Dr. Ed Zalneraitis - April 11, 2008

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Dr. Ed Zalneraitis - April 11, 2008

  1. 1. PEDIATRIC NEPHROLOGY FELLOWSHIP DIRECTORS Dr. Ed Zalneraitis April 11, 2008
  2. 2. EXPERIENCE <ul><li>Pediatric Neurologist </li></ul><ul><li>Pediatric Residency Program Director </li></ul><ul><li>Chair, Fellowship Committee </li></ul><ul><li>Past- President APPD </li></ul><ul><li>PD Committee ABP </li></ul><ul><li>Chair, Northeast Pediatric Program Directors </li></ul>
  3. 3. GOALS <ul><li>Elements of fellowship requirements </li></ul><ul><li>Common problem areas </li></ul><ul><li>Strategies for improvement </li></ul>
  4. 4. OBJECTIVES <ul><li>Who makes the rules </li></ul><ul><li>Where and what are the rules </li></ul><ul><li>What are the common problems </li></ul><ul><li>How can we overcome them </li></ul><ul><li>Beyond the minimum </li></ul>
  5. 5. FORMAT <ul><li>Interactive </li></ul><ul><li>Information and discussion two-way </li></ul><ul><li>We are all learners </li></ul><ul><li>We are all experts </li></ul>
  6. 6. IN THE BEGINNING… <ul><li>Motivated faculty </li></ul><ul><li>Patients </li></ul><ul><li>Ongoing research </li></ul>
  7. 7. ACCREDITATION <ul><li>ACGME </li></ul><ul><ul><li>Institutional Requirements </li></ul></ul><ul><li>Pediatric RRC </li></ul><ul><ul><li>Common requirements </li></ul></ul><ul><ul><li>Pediatric subspecialty requirements </li></ul></ul><ul><ul><li>Pediatric Nephrology requirements </li></ul></ul>
  8. 8. KNOW WHAT YOU NEED <ul><li>Check the requirements (they are being revised) </li></ul><ul><li>Check PIF </li></ul><ul><li>Consult with core PD or other collaboration leader </li></ul><ul><li>Phone a friend </li></ul>
  9. 9. CERTIFICATION <ul><li>ABP subboard for Pediatric Nephrology </li></ul><ul><li>Core certificate once </li></ul><ul><li>MOC: Pediatric Nephrology </li></ul><ul><li>SOC: meaningful scholarly product </li></ul><ul><li>Matched by accreditation </li></ul>
  10. 10. COMMON PROBLEM AREAS <ul><li>Final fellow evaluation: without direct supervision </li></ul><ul><li>Scholarly activities: faculty and residents </li></ul><ul><li>Curricular Development: general, research… </li></ul><ul><li>Evaluation of the program: surveys and minutes </li></ul><ul><li>PBLI: No ILP, QI passive, teaching skills </li></ul>
  11. 11. COMMON PROBLEM AREAS <ul><li>Patient care experience lacking sufficient population </li></ul><ul><li>SBP: </li></ul><ul><ul><li>administration of a program </li></ul></ul><ul><ul><li>systems errors </li></ul></ul><ul><li>Qualifications of the faculty: </li></ul><ul><ul><li>current ABP certified </li></ul></ul><ul><ul><li>Ongoing scholarship </li></ul></ul>
  12. 12. COMMON PROBLEM AREAS <ul><li>Responsibilities of PD: </li></ul><ul><ul><li>Documentation of experience </li></ul></ul><ul><ul><li>PIF incomplete </li></ul></ul><ul><ul><li>PIF inaccurate </li></ul></ul><ul><ul><li>PIF inconsistent data </li></ul></ul><ul><li>Institutional support: </li></ul><ul><ul><li>Internal review </li></ul></ul><ul><ul><li>Facilities or working environment </li></ul></ul>
  13. 13. COLLABORATION <ul><li>Core program director leads or other institutional plan </li></ul><ul><li>Meet twice yearly </li></ul><ul><li>Document meetings </li></ul>
  14. 14. PORTFOLIOS <ul><li>A file plus </li></ul><ul><li>Documentation </li></ul><ul><li>Structured </li></ul><ul><li>Fellow’s partially own </li></ul>
  15. 15. TEACHING <ul><li>Didactic </li></ul><ul><li>Experiential </li></ul><ul><li>Combined with evaluation and/or documentation </li></ul>
  16. 16. EVALUATION <ul><li>Program by fellows and faculty </li></ul><ul><li>Annual faculty meetings </li></ul><ul><li>Document how evaluations change </li></ul><ul><li>Faculty by fellows </li></ul><ul><li>Fellows by faculty and multi-source </li></ul>
  17. 17. EVALUATION TOOLS <ul><li>Direct observation checklists </li></ul><ul><li>Multi-Source </li></ul><ul><ul><li>Patients and families </li></ul></ul><ul><ul><li>Non-physician e.g. nurse </li></ul></ul><ul><li>Procedural logs with check lists </li></ul><ul><li>Evaluation of CAT, SBP project, QI </li></ul><ul><li>Document and evaluate teaching </li></ul>
  18. 18. FACULTY DEVELOPMENT <ul><li>List what you have done </li></ul><ul><li>Formal training </li></ul><ul><li>Get institutional help </li></ul><ul><li>On line </li></ul>
  19. 19. CURRICULUM DEVELOPMENT <ul><li>Required to document </li></ul><ul><li>APA web site has exercise </li></ul><ul><li>Complete and save </li></ul>
  20. 20. LET’S LOOK <ul><li>On line guided tour </li></ul>

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