COUNCIL OF ORTHOPAEDIC RESIDENCY DIRECTORS CORD

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COUNCIL OF ORTHOPAEDIC RESIDENCY DIRECTORS CORD

• C. McCollister Evarts, M.D.
• University of Rochester Medical Center
• June 12, 2009

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GME FUNDING-Medicare Reimbursement

• To hospitals for education of residents and
  fellows
• Based on indirect (teaching) direct (salary and
  benefits) costs
• Based on Medicare population in hospitals

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GME FUNDING-Medicare Reimbursement

• Full rate for first residency program
• ½ rate for additional years, second residency or
  fellowship

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GME FUNDING

• New York State provides an incentive program to
  hospitals on regional basis
• Insurers
• Industry
• Institutions

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BALANCED BUDGET ACT 1997

• Training slots frozen at 1996 levels
• Impact obvious

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S.973

• Resident Physician Shortage Reduction Act of 2009
  (Senate)
• Redirect unused slots and increase cap by
• 15 percent for existing or new programs

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S.973

• However, targeted preferentially to institutions
  increasing primary care, general surgery slots.
• Change existing rules so residents can be
  training in non-hospital settings

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• Core Values
• Education
• Independence
• Transparency

• GME Funding
• Fellowships Residencies
• Will not promote specific business interests of
  donors
• Transparent conflict of interest policies

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OMeGA Policies

• Operates independently from AOA
• Separate board
• No reporting
• No conflicts of interest

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OMeGA Review Committees

• Qualified subspecialists without conflicts of
  interest
• Evaluation of grant applications

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OMeGA

• Donor designation of funding streams
• Short initial time table
• Bylaws, board, staff, systems, review committee
  formed/approved/developed

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OMeGA Grant Applications

• 258 grant applications received
• 108 residency/general education
• 150 fellowships
• Adult recon 38
• Sports 23
• Trauma 20
• Hand 18
• Spine 13
• Foot ankle 11
• Peds 11
• Shoulder 9
• Oncology 7

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45 Fellowship grants awarded

• Grant amounts ranged from 25,000-75,000
• Numbers by sub-specialty
• Adult recon-25
• Sports-2
• Trauma-5
• Hand-1
• Spine-4
• Foot and ankle-1
• Pediatrics-1
• Shoulder-4
• Oncology-2

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ACGME accreditation of fellowship programs
awarded grants

• 40 of programs were ACGME-accredited
• 80 of programs were associated with an
  ACGME-accredited residency program

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21 Residency grants awarded

• Grant amounts from 2,525-5,000 (most 5,000)
• Allopathic and osteopathic programs represented

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ACGME accreditation of residency programs awarded
grants

• 100 of programs were ACGME-accredited

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Residency activities/purposes funded includes

• Develop arthroscopy skills course
• Visiting professors
• Cadavers
• Surgical skills lab
• Grand rounds
• Journal club
• Resident research day
• Motor skills lab

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Institutional setting of residency programs
awarded grants

• 76 Academic institutions
• 24 Community hospitals

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Fellowship grants Residency grants
v
v
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OMeGA Next Steps

• Plan for 2010-2011 academic year grants
• Publish schedule
• Refine application process
• Streamline review process
• Obtain more funding from industry