Agenda

Thursday, March 30th

8:30-11:00

NEW  Optional Pre-Conference Workshop:  Educator’s Forum

This session will focus on the interests and needs of AIAMC educators, including Program Directors, DIOs and Administrators.  The intent of the program is to exchange good ideas and receive advice on educational dilemmas you may be facing.  All attendees are welcome to make a brief presentation and the forum will be driven by the shared issues identified.  This workshop will be highly interactive and offers an excellent opportunity to begin networking with AIAMC colleagues before the Annual Meeting’s official kick-off mid-day.  Please note that seating is limited and that a completed pre-registration form is required.

11:00-11:45

Welcome Lunch for First-Time Attendees

Attendance is limited to first-time attendees and invited guests.  If you register for this luncheon, please make your travel plans accordingly.   

12:00-12:15

Annual Meeting Opens

Joseph Jaeger, DrPH, AIAMC President
James Dalton, MD, 2017 Annual Meeting Chairman

12:15-1:15

A New Administration and New Opportunities for Medical Education
Atul Grover, MD, PhD, Executive Vice President, Association of American Medical Colleges (AAMC)

This session will explore the changing landscape inside the Beltway and across the nation for academic medicine.  Dr. Grover will identify changes that present opportunities for transforming medical education, clinical care, and health research.  Seizing these opportunities will require resiliency among educators, clinicians, and administrators in academic medicine.  The session will also explore ways individuals can be prepared to lead in these opportunities.

1:15-1:45

Break; Exhibits Open

1:45-3:00

CONCURRENT BREAKOUT WORKSHOPS

 

The OASIS Project: A 12 Month Resiliency Initiative in the MICU:  Christiana Care
Vanessa Downing, PhD, Psychologist
Heather Farley, MD, FACEP, Director of Provider Wellbeing

This breakout session will share one institution’s experience with developing and executing a year-long intervention in the MICU with the primary goal of fostering  joy and meaning in work.  Inspired by the Quadruple Aim, our multidisciplinary team, including physicians, nurses, and allied health professionals, developed and executed a series of interventions targeting burnout, compassion fatigue, work-life balance, and vicarious trauma.  Additional outcomes assessed included depression, vigor, resiliency, and operational metrics such as turnover, absenteeism, and employee engagement.  All interventions were incorporated into the existing workday and were “bite-sized” (lasting 5-10 min) in order to maximize staff exposure.  Efforts focused on both fostering individual resiliency and improving the experience of providing care on the unit.

 

How Do You Measure Resident Wellness?:  Crittenton Hospital Medical Center  and Wayne State University
Tsveti Markova, MD, Designated Institutional Official
R. Brent Stansfield, PhD, Director of Graduate Medical Education

Residency is a demanding and stressful period of professional development so it is crucial to monitor residents’ mental, physical, and emotional health. There are many validated tools available to measure negative outcomes of the stressors of residency: burnout, depression, and suicide ideation. However, when these outcomes are measurable it is likely too late for intervention. Moreover, a focus on negative outcomes in surveys and questionnaires can itself become a stressor. We sought to develop a measure of Resident Wellness sensitive to variance above the catastrophic levels of burnout and depression while signaling that educators value their residents’ overall well-being.  The resulting Resident Wellness Scale (RWS) was acceptably brief and showed a high internal consistency. We will share this measurement tool and how AIAMC members may adopt it in their home institutions.

 

The Teachable Moment:  Effective Annual Program Evaluation (APE) of AIAMC Residencies:  Ochsner Health System
Janice Piazza, MSN, MBA, AVP, Graduate Medical Education
Ronald Amedee, MD, DIO, Ochsner Health System

The presenters will provide an overview of their institutional journey to develop a robust process to assure program engagement in and readiness for self study. This breakout session will feature a 30 minute overview of the process and tools with an additional 10 minutes being utilized to demonstrate web based tools developed in-house to support the presented process. For the remainder of the session, the speakers will create an annual program evaluation and action plan utilizing information from participants of member organizations in the audience. This interactive activity is designed to demonstrate how performance improvement methodology is applied and carried through to develop strategic plans for ongoing program improvement and self study readiness.

