; procedure, operative or case logs; chart or record review 360-degree evaluation; procedure, operative or case logs; chart or record review Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT (3) We perform mandatory structured clin observations ( SCO‘s) on all residents during their outpatient mths which are kept in their portfolios. We are also working to introduce SCO‘s on inpatient rotations as well. To help fulfill the sys based prac competency all residents have a ―passport‖of various areas of our military health care sys that they must visit and sign off on (eg. TRICARE office, EFMP, ACS, central appointments, Wounded Warrior Brigade, etc.). All residents are involved in a PI project that their continuity group practice has formulated, specifically targeting 360 degree evaluation; Portfolios; Procedure, operative or case logs; chart or record review; Case Logs Please describe any innovations or best practices PEDIATRICS (3) 360-degree evaluation; (2) Portfolios; (2) Procedue, operative or case logs; (3) Structured Clinical Observations; (3) Chart stimulated recall; (2) Chart or record review; (3) Simulation or OSCE (3) Standardized Written Assessment; (3) SCO's; (3) Chart stimulated recall; (2) Chart or record review; (3) Simulation or OSCE (3) 360-degree evaluation; (3) 360-degree evaluation; (3) (3) SCO's; (2) Stimulation SCO's; (3) Stimulation or OSCE exercises; (3) OSCE or equivalent (2) 360-degree evaluation; (3) Standardized Written Assessment; (3) SCO's; (2) Chart or record review; (3) Simulation or OSCE PEDIATRIC ENDOCRINOLOGY Portfolios; Procedure, operative or case logs; Chart or record review; Case Logs Portfolios; Procedure, operative or caselogs; Standardized Written Assessment; Chart or record review; Case Logs 360 degree evaluation; Portfolios; Chart or record review;Procedure, operative or case logs 360 degree evaluation; 360 degree evaluation; Portfolios; Procedure, operative Portfolios; Chart or record or case logs; Chart or record review; Case Logs review PEDIATRIC GASTROENTEROLOGY (3) Procedure, operative or case logs; (3) Standardized written assessment; (3) Chart or record review; (3) Simulation or OSCE; (3) Other: Direct observation (3) Procedure, operative or case (3) Other: Direct logs; (2) Standardized written observation assessment; (3) Chart or record review; (3) Other: Direct observation (3) Other: Direct observation; (3) Chart or record review; patient and ancillary reports, not (3) Other: Direct formal surveys communication with case management, nutrition, RN. (3) Chart or record None. review; (3) Other: QA reports, verbal reports from research mentors, observation Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS (3) 360-degree evaluation; (3) Procedure, operative or case logs; Standardized Written Assessment; (3) Chart or record review PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT (3) 360-degree evaluation; (3) Procedure, operative or case logs; Standardized Written Assessment; (3) Chart or record review Please describe any innovations or best practices PEDIATRIC HEMOTOLOGY/ ONCOLOGY (3) 360-degree evaluation; (3) Procedure, operative or case logs; Standardized Written Assessment; (3) Chart stimulated recall; (3) Chart or record review (3) 360-degree evaluation; (3) Procedure, operative or case logs; Standardized Written Assessment; (3) Chart stimulated recall; (3) Chart or record review (3) 360-degree evaluation; (3) Procedure, operative or case logs; Standardized Written Assessment; (3) Chart stimulated recall; (3) Chart or record review (3) 360-degree evaluation; (3) Procedure, operative or case logs; Standardized Written Assessment; (3) Chart or record review PEDIATRIC INFECTIOUS 360-degree evaluation; Profolios; Standardized DISEASES Written Assessment; Chart stimulated recall; Chart or record review; OSCE or equivalent 360-degree evaluation; Standardized Written Assessment 360-degree evaluation; Standardized Written Assessmenet; OSCE or equivalent 360-degree evaluation; Standardized Writeen Assessment; OSCE or equivalent Standardized Written Assessment; Chart or record review; OSCE or equivalent 360-degree Chart or record review evaluation; Standardized Written Assessment; Chart or record review; OSCE or equivalent PEDIATRIC NEONATOLOGY (3) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Chart or record review (3) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Standradized written assessment; (3) Chart or record review (3) 360-degree