TAB (A) by vjr64796

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									                                                                                              NCC Annual Report
                                                                                          General Program Information
                                                                                            Sep 2006 - August 2007




                                                                       Effective Date                                       Associate Program Director      ACGME                 Accreditation    Next ACGME
               Program                      Program Director          of Appointment       Associate Program Director 1                  2             Accreditation Status       Effective Date    Review Date

Allergy                            Michael Nelson, LTC, MC, USA         19-Sep-07       Michael Nelson, LTC, MC, USA                    N/A                    Continued            16-Sep-05        01-Sep-10
                                                                                                                                                              Accreditation


Diagnostic Lab Immunology (non     Michael Nelson, LTC, MC, USA          8-Aug-03       Mary Klote, MAJ, MC, USA                        N/A                  Non-accredited            N/A             N/A
accredited)



Anesthesia                         Paul Mongan, COL, MC, USA             3-Feb-03       Scott M. Croll MAJ, MC, USA                                            Continued            6-Oct-05         01-Oct-09
                                                                                                                                                              Accreditation


Regional Anesthesia Fellowship     Chester C. Buckenmaier III,          21-May-04       Scott M. Croll MAJ, MC, USA                     N/A                  Non-accredited            N/A             N/A
                                   LTC, MC, USA



Anesthesia Critical Care           Christian Popa, LTC, MC, USA          1-Oct-00       David Chandler, MAJ, MC, USA                    N/A                    Continued            30-Mar-06        01-Oct-09
                                                                                                                                                              Accreditation


Anesthesia Pain Management         Dominique Schiffer, MD                2-Nov-99                      N/A                              N/A                    Continued            6-Oct-05         10-Jan-09
                                                                                                                                                              Accreditation

Thoracic Surgery WRAMC             Robert W. Stewart, COL, MC, USA      15-Aug-06       William C. DeVries                              N/A                    Continued            25-Jul-03        01-Jul-08
                                                                                                                                                              Accreditation


Dermatology                        George W. Turiansky, COL, MC,         1-Jul-01       Jonathan Bingham, LCDR, MC,                                            Continued              TBD              TBD
                                   USA                                                  USNR                                                                  Accreditation


Family Medicine MGMC               Robert E. Manaker, Col, USAF, MC      1-Aug-05       Lt Col Richard C. Derby, MC, USAF               N/A                    Continued            30-Jun-09        01-Sep-08
                                                                                                                                                              Accreditation


Family Medicine DACH               Kevin Moore, MAJ, MC, USA            1 July 2004     Mark K. McPherson, MAJ(P), MC,      Christine Lettieri, MAJ, MC,       Continued           23-May-05        01-May-10
                                                                                        USA                                 USA                               Accreditation


FP Sports Medicine - Ft. Belvoir   Kevin deWeber, LTC, MC, USA,          1-Jun-04       Col Francis G. O'Conner, MC, USAF N/A                              Continued Accredited    23-May-05        01-May-10
                                   FAAFP



General Surgery - WRAMC            Craig Shriver, COL, MC, USA           1-Jun-98       Mathew Wakefield, MAJ, MC, USA      Brennan Carmody, LTC, MC,          Continued              TBD              TBD
                                                                                                                            USA                               Accreditation




GENERAL INFORMATION                                                                                                                                                                             GENERAL INFORMATION
                                                                                          NCC Annual Report
                                                                                      General Program Information
                                                                                        Sep 2006 - August 2007




                                                                     Effective Date                                    Associate Program Director      ACGME             Accreditation    Next ACGME
               Program                    Program Director          of Appointment     Associate Program Director 1                 2             Accreditation Status   Effective Date    Review Date
General Surgery - NNMC           Philip Perdue, CAPT, MC, USN          22-Jun-05    Leonard Henry, CDR, MC, USN        N/A                             Continued           28-Jun-07        01-Jun-10
                                                                                                                                                     Accreditation



Hand Surgery - WRAMC             Gerald Farber, LTC, MC, USA           1-Jul-00     Martin F. Baechler, LTC, MC, USA   N/A                             Continued            9-Jun-07        01-Jun-12
                                                                                                                                                      Accreditation



Internal Medicine WRAMC          Brian Cuneo, LTC, MC, USA            24-Oct-05     Travis Richardson, MD              John Sherner, MD                Continued           30-Jan-04        01-Apr-09
                                                                                                                                                      Accreditation



Internal Medicine NNMC           Terrence X. Dwyer, CAPT, MC,          30-Jun-03    Kevin Dorrance, LCDR, MC, USN      William Shimeall, LCDR,         Continued             TBD              TBD
                                 USN                                                                                   MC, USN                        Accreditation




General Internal Medicine (non   Jeffrey L. Jackson, LTC, MC, USA      1-Jun-05     Patrick O'Malley, LTC, MC,USA      N/A                                N/A                 N/A             N/A
accredited)



IM Cardiovascular                John E. Atwood, COL, MC, USA         21-Feb-07     Michael A Ferguson, MD             Lance Sullenberger, MA>,        Continued           27-Jan-02       01-Apr-09
                                                                                                                       MC, USA                        Accreditation



IM Critical Care                 Lawrence Lepler, COL, MC, USA         22-Jun-06    Stephen V. Silver, LTC, MC, USA               N/A                   Continued          30-Jan-04        01-Apr-09
                                                                                                                                                       Accrditation



IM Endocrinology                 Victor J. Bernet, COL, MC, USA        9-May-05     Patrick William CDR, MC, USN                   N/A                 Continued             TBD              TBD
                                                                                                                                                      Accreditation


IM Gastroenterology              Inku Hwang, LTC, MC, USA              24-Jun-04     Dong Lee, LCDR, MC, USN           Jason Lake, MAJ, MC, USA        Continued             TBD              TBD
                                                                                                                                                      Accreditation


IM Hematology/Oncology           Christopher M. Gallagher, MD         31-May-06     Celeste Bremer, MD                 Brendan Weiss, MD               Continued             TBD              TBD
                                                                                                                                                      Accreditation




GENERAL INFORMATION                                                                                                                                                                    GENERAL INFORMATION
                                                                                          NCC Annual Report
                                                                                      General Program Information
                                                                                        Sep 2006 - August 2007




                                                                     Effective Date                                   Associate Program Director      ACGME             Accreditation    Next ACGME
               Program                     Program Director         of Appointment     Associate Program Director 1                2             Accreditation Status   Effective Date    Review Date
IM Infectious Disease              Glenn, Wortmann, COL, MC, USA        1-Jul-04    Tim Whitman, MD                   N/A                            Continuing           30-Jan-04        01-Apr-09
                                                                                                                                                    Accreditation




IM Nephrology                      Erin M. Bohen, COL, MC, USA         4-Sep-04     Fred Yeo, LCDR, MC, USN           LTC James D. Oliver, III,       Continuing          30-Jan-04        01-Apr-09
                                                                                                                      MC, USA                        Accreditation




IM Pulmonary Critical Care         Oleh W. Hnatiuk, COL, MC, USA       1-Jul-02     Angeline A. Lazarus, MD           Stuart Roop, LTC, MC, USA       Continued           30-Jan-04        01-Apr-09
                                                                                                                                                     Accreditation




IM Rheumatology                    Jonathan Roebuck, MAJ, MC, USA      2-Jan-06     N/A                                           N/A                 Continued           30-Jan-04        01-Apr-09
                                                                                                                                                     Accreditation




Neurology                          Mark Landau, LTC, MC, USA           4-May-04     William D. Watson, CDR<, MC,                  N/A                 Continued             TBD              TBD
                                                                                    USN                                                              Accreditation



Child Neurology                    Michael Mitchell, COL, MC, USA      5-Jun-05     N/A                                           N/A                 Continued           4-Nov-04        01-Nov-08
                                                                                                                                                     Accreditation



Clinical Neurophysiology - NIH     Susumu Sato, MD                     1-Jul-96     Tanya J. Lehky, M.D.                          N/A                 Continued          9-Nov-2006       01-Nov-09
                                                                                                                                                     Accreditation


Clinical Neurophysiology - WRAMC   Kristen Barner, LTC, MC,USA         1-Jul-01                    N/A                            N/A                 Continuedl            TBD              TBD
                                                                                                                                                     Accrediatation



Neurosurgery                       Rosner, Michael, LTC, MC, USA       1-Oct-07                                       N/A                             Continued           25-Jun-04        01-Jun-09
                                                                                                                                                     Accreditation


Nuclear Medicine                   Jennifer Jurgens, LTC, MC, USA     14-Aug-07                    N/A                            N/A                 Continued           10-Nov-06       01-Nov-08
                                                                                                                                                     Accreditation


Obstetrics/Gynecology              Col Christopher Zahn, USAF, MC      4-May-04     Brian Belson, LTC, MC, USA                                        Continued          17-May-07        01-May-12
                                                                                                                                                     Accreditation




GENERAL INFORMATION                                                                                                                                                                   GENERAL INFORMATION
                                                                                                  NCC Annual Report
                                                                                              General Program Information
                                                                                                Sep 2006 - August 2007




                                                                           Effective Date                                      Associate Program Director      ACGME             Accreditation    Next ACGME
                 Program                         Program Director         of Appointment       Associate Program Director 1                 2             Accreditation Status   Effective Date    Review Date

Gynecology Oncology                     Scott Rose, LTC, MC, USA             3-Jul-05       Chard Hamilton, Maj, USAF, MC      Dr Armstrong               Accredited by ABOG



Repro Endocrinology                     J. Segars, M.D.                      1-Nov-95       Alicia Armstrong, M.D.                        N/A                Accreditied by
                                                                                            COL, MC, USA (Ret)                                                  ABOG


Occupational / Environmental Medicine   Timothy M. Mallon, COL, MC, USA     28-Mar-05       Christopher Jankosky, CDR, MC,                                     Continued             TBD              TBD
                                                                                            USA                                                               Accreditation


Ophthalmology                           Andrew Eiseman, LTC, MC, USA         15-Jan-05      Richard Stutzman, M.D.                        N/A                  Continued          30-May-03         17-Jan-08
                                                                                                                                                              Accreditation


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            9-Jun-07        01-Jun-09
                                                                                                                                                              Accreditation


Otolaryngology                          Martin Sorensen, CDR, MC, USN       22-Sep-04       Scott Brietzke, MAJ, MC, USA                  N/A                  Continued           9-Feb-06         01-Feb-08
                                                                                                                                                              Accreditation


Pathology                               Ross Barner, LTC, MC, USA            1-Aug-05       Rebecca Christensen, LCDR, MC,                N/A             Continued                26-Mar-04       01-Mar-08
                                                                                            USN                                                           Accreditation



Forensic Pathology                      Criag T. Mallak, CDR, MC, USN        5-Dec-05       Scott A. Luzi, LCDR, MC, USN                  N/A                  Continued           29-Sep-06        01-Sep-11
                                                                                                                                                              Accreditation


Pediatrics                              Clifton Yu, COL, MC, USA             1-Apr-03       Maureen Petersen MAJ, MC, USA                 N/A                  Continued           24-Oct-04        01-Oct-09
                                                                                                                                                              Accreditation


Pediatric Endo                          Andrews J. Bauer, LTC, MC, USA      18-Oct-05       None                                          N/A                  Continued           24-Oct-04        01-Oct-09
                                                                                                                                                              Accreditation



Pediatric Gastroenterology              Carolyn Sullivan, COL, MC,USA        2-Jan-01       None                                          N/A             Continued                24-Oct-04       01-Oct-08
                                                                                                                                                          Accreditation




GENERAL INFORMATION                                                                                                                                                                            GENERAL INFORMATION
                                                                                              NCC Annual Report
                                                                                          General Program Information
                                                                                            Sep 2006 - August 2007




                                                                         Effective Date                                    Associate Program Director      ACGME             Accreditation    Next ACGME
               Program                       Program Director           of Appointment    Associate Program Director 1                  2             Accreditation Status   Effective Date    Review Date
Pediatric Hematology/Oncology        Gary Crouch, Lt Col, USAF, MC, Ret     1-Jul-99    N/A                                            N/A                 Continued           24-Oct-04        01-Oct-09
WRAMC                                                                                                                                                    Accreditation



Pediatric Infectious Disease         Michael Rajnik, Maj, USAF, MC        22-Jun-06    None                                          None                  Continued           24-Oct-04        01-Oct-09
                                                                                                                                                          Accreditation


Pediatric Neonatology                Russell R. Moores, COL, MC, USA       1-Jul-05    Edwin Doe                                      N/A                  Continued           24-Oct-04        01-Oct-09
                                                                                                                                                          Accreditation


Physical Medicine & Rehabilitation   Jeff Gambel, COL, MC, USA             1-Sep-05    None                                           N/A                  Continued           24-Aug-07       01-Aug-12
                                                                                                                                                          Accreditation


Preventive Medicine                  Dana Bradshaw, Col, USAF, MC          1-Jul-00    Kenneth W. Schor CAPT, MC, USN                 N/A                  Continued             TBD              TBD
                                                                                                                                                          Accreditation



