Why Train at OSU

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Why Train at Ohio State?
Michael Grever, MD Chair, Department of Internal
Medicine
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Mission

• Prepare Residents to be leaders in the provision
  of compassionate, high quality, safe care
  throughout their career.

Catherine R. Lucey, MD, FACP Vice Chair of
Education, Dept of Internal Medicine Vice Dean of
Education, OSU College of Medicine
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How?

• Outstanding Faculty Diverse Patients
• Supportive, bright, valued peers
• Supplement clinical experiences with didactics
  and workshops to enhance your education.
• Built-in time for career exploration and
  non-clinical professional development.

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We are Successful
19 Heme/Onc 24 Renal 27 Pulmonary 42
Endocrine 5 other OSUMC programs also ranked
30 Research 31 Primary Care
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We are successful

• 10-year Accreditation Awarded from ACGME EIP
  Program (only top 5 of programs received)
• 64 of our residents pursue fellowship training
• Comprehensive Internal Medicine (16) and
  Hospitalist (15) practice opportunities

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We are substantial

• Largest Department at the Largest University in
  U.S.
• 235 faculty attendings
• 60.8 Million total research funding

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Fellowship Opportunities at OSU

• Allergy/Immunology
• Cardiology
• Cancer Genetics
• Endocrinology
• Gastroenterology
• Geriatrics
• Hematology/Oncology

• Infectious Diseases
• Nephrology
• Palliative Medicine
• Pulm/Critical Care
• Rheumatology
• Sleep Medicine

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Where Have our Residents Matched for Fellowship
Training?

• Allergy OSU, Mayo Clinic, NIH, Cleveland Clinic
• Cardiology OSU, Vanderbilt, Wisconsin,
  Allegheny, Florida
• Pulmonary/Critical Care OSU, Colorado,
  Vanderbilt, Nebraska
• Nephrology OSU, Michigan, UW-Seattle,
  Northwestern, Minnesota
• GI OSU, Colorado, Vanderbilt, Nebraska, Florida,
  UW-Seattle, Kentucky, UCSF, South Carolina
• Heme/Onc OSU, Iowa, UW-Seattle, Northwestern,
  Johns Hopkins, Minnesota, Duke, Vanderbilt
• ID OSU, Utah, Virginia, Indiana, UNC
• Palliative Medicine OSU, Harvard
• Endocrinology OSU
• Rheumatology OSU

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Program Directorate
David Wininger, MD Program Director
Scott Holliday, MD IM/Pediatrics
Maria Lucarelli MD
Chris Valentine MD
Jennifer Burkhart MD
Michael Langan MD
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Chief Residents
Deepak Venkat, MD Northwestern GI
Scott Meehan, MD WVU PCC OSU
Anish Amin, MD OSU Cardiology OSU
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Educational Sites

• Hospitals
• University Hospital
• Ross Heart Hospital
• Arthur James Comprehensive Cancer Center
• University Hospitals East

• Outpatient
• Martha Morehouse Medical Plaza
• Columbus VA
• OSU Primary Care
• Primary and Specialty Office Practices

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Subspecialty Wards

• Cardiology (ACS, CHF and general)
• Nephrology
• Transplant Medicine
• Hepatology
• Hematology

• Hospital Medicine
• Oncology
• General Medicine
• ID
• Diabetes/Gen Med
• MICU

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Advantages of Subspecialty Ward Educational System

• Great Teaching from Experts in the Field
• Deeper, more evidence based instruction
• Concentrated Management Experience
• Facilitates the early maturation of your clinical
  skills
• Progressive Management Autonomy
• Early functioning as the patients PCP
• Career Exposure

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Unique Features of our program

• Educational Innovations Project
• Career Development Elective
• Optimize your career choices and
• Explore scholarly activities relevant to your
  future career
• Enrichment Activities
• Teaching Skills Training (Teach you how to teach)
  
• Medical Education Electives
• Board Review Groups
• Simulation Laboratory Activities
• Practice your skills in a low-stakes environment

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EIP Selection Process
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Other Academic EIP Programs
Wisconsin
NEOUCOM
Tufts
Mayo
Beth Israel
UCSF
Indiana
Pittsburgh
U of Cincy
Duke
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EIP Process Resident-Faculty Design Teams

• Faculty and Resident Collaboration
• All Residents Participate
• Quarterly review of data relevant to each area
• Inpatient, Outpatient, Critical Care
• Development of new strategies for educational and
  clinical improvement
• EKG curriculum
• Chest X-ray course
• MICU simulator sessions

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Enhance patient care quality through residency
education 3 strategies

• Focus on Continuous Quality Improvement
• Teach you skills to initiate and lead QI
  projects.
• Physician Accountability for Competency
  Demonstration
• Instill in you the commitment and skills to
  demonstrate competency
• Emphasis on Quality Teamwork
• Provide you with concrete experiences to help you
  become a master of effective teamwork
• Enhance your ability to plan and manage care
  transitions inherent in todays health care
  environment

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EIP Projects

• Procedural Skills Training
• Not just Do one, see one, teach one
• First responder skills
• Fundamentals of Critical Care Course
• Code Blue Debriefing Sessions
• Continuity Practice Blocks
• Practice Improvement Modules
• Clinical Skills Competency with Senior Clinicians

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Dreyfus Model
EXPERT
PROFICIENT
COMPETENT
ADVANCED BEGINNER
NOVICE
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Example
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Sample Schedule
Continuity Blocks are also 50 Ambulatory or
other Electives
C Continuity Block W Ward E Elective
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Training with Continuity Practice Blocks

• Enhanced patient care and educational experience
• Inpatient rotations no longer interrupted by
  clinic
• Can focus on the clinic when in the clinic
• Partner practice experience
• Hands on experience in systems improvement
• Improved exposure to ambulatory setting for
  primary care and subspecialties

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Sample Continuity Block Schedule
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More EIP Goals How you will be part of the
future of residency education

• Defining competency standards for common skills
• Validation of Teaching and Evaluation Tools
• Describe the relationship between educational
  interventions and patient outcomes

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OSUMC Master Space Plan
Rhodes Hall Doan Hall
Ross Heart Hospital
New Cancer Hospital
New Critical Care Tower
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Biomedical Research Tower