evaluation; (3) Portfolios; (3) Procedure, operative or case logs; (3) Chart or record review (3) 360-degree evaluation; (1) Portfolios; (1) Procedure, operative or case logs; (1) Chart or record review (1) 360-degree evaluation; (1) (1) 360-degree Portfolios; (1) Procedure, evaluation; (1) operative or case logs; (1) Portfolios Chart or record review OSCE or equivalent PHYSICAL MEDICINE & 360-degree evaluation; Standardized written REHABILITATION assessment; standardized oral SERVICE (PM&R) assessment; chart or record review Simulation or OSCE; Mini-CEX 360-degree evaluation; Standardized Written Assessment; Standardized Oral assessment; Chart record review; Mini-CEX; Quarterly Exams, inservice exams; lectures, case presentations 360-degree evaluation;Standardized written assessment; MiniCEX 360-degree evaluation; Standardized written assessment; Mini-CEX Standardized written assessment;Standardized Oral assessment;Description of impressions from attending PCAC meeting, annually; chart or record review Standardized written assessment; Research project, didactic lectures, resident run didactics with fellow residents; Chart or record review Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices PREVENTIVE MED (3) Standardized written assessment; (3) Case logs (2) Portfolios; (3) Standardized written assessment; (3) Other: ACPM in-service examination (2) 360-degree evaluation; (2) 360-degree evaluation; (2) (2) Portfolios; (3) Portfolios; (3) Standardized Standardized written written assessment assessment (2) Portfolios; (3) Standardized written assessment (2) Portfolios; (3) (3) Other: We incorporate a Standardized written Problem or question from assessment academic and practicum year issues confronting residents and use that to teach critical appraisal and problem-based, life-time learning skills (PBLI). We are also now trending competency selfassessments and in-service examination scores longitudinally through the residency to document resident progress and achievement throughout training, as well as to inform areas of needed improvement in the program, if any. PSYCHIATRY (3) 360-degree evaluation; (3) (3) 360-degree evaluation; (3) case logs; (3) Mini-CEX; (3) Standardized written assessment; Other: Resident activity files, (3) Mini-CEX resident peer review (3) 360-degree evaluation; (3) Other: Resident activity file (3) Other: Resident activity (3) Standardized oral file, Resident Peer review assessment; (3) OSCE or equivalent (3) 360-degree evaluation; (3) Case logs; (3) Other: Resident activity file, Resident Peer review (3) 360-degree evaluation; (3) Other: Our patient satisfaction eval is an email-based, web response system that patients can respond directly to the program director‘s office. We also instituted a email communication system and website for our residency (www.nccpsychiatry.info) that allows us to link all of the different emails (WRAMC, NNMC, and MGMC) as well as home email to ensure good communication with all the residents as well as provide information to residents and potential applicants accessible from any location. This website lets us post didactics and schedules and other information. Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Conference presentations; Chart stimulated recall; Chart or record review; CaseLogs; Mini-CEX PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Procedure, operative or case logs; Standardized Written Assessment; Standarized Oral Assessment; Chart or record review; Case Logs Please describe any innovations or best practices Moving toward evaluating all faculty on 6 core competencies in manner similar to fellows/residents CHILD PSYCHIATRY Standardized Written Assessment; Standardized Oral Assessment; pre/post tests; Chart stimulated recall, Chart or record review, Case Logs; Mini-CEX Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Chart stimulated recall; Chart or record review; Case Logs; Mini-CEX Real time observatons; Chart or Chart or record review; record review; Mini-CEX Procedure, operative or case logs; Standardized Written Assessment; Standardized Oral Assessment; Direct Supervision FORENSIC PSYCHIATRY 360-degree evaluation; procedure, operative or case logs, chart or record review; simulation exercies 360-degree evaluation; procedure, operative or case logs, chart or record review; simulation exercies 360-degree with 360 degree evaluation; evaluation; case simulation exercises presentations and analysis; simulation exercises 