Psychiatry                           MAJ Scott Moran, MC, USA              11-Jul-07   Eden Temko, LT, MC, USN                        N/A                  Continued           6-Apr-03         01-Apr-08
                                                                                                                                                          Accreditation


Child & Adolescent Psychiatry        Nancy Black, LTC, MC, USA             1-Jul-00    Anne Cannard, MD                               N/A                  Continued           31-Oct-03        01-Oct-08
                                                                                                                                                          Accreditation


Forensic Psychiatry                  MAJ Christopher Lange, MC,USA         1-Jul-07    N/A                                            N/A                  Continued           28-Apr-06        01-Apr-08
                                                                                                                                                          Accreditation


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           18-Jan-06        01-Jul-09
                                                                                                                                                          Accreditation

Diagnostic Radiology                 Fletcher Munter, LTC, MC, USA        24-Jan-05    William Carter, CDR, MC, USN                   N/A                  Continued           2-Oct-03         01-Oct-08
                                                                                                                                                          Accreditation




GENERAL INFORMATION                                                                                                                                                                        GENERAL INFORMATION
                                                                                              NCC Annual Report
                                                                                          General Program Information
                                                                                            Sep 2006 - August 2007




                                                                         Effective Date                                 Associate Program Director      ACGME             Accreditation    Next ACGME
               Program                           Program Director       of Appointment     Associate Program Director 1              2             Accreditation Status   Effective Date    Review Date
Body Imaging (non- accredited)         Elizabeth McGuigan, CDR, MC,        22-Nov-05    Thomas C. Alewine, CDR, MC, USN             N/A                   N/A                  N/A              N/A
                                       USA


Transitional Year (NNMC)               Jeffrey Blair, CDR, MC, USN        27-Nov-06      Jason Jigginson, LCDR, MC, USN             N/A                 Continued           17-Sep-04        01-Sep-09
                                       (Interim)                                                                                                       Accreditation


Transitional Year (WRAMC)              Mary M. Klote, MAJ, MC, USA         1-Oct-06                   N/A                           N/A                 Continued             TBD              TBD
                                       (Interim)                                                                                                       Accreditation


Urogynecology Female Pelvic Medicine   John Fischer, LtCol, MC, USAF      4-May-04     Sohail Siddeque, CDR, MC, USN                N/A             Approved by ABOG
& Reconstructive Surgery (WRAMC)




Urology WRAMC                          Robert Dean, LTC, MC, USA          26-May-04                   N/A                           N/A                 Continued           24-Dec-03       01-Dec-08
                                                                                                                                                       Accreditation

Vascular Surgery                       Gillespie, David COL, MC, USA       13-Jul-03     Charles James Fox, LT, MC, USA             N/A                 Continued           26-Oct-06        01-Oct-08
                                                                                                                                                       Accreditation


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                                                                                       SIGNIFICANT PROGRAM CHANGES


ALLERGY                   No.

DIAGNOSTIC IMMUNOLOGY     No.
LAB


ANESTHESIA                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.

DERMATOLOGY               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.


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               No.


IM HEMOTOLOGY                     No.
ONCOLOGY


IM INFECTIOUS DISEASE             No.


IM NEPHROLOGY

IM PULMONARY/ CRITICAL            New affiliations for elective rotations: 1. Univ. of MD Medical System, Pulmonary Hypertension Clinic; 2. USAMRC, Kericho, Kenya HIV-TB Clinic
CARE

IM RHEUMATOLOGY                   Yes. Curriculum continues to be updated/modified to align with ACGME core competencies



NEUROLOGY                         No.


CHILD NEUROLOGY


NEURO CLIN NPH (NIH)              No.


NEURO CLIN NPH (WRAMC)            Yes. Program Director changed in January 2007 from COL William W. Campbell to LTC Kristen C. Barner


NEUROSURGERY
                                          $1.2million grant to participate in the Blast Lethality Injury Research Program.




                                                                                                                                                                                                   NCC ANNUAL REPORT
                                                                                                 Significant Program Changes
                                                                                                     Sep 2006 - Aug 2007

PROGRAM                                                                                                 SIGNIFICANT PROGRAM CHANGES

NUCLEAR MEDICINE                    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.

OBSTETRICS/                         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
GYNECOLOGY                          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.


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                 No.
SURGERY


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                                                                                      SIGNIFICANT PROGRAM CHANGES


PEDIATRICS                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                 Yes. New affiliation with Georgetown University for an Intestinal and Liver Transplantation rotation. First rotation upcoming in January 2008.
GASTROENTEROLOGY

PEDIATRIC HEMOTOLOGY/     No.
ONCOLOGY



PEDIATRIC INFECTIOUS      Recent LOA with the Navy Research Facility in Peru for fellows to travel for research and tropical medicine rotations.
DISEASES


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.


PHYSICAL MEDICINE &       Yes, Military Amputee Research Program funds to support intramural research, new Military Advanced Training Center (MATC) opening for advanced rehabilitation of injured
REHABILITATION SERVICE    Service members at WRAMC
(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                                                                                        SIGNIFICANT PROGRAM CHANGES

PSYCHIATRY                  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         No.

GERIATRIC PSYCHIATRY

PREVENTIVE PSYCHIATRY

PSYCHIATRY / FAMILY
PRACTICE

PSYCHIATRY/INTERNAL
MEDICINE

RADIATION ONCOLOGY

RADIOLOGY                   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               Discontinued affiliation with Washington Hospital Center. Fellows now go Fairfax INOVA

VASCULAR SURGERY

Sleep Medicine              No.




                                                                                                                                                                                                              NCC ANNUAL REPORT
                    Significant Program Changes
                        Sep 2006 - Aug 2007

PROGRAM                SIGNIFICANT PROGRAM CHANGES

Social Work   No.




                                                     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


ALLERGY               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


DIAGNOSTIC            Yes. JUN 2004 graduate and current assistant program director selected to the position of Assistant Chief, Department of Clinical Investigations, WRAMC (May 07)
IMMUNOLOGY LAB

ANESTHESIA            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       No.
SURGERY

DERMATOLOGY           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     No

Family MED - DACH     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


INTERNAL MEDICINE              Nothing Reported.


INTERNAL MEDICINE              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.


GENERAL INTERNAL               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,
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                 TODD VILLINES         ARMY BRONZE STAR


IM ENDOCRINOLOGY               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                  1. LCDR Jarrod Holmes – 2007 ASCO merit research scholarship award. 2. LCDR Jarrod Holmes – 2007 Bailey K. Ashford research poster award winner
ONCOLOGY


IM INFECTIOUS DISEASE          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/                  No
CRITICAL CARE


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                                                                                                  SIGNIFICANT ACCOMPLISHMENTS/AWARDS

CHILD NEUROLOGY


NEURO CLIN NPH (NIH)   No.




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/            ) 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
GYNECOLOGY             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                                                                                                   SIGNIFICANT ACCOMPLISHMENTS/AWARDS

ORAL & MAXILOFACIAL
SURGERY                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           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:
WRAMC/NNMC             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              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
ENDOCRINOLOGY          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              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
GASTROENTEROLOGY       CCFA Visiting Fellow IBD Rotation Program


PEDIATRIC              Yes. Major Kratovil 6 pubs, Mj Stephen Roberts 4 pubs, Lt Col Salzer 3 pubs
HEMOTOLOGY/
ONCOLOGY

PEDIATRIC INFECTIOUS   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.
DISEASES               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              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.
NEONATOLOGY            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 &    Yes,   Five year residency accreditation after June 2007 site visit (8/07)
REHABILITATION
SERVICE (PM&R)

PREVENTIVE MED         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: co-
                       authors 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                                                                                                  SIGNIFICANT ACCOMPLISHMENTS/AWARDS

RADIOLOGY           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

BODY IMAGING        1Program Director – invited lecturer at North American Society of Cardiac Imaging 2007. 2. Other accomplishments as listed by Diagnostic Radiology Annual Report



TRANSITIONAL YEAR   100% of trainees passed Step III
(NNMC)


TRANSITIONAL YEAR   100% USMLE Step III pass rate. WRAMC Pediatric Rotator of the year – Jun 07 (Dr. Christine Ko)
(WRAMC)



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



                               Dates of Results       Total # of    Total # of
 PROGRAM                        From:     To:         Graduates    Examinees     Certified                Comments

ALLERGY                       1 Jul 04 - 30 Jun 06       13            13           12

DIAGNOSTIC IMMUNOLOGY LAB    AY2004-5 - AY2006-7          1            0            0

ANESTHESIA                        2002-2005              50            50           46

CRITICAL CARE                    2003 - 2006              1            1            1

PAIN MANAGEMENT             Jul 2004 - June 30 2007       8            3            3

REGIONAL ANESTHESIA                   N/A                N/A          N/A          N/A                       N/A

CARDIO THORACIC SURGERY          2004 - 2007              3            3            3

DERMATOLOGY                      2004 - 2006             16            16           15

FAMILY MED - MGMC                 2004-2006              28            28           28

Family MED - DACH               8/2004 - 8/2007          18            18           18       100% success rate on first attempt

FP SPORTS MEDICINE              8/2004 - 8/2007          10            10           10

GENERAL SURGERY (WRAMC)           2003-2006              11            11           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.




GENERAL SURGERY (NNMC)            2004-2006               9            9            7

HAND SURGERY

INTERNAL MEDICINE                2004 - 2006             39            39           38
                                Board Examination "3 Year Past Board Certification"
                                              Sep 2006 - Aug 2007



                              Dates of Results    Total # of    Total # of
 PROGRAM                       From:     To:      Graduates    Examinees     Certified                 Comments



                                                                                         28 (first attempt) All are currently
INTERNAL MEDICINE               2003 - 2006          30            30           30       board certified.

GENERAL INTERNAL MEDICINE


                                                  Nothing      Nothing       Nothing
IM CARDIOVASCULAR.              2003 - 2006       Reported     Reported      Reported


IM CRITICAL CARE                2004-2006             3            3            3

IM ENDOCRINOLOGY                2004 - 2006           6            6            6

                                                                14 (1 off
IM GASTROENTEROLOGY             2004 - 2006          15          cycle)         14

IM HEMOTOLOGY      ONCOLOGY     2004 - 2006          11            11           11


IM INFECTIOUS DISEASE           2004 - 2006          12            12           11


IM NEPHROLOGY

IM PULMONARY/ CRITICAL CARE     2004 - 2007          10            9            8

IM RHEUMATOLOGY

NEUROLOGY                     2004 - Present         12            12           10

CHILD NEUROLOGY

NEURO CLIN NPH (NIH)            2004 - 2007           5            3            3
                                  Board Examination "3 Year Past Board Certification"
                                                Sep 2006 - Aug 2007



                                Dates of Results    Total # of    Total # of
 PROGRAM                         From:     To:      Graduates    Examinees     Certified                 Comments
NEURO CLIN NPH                    2004-2007             5            1            1

NEUROSURGERY                      2005-2007             3            3            3

NUCLEAR MEDICINE                Jul 04 - Jun 07         5            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
ORAL & MAXILOFACIAL SURGERY       2003 - 2005           6            6            4        as well as an oral exam.

ORTHOPAEDICS WRAMC/NNMC           2004 - 2007           9            9            8

OTOLARYNGOLOGY                    2004-2006            11            11           11

PATHOLOGY                         2005 - 2007          16            16           15


FORENSIC PATHOLOGY                9/04 - 9/06           5            5            24

PEDIATRICS                        2003 - 2006          28            28           24

PEDIATRIC ENDOCRINOLOGY           2003 - 2007           7            2            2
                                  Board Examination "3 Year Past Board Certification"
                                                Sep 2006 - Aug 2007



                                Dates of Results    Total # of    Total # of
 PROGRAM                         From:     To:      Graduates    Examinees     Certified                Comments
PEDIATRIC GASTROENTEROLOGY         2002-2005            5            5            5

PEDIATRIC HEMOTOLOGY/
ONCOLOGY                          2004 - 2007           3            3            3

PEDIATRIC INFECTIOUS DISEASES     2003 - 2005           3            3            3


PEDIATRIC NEONATOLOGY             2002-2005             5            5            5

PHYSICAL MEDICINE &
REHABILITATION SERVICE (PM&R)                           8            8            8

                                                                                           Note that last year I inadvertently
                                                                                           reported on a four rather than three
PREVENTIVE MED                    2004-2006             9            9            8        year period.

