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Spring 2015 Cooperstown, New York Graduate Education – Faculty Development Underway by James Dalton, M.D

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Spring 2015 Cooperstown, New York Graduate Education – Faculty Development Underway by James Dalton, M.D ThE CUPolA The Bulletin of The Medical Alumni Association of Bassett Medical Center Spring 2015 Cooperstown, New York Graduate Education – Faculty Development Underway By James Dalton, M.D. Graduate medical education is not what it used to be—at decade of this century, the ACGME has refined its expectations least not for the faculty responsible for its delivery. For those surrounding the competencies and has prescribed "milestones" of us who trained before the 1990s, the environment was one for resident learners in their advancement from one level to where teaching was excellent and much of it was delivered by the next and their advancement to graduation. other residents, who were senior to the learners. Senior faculty These changes require a new set of skills of the core clinical teaching was often limited to "attending rounds” and supervision faculty. No longer can a teacher simply demonstrate knowledge by attendings was often indirect. In the 1990s, duty-hour and skill in patient care. The faculty member must have the restrictions were placed on residencies. These restrictions came ability to assess a resident in all of the six areas of competency about first in New York State as a result of the deliberations of required of an independent physician. These skills are not the Bell Commission, which concluded that serious mistakes ubiquitous among faculty and require some level of training. occurred when fatigued residents were insufficiently supervised. For this reason, Bassett has embarked on an initiative to The Accreditation Council for Graduate Medical Education develop its own specially trained “Education Faculty”. (ACGME) followed suit in the late 1990s and implemented Prior to 2011, Bassett sponsored episodic faculty development duty-hour limitations for all post-graduate training programs programs, with internal and external content experts, usually nationally. This shift has resulted in significantly more “hands- based around one or more of the six competencies. These were on” teaching and direct supervision by senior faculty members. independent programs and did not have a necessary unifying Concurrent with the duty-hour restrictions was the initiation theme. In 2011, the Office of Medical Education launched a of the Outcomes Project by the ACGME. With this effort, the program in conjunction with an internationally recognized group ACGME charged residency programs with determining how to of medical educators from the Royal College of Physicians measure competency in six core areas for all physicians. These (RCP) in London. Faculty from Bassett, both in the residencies included medical knowledge and patient care, which were the and student programs, were invited to participate in two-day areas most residency programs already assessed. In addition, workshops on teaching and evaluation techniques, facilitated four important competencies were added: communication and by the group from the RCP. The first of these was held in interpersonal skills, professionalism, systems-based practice, December 2011 and the next in November 2012. and practice-based learning and improvement. In the first Graduate to page 2 Message from the President of the Medical Alumni Board of Directors I am writing from Boston, looking out the medical institutions. Despite its marked growth window (it’s snowing again!) and anticipating during recent decades, Bassett remains a cozy the arrival of spring after a long winter, while place where patient care and teaching are thinking about what to write for this issue of personal, individualized, and innovative. These are The Cupola . Reflecting on the storms of this not qualities favored by our current medical and past winter brings to mind some of the financial environment, though I believe they challenges we face in medicine these days. continue to be a priority at Bassett. I suspect that There are many factors over which we have most of us who trained at Bassett highly value little individual control, and we don’t quite know the collegiality and emphasis on fundamentals what is going to happen next. We encounter that were passed along to us by our mentors many inconveniences and obstacles, and some - and teachers and would like to see these same times circumstances can be overwhelming. values embraced by present and future genera - Nonetheless, we know there is no other option tions of students, house staff and faculty. However, but to stay the course and look forward to Merideth Davis, M.D., as we are all aware, there are more and more better, calmer days. President, Board of mandates and regulations, and fewer and fewer Bassett continues to weather the storms in Directors, Bassett sources of funding for medical education. this frequently changing medical landscape; in Medical Alumni One of the truly great resources at Bassett is Association some ways I think the challenges for Bassett are its supporters. Many have contributed