360 degree evaluation; procedure, operative or case logs, simulation exercises 360 degree Mock trials, OSCE or evaluation; equivalent procedure, operative or case logs; chart or record review; simulation exercises GERIATRIC PSYCHIATRY PREVENTIVE PSYCHIATRY PSYCHIATRY / FAMILY PRACTICE PSYCHIATRY/INTERNAL MEDICINE RADIATION ONCOLOGY 350-Degree evaluation; Protfolios; Procedurem Operative or case logs; Standardized written assessment; Standardized oral assessment; Chart stimulated recall; Cart or record review ; Simulation exercises 350-Degree evaluation; Protfolios; Procedurem Operative or case logs; Standardized written assessment; Standardized oral assessment; Chart stimulated recall; Cart or record review ; Simulation exercises; Other Radiobiology protocol 350-Degree evaluation; Protfolios; Procedure Operative or case logs; Standardized written assessment; Standardized oral assessment; Chart stimulated recall; Cart or record review ; Simulation exercises 350-Degree evaluation; Protfolios; Procedure Operative or case logs; Standardized written assessment; Standardized oral assessment; Chart stimulated recall; Cart or record review ; Simulation exercises 350-Degree evaluation; Protfolios; Procedure Operative or case logs; Standardized written assessment; Standardized oral assessment; Chart stimulated recall; Cart or record review ; Simulation exercises; Other Radiobiology protocol 350-Degree evaluation; Protfolios; Procedure Operative or case logs; Standardized written assessment; Standardized oral assessment; Chart stimulated recall; Cart or record review ; Simulation exercises Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Procedure, operative or case logs Please describe any innovations or best practices RADIOLOGY Portfolios, Procedure; operative or case logs; Standardized Written Assessment 360-degree evaluation; Portolios, 360-degree evaluation; Procedure; portfolios 360-degree evaluation; portfolios Portfolios BODY IMAGING 360-degree evaluation Portfolios; Global monthly evaluation 360-degree evaluation; Portfolios; Global monthly evaluation 360-degree evaluation; 360-degree evaluation; Portfolios; Global monthly Portfolios; Global monthly evaluation evaluation Portfolios; Global monthly evaluation Portfolios; Global montly evaluation TRANSITIONAL YEAR (3) 360-degree evaluation; (3) (NNMC) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Simulation or OSCE; (3) Mini-CEX; (3) 360-degree evaluation; (3) Procedure, operative or case logs; (3) Simulation or OSCE; (3) Mini-CEX (3) 360-degree evaluation; (3) Procedure, operative or case logs; (3) Standardized Written Assessment; (3) Simulation or OSCE; (3) Mini-CEX (3) 360-degree evaluation; (3) Procedure, operative or case logs; (2) Standardized Written Assessment; (3) Simulation or OSCE; (3) Mini0-CEX (3) 360-degree evaluation; (3) Procedure, operative or case logs; (2) Standardized Written Assessment; (3) Simulation or OSCE; (3) Mini-CEX (3) 360-degree evaluation; (3) Procedure, operative or case logs; (2) Standardized Written Assessment; (3) Simulation or OSCE; (3) MiniCEX Standardized Written 1. Introduced ―My mistake‖ Assessment; The where interns self evaluate a clinical question mistake that was made and examine any system factors that contributed. 2. Introduced ―The clinical question‖, where they evaluate a diagnostic or therapeutic question that came up on their patient. The staff evaluates their literature search and their interpretation of the literature. TRANSITIONAL YEAR (WRAMC) Standardized Written Assessment; Simulation of OSCE Standardized Written Assessment; Simulation of OSCE Standardized Written Standardized Written Assessment; Breaking Bad Assessment; Meeting News OSCE or equivalent attendance logs, completion of military and academic requirements Standardized Written Assessment; My Mistake; UROLOGY UROGYNECOLOGY 360-degree evaluation; Procedure, operative or case logs Procedure, operative or case logs; Standardized Oral Assessment 360-degree evaluation 360 degree evaluation 360 degree evaluation 360 degree evaluation VASCULAR SURGERY Core Competencies Sep 2006 - Aug 2007 PROGRAM PATIENT CARE MEDICAL KNOWLEDGE INTERPERSONAL AND COMMUNICATION SKILLS PROFESSIONALISM SYSTEMS BASED PRACTICE PRACTICE BASED LEARNING AND IMPROVEMENT Please describe any innovations or best practices (3) Strandardized written assessment; standardized oral assessment; (3) Chart or record review SLEEP MEDICINE (3) Chart or record review (3) Standardized