PSYCHIATRY

CHILD PSYCHIATRY                 2004 - 2006            8            8            5        None

FORENSIC PSYCHIATRY               2003 - 2006           5            4            4

GERIATRIC PSYCHIATRY

PREVENTIVE PSYCHIATRY

PSYCHIATRY / FAMILY PRACTICE


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



                               Dates of Results       Total # of    Total # of
 PROGRAM                        From:     To:         Graduates    Examinees      Certified     Comments


BODY IMAGING                      2004 - 2007             3            3              3


                                                                                 NA (100%
                                                                                 Pass Rate
TRANSITIONAL YEAR (NNMC)      Jul 2004 - July 2007       36            36        of Step III)

TRANSITIONAL YEAR (WRAMC)             N/A

UROLOGY


                            No board exam available
UROGYNECOLOGY                  at the current time

VASCULAR SURGERY

SLEEP MEDICINE
                                  2004 - 2007             8            3
                                                                                                                  Core Competencies
                                                                                                                  Sep 2006 - Aug 2007

PROGRAM                        PATIENT CARE                 MEDICAL KNOWLEDGE                 INTERPERSONAL AND                 PROFESSIONALISM                      SYSTEMS BASED                PRACTICE BASED          Please describe any
                                                                                                COMMUNICATION                                                           PRACTICE                   LEARNING AND
                                                                                                    SKILLS                                                                                         IMPROVEMENT
                                                                                                                                                                                                                          innovations or best
                                                                                                                                                                                                                               practices
ALLERGY                  (3) 360-degree evaluation; (2)   (2) 360-degree evaluation; (3)      (3) 360-degree evaluation;    (3) 360-degree evaluation; (2)       (2) 360-degree evaluation; (3)   (2) 360-degree       Conference attendance sheet
                         Portfolios; (3) Procedure,       Portfolios; (2) Procedure,          (1) Portfolios; (1)           Portfolios; (1) Procedure,           Portfolios; (2) Procedure,       evaluation; (2)      mapping presentation topics to
                         operative or case logs; (3)      operative or case logs; (3)         Procedure, operative or       operative or case logs; (3)          operative or case logs; (3)      Portfolios; (2)      program requirements
                         Standardized Oral                Standardized Written                case logs; (3) Standardized   Standardized Written                 Standardized Written             Procedure, operative
                         Assessment; (3) Simulation or    Assessment; (3) Simulation or       Written Assessment; (1)       Assessment; (2) Simulation or        Assessment; (3) Chart or         or case logs; (3)
                         OSCE; (3) Mini-CEX               OSCE                                Simulation exercises; (1)     OSCE; (2) Mini-CEX                   record review; (1) Simulation    Standardized Written
                                                                                              OSCE or equivalent; (2)                                            or OSCE; (1) Mini-CEX            Assessment; (3)
                                                                                              Mini CEX                                                                                            Chart or record
                                                                                                                                                                                                  review; (1) Mini-
                                                                                                                                                                                                  CEX


DIAGNOSTIC               Portfolios; Standardized         Portolios; Standardized written     Porfolios; Standardized       Portfolios; Standardized written Portfolios, Standardized             Porfolios;
IMMUNOLOGY LAB           written assessment; Chart or     assessment; Chart or record         written assessment; Chart     Assesement; Chart or record      written assessment; Chart or         Standardized written
                         record review                    review                              or record review              review                           record review                        assessment; Chart or
                                                                                                                                                                                                  record review


ANESTHESIA               Portfolios; Procedure,           Portfolios; Procedure, operative    Portifolios; Standardized     Portifolios; Standardized            Portifolios; Standardized        Portifolios;
                         operative or case logs;          or case logs; Standardized          Written Assessment;           Written Assessment;                  Written Assessment;              Standardized Written
                         Standardized Written             Written Assessment;                 Standardized Oral             Standardized Oral Assessment;        Standardized Oral                Assessment;
                         Assessment; Standardized         Standardized Oral Assessment;       Assessment; Simulation        Chart or record review;              Assessment; Simulation           Simulation exercises
                         Oral Assessment; Chart or        Simulation exercises                exercises                     Simulation exercises                 exercises
                         record review; Simulation
                         exercises


CRITICAL CARE            Procedure, operative or case     Standardized Written           Direct observation of how          Standardized Written                 Standardized Written             Standardized Written
                         logs; Standardized Written       Assessment; Chart or record    fellows conduct rounds and         Assessment; ): Direct                Assessment; Chart or record      Assessment; Direct
                         Assessment; Chart or record      review; Direct observation of  provide patient care.              observation of how fellows           review; Direct observation of    observation of how
                         review; Direct observation of    how fellows conduct rounds and                                    conduct rounds and provide           how fellows conduct rounds       fellows conduct
                         how fellows conduct rounds       provide patient care.                                             patient care. Feedback from          and provide patient care.        rounds and provide
                         and provide patient care.                                                                          other hospital Services, patients,   Feedback from other hospital     patient care.
                                                                                                                            unit nursing staff.                  Services                         Feedback from other
                                                                                                                                                                                                  hospital Services;
                                                                                                                                                                                                  Chart or record
                                                                                                                                                                                                  review



PAIN MANAGEMENT          360-degree evaluation;           Procedure, operative or ase logs,   360-degree evaluation;                                                                                                     Procedure, operative or case
                         Standardized Written             Standardized Written                Standardized Written                                                                                                       logs; Standardized Written
                         Assessment; Standardized         Assessment; Standardized Oral       Assessment; Standardized                                                                                                   Assessment; Standardized
                         Oral Assessment; Chart or        Assessment; Chart or recored        Oral Assessment                                                                                                            Oral Assessment
                         record review                    review; Case Logs


REGIONAL ANESTHESIA Procedure, operative or case          Standardized Written              Procedure, operative or         Procedure, operative or case         Procedures, operative or case Procedures, operative Procedures, operative or case
                    logs; Standardized Written            Assessment; Standardized Oral case logs; Daily patient            logs; Case Logs                      logs; Case logs               or case logs; Case    logs; Simulation exercises
                    Assessment; Standardized              Assessment; Monthly journal       rounds                                                                                             logs
                    Oral Assessment; Regional             club and lecture series; Chart or
                    Anesthesia Outcomes                   record review; Case Logs
                    Reporting database
                                                                                                            Core Competencies
                                                                                                            Sep 2006 - Aug 2007

PROGRAM                 PATIENT CARE                  MEDICAL KNOWLEDGE                INTERPERSONAL AND                   PROFESSIONALISM                    SYSTEMS BASED                PRACTICE BASED            Please describe any
                                                                                         COMMUNICATION                                                           PRACTICE                   LEARNING AND
                                                                                             SKILLS                                                                                         IMPROVEMENT
                                                                                                                                                                                                                     innovations or best
                                                                                                                                                                                                                          practices
CARDIO THORACIC   360-degree evaluation; (2)        Standardized Written               360-degree evaluation;          360-degree evaluation; (2)         Procedure, operative or          Procedure,
SURGERY           Chart stimulated recall           Assessment; (2) Case logs          (2) Chart stimulated            Chart stimulated recall            case logs; (2) Simulation        operative or case
                                                                                       recall                                                             oor OSCE                         logs; (2) Simulation
                                                                                                                                                                                           or OSCE



DERMATOLOGY       (3) Portfolios; (3) Procedure,    (3) Portfolios; (3) Procedure,     (3) Portfolios; (3) Resident    (3) Portfolios; (3) Procedure,     (3) Portfolios; (3) Chart or     (3) Portfolios; (3)     360 degree self surveys are
                  operative ot case logs; (3)       operative ot case logs; (3)        written evaluations, OERs,      operative or case logs; (3)        record review; (3) resident      Procedure, operative    given to each of the Chief
                  Standardized Oral                 Standardized Oral Assessment;      Fitness Reports, 360            Standardized Written               evaluations, 360 degree self     or case logs; (3)       Residents who then compare
                  Assessment; Resident written      Resident written evaluations,      degree self, peer, and          Assessment; (3) Chart or record    peer, and ancillary staff        Chart or record         their own assessments with the
                  evaluations, OERs, Fitness        OERs, Fitness Reports; 360         ancillary staff surveys, post   reivew; (3) Case logs (3)          surveys, cost analysis during    review; (3) Staff       360 degree peer surveys on the
                  Reports; 360 degree peer and      degree peer and ancillary staff    graduation surveys; (3)         Resident written evaluations;      Pharmacy Moment                  oberservations during   same evaluation criteria for
                  ancillary staff surveys,          surveys, procedure sign off        chart or record review          OERs; Fitness Reports, 360         presentation, FOCUS PDCA         staffing of follow up   performance during their 2-
                  procedure sign off sheets, post   sheets, post graduation surveys;                                   degree self, peer, and ancillary   project evaluation in third      patients, resident      month blks of Chief Resident.
                  graduation surveys; (3) Chart     (3) Chart or record reivew; (3)                                    staff surveys                      year of residency, anonymous     sharing of knowledge    This has been very useful as
                  or record reivew; (3) Case        Case logs; Standardized written                                                                       and of year resident             via email, resident     peer input is usually taken
                  logs                              examinations                                                                                          evaluations of the program       evaluations, 360        seriously by the residents and
                                                                                                                                                          and of the staff, QA log books   degree surveys by       often echoes comments
                                                                                                                                                          for skin cancer and would        self, peers, and        brought forth by the teaching
                                                                                                                                                          complications, post              ancillary staff, post   staff. We look to see if the
                                                                                                                                                          graduation surveys               graduation surveys      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                 PROFESSIONALISM                    SYSTEMS BASED               PRACTICE BASED             Please describe any
                                                                                             COMMUNICATION                                                         PRACTICE                  LEARNING AND
                                                                                                 SKILLS                                                                                      IMPROVEMENT
                                                                                                                                                                                                                       innovations or best
                                                                                                                                                                                                                            practices
FAMILY MED - MGMC    (X) Procedure, operative or       (X) Procedure, operative or case    (X) 360-degree evaluation;    (X) Chart or record review; (X)     (X) Other: In addition to      (X) Other: In
                     case logs; (X) Standardized       logs; (X) Standardized written      (X) OSCE or equivalent;       OSCE or equivalent; (X) Other:     specific clinical goals, an     addition to specific
                     written assessment; (X) Chart     assessment; (X) Chart or record     (X) Other: In addition to     In addition to specific clinical   assessment of ACGME Core        clinical goals, an
                     or record review; (X) OSCE or     review; (X) OSCE or equivalent;     specific clinical goals, an   goals, an assessment of            Competencies as observed by     assessment of
                     equivalent; (X) Other: In         (X) Other: In addition to           assessment of ACGME           ACGME Core Competencies as         the responsible attending(s).   ACGME Core
                     addition to specific clinical     specific clinical goals, an         Core Competencies as          observed by the responsible                                        Competencies as
                     goals, an assessment of           assessment of ACGME Core            observed by the               attending(s).                                                      observed by the
                     ACGME Core Competencies           Competencies as observed by the     responsible attending(s).                                                                        responsible
                     as observed by the responsible    responsible attending(s).                                                                                                            attending(s); Journal
                     attending(s).                                                                                                                                                          Club for residents to
                                                                                                                                                                                            present jornal articles
                                                                                                                                                                                            using critical
                                                                                                                                                                                            appraisal skills and
                                                                                                                                                                                            selecting articles that
                                                                                                                                                                                            apply to their
                                                                                                                                                                                            practices; POEMS -
                                                                                                                                                                                            specific evidence-
                                                                                                                                                                                            based didactic
                                                                                                                                                                                            sessions which
                                                                                                                                                                                            review FP topics
                                                                                                                                                                                            based solely on
                                                                                                                                                                                            evidence-based
                                                                                                                                                                                            medicine.




