Quick Background

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Overview •Why •Quick Background •Assessment •Plan •Status now

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Why •Communication no bueno •Physician cynicism at new heights •New leadership at top •Market competition increasing •Academic Medical Center +/- ’s

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Quick Background •July 2010 Merger –UMC (501c3) with UPH •Related changes –President, Provost, VP – HS –CEO’s x 5 •Integration is now priority #1 3

Assessment •Press Ganey •Studer Coaches’ assessment •New leadership appears to care –Strong support from CEO, CNO, CMO, Dean, physician leaders

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Planning •New leadership DOES cares •Studer engagement emphasized •Physician leaders challenged •Physician Engagement Committee formed –Department Chairs (2), Assoc Deans (2) GME, CMOs (2), Medical School Curriculum leaders, CNOs 5

Plan •Create longitudinal curriculum •Where to start? •Where to end?

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Some Learning Theory •Medical education includes combination of –Lectures, labs, discussions, clinical observations, supervised practice, increasing autonomy •Constructivism (active/experiential) –Problem-based, builds and reinforces knowledge and behavior over time 9

Medical Students •“Societies” longitudinal curriculum –Patient communication –AIDET –Doctoring –Standardized patients/OSCE •Third and fourth yr clerkships 10

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Standardized Patients •Local •Carefully screened •Rigorously trained •Peer and leadership evaluated •Work in virtual clinic

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Residents •Orientation sessions –AIDET videos, group exercises •Standardized patients

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New Faculty •On-boarding includes AIDET video, review of expectations, dashboards •Standardized patient

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Existing Faculty

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Existing Faculty •Quarterly dashboards •Train the trainers •Faculty meeting AIDET video + discussion •Rounding by CNO, unit charge RN’s •Faculty survey: satisfaction re: environment –Results feedback –Corporate leadership 20

Problem or Disruptive Faculty •Department Head referral •Educational intervention, Wellness cmte •Standardized Patient/OSCE •Second referral to MEC

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Status Now Doctors listen carefully to you 78 76 74 72 70 68 66 64 62 2Q10

3Q10

4Q10

1Q11

2Q11

3Q11

4Q11

1Q12

2Q12

3Q12

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University Medical Center Large PG Database Ranking 3Q11

4Q11

1Q12

2Q12

3Q12

70 60 50 40 30 20 10 0

Time Physician Spent

Physician Concern

Physician Kept you Informed

Friendliness/courtesy

Skill of Physician