3:00-3:30

Town Hall Meeting

All conference attendees – both AIAMC members and guests – are encouraged to attend this session, where Directors and Officers of the AIAMC Board will present highlights of the past year.  Be sure to attend and be the first to learn of our plans for National Initiative VI!

3:30-4:30

Resiliency of College Athletes and Resident Physicians
Brian Hainline, MD, Sr. Vice President, Sports Science Institute and Chief Medical Officer, National Collegiate Athletic Association (NCAA)

College athletes and resident physicians are elite performers in a highly visible and stressful environment.  Whereas such elite performers may have inherent goal-driven attributes that protect against mental health disorders in general, they are also vulnerable to sleep deprivation, energy depletion and burnout.  This presentation will present mental health data on college athletes, and will make comparisons – as applicable – to resident physicians.  Our shared goal is to promote safety, excellence and wellness in college athletes and resident physicians.

4:30-5:30

Staffed Poster Display

All posters will be displayed throughout the entire Annual Meeting; this session is dedicated to staffed display.  These include posters that support our Annual Meeting focus areas of individual resilience, system wellbeing and health disparities as well as all National Initiative V final posters.  Prepare to be impressed and inspired by this collective body of work!

4:45-5:30

AIAMC Speed Dating

Back by popular demand is AIAMC Speed Dating, and we anticipate this session will fill quickly.  Please note that pre-registration is required and will include completion of pre-work (see description of template form below).  Attendance is limited to AIAMC members and to the first 20 registrants

Every year, we hear from attendees that the opportunity for NETWORKING is the #1 most beneficial aspect of the meeting.  This session will maximize that networking potential. Participants will be split into two equal groups and will be seated facing one another.  At the sound of the bell, each facing pair of participants will have one minute to introduce themselves and to share descriptions of something each of their institutions does particularly well.  Participants will be provided with a “Speed-Dating Template” form prior to the conference which they will be required to complete and return to the AIAMC office.  Note that this form will be easy to fill out and will be limited to ONE page. This form will include the participant’s contact information, a photo, and one idea they wish to share.  “Speed-Dating Template” forms will be copied by AIAMC staff and brought to the session, so that each participant will be able to distribute a hard-copy of the idea he/she has brought to share. This will be a fun, fast-paced and valuable session; we hope you register!

5:30–7:00

Reception

End the first day of the Annual Meeting by catching up with old friends and making new ones in an atmosphere that is light and collegial.  The food and beverage fare will include a substantial assortment of hors d’oeuvres and one drink ticket, followed by cash bar.  There is no additional fee for this event; however, to help us budget and keep costs in line, we do ask that you adhere to your stated “attendance plans” as outlined in the conference registration form.  Join us on the beach for this great event!

Friday, March 31st

7:00-8:00

Buffet Breakfast; Exhibits Open

8:00 – 9:30

Keynote Address:  Physician Well-Being
Timothy Brigham, MDiv, PhD, Chief of Staff and Sr. VP, Education,  Accreditation Council for Graduate Medical Education (ACGME)

Dr. Brigham is Co-Chair of the ACGME’s Physician Well-Being Task Force and is a passionate advocate for the topic.  In a recent interview, he shared the following insights (http://www.acgme.org/What-We-Do/Initiatives/Physician-Well-Being/Timothy-Brigham-MDiv-PhD-on-Physician-Well-Being):

"We learned quickly that this is a complex topic and that it’s critically important to have conversations with stakeholders across the medical community. In our collaborations, we’ve learned physician well-being is both an individual and a system issue; we have to address it on both levels.  There’s not just one easy solution. At all levels of medical education there needs to be an alignment between institutional leaders and faculty members to create a culture of respect and accountability. When physicians are healthy, it’s more likely they will be able to deliver the best possible care. So now, we’re building upon what we have done. Research is showing us causes and levels of burnout in residents. There’s also heightened awareness around the ultimate tragedy of death by suicide. Because of this, we’re really looking at physician well-being in a different way. We believe we are the right leaders for advancing the issue, but realize we can’t do it alone.”  In this keynote address. Dr. Brigham will share how education, influence, research and collaboration can collectively enhance well-being.