Family MED - DACH    3 - 360 degree evaluations; 3     3 360-degree evaluation; 1          3 360-degree evaluation; 1    3 360 degree evaluation; 1         2 360-degree evalution; 1       2 360-degree              Standard written access.
                     Portfolios; 3 Procedure,          Procedure, operative or case        Procedure; 2 Standardized     Procedure, operative or case       procedure, operative or case    evalution; 1              POLEC is a standardized
                     operative or case logs; n/a       logs; 2 Standardized Written        Written Assessment; 2         logs; 2 Chart or record review;    logs; 3 standardized written    procedure, operative      patient-oriented longitudinal
                     Chart Stimulated Recall; 3        Assessment; 2 Chart or record       Chart of record review; 3     3 Simulation or OSCE               assessment; 3 chart or record   or case logs; 3           evaluation of care exercise we
                     Chart or record review; 3         review; 3 Simulation exercises; 3   Simulation exercises; 3                                          review; 2 simulation or OSCE    standardized written      utilize in our PGY2 year of
                     Simulation of OSCE; 3             OSCE or equivalent                  OSCE or equivalent                                                                               assessment; 3 chart       training.
                     Standardized Written                                                                                                                                                   or record review; 2
                     Assessment                                                                                                                                                             simulation or OSCE




FP SPORTS MEDICINE   (3) Procedure, operative or       (3) Procedure, operative or case    (1) Procedure, operative or   (3) Chart or record review; (3)    (2) Procedure, operative or     (3) Standardized        None
                     case logs; (3) Standardized       logs; (3) Standardized written      case logs; (1) Standardized   Simulation or OSCE; (3) Other:     case logs; (3) Standardized     written assessment;
                     written assessment; (3) Chart     assessment; (3) Chart or record     written assessment; (1)       Observation of patient             written assessment; (3) Chart   (3) Other:
                     stimulated recall; (3) Chart or   review; (3) Stimulation or          Chart or record review; (1)   interactions in the exam room      or record review; (3)           Observation of
                     record review; (3) Stimulation    OSCE; (3) Other: Observation        Simulation exercises; (3)     and discussion with preceptors.    Simulation or OSCE; (3)         patient interactions in
                     or OSCE                           of patient interactions in the      Other: Observation of                                            Other: Observation of patient   the exam room and
                                                       exam room and discussion with       patient interactions in the                                      interactions in the exam room   discussion with
                                                       preceptors.                         exam room and discussion                                         and discussion with             preceptors.
                                                                                           with preceptors.                                                 preceptors.
                                                                                                           Core Competencies
                                                                                                           Sep 2006 - Aug 2007

PROGRAM                   PATIENT CARE                MEDICAL KNOWLEDGE                INTERPERSONAL AND             PROFESSIONALISM                     SYSTEMS BASED                 PRACTICE BASED             Please describe any
                                                                                         COMMUNICATION                                                      PRACTICE                    LEARNING AND
                                                                                             SKILLS                                                                                     IMPROVEMENT
                                                                                                                                                                                                                  innovations or best
                                                                                                                                                                                                                       practices
GENERAL SURGERY     360-degree evaluation;          360-degree evaluation;             360-degree evaluation;    360-degree evaluation;           260-degree evaluation;               360-degree
(WRAMC)             Portfolios; Procedure,          Portfolios; Procedure, operative   Portfolios; Procedure,    Portfolios; Procedure, operative Portfolios; Procedure,               evaluation;
                    operative or case logs;         or case logs; Standardized         operative or case logs;   or case logs                     operative or case logs; Chart        Portfolios;
                    Standardized Written            Written Assessment;                Breaking Bade New                                          or record review                     Procedure, operative
                    Assessment; Standardized        Standardized Oral Assessment;      Course as PGY 1s                                                                                or case logs; Chart or
                    Oral Assessment; Case logs      Cast Logs                                                                                                                          record review



GENERAL SURGERY     360 degree evaluation;          360 degree evaluation;             360 degree evaluation;    360 degree evaluation;              360 degree evaluation;            360 degree               Videotaped, multi-institutional
(NNMC)              procedure, operative or case    procedure, operative or case       standardized oral         standardized oral assessment;       procedure, opertive or case       evaluation;              mock oral exam, Surgical
                    logs; standardardized written   logs; standardized written         assessment; OSCE or       simulation or OSCE                  logs; standardized oral           procedure, operative     simulation cirriculum at
                    assessment; chart or record     assessment; standardized oral      equivalent                                                    assessment; simulation or         or case logs;            USUHS Simulation Center
                    review; simulation or OSCE;     assessment; simulation or OSCE                                                                   OSCE                              standardized written     (Fundamental of Laparoscopic
                    casee logs; standardized oral                                                                                                                                      assessment;              Surgery)
                    assessment                                                                                                                                                         standardized oral
                                                                                                                                                                                       assessment;
                                                                                                                                                                                       simulation or OSCE



HAND SURGERY


INTERNAL MEDICINE   360-degree evaluation;          360-degree evaluation;             360-degree evaluation;    360-degree evaluation;              360-degree evaluation;            360-degree               We have started a Practic-
                    Portfolios; Procedure,          Portfolios; Mini-CEX               Standardized Written      Portfolios; Mini-CEX                Portfolios; Standardized          evaluation;              based Learning Improvement
                    operative or case logs; Chart                                      Assessment; Standardized                                      Written Assessment; Chart or      Portfolios;              Project requirement in our
                    or record review; Simulation                                       Oral Assessment; Chart or                                     record review; Mini-CEX           Standardized Written     program which can be
                    or OSCE; Standardized                                              record review; Simulation                                                                       Assessment; Mini-        completed in the ambulatory
                    Written Assessment;                                                exercies; Mini-CEX                                                                              CEX                      or the inpatient setting.
                    Standardized ral Assessment;
                    Mini-CEX


GENERAL INTERNAL    360-degree evaluation; Intern   360-degree evaluation;             360-degree evaluation;    360-degree evaluation;              360-degree evaluation;            360-degree            Evidence Based Medicine
MEDICINE (NNMC)     PBLI; chart or record review;   standardized written assessment;   portfolios; simulation    portfolios; Intern Clinica          porfolios; chart stimulated       evaluation;           Rounds; Intern PBLI projects
                    simulation exercises; OSCE or   chart or record review;            exercises; OSCE or        projects; chart or record review;   recall; chart or record review;   portfolios; Evidence-
                    equivalent; Mini-CEX            simulation exercise; OSCE or       equivalent; Mini-CEX      simulation exercises; OSCE or       simulation exercises; OSCE        Based Medicine
                                                    equivalent; Mini-CEX                                         equivalent; Mini-CEX                or equivalent; Mini-CEX           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                  PROFESSIONALISM                   SYSTEMS BASED                 PRACTICE BASED            Please describe any
                                                                                               COMMUNICATION                                                         PRACTICE                    LEARNING AND
                                                                                                   SKILLS                                                                                        IMPROVEMENT
                                                                                                                                                                                                                          innovations or best
                                                                                                                                                                                                                               practices

GENERAL INTERNAL      ACGME Core                        Outcomes we assess                   Research: Progression          Edcation: successful completion
MEDICINE (WRAMC)      Competencies: Our program         includes: Progression toward         toward completion of a         of the SFDP. Result of
                      does not fall within ACGME,       completion of the MPH                primary research project.      evaluation of teaching by
                      it is a faculty development       degree.                              Number of research             fellows by faculty. Completion
                      program, so none of the                                                projects involves in.          of a core of didactics on
                      questions apply.                                                       Number of presenations of      educatinal theory and practice.
                                                                                             abstracts at national
                                                                                             meetings. National and
                                                                                             regional research awards.



INTERVENTIONAL
CARDIOLOGY


IM CARDIOVASCULAR     (3) 360-degree evalution; (2)     (2) 360-degree evaluation; (3)       (3) 360-degree evaluation;     (3) 360-degree evaluation; (1)    (2) 360-degree evaluation; (1)    (2) 360-degree
                      Portfolios, (2) Procedure,        Standardized Written                 (1) Portfolios; (1)            Portfolios; (1) Procedures,       Procedure, operative or case      evaluation; (1)
                      operative or case logs; (3)       Assessment; (3) Chart stimulated     Procedure, operative or        operative or case logs; (1)       logs; (3) Standardized Written    Procedure, operative
                      Standardized Written              recall; (3) Chart or record review   case logs; (1) Standardized    Standardized Written              Assessment; (3) Chart             or case logs; (3)
                      Assessment; (3) Chart                                                  Written Assessment; (3)        Assessment; (1) Chart             stimulated recall; (3) Chart or   Standardized Written
                      stimulated recall; (2) Chart or                                        chart stimulated recall; (3)   stimulated recall; (3) Chart or   record review                     Assessment; (3)
                      record review; (3) Simulation                                          Chart or record review         record review                                                       Chart stimulated
                      or OSCE, (2) Case Logs                                                                                                                                                    recall; (3) Chart or
                                                                                                                                                                                                record review



IM CRITICAL CARE      (2) 360-degree evaluation; (2)    (2) 360-degree evaluation; (2)       (3) 360-degree evaluation;     (2) 360-degree evaluation; (2)    (2) 360-degree evaluation; (2)    (2) 360-degree          (2) 360-degree evaluation; (2)
                      Procedure, operative or case      Procedure, operative or case         (2) Procedure, operative or    Procedure, operative or case      Procedure, operative or case      evaluation; (2)         Procedure, operative or case
                      logs; (2) Standardized written    logs; (2) Standardized written       case logs; (2) Standardized    logs; (2) Standardized written    logs; (2) Standardized written    Procedure, operative    logs; (2) Standardized written
                      assessment; (2) Chart or          assessment; (2) Chart or record      written assessment; (2)        assessment; (2) Chart or record   assessment; (2) Chart or          or case logs; (2)       assessment; (2) Chart or
                      record                                                                 Chart or record                                                  record                            Standardized written    record
                                                                                                                                                                                                assessment; (2) Chart
                                                                                                                                                                                                or record


IM ENDOCRINOLOGY (3) 360-degree evaluation;             (3) Procedure, operative or          (3) 360-degree                 (3) 360- degree evaluation;       (3) 360-degree evaluation;        (3) PBLI Project for
                 (3) Procedure, operative or            case logs; (3) Global monthly        evaluation; (3)                (3) Procedure, operative or       (3) Global montly fellow          each Fellow; (3)
                 case logs, (3) Global                  fellow evaluation; (3) Chart or      Procedure, operative or        case logs; (3) Chart or record    evaluation; (3) Chart or          Global montly
                 monthly fellow evaluation;             record review                        case logs; (3) Global          review                            record review                     fellow evaluations;
                 (3) Chart or record review                                                  montly fellow evaluation                                                                           (3) Fellow lecturer



IM                    (3) 360-degree evaluation (2)     (3) 360-degree evaluation (2)        (3) 360-degree evaluation      (3) 360-degree evaluation (2)     (3) 360-degree evaluation (2)     (3) 360-degree
GASTROENTEROLOGY      Portfolio (3) Procedure,          Portfolio (3) Procedure,             (2) Portfolio (3) Procedure,   Portfolio (3) Procedure,          Portfolio (3) Procedure,          evaluation (2)
                      operative or case logs (3)        operative or case logs (3)           operative or case logs (3)     operative or case logs (3)        operative or case logs (3)        Portfolio (3)
                      Standardized written              Standardized written assessment      Standardized written           Standardized written assessment   Standardized written              Procedure, operative
                      assessment                                                             assessment                                                       assessment                        or case logs (3)
                                                                                                                                                                                                Standardized written
                                                                                                                                                                                                assessment
                                                                                                       Core Competencies
                                                                                                       Sep 2006 - Aug 2007

PROGRAM               PATIENT CARE                 MEDICAL KNOWLEDGE               INTERPERSONAL AND                  PROFESSIONALISM                   SYSTEMS BASED                 PRACTICE BASED         Please describe any
                                                                                     COMMUNICATION                                                         PRACTICE                    LEARNING AND
                                                                                         SKILLS                                                                                        IMPROVEMENT
                                                                                                                                                                                                             innovations or best
                                                                                                                                                                                                                  practices

IM HEMOTOLOGY   (2) 360-degree evaluation; (3)   (2) 360-degree evaluation; (3)    (3) 360-degree evaluation;     (3) 360-degree evaluation; (3)    (3) 360-degree evaluation; (3)    (1) 360-degree
ONCOLOGY        Portfolios; (3) Procedure,       Portfolios; (2) Procedure,        (3) Portfolios; (1)            Portfolios; (1) Procedure,        Portfolios; (1) Procedure,        evaluation; (3)
                operative or case logs; (2)      operative or case logs; (3)       Procedure, operative or        operative or case logs; (2)       operative or case logs; (1)       Portfolios; (1)
                Chart stimulated recall; (2)     Standardized Written              case logs; (3) Standardized    Standardized Written              Standardized Written              Procedure, operative
                Chart or record review           Assessement; (2) Chart            Written Assessement; (1)       Assessement; (1) Chart            Assessement; (1) Chart            or case logs; (2)
                                                 stimulated recall; (2) Chart or   Chart stimulated recall; (1)   stimulated recall; (1) Chart or   stimulated recall; (3) Chart or   Standardized Written
                                                 record review                     Chart or record review         record review                     record review                     Assessement; (3)
                                                                                                                                                                                      PBLI project; (2)
                                                                                                                                                                                      Chart stimulated
                                                                                                                                                                                      recall; (1) Chart or
                                                                                                                                                                                      record review



IM INFECTIOUS   (2) 360-degree evaluation; (2)   (2) 360-degree evaluation; (2)    (2) 360-degree evaluation;     (2) 360-degree evaluation; (2)    (2) 360-degree evaluation; (2)
DISEASE         Portfolios; (3) Standardized     Portfolios; (3) Standardized      (2) Portfolios; (3)            Portfolios; (3) Standardized      Portfolios; (3) Standardized
                Written Assessment; (2) Chart    Written Assessment; Annual        Standardized Written           Written Assessment;               Written Assessment; Birth
                or record review                 Inservice Exam, weekly quizzes;   Assessment; Presentation       Presentation evaluations          Month Annual Review
                                                 presentation evaluations          evaluations                                                      Training; Presentation
                                                                                                                                                    Evaluations



IM NEPHROLOGY
                                                                                                        Core Competencies
                                                                                                        Sep 2006 - Aug 2007

