Neonatal-Perinatal Medicine Fellowship Clinical Competency Committee Summary June 5, 2018
Neonatal-Perinatal Medicine Fellowship Clinical Competency Committee meeting held on June 5, 2018. Committee members included Elephant, MD (R4). Discussion on research and career mentorship, clinical experiences at various sites over the past 6 months - UWMC NICU, SCH NICU, UWMC MFM, SCH CICU. Focus on fellowship goals and progress review.
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*Neonatal-Perinatal Medicine Fellowship Clinical Competency Committee June 5, 2018 Committee Members:
*Elephant, MD (R4) Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU SCH NICU UWMC MFM SCH CICU SCH Peds Surg PRMCE HRIF Call Nights - 12 12 2 2 - - 0 54 24 22 2 4 2 2 - 150 12 - 2 - - - 32
Comments NICU (January 1- May 25, 2018) *Signature Assets: *Elephant, MD (R4) *Things to work on:
Comments Parent Evals (January 1- May 25, 2018) * What do you like most about this physician?: *Elephant, MD (R4)
Comments Parent Evals (January 1- May 25, 2018) * Things to work on: *Elephant, MD (R4)
Procedure Log *Elephant, MD (R4)
Patient Care Competency NICU (5 Evals) F1-1 Score PC1. Provide transfer of care that ensures seamless transitions 3.3 3 *Elephant, MD (R4) PC2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment PC3. Develop and carry out management plans 2.8 3 3.2 3 PC4. Provide appropriate role modeling 3.3 3
SITE Performance Fellowship Year F-1 Score 66 National Average 63 SD 7 100 90 80 *Elephant, MD (R4) 70 60 50 40 30 20 10 0 F-1 Score National Average
Medical Knowledge Competency NICU (5 Eval) F1-1 Score MK1. Locate, appraise, and assimilate evidence from scientific studies related to their patients health problems *Elephant, MD (R4) 3 3
Systems-Based Practice Competency NICU (5 Evals) F1-1 Score SBP1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty 2.88 3 SBP2. Coordinate patient care within the health care system relevant to their clinical specialty *Elephant, MD (R4) 3 3 SBP3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate 2.75 2 SBP4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3.2 3 SBP5. Participate in identifying system errors and implementing potential systems solutions 3.5 3
Practice-Based Learning & Improvement Competency NICU (5 Evals) F1-1 Score PBLI1. Identify strengths, deficiencies, and limits in one s knowledge and expertise 3.2 3.5 *Elephant, MD (R4) PBLI2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement 3 3 PBLI3. Use information technology to optimize learning and care delivery 2.9 3 PBLI4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 3.1 3
Professionalism Competency NICU (5 Evals) F1-1 Score PROF1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients 3.2 3.5 *Elephant, MD (R4) 3.3 3.0 PROF3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients 3.1 3.0 PROF4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty 3.0 3.0
Professionalism Percent Submitted Duty Hour Submission 1/1/18-5/25/18 *Elephant, MD (R4) 100% Required 80% Total (39/58) 67.2% Conference Attendance
Interpersonal Communication Skills Competency NICU (5 Evals) F1-1 Score *Elephant, MD (R4) ICS1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS2. Work effectively as a member or leader of a health care team or other professional group 3.2 3 3.2 3 ICS3. Act in a consultative role to other physicians and health professionals 3.0 3
Entrustable Professional Activities (EPA) Competency NICU (5 Evals) F1-1 Score Scale: 1 Observe only EPA1. Lead and work within interprofessional health care teams 3.2 3 2 Direct supervision *Elephant, MD (R4) EPA2. Manage patients with complex, multisystem diseases in the NICU 3 Indirect supervision 2.8 3 4 Oversight EPA3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness 5 Supervise others 3 3 3.2 2 EPA5. Manage patients with acute, common single system diseases in an inpatient setting 3.6 3
*Lion, MD (R4) Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU SCH NICU UWMC MFM SCH CICU SCH Peds Surg PRMCE HRIF Call Nights 12 - 2 2 -- -- 0 28 12 12 2 2 -- -- 0 52 24 22 2 4 2 2 - 150
Comments NICU (January 1- May 25, 2018) * Signature Assets: * Things to work on: *Lion, MD (R4)
Comments Parent Evals (January 1- May 25, 2018) * Signature Assets: * Things to work on: *Lion, MD (R4)