written assessment; (3) standardized oral assessment; Chart or record review (3) Standardized written assessment; (3) Standardized oral assessement; (3) Chart or record review (3) Standardized written assessment; (3) standardized oral assessment; (3) Chart or record review (3) Standardized written assessment; (3) standardized oral assessment; (3) Chart or record review (3) Strandardized written assessment; standardized oral assessment; (3) Chart or record review Work Supervision PROGRAM Procedures are in place that provide residents with rapid and reliable communication with supervising faculty Yes. Supervision policy and program director intent provided in orientation binder/CD and reviewed during orientation. Samples of patient care assessment forms available for review that are used to provide immediate feedback to trainees. Yes, CLI & Allergy-Immunology training program fellow orientation CD provided to fellow and on file in program director’s office; also available on network share drive file Yes. Resident Handbook, Depatment policies Faculty Schedules are structured in a way that provides residents with continuous supvervision Yes. 2 consultants of the day are scheduled every day. These faculty consultants are dedicated to supervising all clinical activities of fellows and rotating residents/students. Yes, 2 staff consultants of the day supervise the care of all patients seen in the clinic, at least 1 staff supervisor assigned for all laboratory and research rotations ALLERGY DIAGNOSTIC IMMUNOLOGY LAB ANESTHESIA CRITICAL CARE Yes. 24 hour in house coverage for supervision of care Yes. Specified in our yearly Housestaff guide which is provided to all trainees and Yes. Per policy, attending intensivists are always present for rounds during duty days located in my office- hardcopy and electronic. and are immediately available by phone/pager/cell at all times. Contact information is prominently displayed in the ICUs. Yes. The Pain Clinic has 2 attendings assigned each day to supervise the fellows in training Yes No Yes. Because of the small number of cardiothoracic procedures done at WRAMC, our resident does not rotate on our service. Faculty schedules would apply only to the other institutions that our resident rotates through. To the best of our knowledge these institutions provide carefully delineated lines of supervision. Yes. The supervising staff are available on site for supervision of residents and are fully dedicated to staffing duties when assigned to staff resident clinics. Continuous supervision means that the staff are fully available in the clinics to the residents during staffing duties and are not seeing their own clinics or doing other tasks. PAIN MANAGEMENT REGIONAL ANESTHESIA CARDIO THORACIC SURGERY DERMATOLOGY Yes. The resident supervision policy is in the resident handbook. Staffing schedules for NNMC and WRAMC Dermatology are kept in binders in the program director’s office. Staffing schedules are posted in the NNMC and WRAMC Dermatology Clinics. Alert rosters provide contact information for all residents and staff. Yes. Medical Group Instruction 44-61, "Supervision of Residents" available through MDG or Department office. Yes. Department/Residency SOP on Resident supervision available in multiple locations throughout the facility to include the organization’s intranet and s-drive. FAMILY MED - MGMC Family MED - DACH Yes Yes. Preceptors always available for outpatient clinic rotations at NLT 4:1 ratio of residents to outpt precept. 100% supervision provided on all inpatient experiences. FP SPORTS MEDICINE Yes. At beginning of fellowship, fellows are given contact numbers for their faculty Yes. There is always one or more faculty members avaiable in person or by phone for members to answer questions at any time. During all clinic appointments, fellows questions that arise. are supervised by faculty in person. During initial months of training room visits, fellows are supervised by faculty in person, then later through on-call availability of faculty. Yes. My Service is divided into four functioning general surgical teams and each team has dedicated Attending Staff assigned to the residents rotation on that team for that rotation. GENERAL SURGERY (WRAMC) This Residency Policy is in the Handbook of Information given out by the Program every year to all Housestaff and Staff and which the Housestaff signs a document after they have read the Handbook verifying their understanding of