PROGRAM               PATIENT CARE                 MEDICAL KNOWLEDGE                INTERPERSONAL AND                  PROFESSIONALISM                   SYSTEMS BASED                PRACTICE BASED          Please describe any
                                                                                      COMMUNICATION                                                         PRACTICE                   LEARNING AND
                                                                                          SKILLS                                                                                       IMPROVEMENT
                                                                                                                                                                                                              innovations or best
                                                                                                                                                                                                                   practices
IM PULMONARY/   (3) 360-degree evaluation; (2)   (2) 360-degree evaluation; (2)     (3) 360-degree evaluation;     (3) 360-degree evaluation; (2)    (3) 360-degree evaluation; (3)   (3) 360-degree
CRITICAL CARE   Procedure, operative or case     Procedure, operative or case       (2) Standardized Written       Standardized Written              Standardized Written             evaluation; (3)
                logs; (3) Standardized Written   logs; (3) Monthly Evaluations;     Assessment; (3) Monthly        Assessment; (3) Monthly           Assessment; (3) Montthly         Standardized Written
                Assessment, (3) Chart or         Direct observation especially of   Evaluation; Direct             Evaluation; Direct observation    Evaluation; Direct               Assessment; (3)
                record review; (3) Monthly       a) H&P performance in ICU; b)      observation especially of a)   especially of a) H&P              observation especially of a)     Montthly Evaluation;
                Evaluation; Direct observation   teaching residents and medical     H&P performance in ICU;        performance in ICU; b) teaching   H&P performance in ICU; b)       Direct observation
                especially of a) H&P             students in clinic and ICU; and    b) teaching residents and      residents and medical studetns    teaching residents and           especially of a) H&P
                performance in ICU; b)           c) Journal Club Conference;        medical studetns in clinic     in clinic and ICU; and c)         medical students in clinical     performance in ICU;
                teaching residents and medical   Pathology Conference; Research     and ICU; and c) Journal        Journal Club Conference;          and ICU; and c) Journal Club     b) teaching residents
                students in clinic and ICU;      Conference; Radiology              Club Conference;               Pathology Conference;             Conference; Pathology            and medical students
                and c) Journal Club              Conference; CT Surgery             Pathology Conference;          Research Conference;              Conference; Research             in clinical and ICU;
                Conference; Pathology            Conference; NNMC Combined          Research Conference;           Radiology Conference; CT          Conference; Radiology            and c) Journal Club
                Conference; Research             Surgery/Radiology/Pathology        Radiology Conference; CT       Surgery Conference; NNMC          Conference; CT Surgery           Conference;
                Conference; Radiology            Conference; OERs                   Surgery Conference;            Combined                          Conference; NNMC                 Pathology
                Conference; CT Surgery                                              NNMC Combined                  Surgery/Radiology/Pathology       Combined                         Conference;
                Conference; NNMC                                                    Surgery/Radiology/Patholo      Conference; OERs                  Surgery/Radiology/Pathology      Research
                Combined                                                            gy Conference; OERs                                              Conference; OERs                 Conference;
                Surgery/Radiology/Pathology                                                                                                                                           Radiology
                Conference; OERs                                                                                                                                                      Conference; CT
                                                                                                                                                                                      Surgery Conference;
                                                                                                                                                                                      NNMC Combined
                                                                                                                                                                                      Surgery/Radiology/P
                                                                                                                                                                                      athology Conference;
                                                                                                                                                                                      OERs
                                                                                                                Core Competencies
                                                                                                                Sep 2006 - Aug 2007

PROGRAM                      PATIENT CARE                  MEDICAL KNOWLEDGE                 INTERPERSONAL AND               PROFESSIONALISM                   SYSTEMS BASED                 PRACTICE BASED             Please describe any
                                                                                               COMMUNICATION                                                      PRACTICE                    LEARNING AND
                                                                                                   SKILLS                                                                                     IMPROVEMENT
                                                                                                                                                                                                                        innovations or best
                                                                                                                                                                                                                             practices

IM RHEUMATOLOGY        (2) 360-degree evaluation; (3)    (3) Portfolios; (3) Procedure,      (2) 360-degree evaluation; (3) 360-degree evaluation; (3)     (3) Portfolios; (3) Chart         (3) Portfolios; (3)      (2) 360-degree evaluation; (3)
                       Portfolios; (3) Procedure,        operative and case logs; (3)        (3) Portfolios; (2)          Portfolios; (1) Chart Review;    stimulated recall; (3) Chart or   Standardized written     Portfolios; (3) Procedure,
                       operative and case logs; (3)      Standardized written assessment;    Procedure, operative and (3) Mini-CEX                         record review; (2)                assessment; (3) Chart    operative or case logs; (3)
                       Standardized written              (3) Chart stimulated recall; (3)    case logs; (2) Chart                                          Standardized written              stimulated recall; (3)   Standardized written
                       assessment; (3) Chart             Chart or record review; (2) Mini-   stimulated recall; (2) Chart                                  assessment; (2) Mini-CEX          Chart or record          assessment; (3) Chart
                       stimulated recall; (3) Chart or   CEX                                 or record review; (2) Mini-                                                                     review; (2) Mini-        stimulated recall; (3) Chart or
                       record review; (2) Mini-CEX                                           CEX                                                                                             CEX                      record review; (2) Mini-CEX




NEUROLOGY              (1) 360-degree evalaution; (1)    (1) 360-degree evaluation; (1)    (1) 360-degree evaluation; (1) 360-degree evaluation; (2)       (1) 360-degree evaluation; (1)    (1) 360-degree
                       Portfolios; (1) Procedure,        Portifolios; (2) Chart stimulated (3) Standardized Oral      Standardized oral Assessment;        Portfolios; (1) Procedure,        evaluation; (1)
                       operative or case logs; (3)       recall; (1) Chart or record       Assessment; (3) Mini-CEX (2) Mini-CEX                           operative or caselogs; (1)        Portfolios; (1)
                       Standardized Oral                 review; (3) Standardized Written                                                                  Chart stimulated recall; (1)      Procedures, operative
                       Assessment; (3) Mini-CEX          Assessment; (3) Standardized                                                                      Chart or recorde review           or case logs; (1)
                                                         Oral Assessment; (3) Min-CEX                                                                                                        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  360-degree evaluation;           360-degree evaluation;            360-degree evaluation;            360-degree
                       Procedure, operative or case      logs; Standardized written     Standardized Written             Standardized Written              Standardized Written              evaluation;
                       logs; Chart or record review      Assessement; Standardized Oral Assessment                       Assessment                        Assessment                        Standardized Oral
                                                         Assessment; Chart or record                                                                                                         Assessment
                                                         review


NEURO CLIN NPH         (X) 360-degree evaluation;        (X) 360-degree evaluation; (X) (X) 360-degree evaluation;       (X) 360-degree evaluation; (X)    (X) 360-degree evaluation;        (X) 360-degree       (X) 360-degree evaluation;
                       (X) Standardized written          Standardized written assessment; (X) Standardized written       Standardized written              (X) Standardized written          evaluation; (X)      (X) Chart or record review.
                       assessment; (X) Chart or          (X) Chart or record review.      assessment; (X) Chart or       assessment; (X) Chart or record   assessment; (X) Chart or          Standardized written
                       record review.                                                     record review.                 review.                           record review.                    assessment; (X)
                                                                                                                                                                                             Chart or record
                                                                                                                                                                                             review.



NEUROSURGERY           Procedure, operative or case      Standardized written assessment; 360-degree evaluation          360-degree evaluation; Patient    360-degree evaluation             360-degree
                       logs; Standardized Oral           Board                                                           satifcation evaluations                                             evaluation; Patient
                       Assessment                        Scores/Conference/Clinical                                                                                                          satisfaction
                                                         Evaluation Sheets                                                                                                                   evaluations, M&M
                                                                                                                                                                                             write-ups
                                                                                                        Core Competencies
                                                                                                        Sep 2006 - Aug 2007

PROGRAM                  PATIENT CARE                 MEDICAL KNOWLEDGE              INTERPERSONAL AND                 PROFESSIONALISM                    SYSTEMS BASED                PRACTICE BASED           Please describe any
                                                                                       COMMUNICATION                                                         PRACTICE                   LEARNING AND
                                                                                           SKILLS                                                                                       IMPROVEMENT
                                                                                                                                                                                                                innovations or best
                                                                                                                                                                                                                     practices

NUCLEAR MEDICINE   (1) 360-degree evaluation; (2)   (1) 360-degree evaluation; (2)   (1) 360-degree evluation;     (1) 360-degree evluation; (3)      (1) 360-degree evluation; (3) (1) 360-degree
                   Procedure, operative or case     Procedure, operative or case     (3) Director Faculty          Director Faculty Observation       Director Faculty Observation evluation; (3)
                   logs; (3) Standardized Written   logs; (3) Standardized Written   Observation                                                                                    Director Faculty
                   Assessment; (3) Director         Assessment; (3) Director Faculty                                                                                                Observation
                   Faculty Observation              Observation


OBSTETRICS/
GYNECOLOGY


GYNECOLOGY         (3) 360-degree evaluation; (3)   (3) 360-degree evaluation; (3)   (3) 360-degree evaluation;    (3) 360-degree evaluation; (3)     (3) 360-degree evaluation; (3)   (3) 360-degree        Portfolios; Procedure,
ONCOLOGY           Portfolios; (3) Procedure,       Portfolios; (3) Procedure,       (3) Portfolios; (3)           Portfolios; (3) Procedure,         Portfolios; (3) Standardized     evaluation; (3)       operative/case logs; Portfolios:
                   operative or case logs; (3)      operative or case logs; (3)      Procedure, operative or       operative or case logs; (3)        Written Assessment; (3)          Portfolios; (3)       resident Training Files are
                   Standardized Written             Standardized Written             case logs; (3) Standardized   Standardized Written               Focused Assessment of            Procedure, operative maintained; separate files
                   Assessment; Focused              Assessment; Focused              Written Assessment;           Assessment; Focused                Competency (generic),            or case logs; (3)     contain competency-based
                   Assessment of Competency         Assessment of Competency         Focused Assessment of         Assessment of Competency           Surgical Focused Assessment      Standardized Written forms. These 2 folders form
                   (generic), Surgical Focused      (generic), Surgical Focused      Competency (generic),         (generic), Surgical Focused        of Competency,                   Assess; (3)           the Resident Portfolios.
                   Assessment of Competency,        Assessment of Competency,        Surgical Focused              Assessment of Competency,          Communication Focused            Simulation or OSCE; -Procedure Log: maintained by
                   Communication Focused            Communication Focused            Assessment of                 Communication Focused              Assessment of Competency,        (3) Focused Assess the ACGME. Competency
                   Assessment of Competency,        Assessment of Competency,        Competency,                   Assessment of Competency,          Skills, Sessions, multiple       of Competency         forms: listed as above (general
                   Skills Sessions, multiple        Skills Sessions, multiple        Communication Focused         Skills Sessions, Officer           conferences, work hour           (generic), Surgical   and focused assessments).
                   conferences; (3) Simulation or   conferences; (3) Simulation or   Assessment of                 Evaluation Reports (Army),         reviews, Tricare AHLTA           Focused Assess of     Skills sessions added to
                   OSCE                             OSCE                             Competency, Skills            Fitness Reports (Navy), multiple   review sessions; (3) Chart or    Competency,           academic calendar.
                                                                                     Sessions, LIFE Curriculum,    conferences (3) Simulation or      record review; (3) Simulation    Communication         ABOG LifeLong Learning
                                                                                     multiple conferences; (3)     OSCE                               of OSCE                          Focused Assess of     Curriculum: patterned after
                                                                                     Simulation exercises                                                                              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, life-
                                                                                                                                                                                                             long learning, several
                                                                                                                                                                                                             interdisciplinary conferences
                                                                                                                                                                                                             -Resident research highly
                                                                                                                                                                                                             emphasized; teaches evidence-
                                                                                                                                                                                                             based medicine and practice-
                                                                                                                                                                                                             based 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                PROFESSIONALISM                  SYSTEMS BASED                PRACTICE BASED          Please describe any
                                                                                        COMMUNICATION                                                      PRACTICE                   LEARNING AND
                                                                                            SKILLS                                                                                    IMPROVEMENT
                                                                                                                                                                                                             innovations or best
                                                                                                                                                                                                                  practices
OCCUPATIONAL &
ENVIRONMENTAL
MEDICINE


OPHTHALMOLOGY    (2) 360-degree evaluation; (2)     (2) 360-degree evaluation;(2)     (2) 360-degree evaluation;   (2) 360-degree evaluation; (2)   (1) 360-degree evaluation; (1)   (1) 360-degree       Standardized Written
                 Procedure, operative or case       Standardized Written              (2) Standardized Written     Standardized Written             Procedure, operative or case     evaluation; (1)      Assessment
                 logs; (2) Standardized Written     Assessment; (2) Standardized      Assessment; (2)              Assessment; (2) Standardized     logs; (2) Standardized Written   Procedure, operative
                 Assessment; (2) Standardized       Oral Assessment; (2) Chart or     Standardized Oral            Oral Assessment                  Assessment; (2) Standardized     or case logs; (2)
                 Oral Assessment; (2) Chart         record review; (1) Case Logs      Assessment; (2) OSCE or                                       Oral Assessment; (2) Chart or    Standardized Written
                 stimulated recall; (2) Chart or                                      equivalent                                                    record review; (2) Simulation    Assessment; (2)
                 record review; (2) Case Logs                                                                                                       or OSCE; (2) Case logs           Standardized Oral
                                                                                                                                                                                     Assessment; (1)
                                                                                                                                                                                     Chart or record
                                                                                                                                                                                     review; (1)
                                                                                                                                                                                     Simulation or OSCE