Comments 360 (January 1- May 25, 2018) * Signature Assets: * Things to work on: *Lion, MD (R4)
Patient Care Competency NICU (1 Eval) 360 F1-1 Score (3 Evals) PC1. Provide transfer of care that ensures seamless transitions 3 -- 2.5 PC2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment 2.5 3 2.5 *Lion, MD (R4) PC3. Develop and carry out management plans 2.5 3.17 2.5 PC4. Provide appropriate role modeling 3 -- 2.5
Procedure Log *Lion, MD (R4)
Medical Knowledge Competency NICU (1 Eval) 360 F1-1 Score (3 Evals) MK1. Locate, appraise, and assimilate evidence from scientific studies related to their patients health problems 3 3.17 2.5 *Lion, MD (R4)
SITE Performance Fellowship Year F-1 Score 63 National Average 63 SD 7 70 60 50 40 *Lion, MD (R4) 30 20 10 0 F-1 Score National Average
Systems-Based Practice Competency NICU (1 Eval) 360 F1-1 Score (3 Evals) SBP1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP2. Coordinate patient care within the health care system relevant to their clinical specialty 3 3.5 2.5 3 -- 2.5 SBP3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population- based care as appropriate *Lion, MD (R4) 2.5 -- 2.5 SBP4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3.5 3.33 2.5 SBP5. Participate in identifying system errors and implementing potential systems solutions 2.5 -- 2.5
Practice-Based Learning & Improvement NICU (5 Evals) 360 F1-1 Score Competency (3 Evals) PBLI1. Identify strengths, deficiencies, and limits in one s knowledge and expertise 3 -- 2.5 PBLI2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI3. Use information technology to optimize learning and care delivery 2.5 -- 2 *Lion, MD (R4) 2.5 -- 2.5 PBLI4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 3 3 2.5
Professionalism Competency NICU (1 Eval) 360 F1-1 Score (3 Evals) PROF1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients 3 3.83 3 3 3.17 2.5 PROF3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty *Lion, MD (R4) 2.5 -- 2.5 2.5 -- 2.5
Professionalism Percent Submitted Duty Hour Submission 1/1/18-5/25/18 95.5% *Lion, MD (R4) Required 80% Total (40/58) 68% Conference Attendance
Interpersonal Communication Skills Competency NICU (1 Eval) F1-1 Score ICS1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS2. Work effectively as a member or leader of a health care team or other professional group 2.5 2.5 2.5 2.5 *Lion, MD (R4) ICS3. Act in a consultative role to other physicians and health professionals 3 2
Entrustable Professional Activities (EPA) Competency NICU (1 Eval) 360 F1-1 Score (3 Evals) Scale: 1 Observe only EPA1. Lead and work within interprofessional health care teams 3 2.67 2 2 Direct supervision EPA2. Manage patients with complex, multisystem diseases in the NICU EPA3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA5. Manage patients with acute, common single system diseases in an inpatient setting 3 Indirect supervision 3 -- 3 4 Oversight *Lion, MD (R4) 5 Supervise others 3 -- 2 3 -- 2 3 -- 2
*Zebra, MD (R5) Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU SCH NICU UWMC MFM SCH CICU SCH Peds Surg PRMCE HRIF Call Nights 3 - - - 2 - - 18 15 2 4 2 - 2 103 24 22 2 4 2 2 - 150 23
Comments NICU (January 1- May 25, 2018) * Signature Assets: *Zebra, MD (R5)
Comments NICU (January 1- May 25, 2018) * Things to work on: *Zebra, MD (R5)
Comments Parent Evaluation (January 1- May 25, 2018) * What did you like most about this physician? * How could this physician improve? *Zebra, MD (R5)
Comments 360 (January 1- May 25, 2018) * Signature Assets: * How could this physician improve? *Zebra, MD (R5)
Patient Care Competency F1-1 F1-2 F2-1 PC1. Provide transfer of care that ensures seamless transitions 2.5 2.5 3 PC2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment 2.5 2.5 3 *Zebra, MD (R5) PC3. Develop and carry out management plans 3 2.5 3 PC4. Provide appropriate role modeling 2.5 2.5 3
Patient Care Competency NICU (1 Eval) 360 F2-1 Score (3 Evals) PC1. Provide transfer of care that ensures seamless transitions 4 -- 3 PC2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment 3.5 3.17 3 *Zebra, MD (R5) PC3. Develop and carry out management plans 4 3.17 3 PC4. Provide appropriate role modeling 4 -- 3