all policies and procedures. Work Supervision GENERAL SURGERY (NNMC) Yes. Department policy posted on command website and department shared drive. Yes. Patients are booked in clinics under staff, not residents. All operative cases are under the supervision of the staff. Staff round with residents on weekends. HAND SURGERY INTERNAL MEDICINE INTERNAL MEDICINE Yes. Yes. Discuss duty hour rules at beginning of every ward rotation for staff/housestaff. Yes. Daily rounds done by staff. GENERAL INTERNAL MEDICINE We have no residents, so this question is not applicable (WRAMC) IM CARDIOVASCULAR. A chart indicating who the immediate staff support and supervision is for every fellow clinical rotation (as well as after hours duty such as call). Each fellow has a copy of this as well as it is posted on a bulletin board. In addition there is a printed manual of standard operating procedures in the office of the program director and assistant (available in print form and on line). Yes. IM CRITICAL CARE IM ENDOCRINOLOGY Yes. Attending is present on ICU rounds and writes a daily attending note in the pt Yes. There is continuous attending coverage 24/7 in the ICU. record. CCM syllabus outlines Attending oversight re: pt care. Yes. Supervision policy is stated in our NCC Endocrine Handbook. Schedules for Yes. Schedule ensure faculty are on site and available as need for supervision. faculty assignments for fellow supervision are maintained for both WRAMC and NNMC sites in our Program Schedule Binder for each year. IM GASTROENTEROLOGY IM HEMOTOLOGY ONCOLOGY IM INFECTIOUS DISEASE IM NEPHROLOGY IM PULMONARY/ CRITICAL CARE IM RHEUMATOLOGY Yes online program manual Yes. The Sleep, Alertness and Fatigue in Residency (SAFER) presentation is provided to all faculty and fellows. Yes. Section T of the ID Fellowship Syllabus outlines the Supervisory Policy. Yes, One staff assigned per monthly rotation Yes. Yes. Departmental policy located in DOM. Also located in LOAs. One staff assigned to one rotation, with continuous access face-to-face or on pager. Yes. Departmental policy located in fellow handbook. Yes. Each day, an attending is assigned to staff all outpatient cases with fellows. This attending does not see their own clinic so that they are available to all fellows. For the inpatient service, an attending is assigned and available to the residents via personal contact, beeper or phone at all times. Yes. All patients are discussed directly with staff NEUROLOGY CHILD NEUROLOGY NEURO CLIN NPH (NIH) Yes. Departmental policy. Residency Handbook Yes. Clinical Neurophysiology Fellows Handbook Yes Work Supervision NEURO CLIN NPH (WRAMC) NEUROSURGERY NUCLEAR MEDICINE No. Yes. The CNP resident works side-by-side with the faculty the first portion of the year, in close proximity the middle portion; and within a short walk the last half. Yes. Clinic is staff by faculty, operative cases are supervised and feedback dcoumented randomly. Yes. 1st week of every month - f/u reports on patients provided from faculty to staff Yes. Standard Operating Procedure for the Nuclear Medicine Clinic assigns a Yes. Se previous cell. minimum of one staff physician as the covering physician for the clinic. This physician works side by side with the trainees, and is readily available in the clinic or by pager during duty hours. A staff is also assigned to the on-call fellow, and is readily available by pager for after – hours questions and supervision. OBSTETRICS/ GYNECOLOGY Yes. The supervision policy is detailed in the Training Manual; all residents and faculty, as well as administrators, are provided with a copy of the Training Manual each year. Copies are also maintained in all major clinical locations in which residents are involved as well as in the Residency Coordinator’s office and the Program Director’s and Associate Program Director’s offices. Yes. All resident activities (clinic, call, surgery) are performed under faculty supervision; faculty schedules are maintained such that there is a faculty member responsible for clinics and Labor and Delivery, and all surgical procedures are fully supervised and staffed by faculty. Staff are on call continuously, including 24 hour in-house call for Labor and Delivery coverage. GYNECOLOGY ONCOLOGY Yes. The supervision policy is detailed in the Training Manual; all residents and faculty, as well as administrators, are provided with a copy of the Training Manual each year. Copies are also maintained in all major