ORAL &           Procedure, operative or case       Procedure, operative or case      Procedure, operative or      Procedure, operative or case     Procedure, operative or case     Procedure, operative   Procedure, operative or case
MAXILOFACIAL     logs; Standarlized written         logs; Standarlized written        case logs; Standarlized      logs; Standarlized written       logs; Standarlized written       or case logs;          logs; Standarlized written
SURGERY          assessment; Standarlized oral      assessment; Standarlized oral     written assessment;          assessment; Standarlized oral    assessment; Standarlized oral    Standarlized written   assessment; Standarlized oral
                 assessment; Chart or record        assessment; Chart or record       Standarlized oral            assessment; Chart or record      assessment; Chart or record      assessment;            assessment; Chart or record
                 review; Case Logs                  review; Case Logs                 assessment; Chart or         review; Case Logs                review; Case Logs                Standarlized oral      review
                                                                                      record review;                                                                                 assessment; Chart or
                                                                                                                                                                                     record review; Case
                                                                                                                                                                                     Logs



ORTHOPAEDICS     360 degree evaluation;             360 degree evaluation;             360 degree evaluation;      360-degree evaluation;           360-degree evaluation; direct Conference            Daily morning conference
WRAMC/NNMC       Procedure, operative or case       Procedure, operative or case       Chart or record review      Procedure, operative or case     observation, discussion       participation, follow where entire faculty and
                 logs; Standardized Written         logs; Standardized Written                                     logs; feedback from military                                   up on questions       residents are available.
                 Assessment; Conference             Assessment; Conference                                         command, re: officership,                                                            Residents present at the
                 participation, direct              participation, direct observation,                             completion of required duties,                                                       podium frequently, presenting
                 observation, discussion in         discussion in patient care                                     etc                                                                                  call cases, preops postops.
                 patient care settings to include   settings to include OR; Chart or
                 OR; Chart stimulated recall;       record review
                 Chart or record review
                                                                                                            Core Competencies
                                                                                                            Sep 2006 - Aug 2007

PROGRAM                       PATIENT CARE               MEDICAL KNOWLEDGE              INTERPERSONAL AND                PROFESSIONALISM                    SYSTEMS BASED                 PRACTICE BASED              Please describe any
                                                                                          COMMUNICATION                                                        PRACTICE                    LEARNING AND
                                                                                              SKILLS                                                                                       IMPROVEMENT
                                                                                                                                                                                                                      innovations or best
                                                                                                                                                                                                                           practices
OTOLARYNGOLOGY          (X) 360-degree evaluation;     (X) 360-degree evaluation; (X)   (X) 360-degree evaluation;   (X) 360-degree evaluation; (X)     (X) 360-degree evaluation;        (X) Procedure,            (X) Procedure, operative or
                        (X) Procedure, operative or    Procedure, operative or case     (X) Standardized written     Other: Direct observation of       (X) Procedure, operative or       operative or case         case logs; (X) Other: We
                        case logs; (X) Standardized    logs; (X) Standardized written   assessment; (X)              resident/patient interactions by   case logs; (X) Standardized       logs; (X)                 regularly review case coding
                        written assessment; (X)        assessment; (X) Standardized     Standardized oral            staff                              written assessment; (X)           Standardized written      with residents and track case
                        Standardized oral assessment   oral assessment (X) Chart or     assessment (X) Simulation                                       Standardized oral assessment      assess; (X)               equity. Staff presents a formal
                        (X) Chart or record review;    record review; (X) case logs     exercises; (X) Other:                                           (X) Chart or record review;       Standardized oral         yearly inservice review
                        (X) case logs                                                   Direct observation of                                           (X) Other: Evidence based         assess (X) Chart or       program. Monthly combined
                                                                                        patient and family                                              medicine lecture series,          record review; (X)        academics between WRAMC
                                                                                        counseling.                                                     Journal Club discussions;         Other: Evidence           and NNMC.
                                                                                                                                                        Observation of performance        based medicine
                                                                                                                                                        in multidisciplinary tumor        lecture series, Journal
                                                                                                                                                        board; staff observe residents    Club discussions;
                                                                                                                                                        in their interaction with other   Grd Rds speakers;
                                                                                                                                                        hospital services.                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

PATHOLOGY               360-degree evaluation;         Portfolios; Standardized Written Portfolios; End of month     360-degree evaluation;             Standardized Written
                        Procedure; operative or case   Assessment; Daily surg path sign rotation eval                Procedure, operative or case       Assessment; Journal Club
                        logs; Standardized Oral        out eval                                                      logs; Standardized Written
                        Assessment                                                                                   Assessment; End of month
                                                                                                                     rotation evals


FORENSIC PATHOLOGY 360-degree evaluation;              360-degree evaluation;           360-degree evaluation;       360-degree evaluation;             360-degree evaluation;            360-degree
                   procedure, operative or case        procedure, operative or case     procedure, operative or      procedure, operative or case       procedure, operative or case      evaluation;
                   logs; char or record review         logs, chart or record review     case logs; chart or record   logs, chart or record review       logs; chart or record review      procedure, operative
                                                                                        review                                                                                            or case logs; chart or
                                                                                                                                                                                          record review
                                                                                                            Core Competencies
                                                                                                            Sep 2006 - Aug 2007

PROGRAM                  PATIENT CARE                  MEDICAL KNOWLEDGE                INTERPERSONAL AND                 PROFESSIONALISM                   SYSTEMS BASED               PRACTICE BASED           Please describe any
                                                                                          COMMUNICATION                                                        PRACTICE                  LEARNING AND
                                                                                              SKILLS                                                                                     IMPROVEMENT
                                                                                                                                                                                                                 innovations or best
                                                                                                                                                                                                                      practices
PEDIATRICS         (3) 360-degree evaluation; (2)    (3) Standardized Written           (3) 360-degree evaluation; (3) 360-degree evaluation; (3)      (2) 360-degree evaluation; (3)   (3) We perform
                   Portfolios; (2) Procedue,         Assessment; (3) SCO's; (3) Chart   (3) SCO's; (2) Stimulation SCO's; (3) Stimulation or OSCE      Standardized Written             mandatory structured
                   operative or case logs; (3)       stimulated recall; (2) Chart or    exercises; (3) OSCE or                                         Assessment; (3) SCO's; (2)       clin observations (
                   Structured Clinical               record review; (3) Simulation or   equivalent                                                     Chart or record review; (3)      SCO‘s) on all
                   Observations; (3) Chart           OSCE                                                                                              Simulation or OSCE               residents during their
                   stimulated recall; (2) Chart or                                                                                                                                      outpatient mths
                   record review; (3) Simulation                                                                                                                                        which are kept in
                   or OSCE                                                                                                                                                              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

PEDIATRIC          Portfolios; Procedure,            Portfolios; Procedure, operative   360 degree evaluation;        360 degree evaluation;           360 degree evaluation;           360 degree
ENDOCRINOLOGY      operative or case logs; Chart     or caselogs; Standardized          Portfolios; Chart or record   Portfolios; Procedure, operative Portfolios; Chart or record      evaluation;
                   or record review; Case Logs       Written Assessment; Chart or       review;Procedure,             or case logs; Chart or record    review; Case Logs                Portfolios;
                                                     record review; Case Logs           operative or case logs        review                                                            Procedure, operative
                                                                                                                                                                                        or case logs; chart or
                                                                                                                                                                                        record review; Case
                                                                                                                                                                                        Logs




PEDIATRIC          (3) Procedure, operative or       (3) Procedure, operative or case (3) Other: Direct               (3) Other: Direct observation; (3) Chart or record review;        (3) Chart or record   None.
GASTROENTEROLOGY   case logs; (3) Standardized       logs; (2) Standardized written   observation                     patient and ancillary reports, not (3) Other: Direct              review; (3) Other:
                   written assessment; (3) Chart     assessment; (3) Chart or record                                  formal surveys                     communication with case        QA reports, verbal
                   or record review; (3)             review; (3) Other: Direct                                                                           management, nutrition, RN.     reports from research
                   Simulation or OSCE; (3)           observation                                                                                                                        mentors, observation
                   Other: Direct observation
                                                                                                                    Core Competencies
                                                                                                                    Sep 2006 - Aug 2007

PROGRAM                        PATIENT CARE                  MEDICAL KNOWLEDGE                  INTERPERSONAL AND                 PROFESSIONALISM                     SYSTEMS BASED                PRACTICE BASED            Please describe any
                                                                                                  COMMUNICATION                                                          PRACTICE                   LEARNING AND
                                                                                                      SKILLS                                                                                        IMPROVEMENT
                                                                                                                                                                                                                             innovations or best
                                                                                                                                                                                                                                  practices
PEDIATRIC                (3) 360-degree evaluation; (3)    (3) 360-degree evaluation; (3)       (3) 360-degree evaluation;    (3) 360-degree evaluation; (3)      (3) 360-degree evaluation; (3)   (3) 360-degree
HEMOTOLOGY/              Procedure, operative or case      Procedure, operative or case         (3) Procedure, operative or   Procedure, operative or case        Procedure, operative or case     evaluation; (3)
ONCOLOGY                 logs; Standardized Written        logs; Standardized Written           case logs; Standardized       logs; Standardized Written          logs; Standardized Written       Procedure, operative
                         Assessment; (3) Chart             Assessment; (3) Chart stimulated     Written Assessment; (3)       Assessment; (3) Chart               Assessment; (3) Chart or         or case logs;
                         stimulated recall; (3) Chart or   recall; (3) Chart or record review   Chart or record review        stimulated recall; (3) Chart or     record review                    Standardized Written
                         record review                                                                                        record review                                                        Assessment; (3)
                                                                                                                                                                                                   Chart or record
                                                                                                                                                                                                   review



PEDIATRIC INFECTIOUS 360-degree evaluation;                360-degree evaluation;               360-degree evaluation;        360-degree evaluation;              Standardized Written             360-degree           Chart or record review
DISEASES             Profolios; Standardized               Standardized Written                 Standardized Written          Standardized Writeen                Assessment; Chart or record      evaluation;
                     Written Assessment; Chart             Assessment                           Assessmenet; OSCE or          Assessment; OSCE or                 review; OSCE or equivalent       Standardized Written
                     stimulated recall; Chart or                                                equivalent                    equivalent                                                           Assessment; Chart or
                     record review; OSCE or                                                                                                                                                        record review; OSCE
                     equivalent                                                                                                                                                                    or equivalent




PEDIATRIC                (3) 360-degree evaluation; (3)    (3) 360-degree evaluation; (3)       (3) 360-degree evaluation;    (3) 360-degree evaluation; (1)      (1) 360-degree evaluation; (1) (1) 360-degree             OSCE or equivalent
NEONATOLOGY              Portfolios; (3) Procedure,        Portfolios; (3) Procedure,           (3) Portfolios; (3)           Portfolios; (1) Procedure,          Portfolios; (1) Procedure,     evaluation; (1)
                         operative or case logs; (3)       operative or case logs; (3)          Procedure, operative or       operative or case logs; (1) Chart   operative or case logs; (1)    Portfolios
                         Chart or record review            Standradized written assessment;     case logs; (3) Chart or       or record review                    Chart or record review
                                                           (3) Chart or record review           record review



PHYSICAL MEDICINE & 360-degree evaluation;                 360-degree evaluation;               360-degree                    360-degree evaluation;              Standardized written             Standardized written
REHABILITATION      Standardized written                   Standardized Written                 evaluation;Standardized       Standardized written                assessment;Standardized Oral     assessment; Research
SERVICE (PM&R)      assessment; standardized oral          Assessment; Standardized Oral        written assessment; Mini-     assessment; Mini-CEX                assessment;Description of        project, didactic
                    assessment; chart or record            assessment; Chart record review;     CEX                                                               impressions from attending       lectures, resident run
                    review Simulation or OSCE;             Mini-CEX; Quarterly Exams, in-                                                                         PCAC meeting, annually;          didactics with fellow
                    Mini-CEX                               service exams; lectures, case                                                                          chart or record review           residents; Chart or
                                                           presentations                                                                                                                           record review
                                                                                                    Core Competencies
                                                                                                    Sep 2006 - Aug 2007