9:30–10:00

Break; Exhibits Open

10:00– 11:00

Choosing Resilience
Wayne Sotile, PhD, Founder,  Sotile Center for Resilience

Every healthcare system today faces unrelenting change, and mismanaged change fatigue is leading to an epidemic of costly burnout across health professions. An antidote to this cycle is now available. Clinical psychologist Wayne M. Sotile elucidates evidence-based tactics and strategies for managing the “psychological underbelly” of coping with change and deepening resilience – that ability to get through hard times and emerge stronger for having had the experience. With humor, compassion, and clarity, Wayne addresses how physicians and healthcare teams can deepen their collegiality and foster individual and team resilience. Along the way, he shares key finding from his own cutting-edge, peer-reviewed research on burnout, career satisfaction, and work/life balance among healthcare professionals; findings that audiences universally find to be surprising and motivating.

11:15-12:45

CONCURRENT BREAKOUT WORKSHOPS

(Lunch served in meeting rooms.  Actual sessions to start around 11:30 and 75 minutes in length)

 

Supporting Resiliency through Intentional Advising, Coaching, Mentoring:  Aurora Health Care
Deborah Simpson, PhD, Director Medical Education Programs & Professor
Willhelm Lehmann, MD, Program Director, Family Medicine
Richard Battiola, MD, Program Director, Internal Medicine
Carla Kelly, DO, Program Director, OB-GYN
Jacob Bidwell, MD, Designated Institutional Official
Hsieng Su, MD, Chief Medical Officer, Aurora St. Luke’s Medical Center
Jeffrey Stearns, MD, Project Director, National Initiative V

Faculty and leaders play a key role in learners and colleagues’ resilience as physicians, but little is known about how to best guide these resiliency focused interactions. This session will use real-life vignettes to promote to trigger small group discussions regarding the advantages and disadvantages of three "guiding" approaches:  advising, coaching and mentoring.  While these terms and approaches are often used interchangeably, we will uncover (and support with evidence) their distinguishing features and identify guiding principles that can be used to effectively align is of these approaches with learner/situational needs.

 

Advancing Interprofessional Collaboration in Medical Education:  Christiana Care

Robert Dressler, MD, Quality and Safety Officer, Academic and Medical Affairs
Barry Dornfeld, PhD, Principal, CFAR
Loretta Consiglio-Ward, Quality and Safety Education Specialist
Carey Gallagher, MBA; Senior Manager, CFAR

There is growing evidence that interprofessional collaboration accelerates health systems toward achieving better health results for patients, and better outcomes for quality and safety. While most health care leaders agree with the positive impact of these efforts, in fact it is difficult to advance down the path towards interprofessional teamwork. Graduate medical education programs provide a great opportunity to move institutions forward in   and is fully aligned with ACGME’s CLER Pathways To Excellence.  This workshop provides participants with an opportunity to assess where their program is in its journey towards interprofessional teamwork. It focuses on what specific practices are most impactful in advancing towards this goal, and what structures best support this work.

 

Building a Culture of Wellness and Resilience: How To Characterize Burnout and Create a Targeted Curriculum for your Residency:  OhioHealth Riverside Methodist Hospital
Laurie Hommema, MD, Program Director, Family Medicine
Stephen Auciello, MD, Assistant Program Director, Family Medicine

Burnout is prevalent in medicine and negatively impacts patient care, professionalism, and physician wellbeing.  Residency programs routinely design and implement curriculum for medical education, but less often design a specific curriculum to identify burnout and foster a culture of resiliency. In this workshop, we will walk you through our continuing journey of identification and characterization of burnout in a multispecialty independent academic medical center.  Findings surrounding burnout characterization, health behaviors, and targeted interventions will be presented.  During this breakout session, participants will characterize their own burnout and learn how to recognize burnout in others.  Targeted interventions and their efficacy will be discussed.  Participants will utilize this data to build a curricular action plan for their residency, ACGME Clinical Learning Environment Review, or hospital system.