clinical locations in which residents are involved as well as in the Residency Coordinator’s office and the Program Director’s and Associate Program Director’s offices. Yes. All resident activities (clinic, call, surgery) are performed under faculty supervision; faculty schedules are maintained such that there is a faculty member responsible for clinics and Labor and Delivery, and all surgical procedures are fully supervised and staffed by faculty. Staff are on call continuously, including 24 hour in-house call for Labor and Delivery coverage. REPRODUCTIVE ENDOCRINOLOGY OCCUPATIONAL & ENVIRONMENTAL MEDICINE Yes. Yes. Residents are assigned to outpaitient/ambulatory care rotations only where the preceptor is available to supervise the resident at all times. The residents do not do inpatient treatment. OPHTHALMOLOGY Yes. The supervision policy can be found in the resident’s handbook that is issued Yes. Each subspecialty staff supervises the resident on their rotation at all times. to each resident during their orientation. Another copy can be found in the Residents not assigned to a specific rotation either present their patients to the first year Program Director’s office. staff coordinator or to the staff assigned to clinic coverage for that day. After hours and in the case of emergencies, all staff carry pagers and can be contacted. Additionally, there is a staff on call for a week at a time that carries a pager at all times. ORAL & MAXILOFACIAL SURGERY Yes. The supervisory policy is distributed to all residents during orientation and is a part of the resident handbook. Yes. Patients are scheduled on faculty member’s schedules and the resident is paired up with a faculty member to see the patients. Therefore, all patients are seen under the supervision of a faculty member. Residents are not permitted to render treatment without first reviewing the case with the responsible faculty member. ORTHOPAEDICS WRAMC/NNMC Yes. Resident handbook, call rosters, alert rosters Yes. Resident handbook outlines supervision policies and procedures. All resident patient patient care activity is supervised by faculty member. Work Supervision OTOLARYNGOLOGY Yes. We have a detailed Resident Supervision Policy which decribes resident Yes. There is a staff physician in clinic every day available and dedicated to resident supervision in the clinic, the operating room, inpatients, inpatient consults, teaching and supervision. Every operative case is attended by a staff surgeon. emergency room consults, and on-call and weekend duty coverage. Department Procedures in the clinic are supervised by the dedicated clinic staff. policy located in Program Directors Office and in resident handbook. PATHOLOGY Yes. Resident supervision policy in resident’s manual and discussed with faculty during basic program requirements presentation by the program director Yes. Always a staff member on the surg path sign out schedule with a resident. Always a staff member on call with the resident. PA or staff pathologist supervision while grossing specimens. FORENSIC PATHOLOGY Yes. As described in the Program Information Form (PIF) all fellows are directly Yes. See previous paragraph supervised by staff for at least the first three quarters of the year. Upon reaching a level of independent work all staff may be reached by telephone or other communication means. Yes. A chart indicating who the immediate staff support and supervision is for Yes. There is a staff attending assigned to every single clinical service in our every resident clinical rotation (as well as after hours duty such as call) is printed departments to which residents rotate. The supervising attending staff are specified both in the housestaff manual (available in print form and on line). for daytime as well as after hours supervision. Yes. Written description of policy in Program Description posted on fellowship web site. Yes. -Staff preceptor at all clinics -Staff co-signature of all AHLTA notes -Peer review in PAF in Chairman office -Supervision policy on file with PD, in chairman office and in patient care areas Yes. A staff member is on-call 24/7 with all fellows having staff pager, cell and home phone #’s (all posted 0n-line) Yes. Faculty schedule includes a preceptor at all fellow clinics. On-service faculty rounds daily with fellow on all inpatients and new consults. PEDIATRICS PEDIATRIC ENDOCRINOLOGY PEDIATRIC GASTROENTEROLOGY PEDIATRIC HEMOTOLOGY/ ONCOLOGY PEDIATRIC INFECTIOUS