PROGRAM                PATIENT CARE              MEDICAL KNOWLEDGE               INTERPERSONAL AND               PROFESSIONALISM                   SYSTEMS BASED             PRACTICE BASED              Please describe any
                                                                                   COMMUNICATION                                                      PRACTICE                LEARNING AND
                                                                                       SKILLS                                                                                 IMPROVEMENT
                                                                                                                                                                                                         innovations or best
                                                                                                                                                                                                              practices
PREVENTIVE MED   (3) Standardized written     (2) Portfolios; (3) Standardized   (2) 360-degree evaluation; (2) 360-degree evaluation; (2)     (2) Portfolios; (3)            (2) Portfolios; (3) (3) Other: We incorporate a
                 assessment; (3) Case logs    written assessment; (3) Other:     (2) Portfolios; (3)        Portfolios; (3) Standardized      Standardized written           Standardized written Problem or question from
                                              ACPM in-service examination        Standardized written       written assessment                assessment                     assessment           academic and practicum year
                                                                                 assessment                                                                                                       issues confronting residents
                                                                                                                                                                                                  and use that to teach critical
                                                                                                                                                                                                  appraisal and problem-based,
                                                                                                                                                                                                  life-time learning skills
                                                                                                                                                                                                  (PBLI). We are also now
                                                                                                                                                                                                  trending competency self-
                                                                                                                                                                                                  assessments 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)   (3) 360-degree evaluation; (3) Other: Resident activity file (3) Other: Resident activity   (3) 360-degree            (3) 360-degree evaluation; (3)
                 case logs; (3) Mini-CEX; (3) Standardized written assessment;   (3) Standardized oral                                        file, Resident Peer review     evaluation; (3) Case      Other: Our patient satisfaction
                 Other: Resident activity files, (3) Mini-CEX                    assessment; (3) OSCE or                                                                     logs; (3) Other:          eval is an email-based, web
                 resident peer review                                            equivalent                                                                                  Resident activity file,   response system that patients
                                                                                                                                                                             Resident Peer review      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                 PROFESSIONALISM                    SYSTEMS BASED                 PRACTICE BASED           Please describe any
                                                                                                COMMUNICATION                                                         PRACTICE                    LEARNING AND
                                                                                                    SKILLS                                                                                        IMPROVEMENT
                                                                                                                                                                                                                          innovations or best
                                                                                                                                                                                                                               practices
CHILD PSYCHIATRY         Standardized Written              Procedure, operative or case       Procedure, operative or       Real time observatons; Chart or Chart or record review;              Procedure, operative    Moving toward evaluating all
                         Assessment; Standardized          logs; Standardized Written         case logs; Standardized       record review; Mini-CEX         Procedure, operative or case         or case logs;           faculty on 6 core competencies
                         Oral Assessment; pre/post         Assessment; Standardized Oral      Written Assessment;                                           logs; Standardized Written           Standardized Written    in manner similar to
                         tests; Chart stimulated recall,   Assessment; Chart stimulated       Standardized Oral                                             Assessment; Standardized             Assessment;             fellows/residents
                         Chart or record review, Case      recall; Chart or record review;    Assessment; Conference                                        Oral Assessment; Direct              Standarized Oral
                         Logs; Mini-CEX                    Case Logs; Mini-CEX                presentations; Chart                                          Supervision                          Assessment; Chart or
                                                                                              stimulated recall; Chart or                                                                        record review; Case
                                                                                              record review; CaseLogs;                                                                           Logs
                                                                                              Mini-CEX




FORENSIC PSYCHIATRY 360-degree evaluation;                 360-degree evaluation;             360-degree with             360 degree evaluation;               360 degree evaluation;            360 degree             Mock trials, OSCE or
                    procedure, operative or case           procedure, operative or case       evaluation; case            simulation exercises                 procedure, operative or case      evaluation;            equivalent
                    logs, chart or record review;          logs, chart or record review;      presentations and analysis;                                      logs, simulation exercises        procedure, operative
                    simulation exercies                    simulation exercies                simulation exercises                                                                               or case logs; chart or
                                                                                                                                                                                                 record review;
                                                                                                                                                                                                 simulation exercises



GERIATRIC
PSYCHIATRY


PREVENTIVE
PSYCHIATRY

PSYCHIATRY / FAMILY
PRACTICE


PSYCHIATRY/INTERNAL
MEDICINE


RADIATION ONCOLOGY 350-Degree evaluation;                  350-Degree evaluation;             350-Degree evaluation;        350-Degree evaluation;             350-Degree evaluation;            350-Degree
                   Protfolios; Procedurem                  Protfolios; Procedurem             Protfolios; Procedure         Protfolios; Procedure Operative    Protfolios; Procedure             evaluation;
                   Operative or case logs;                 Operative or case logs;            Operative or case logs;       or case logs; Standardized         Operative or case logs;           Protfolios; Procedure
                   Standardized written                    Standardized written assessment;   Standardized written          written assessment;                Standardized written              Operative or case
                   assessment; Standardized oral           Standardized oral assessment;      assessment; Standardized      Standardized oral assessment;      assessment; Standardized oral     logs; Standardized
                   assessment; Chart stimulated            Chart stimulated recall; Cart or   oral assessment; Chart        Chart stimulated recall; Cart or   assessment; Chart stimulated      written assessment;
                   recall; Cart or record review ;         record review ; Simulation         stimulated recall; Cart or    record review ; Simulation         recall; Cart or record review ;   Standardized oral
                   Simulation exercises                    exercises; Other Radiobiology      record review ; Simulation    exercises                          Simulation exercises; Other       assessment; Chart
                                                           protocol                           exercises                                                        Radiobiology protocol             stimulated recall;
                                                                                                                                                                                                 Cart or record review
                                                                                                                                                                                                 ; Simulation
                                                                                                                                                                                                 exercises
                                                                                                         Core Competencies
                                                                                                         Sep 2006 - Aug 2007

PROGRAM                    PATIENT CARE               MEDICAL KNOWLEDGE              INTERPERSONAL AND              PROFESSIONALISM               SYSTEMS BASED            PRACTICE BASED         Please describe any
                                                                                       COMMUNICATION                                                 PRACTICE               LEARNING AND
                                                                                           SKILLS                                                                           IMPROVEMENT
                                                                                                                                                                                                  innovations or best
                                                                                                                                                                                                       practices
RADIOLOGY            Portfolios, Procedure;         360-degree evaluation; Portolios, 360-degree evaluation;    360-degree evaluation;        Portfolios                   Procedure, operative
                     operative or case logs;        Procedure;                        portfolios                portfolios                                                 or case logs
                     Standardized Written
                     Assessment


BODY IMAGING         360-degree evaluation          360-degree evaluation;           360-degree evaluation;     360-degree evaluation;        Portfolios; Global monthly   Portfolios; Global
                     Portfolios; Global monthly     Portfolios; Global monthly       Portfolios; Global monthly Portfolios; Global monthly    evaluation                   montly evaluation
                     evaluation                     evaluation                       evaluation                 evaluation




TRANSITIONAL YEAR (3) 360-degree                    (3) 360-degree evaluation;       (3) 360-degree             (3) 360-degree evaluation;    (3) 360-degree               (3) 360-degree
(NNMC)            evaluation; (3)                   (3) Procedure, operative or      evaluation; (3)            (3) Procedure, operative or   evaluation; (3)              evaluation; (3)
                  Procedure, operative or           case logs; (3) Simulation or     Procedure, operative       case logs; (2)                Procedure, operative or      Procedure,
                  case logs; (3)                    OSCE; (3) Mini-CEX               or case logs; (3)          Standardized Written          case logs; (2)               operative or case
                  Standardized Written                                               Standardized Written       Assessment; (3)               Standardized Written         logs; (2)
                  Assessment; (3)                                                    Assessment; (3)            Simulation or OSCE; (3)       Assessment; (3)              Standardized
                  Simulation or OSCE; (3)                                            Simulation or OSCE;        Mini0-CEX                     Simulation or OSCE; (3)      Written
                  Mini-CEX;                                                          (3) Mini-CEX                                             Mini-CEX                     Assessment; (3)
                                                                                                                                                                           Simulation or
                                                                                                                                                                           OSCE; (3) Mini-
                                                                                                                                                                           CEX


TRANSITIONAL YEAR    Standardized Written           Standardized Written             Standardized Written     Standardized Written            Standardized Written         Standardized Written 1. Introduced ―My mistake‖
(WRAMC)              Assessment; Simulation of      Assessment; Simulation of        Assessment; Breaking Bad Assessment; Meeting             Assessment; My Mistake;      Assessment; The      where interns self evaluate a
                     OSCE                           OSCE                             News OSCE or equivalent attendance logs, completion of                                clinical question    mistake that was made and
                                                                                                              military and academic                                                             examine any system factors
                                                                                                              requirements                                                                      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        360-degree evaluation;         Procedure, operative or case     360-degree evaluation      360 degree evaluation         360 degree evaluation        360 degree
                     Procedure, operative or case   logs; Standardized Oral                                                                                                evaluation
                     logs                           Assessment


VASCULAR SURGERY
                                                                                       Core Competencies
                                                                                       Sep 2006 - Aug 2007

PROGRAM               PATIENT CARE            MEDICAL KNOWLEDGE        INTERPERSONAL AND           PROFESSIONALISM            SYSTEMS BASED           PRACTICE BASED       Please describe any
                                                                         COMMUNICATION                                           PRACTICE              LEARNING AND
                                                                             SKILLS                                                                    IMPROVEMENT
                                                                                                                                                                           innovations or best
                                                                                                                                                                                practices
SLEEP MEDICINE   (3) Chart or record review (3) Standardized written   (3) Standardized         (3) Standardized written   (3) Standardized written   (3) Strandardized   (3) Strandardized written
                                            assessment; (3)            written assessment;      assessment; (3)            assessment; (3)            written             assessment;
                                            standardized oral          (3) Standardized oral    standardized oral          standardized oral          assessment;         standardized oral
                                            assessment; Chart or       assessement; (3)         assessment; (3) Chart or   assessment; (3) Chart or   standardized oral   assessment; (3) Chart or
                                            record review              Chart or record review   record review              record review              assessment; (3)     record review
                                                                                                                                                      Chart or record
                                                                                                                                                      review
                                                                                                     Work Supervision



PROGRAM                           Procedures are in place that provide residents with rapid and                            Faculty Schedules are structured in a way that provides residents
                                        reliable communication with supervising faculty                                                     with continuous supvervision

ALLERGY                          Yes. Supervision policy and program director intent provided in orientation             Yes. 2 consultants of the day are scheduled every day. These faculty
                                 binder/CD and reviewed during orientation. Samples of patient care assessment           consultants are dedicated to supervising all clinical activities of fellows
                                 forms available for review that are used to provide immediate feedback to
                                 trainees.
                                                                                                                         and rotating residents/students.

DIAGNOSTIC IMMUNOLOGY            Yes, CLI & Allergy-Immunology training program fellow orientation CD provided           Yes, 2 staff consultants of the day supervise the care of all patients seen in the clinic, at
LAB                              to fellow and on file in program director’s office; also available on network share     least 1 staff supervisor assigned for all laboratory and research rotations
                                 drive file

ANESTHESIA                       Yes. Resident Handbook, Depatment policies                                              Yes. 24 hour in house coverage for supervision of care


CRITICAL 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.

PAIN MANAGEMENT                                                                                                          Yes. The Pain Clinic has 2 attendings assigned each day to supervise the fellows in
                                                                                                                         training

REGIONAL ANESTHESIA              Yes


CARDIO THORACIC SURGERY          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.


DERMATOLOGY                      Yes. The resident supervision policy is in the resident handbook. Staffing              Yes. The supervising staff are available on site for supervision of residents and are fully
                                 schedules for NNMC and WRAMC Dermatology are kept in binders in the                     dedicated to staffing duties when assigned to staff resident clinics. Continuous
                                 program director’s office. Staffing schedules are posted in the NNMC and                supervision means that the staff are fully available in the clinics to the residents during
                                 WRAMC Dermatology Clinics. Alert rosters provide contact information for all            staffing duties and are not seeing their own clinics or doing other tasks.
                                 residents and staff.

FAMILY MED - MGMC                Yes. Medical Group Instruction 44-61, "Supervision of Residents" available              Yes
                                 through MDG or Department office.

Family MED - DACH                Yes. Department/Residency SOP on Resident supervision available in multiple             Yes. Preceptors always available for outpatient clinic rotations at NLT 4:1 ratio of
                                 locations throughout the facility to include the organization’s intranet and s-drive.   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.

GENERAL SURGERY (WRAMC) This Residency Policy is in the Handbook of Information given out by the                         Yes. My Service is divided into four functioning general surgical teams and each team
                        Program every year to all Housestaff and Staff and which the Housestaff                          has dedicated Attending Staff assigned to the residents rotation on that team for that
                                                                                                                         rotation.
                        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                  Yes.


INTERNAL MEDICINE                  Yes. Discuss duty hour rules at beginning of every ward rotation for                           Yes. Daily rounds done by staff.
                                   staff/housestaff.

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         Yes.
                                   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).

IM CRITICAL CARE                   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.

IM ENDOCRINOLOGY                   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                Yes online program manual                                                                      Yes, One staff assigned per monthly rotation


IM HEMOTOLOGY                      Yes. The Sleep, Alertness and Fatigue in Residency (SAFER) presentation is
ONCOLOGY                           provided to all faculty and fellows.


IM INFECTIOUS DISEASE              Yes. Section T of the ID Fellowship Syllabus outlines the Supervisory Policy.                  Yes.



IM NEPHROLOGY

IM PULMONARY/ CRITICAL             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.
CARE

IM RHEUMATOLOGY                    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.