1:00-2:00

A Systems Approach to Physician Resilience & Wellness – The TPMG Experience
John Chuck, MD, Regional Chairperson, Physician Health & Wellness Leaders Group, The Permanente Medical Group

Physician health, wellness, and resilience are strategic priorities in our 9000 member multispecialty group that operates within a prepaid, integrated, evidence based model of care.  The goal is to strike a sustainable balance between meeting the needs and wants of our patients and the essential self-care needs of our physicians.  Our wellness initiatives include our population management infrastructure that serves as an extension of each physician’s practice;  equipping our physicians with a robust electronic medical record system (KP Health Connect) and iPhones and training them to leverage this technology to efficiently provide high tech high touch medical care; investing in clinician communication skills to foster a culture of connection;  and a menu of evidence based programs that focus on our “7 arms of wellness”: professional fulfillment and resilience, practice management, collegiality, preventive health, physical fitness, healthy eating, and engaging with our local communities through volunteerism. 

2:15-5:30

Optional Half-Day Workshop: Leading Your Institution in Achieving Health Equity
Laura Botwinick, MS, Director, Graduate Program in Health Administration and Policy, University of Chicago, and 2004-05 IHI Scholar
Donald Goldmann, MD, Chief Medical & Scientific Officer, Institute for Healthcare Improvement

The AIAMC’s fifth National Initiative Improving Community Health and Health Equity Through Medical Education will come to a close in early April.  Our commitment to health equity, however, will be sustained and spread through all AIAMC-member institutions.  This workshop is designed to both take NI V participants to the next level in their role as health equity leaders as well as provide a primer to those members newly embarking on their health equity journey. This session will cover concepts presented in the new Institute for Healthcare Improvement (IHI) white paper, "Achieving Health Equity:  A Guide for Health Care Organizations."  To inform this work, IHI reviewed selected literature, interviewed numerous experts and conducted site visits to exemplary health care organizations working to improve health equity.  Attendees will hear presentations and engage in discussion about what you can do in your institutions to promote health equity.  Case examples and strategies for implementing the framework will be shared.  Please note that seating is limited and that a separate registration fee is required.

6:30

Annual Awards Dinner – On Property at “Walker’s Landing”

This event is always a sell-out; plan now to attend and enjoy a most memorable evening with your AIAMC colleagues and friends.  In addition to our traditional Weinberg and Innovations awards, we will celebrate the conclusion of National Initiative V and recognize all participating teams.  Located on the marsh side of the plantation, Walker's Landing offers natural splendor views. Guests can enjoy a sunset view from the deck surrounding this octagonal-shaped facility. Indoors boasts hardwood floors, a fieldstone fireplace and windows surrounding the perimeter.  Please note that seating is limited and that a separate registration fee is required.   The registration fee covers your dinner, one complimentary drink ticket and door-to-door motorcoach transportation.

Saturday, April 1st

7:00-8:00

Buffet Breakfast; Exhibits Open

8:00-9:00

Resiliency Across the Continuum
Graham McMahon, MD, MMSc, President and CEO, Accreditation Council for Continuing Medical Education (ACCME)

In this session, we’ll review the strategies educators can use to prepare learners for resiliency in their professional life, and methods to improve and retain resiliency in practice.

9:15-10:30

CONCURRENT BREAKOUT WORKSHOPS

 

GME Funding through Strategic Alignment:  Ochsner Health System
Janice Piazza, MSN, MBA, AVP Graduate Medical Education
Ronald Amedee, MD, Designated Institutional Official
Shelly Monks, MBA, System Vice President, Education

The impact of changes in the healthcare reimbursement on the education mission of many organizations has resulted in stagnation, decrease or dissolution of training programs. An AIAMC member organization implemented a process 4 years ago that partners education and operations in an aligned assessment that strategically addresses the continued growth of GME programs.  This process applies the necessary rigor to assure academic integrity, operational efficiency, and strategic alignment of growth and support for new and expanding programs. Since 2011, this process has resulted in growth in both the number of sponsored training programs by 28% and in the total number of house staff by 16% at this member organization.