to Bassett more striking compared to those of many other Message to page 2 The Cupola is the newsletter of the Medical Alumni Association of Bassett Medical Center. The Association was founded to provide support and recommendations to Bassett’s Medical Education Department; to assist in recruiting medical students, house staff and attending staff; and to provide financial support to develop and enhance medical education at Bassett. The Medical Alumni Association of Bassett Medical Center Officers Merideth Davis, M.D. President G. Theodore Ruckert IV, M.D. Vice President Douglas M. DeLong, M.D. Executive Vice President Board of Directors The Education Faculty have welcomed the experience of working with noted instructors Winnie Wade, Madiha M. Alvi, M.D. Director of Education and David Parry, Deputy Director of Education both at The Royal College of Jacqueline A. Bello, M.D., Physicians, London, and Roger Barton, Ph.D., Professor of Clinical Medicine and Director of Studies, Past President Newcastle Medical School. Pictured here with the Education Faculty: Front row: (L-R) James Dalton, M.D., Wendy Bonnett Bergman, M.D. Darah Wright, M.D., Winnie Wade, Alan Kozak, M.D., David Borgstrom, M.D., and Philip Heavner, M.D. John L. Chamberlain, M.D. Back row: (L-R) James Longhi, M.D., August Leinhart, M.D., Raul Monzon, M.D., Eric Knight, M.D., Erik Past President Riesenfeld, M.D., David Parry, Donald Sawyer, M.D., Roger Burton, Ph.D., Henry Weil, M.D., Daphne Mone, Steven S.T. Ching, M.D. Ph.D., and John Dier, M.D. James T. Dalton, M.D. John S. Davis, M.D. Graduate from page 1 the Education Faculty is currently composed of Nicholas Feinberg From these sessions, a group of faculty was a nucleus of 15 members, the intent is for this to Peter R. Gray, M.D. identified who were committed to the educa - be a fluid group which takes on new members Alan J. Kozak, M.D. tional mission at Bassett and were invited to as interest and competence dictate. The group Erin McKay, D.O. become part of a new Education Faculty. We currently has a monthly Journal Club which Karen E. McShane, M.D. William J. Mitchell, M.D. have engaged our partners from the RCP to meets the second Thursday of each month at James A. Murray, D.O. facilitate twice-yearly workshops in noon in the Fieldstone conference room. All Anush Patel, M.D. Cooperstown. At these workshops, there is con - interested faculty are invited. Donald O. Pollock, M.D. tinued effort to refine the microskills of the par - Faculty training of this type requires ongoing Sarah M. Ricketts, M.D. ticipants as teachers, but also for this group to support which has come in part from the existing Eric Rubin, M.D. medical education endowment built upon Sanjay Thomas, M.D. develop an “education curriculum” that will be Timothy Whitaker, M.D. launched for all Bassett senior staff that consider contributions of the Bassett Medical Alumni Kenneth W. Wilkins, Jr., themselves faculty for students and residents. Association. This undertaking and continuous M.D., The Education Faculty will serve as core staff to enhancement to the medical education program Past President “teach the teachers”. will enable Bassett to sustain its tradition of Ex Officio excellence in education and patient care. I Vance Brown, M.D. The group plans to have a curriculum devel - Charlotte Hoag oped and ready for deployment in 2016. While Administrative Director, Medical Education Mary Wiswell Message from page 1 Medical Education throughout the years, and I know these Assistant efforts have been greatly appreciated. For those The Cupola is published three times a year. Please who haven’t thought about it before, I would send comments and news, encourage you to look back on your experiences including change of at Bassett and consider how you might “give address information to: Editor, The Cupola, Office back.” The staff at the Friends of Bassett office of Medical Education, is in fact very friendly, and would be pleased to Bassett Medical Center, provide advice regarding donations, whether it SEE OUR LATEST NEWS AND UPDATES AT One Atwell Road, BASSETT MEDICAL ALUMNI ASSOCIATION Cooperstown, NY 13326 be for a one-time or annual donation, an annuity or e-mail (which can financially benefit both the donor [email protected]. and Bassett), or a bequest. Alan J. Kozak, M.D. I will end this season’s message by extending Editor a warm welcome to the three new members of Marianne Bez Assistant Editor the Bassett Medical Alumni Board (please see FLAT Graphics the article on page 5 of this issue), and by Design and Production wishing everyone a very happy spring. I 2 ThE CUPolA Spring 2015 Franck Retires as Associate Dean Weil Named Senior Associate Dean Walt Franck, M.D., retired from his position as associate Henry Weil, M.D., dean of Columbia-Bassett Medical School in January. has been named With more than four decades as a clinician at Bassett Senior Associate working directly with residents and medical students, and Dean for Education over 20 years of leadership experience as the at Bassett director of medical education from 1995 to 2002, and Healthcare, finally associate dean of the medical school since 1998, Columbia University.
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