NEUROLOGY                          Yes. Departmental policy. Residency Handbook                                                   Yes. All patients are discussed directly with staff


CHILD NEUROLOGY

NEURO CLIN NPH (NIH)               Yes. Clinical Neurophysiology Fellows Handbook                                                 Yes
                                                                                                   Work Supervision




NEURO CLIN NPH (WRAMC)    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.

NEUROSURGERY              Yes. 1st week of every month - f/u reports on patients provided from faculty to                Yes. Clinic is staff by faculty, operative cases are supervised and feedback dcoumented
                          staff                                                                                          randomly.

NUCLEAR MEDICINE          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/               Yes. The supervision policy is detailed in the Training Manual; all residents and              Yes. All resident activities (clinic, call, surgery) are performed under faculty supervision;
                          faculty, as well as administrators, are provided with a copy of the Training Manual            faculty schedules are maintained such that there is a faculty member responsible for
GYNECOLOGY
                          each year. Copies are also maintained in all major clinical locations in which                 clinics and Labor and Delivery, and all surgical procedures are fully supervised and
                          residents are involved as well as in the Residency Coordinator’s office and the                staffed by faculty. Staff are on call continuously, including 24 hour in-house call for Labor
                          Program Director’s and Associate Program Director’s offices.                                   and Delivery coverage.



GYNECOLOGY ONCOLOGY       Yes. The supervision policy is detailed in the Training Manual; all residents and              Yes. All resident activities (clinic, call, surgery) are performed under faculty supervision;
                          faculty, as well as administrators, are provided with a copy of the Training Manual            faculty schedules are maintained such that there is a faculty member responsible for
                          each year. Copies are also maintained in all major clinical locations in which                 clinics and Labor and Delivery, and all surgical procedures are fully supervised and
                          residents are involved as well as in the Residency Coordinator’s office and the                staffed by faculty. Staff are on call continuously, including 24 hour in-house call for Labor
                          Program Director’s and Associate Program Director’s offices.                                   and Delivery coverage.



REPRODUCTIVE
ENDOCRINOLOGY

OCCUPATIONAL &            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
ENVIRONMENTAL MEDICINE
                                                                                                                         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            Yes. The supervisory policy is distributed to all residents during orientation and is a   Yes. Patients are scheduled on faculty member’s schedules and the resident is paired up
                          part of the resident handbook.                                                                 with a faculty member to see the patients. Therefore, all patients are seen under the
SURGERY
                                                                                                                         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     Yes. Always a staff member on the surg path sign out schedule with a resident. Always
                          during basic program requirements presentation by the program director               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.

PEDIATRICS                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.

PEDIATRIC ENDOCRINOLOGY   Yes. Written description of policy in Program Description posted on fellowship       Yes. A staff member is on-call 24/7 with all fellows having staff pager, cell and home
                          web site.                                                                            phone #’s (all posted 0n-line)


PEDIATRIC                 Yes. -Staff preceptor at all clinics                                                 Yes. Faculty schedule includes a preceptor at all fellow clinics. On-service faculty
                          -Staff co-signature of all AHLTA notes                                               rounds daily with fellow on all inpatients and new consults.
GASTROENTEROLOGY
                          -Peer review in PAF in Chairman office
                          -Supervision policy on file with PD, in chairman office and in patient care areas




PEDIATRIC HEMOTOLOGY/     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.
ONCOLOGY

PEDIATRIC INFECTIOUS      Fellowship policy located in the PediatricInfectious Disease Fellowship Handbook.    Yes. Residents have 24 supervisory coverage that is available in person during the days
DISEASES                                                                                                       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.


PEDIATRIC NEONATOLOGY     Yes. The supervision policy is published in the fellowship handbook given to all     Yes. Clinical rotations are supervised by the attending physician assigned to the
                          faculty and trainees.                                                                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.



PHYSICAL MEDICINE &       Yes, departmental policy is located in chiarman office                               Yes,
REHABILITATION SERVICE
(PM&R)
                                                                                                Work Supervision



PREVENTIVE MED             Yes. Our policies are detailed in the program letters of agreement we arrange        Yes. As noted above, our policies on arrangements for adequate supervision are laid out
                           with our practicum year preceptors. In addition we have recently drafted an          in the program letters of agreement we arrange with our practicum year preceptors. In
                           omnibus policy for inclusion in the residency handbook.                              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.


PSYCHIATRY                 Yes. Our handbook contains our resident supervision policy which is distributed to   Yes. Our inpatient attending have no other responsibilities and are located on the ward fulltime.
                           every resident every year and always available on our website                        Our outpatient residents are individually assigned clinical supervisors who are required to meet
                           (www.nccpychiatry.info/handbook.htm). We keep alert rosters available for each       with their residents at least 2 hours per week. We document this using competency forms for
                           faculty member and resident listing pager, cell, home, and email numbers and         global supervisors. We have a staff psychiatrist on call for each participating institution that our
                           addresses                                                                            residents take overnight call either in house or at home, for supervision of clinical activity during
                                                                                                                off-duty hours.

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

FORENSIC PSYCHIATRY        Yes. Program policy located in Director’s office, copy provided to each fellow


GERIATRIC PSYCHIATRY

PREVENTIVE PSYCHIATRY

PSYCHIATRY / FAMILY
PRACTICE

PSYCHIATRY/INTERNAL
MEDICINE

RADIATION ONCOLOGY         Yes, SOP located in section head's office and with Program Director                  Yes, Faculty are not "double booked" to avoid conflicts with resident supervision


RADIOLOGY                  Yes. In residency policy manual, on line at e-value.                                 Yes.


BODY IMAGING               Yes. The supervision policy is posted on the NNMC GME website and is                 Yes. The fellow is supervised indirectly with exceptions as listed in the supervision policy
                           accessible from any hospital computer                                                (biopsies, minimally invasive procedures). The staff or program director is available for
                                                                                                                consultation.

TRANSITIONAL YEAR (NNMC)   Yes. Interns work under direct supervision. Superivisory policies available on       Yes.
                           Transitional Internship website.


TRANSITIONAL YEAR          Yes. Each department with whom the TY interns rotate has their own policy            Yes. Theses are done through each department.
                           letters.
(WRAMC)

UROLOGY

UROGYNECOLOGY              Yes. Departmental policy available in the Department Chief’s Office                  Yes


VASCULAR SURGERY
                 Work Supervision




SLEEP MEDICINE                Fellowhsip Handbook
                                                    Scholarly Activities
                                                    Sep 2006 - Aug 2007


                          Journals  Journals                                                    Chapters Chapters
                          Published Published   Journals    Abstracts     Abstracts   Abstracts Published Published    Chapters
                             by        by       Published   Published    Published by Published    by        by       Published by
 PROGRAM                   Faculty  Residents   by Others   by Faculty    Residents   by Others Faculty   Residents     Others

ALLERGY                      12         5                      14             8                    3

DIAGNOSTIC IMMUNOLOGY
LAB                          7         N/A         7            8           N/A          8         1                       1


ANESTHESIA                   10         3                       5             8                    2


CRITICAL CARE                0          0          0            0             0          0         1          0            0

PAIN MANAGEMENT              4          1                                                          1

REGIONAL ANESTHESIA          20         2                       5             5                    5



CARDIO THORACIC SURGERY      2


DERMATOLOGY                  4         21                                                          7



FAMILY MED - MGMC            2          0          0            0             0          0         3          0            0

Family MED - DACH            2          3


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                                                    Chapters Chapters
                            Published Published   Journals    Abstracts     Abstracts   Abstracts Published Published    Chapters
                               by        by       Published   Published    Published by Published    by        by       Published by
 PROGRAM                     Faculty  Residents   by Others   by Faculty    Residents   by Others Faculty   Residents     Others


GENERAL SURGERY (NNMC)         28         3                       8                                  2

HAND SURGERY

INTERNAL MEDICINE



INTERNAL MEDICINE              5          5                      39            42                    1

GENERAL INTERNAL MEDICINE
(WRAMC)                                                           2             1          5         2          2            0

IM CARDIOVASCULAR.             15        10                       5            10                    2          2


IM CRITICAL CARE                                                  1


IM ENDOCRINOLOGY               6          1                       5             5                    2          1

IM GASTROENTEROLOGY



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                                                    Chapters Chapters
                         Published Published   Journals    Abstracts     Abstracts   Abstracts Published Published    Chapters
                            by        by       Published   Published    Published by Published    by        by       Published by
 PROGRAM                  Faculty  Residents   by Others   by Faculty    Residents   by Others Faculty   Residents     Others

IM NEPHROLOGY


IM PULMONARY/ CRITICAL
CARE                        16         7                      14             2                    4          2

IM RHEUMATOLOGY             8          3                       3             4                    3

NEUROLOGY                   9          1                       3             0                    2          0


CHILD NEUROLOGY



NEURO CLIN NPH - NIH        14         3                       6             8                    3          1

NEURO CLIN NPH              42        12                       5             2                    3          4


NEUROSURGERY                23                                12                                  4


NUCLEAR MEDICINE            1                                  4

OBSTETRICS/
GYNECOLOGY                  20         7                      80            65                    6          2



GYNECOLOGY ONCOLOGY



REPRODUCTIVE
ENDOCRINOLOGY

NCC Annual Report
                                                    Scholarly Activities
                                                    Sep 2006 - Aug 2007


                          Journals  Journals                                                    Chapters Chapters
                          Published Published   Journals    Abstracts     Abstracts   Abstracts Published Published    Chapters
                             by        by       Published   Published    Published by Published    by        by       Published by
 PROGRAM                   Faculty  Residents   by Others   by Faculty    Residents   by Others Faculty   Residents     Others
REPRODUCTIVE
ENDOCRINOLOGY



OCCUPATIONAL &
ENVIRONMENTAL MEDICINE


OPHTHALMOLOGY                16         7                      12             4                    5

ORAL & MAXILOFACIAL
SURGERY                      1          1          1            1             1          1         2          6



ORTHOPAEDICS WRAMC/NNMC      26        16                      40            35          8         1


OTOLARYNGOLOGY               6          4                       0             0                    2          1


PATHOLOGY                    5          5                       6             6


FORENSIC PATHOLOGY           2                                                                     1

PEDIATRICS                   11         2                       3             2                    2



PEDIATRIC ENDOCRINOLOGY      9          1                      10            10                    3

PEDIATRIC
GASTROENTEROLOGY             2          0                       3             1                    0          0



NCC Annual Report
                                                   Scholarly Activities
                                                   Sep 2006 - Aug 2007


                         Journals  Journals                                                    Chapters Chapters
                         Published Published   Journals    Abstracts     Abstracts   Abstracts Published Published    Chapters
                            by        by       Published   Published    Published by Published    by        by       Published by
 PROGRAM                  Faculty  Residents   by Others   by Faculty    Residents   by Others Faculty   Residents     Others




PEDIATRIC HEMOTOLOGY/
ONCOLOGY                    3          3                       2             3



PEDIATRIC INFECTIOUS
DISEASES                              17          2            4             9                    2          1


PEDIATRIC NEONATOLOGY
                            2          0                       1             5
PHYSICAL MEDICINE &
REHABILITATION SERVICE
(PM&R)


PREVENTIVE MED              2          2                       2             3


PSYCHIATRY                  1          3                       8             7                    5          3


CHILD PSYCHIATRY                       1                       4             1                    3          2


FORENSIC PSYCHIATRY         2



GERIATRIC PSYCHIATRY




NCC Annual Report
                                                     Scholarly Activities
                                                     Sep 2006 - Aug 2007


                           Journals  Journals                                                    Chapters Chapters
                           Published Published   Journals    Abstracts     Abstracts   Abstracts Published Published    Chapters
                              by        by       Published   Published    Published by Published    by        by       Published by
 PROGRAM                    Faculty  Residents   by Others   by Faculty    Residents   by Others Faculty   Residents     Others


PREVENTIVE PSYCHIATRY


PSYCHIATRY / FAMILY
PRACTICE


PSYCHIATRY/INTERNAL
MEDICINE


RADIATION ONCOLOGY            30         5                       6             7


RADIOLOGY                     3          3                                     1          1


BODY IMAGING                  0          0          0            0             0          0         0          0            0

TRANSITIONAL YEAR (NNMC)      0          0          0            0             0          0         0          0            0


TRANSITIONAL YEAR
(WRAMC)                       4          1                       5             0                    1          0


UROLOGY


UROGYNECOLOGY                 6          5                       3             5                    1          2


VASCULAR SURGERY



NCC Annual Report
                                                      Scholarly Activities
                                                      Sep 2006 - Aug 2007


                            Journals  Journals                                                    Chapters Chapters
                            Published Published   Journals    Abstracts     Abstracts   Abstracts Published Published    Chapters
                               by        by       Published   Published    Published by Published    by        by       Published by
 PROGRAM                     Faculty  Residents   by Others   by Faculty    Residents   by Others Faculty   Residents     Others
SLEEP MEDICINE
                    TOTAL     455        195         10          374           280         23       90         30            1




NCC Annual Report

								
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