FEATURE

Internal Medicine's Educational Innovation Program Working Group Keeping Baystate at Forefront of Medical Education

"Rapid Resident Cycling" Poster Wins Award for Programmatic Innovation at APDIM Spring Conference

Baystate's Manager Model competency based progression, the centerpiece of its Educational Innovation Project (EIP), was the subject of a variety of workshops and posters at the Association of Program Directors in Internal Medicine (APDIM) 2009 Spring Conference in Dallas.  Based on the axiom that one must “learn it before teaching it,” the Manager Model has 3 sequential phases—learner, manager, and teacher. Residents progress at an individualized pace that focuses on a stepwise assumption of the responsibilities of patient management and resident education. Managers emerge with a universal skill set, including advanced management skills, leadership experience, and enhanced confidence levels.  They are then competent to actively focus their energies on teaching.

According to Rosenblum, residency education has seen minimal change since it's inception— traditionally based in a chronological model without competency-based progression. In the Manager Model, residents advance based on demonstrated competencies, and are very motivated to progress to the manager and teacher phases.

Dr. Michael Rosumblum Accepting Most Innovative Educational Intervention Award at APDIM 2009 Spring Conference

Posters Presented at APDIM Conference

The award-winning poster, Rapid Resident Cycling by Dr. Michael Rosenblum and the EIP Working Group, presented inpatient and ambulatory rotations during the manager phase as alternating 14-day mini-blocks that eliminated the need to simultaneous inpatient and outpatient responsibilities. Other posters were:

• The Ambulatory Learner Milestones Checklist: A Tool to Quantify Resident Competency
  Michael Rosenblum MD, Sudeep Aulakh MD, Lauren Meade MD, Kevin Hinchey  MD, Ambulatory EIP Working Group

• Baystate EIP: The Tracer Rotation and Continuous Healing Relationships Index
  EIP Working Group

APDIM Conference Workshops

• Experiential Learning:  Facilitating Interns’ Acquisition of Core Skills with an Innovative Two-Week Training Program
  Mihaela Stefan MD, Kevin Hinchey MD, Raquel Belforti DO, Reham Shaaban DO

• The Future is Now: Continuity as a Team-Based Concept in Radical Office Redesign
  Michael Rosenblum MD, Sudeep Aulakh MD, Lauren Meade MD

• Competency-Based Progression:  The Learner-Manager-Teacher Model
  Kevin Hinchey MD and Samuel Borden MD

In addition, Dr Meade will be on a panel to discuss continuous healing relationships in the ambulatory setting at the National EIP meeting.

Looking To the Future

The Manager Model is an innovative and effective paradigm to produce competent physicians, exemplary patient care, and the teaching faculty of the future. Although Baystate is currently the only residency program using a 3-stage method of competency based progression, according to Rosenblum, other residency programs have expressed interest in adopting or adapting its Manager Model.

Internal Medicine EIP Working Group Members

• Kevin Hinchey, MD

• Samuel Borden, MD

• Michael Rosenblum, MD

• Lauren Meade, MD

• Mihaela Stefan, MD

• Sudeep Aulakh, MD

• Michael Picchioni MD

• Patricia McArdle, EdD, Education Consultant, TUSM

The Accreditation Council for Graduate Medical Education (ACGME) initiated its Educational Innovation Project (EIP) in 2005 with the goal of facilitating competency-based education and outcomes assessment in residency programs.