 

Disparities in Physical Health Outcomes for People with Mental Health Issues:  Our Lady of the Lake Regional Medical Center
Kathleen Crapanzano, MD, MACM, Associate Professor of Clinical Psychiatry, LSU-OLOL Psychiatry Residency Program Director
Carine Nzodom, MD, LSU-OLOL Psychiatry Resident

The Federal Collaborative for Health Disparities Research has chosen mental health disparities as one of the top 4 topics warranting its immediate national research attention, and the CDC has described three different types of disparities: (1) disparities between the attention given mental health and that given other public health issues of comparable magnitude, (2) disparities between the health of persons with mental illness as compared with that of those without, or (3) disparities between populations with respect to mental health and the quality, accessibility, and consequences of mental health care.  With higher mortality rates and shortened life spans of between 8 and 27 years, this workshop will focus on disparities related to differences in health outcomes for people with mental illness.  People with Actin mental illness are confronted with an array of obstacles to achieving parity in health care results with people with physical illness.  This workshop will delve into these difficulties, allowing participants to better understand not only health providers’ role in clinical decision making towards people with mental illness, but how they can affect changes in the systems of care in which they practice and advocate for better care for this population. 

 

Resiliency:  Consensus Statement and Action Plan
Felix Ankel, MD, Vice President, Education, HealthPartners Institute, Co-Facilitator
Deborah Simpson, PhD, Director Medical Education Programs & Professor, Co-Facilitator

This is a NEW breakout session that will provide attendees with a forum in which to reflect upon the Annual Meeting’s key learning points and develop a Consensus Statement and Plan.  This working group will create a plan for well-being that will be shared with all AIAMC members and become a part of the 2017 Annual Meeting’s course materials.

10:30-11:00

Break; Exhibits Open

11:00-12:00

Poster Slam

The seven highest-rated poster submissions will be presented in a poster slam, i.e., executive summary, format by the following AIAMC members:

Resident Physicians and Health Disparities: Attitude Predicts Behavior
Rachel Bernard, DO, Resident, Pediatrics, Our Lady of the Lake Regional Medical Center

Concordance of Knowledge of Care Plan In Hospitalized Adults: Outcomes And Drivers
V. Surekha Bhamidipati, MD, Medicine Faculty, Division of Hospital Medicine, Christiana Care

Predictors of Admission Status In Emergency Department Patients With Chronic Obstructive Pulmonary Disease
Craig Cookman, DO, Resident, Internal Medicine, UnityPoint Health – Des Moines

Evaluation of a Pediatric Initiative to Improve Outpatient Asthma Management
Andrew Fondell, DO, Resident, Pediatrics, UnityPoint Health – Des Moines

Three Residency Programs Lessons Learned about Disparities from a Deep Dive into Our Population Data
Carla Kelly, DO, Program Director and Chair of OB-GYN, and Wilhelm Lehmann, MD, Program Director and Chair of Family Medicine, Aurora Health Care

Interprofessional Education and the Clinical Learning Environment: Key Elements to Consider
Deborah Simpson, PhD, Director Medical Education Programs & Professor, Aurora Health Care

Resident Physicians and Health Disparities: Increasing Resident Knowledge
Carine Nzodom, MD, Resident, Psychiatry, Our Lady of the Lake Regional Medical Center

12:00-12:30

Staffed Poster Displays

All posters will be displayed throughout the entire Annual Meeting; this session is dedicated to staffed display.  These include posters that support our Annual Meeting focus areas of individual resilience, system wellbeing and health disparities as well as all National Initiative V final posters.  Prepare to be impressed and inspired by this collective body of work!

12:30-1:30

Closing Session and Boxed Lunch:  The Second Victim:  Caring for the Caregiver after Adverse Events – Dallas, TX, July 7, 2016
Brian Williams, MD, FACS, Associate Professor of Surgery, UT Southwestern Medical Center and Staff Trauma Surgeon, Parkland Memorial Hospital

After adverse events occur, healthcare professionals are often expected to continue performing their duties immediately, without an opportunity to grieve.  As a result, caregiver well-being and patent safety could be compromised.  Dr. Williams will share his experience as the “second victim” stemming from his role during the Dallas shootings on July 7, 2016.  This session will close our 2017 Annual Meeting on resilience and open National Initiative V Meeting Four’s Improving Community Health and Health Equity Through Medical Education.