DISEASES Yes. In Administrative Manual. Fellows work one on one daily with attending staff Yes. Attending always assigned to clinic and ward and to on-call responsibilities. and receive feedback real time and in quarterly written evaluations. Fellowship policy located in the PediatricInfectious Disease Fellowship Handbook. Yes. Residents have 24 supervisory coverage that is available in person during the days and by phone during the evenings. Staff on call are expected to be available to meet the fellow in the hospital at any time during a 24 hour period when on-call. Call lists of staff and fellows are published monthly. Yes. Clinical rotations are supervised by the attending physician assigned to the intensive care unit. Contact between the clinical fellow and attending physician occurs on a daily basis in the form of bedside teaching and through specific consultation for individual patient problems or daily nursery management decisions. The attending neonatologist also provides supervision during the evening and weekend hours either through telephone contact or direct, on-site supervision when appropriate. The attending is available to the nursery 24 hours per day, 7 days a week. PEDIATRIC NEONATOLOGY Yes. The supervision policy is published in the fellowship handbook given to all faculty and trainees. PHYSICAL MEDICINE & REHABILITATION SERVICE (PM&R) Yes, departmental policy is located in chiarman office Yes, Work Supervision PREVENTIVE MED Yes. Our policies are detailed in the program letters of agreement we arrange with our practicum year preceptors. In addition we have recently drafted an omnibus policy for inclusion in the residency handbook. Yes. As noted above, our policies on arrangements for adequate supervision are laid out in the program letters of agreement we arrange with our practicum year preceptors. In addition, our residency program does not include night call or inpatient service responsibilities. For rotations in which direct patient care may occur (limited in this public health program), faculty are on site. Yes. Our inpatient attending have no other responsibilities and are located on the ward fulltime. Our outpatient residents are individually assigned clinical supervisors who are required to meet with their residents at least 2 hours per week. We document this using competency forms for global supervisors. We have a staff psychiatrist on call for each participating institution that our residents take overnight call either in house or at home, for supervision of clinical activity during off-duty hours. PSYCHIATRY Yes. Our handbook contains our resident supervision policy which is distributed to every resident every year and always available on our website (www.nccpychiatry.info/handbook.htm). We keep alert rosters available for each faculty member and resident listing pager, cell, home, and email numbers and addresses CHILD PSYCHIATRY Yes. Program Handbook outlines: 1] multidisciplinary team supervision [2] weekly Yes. As PD, my primary responsibility is the supervision of the fellow. case load supervision [3] weekly long-term psychodynamic case supervision [4] for 2nd year fellows, weekly family therapy and CBT supervision [5] on-site daily team and weekly individual case supervision at rotation sites [6] in-clinic urgent care real-time supervision [7] faculty availability for consult/liaison supervision [8] any-time availability as needed Yes. Program policy located in Director’s office, copy provided to each fellow FORENSIC PSYCHIATRY GERIATRIC PSYCHIATRY PREVENTIVE PSYCHIATRY PSYCHIATRY / FAMILY PRACTICE PSYCHIATRY/INTERNAL MEDICINE RADIATION ONCOLOGY RADIOLOGY BODY IMAGING Yes, SOP located in section head's office and with Program Director Yes. In residency policy manual, on line at e-value. Yes. The supervision policy is posted on the NNMC GME website and is accessible from any hospital computer Yes, Faculty are not "double booked" to avoid conflicts with resident supervision Yes. Yes. The fellow is supervised indirectly with exceptions as listed in the supervision policy (biopsies, minimally invasive procedures). The staff or program director is available for consultation. Yes. TRANSITIONAL YEAR (NNMC) Yes. Interns work under direct supervision. Superivisory policies available on Transitional Internship website. Yes. Each department with whom the TY interns rotate has their own policy letters. TRANSITIONAL YEAR (WRAMC) UROLOGY UROGYNECOLOGY VASCULAR SURGERY Yes. Theses are