Procedure Log *Zebra, MD (R5)
Medical Knowledge Competency F1-1 F1-2 F2-1 MK1. Locate, appraise, and assimilate evidence from scientific studies related to their patients health problems 2 2.5 3 *Zebra, MD (R5)
Medical Knowledge Competency NICU (1 Eval) 360 F2-1 Score (3 Evals) MK1. Locate, appraise, and assimilate evidence from scientific studies related to their patients health problems 4 3.17 3 *Zebra, MD (R5)
SITE Performance Fellowship Year F-1 F-2 Score 51 56 National Average 59 65 SD 9 6 70 60 50 *Zebra, MD (R5) 40 30 20 10 0 Score National Average F-1 F-2
Systems-Based Practice Competency F1-1 F1-2 F2-1 SBP1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP2. Coordinate patient care within the health care system relevant to their clinical specialty 2.5 3 3 3 3 2 *Zebra, MD (R5) SBP3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population- based care as appropriate 2.5 2.5 3 SBP4. Work in inter-professional teams to enhance patient safety and improve patient care quality 2 3 3 SBP5. Participate in identifying system errors and implementing potential systems solutions 2.5 3 3
Systems-Based Practice Competency NICU (1 Eval) 360 F2-1 Score (3 Evals) SBP1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty 4 3 3 SBP2. Coordinate patient care within the health care system relevant to their clinical specialty -- 3 3.5 *Zebra, MD (R5) SBP3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate 3.5 -- 3 SBP4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3.5 3.17 3 SBP5. Participate in identifying system errors and implementing potential systems solutions 4 -- 3
Practice-Based Learning & Improvement Competency F1-1 F1-2 F2-1 PBLI1. Identify strengths, deficiencies, and limits in one s knowledge and expertise 2.5 3 3.5 PBLI2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI3. Use information technology to optimize learning and care delivery *Zebra, MD (R5) 2 3 3.5 2 3 3.5 PBLI4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 2 2.5 3.5
Practice-Based Learning & Improvement Competency NICU (1 Eval) 360 F2-1 Score (3 Evals) PBLI1. Identify strengths, deficiencies, and limits in one s knowledge and expertise 4.5 -- 3.5 PBLI2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI3. Use information technology to optimize learning and care delivery *Zebra, MD (R5) -- -- 3.5 4.5 -- 3.5 PBLI4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 4 3.17 3.5
Professionalism Competency F1-1 F1-2 F2-1 PROF1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries 2.5 3 3 PROF2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty 2.5 2.5 3 *Zebra, MD (R5) 2.5 2.5 3 2.5 2.5 3
Professionalism Competency NICU (1 Eval) 360 F2-1 Score (3 Evals) PROF1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty 4 3.33 3 4.5 3.33 3 *Zebra, MD (R5) 4 -- 3 4 -- 3
Professionalism Percent Submitted Duty Hour Submission 1/1/2018-5/31/2018 86.4% Required Total (35/58) Conference Attendance 80% 60.3% *Zebra, MD (R5)
Interpersonal Communication Skills Competency F1-1 F1-2 F2-1 ICS1. Communicate effectively with physicians, other health professionals, and health-related agencies 2 2.5 3 *Zebra, MD (R5) ICS2. Work effectively as a member or leader of a health care team or other professional group 2 2.5 3 ICS3. Act in a consultative role to other physicians and health professionals 2 2.5 3
Interpersonal Communication Skills Competency NICU (1 Eval) 360 F2-1 Score (3 Evals) ICS1. Communicate effectively with physicians, other health professionals, and health-related agencies 4 3.17 3 *Zebra, MD (R5) ICS2. Work effectively as a member or leader of a health care team or other professional group 4.5 3.17 3 ICS3. Act in a consultative role to other physicians and health professionals 4 -- 3
Entrustable Professional Activities (EPA) Competency NICU (1 Eval) 360 F1-1 (3 Evals) Scale: 1 Observe only EPA1. Lead and work within interprofessional health care teams EPA2. Manage patients with complex, multisystem diseases in the NICU EPA3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA5. Manage patients with acute, common single system diseases in an inpatient setting 5 3.33 3 2 Direct supervision 3 Indirect supervision 4 -- 3 4 Oversight *Zebra, MD (R5) 5 Supervise others 4 -- 3 4 -- 3 5 -- 3