done through each department. Yes. Departmental policy available in the Department Chief’s Office Yes Work Supervision SLEEP MEDICINE Fellowhsip Handbook Scholarly Activities Sep 2006 - Aug 2007 Journals Journals Published Published by by Faculty Residents Chapters Chapters Abstracts Abstracts Published Published Published by Published by by Residents by Others Faculty Residents PROGRAM ALLERGY DIAGNOSTIC IMMUNOLOGY LAB ANESTHESIA CRITICAL CARE PAIN MANAGEMENT REGIONAL ANESTHESIA Journals Published by Others Abstracts Published by Faculty Chapters Published by Others 12 5 14 8 3 7 10 0 4 20 N/A 3 0 1 2 7 8 5 N/A 8 0 8 1 2 1 0 0 0 1 1 0 0 5 5 5 CARDIO THORACIC SURGERY DERMATOLOGY 2 4 21 7 FAMILY MED - MGMC Family MED - DACH 2 2 0 3 0 0 0 0 3 0 0 FP SPORTS MEDICINE 5 3 2 4 GENERAL SURGERY (WRAMC) 20 10 15 5 2 1 NCC Annual Report Scholarly Activities Sep 2006 - Aug 2007 Journals Journals Published Published by by Faculty Residents Chapters Chapters Abstracts Abstracts Published Published Published by Published by by Residents by Others Faculty Residents PROGRAM GENERAL SURGERY (NNMC) HAND SURGERY INTERNAL MEDICINE Journals Published by Others Abstracts Published by Faculty Chapters Published by Others 28 3 8 2 INTERNAL MEDICINE GENERAL INTERNAL MEDICINE (WRAMC) IM CARDIOVASCULAR. IM CRITICAL CARE IM ENDOCRINOLOGY IM GASTROENTEROLOGY 5 5 39 42 1 2 15 10 5 1 6 1 5 1 10 5 2 2 2 2 0 5 2 1 IM HEMOTOLOGY/ONCOLOGY 5 3 1 9 IM INFECTIOUS DISEASE 44 16 27 2 3 NCC Annual Report Scholarly Activities Sep 2006 - Aug 2007 Journals Journals Published Published by by Faculty Residents Chapters Chapters Abstracts Abstracts Published Published Published by Published by by Residents by Others Faculty Residents PROGRAM IM NEPHROLOGY IM PULMONARY/ CRITICAL CARE IM RHEUMATOLOGY NEUROLOGY CHILD NEUROLOGY Journals Published by Others Abstracts Published by Faculty Chapters Published by Others 16 8 9 7 3 1 14 3 3 2 4 0 4 3 2 2 0 NEURO CLIN NPH - NIH NEURO CLIN NPH NEUROSURGERY NUCLEAR MEDICINE OBSTETRICS/ GYNECOLOGY 14 42 23 1 3 12 6 5 12 4 8 2 3 3 4 1 4 20 7 80 65 6 2 GYNECOLOGY ONCOLOGY REPRODUCTIVE ENDOCRINOLOGY NCC Annual Report Scholarly Activities Sep 2006 - Aug 2007 Journals Journals Published Published by by Faculty Residents Chapters Chapters Abstracts Abstracts Published Published Published by Published by by Residents by Others Faculty Residents PROGRAM REPRODUCTIVE ENDOCRINOLOGY Journals Published by Others Abstracts Published by Faculty Chapters Published by Others OCCUPATIONAL & ENVIRONMENTAL MEDICINE OPHTHALMOLOGY ORAL & MAXILOFACIAL SURGERY 16 7 12 4 5 1 1 1 1 1 1 2 6 ORTHOPAEDICS WRAMC/NNMC OTOLARYNGOLOGY PATHOLOGY 26 6 5 16 4 5 40 0 6 35 0 6 8 1 2 1 FORENSIC PATHOLOGY PEDIATRICS 2 11 2 3 2 1 2 PEDIATRIC ENDOCRINOLOGY PEDIATRIC GASTROENTEROLOGY 9 1 10 10 3 2 0 3 1 0 0 NCC Annual Report Scholarly Activities Sep 2006 - Aug 2007 Journals Journals Published Published by by Faculty Residents Chapters Chapters Abstracts Abstracts Published Published Published by Published by by Residents by Others Faculty Residents PROGRAM Journals Published by Others Abstracts Published by Faculty Chapters Published by Others PEDIATRIC HEMOTOLOGY/ ONCOLOGY 3 3 2 3 PEDIATRIC INFECTIOUS DISEASES 17 2 4 9 2 1 PEDIATRIC NEONATOLOGY 2 PHYSICAL MEDICINE & REHABILITATION SERVICE (PM&R) PREVENTIVE MED PSYCHIATRY CHILD PSYCHIATRY 2 1 2 3 2 8 4 3 7 1 5 3 3 2 0 1 5 1 FORENSIC PSYCHIATRY 2 GERIATRIC PSYCHIATRY NCC Annual Report Scholarly Activities Sep 2006 - Aug 2007 Journals Journals Published Published by by Faculty Residents Chapters Chapters Abstracts Abstracts Published Published Published by Published by by Residents by Others Faculty Residents PROGRAM PREVENTIVE PSYCHIATRY PSYCHIATRY / FAMILY PRACTICE PSYCHIATRY/INTERNAL MEDICINE Journals Published by Others Abstracts Published by Faculty Chapters Published by Others RADIATION ONCOLOGY RADIOLOGY BODY IMAGING TRANSITIONAL YEAR (NNMC) TRANSITIONAL YEAR (WRAMC) UROLOGY UROGYNECOLOGY 30 3 0 0 5 3 0 0 0 0 6 7 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 1 0 6 5 3 5 1 2 VASCULAR SURGERY NCC Annual Report Scholarly Activities Sep 2006 - Aug 2007 Journals Journals Published Published by by Faculty Residents Chapters Chapters Abstracts Abstracts Published Published Published by Published by by Residents by Others Faculty Residents PROGRAM SLEEP MEDICINE Journals Published by Others Abstracts Published by Faculty Chapters Published by Others TOTAL 455 195 10 374 280 23 90 30 1 NCC Annual Report