Welcome New Program Directors Workshop. Jolanta Karpinski, MD, FRCPC, MedEd September 29, 2016

Transcription

1 Welcome New Program Directors Workshop Jolanta Karpinski, MD, FRCPC, MedEd September 29, 2016

2 I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. 2

3 3

4 Welcome to This formal leadership position A new Community of educators» At your university» In your discipline» In the country The next step in your professional development 4

5 Next steps Based on this session, identify one priority to be addressed in your program

6 What is a program director? Formal leadership Influential due to positional power as well as some reward and coercive power Accountable to meet organizational goals (e.g. accreditation, service delivery) Competencies in regulatory, financial and personnel aspects of the position Informal leadership Influential due to expert, informational or referent (personal) power Expanding the scope of leadership training in Medicine. Gabel, Acad Med 2014, 89:

7 What is a program director? Human resources Educational design PD s jobs Educational innovation Quality improvement 7

8 PD as HR office Residents» Selection» Registration» Scheduling (rotation/call)» Vacation» Leave» Performance management Promotion Resident in difficulty Remediation etc 8

9 PD as HR office Faculty» Professional development for teachers» Performance management (with Division/Dept Head) Program assistant» Oversight +/- direct responsibility for performance 9

10 PD as HR office Prepare yourself» Learn the system (or who to ask) What is the organizational structure for education in your division, department, university? Who are the key people?» Learn the rules (or where to find them) resident contract mandatory rotations Specific Training Requirements (STR) PG Evaluation and Appeal policy and procedures Other PG policies Safety Vacation and leave 10

11 PD as HR office Resources» Program assistant» Previous PD/RTC/Division head» PGME office and PG Dean CPD opportunities» PGME has an incentive for you to do this right Postgraduate education committee Resources, workshop» Other workshops/seminars on leadership/manager topics Conflict resolution Crucial conversations 11

12 What is a program director? Human resources Educational design PD s jobs Educational innovation Quality improvement 12

13 PD as Education Designer Linking teaching and assessment across the full spectrum of program» Rotations and specific objectives» Assessment strategies» Formal educational sessions 13

14 PD as Education Designer Resources» Specialty specific standards (OTR/STR/SSA)» PGME office/departmental common academic sessions» Specialty Committee and/or program directors group CPD opportunities» Workshop on educational planning Royal College PGME office/faculty Development Office 14

15 What is a program director? Human resources Educational design PD s jobs Educational innovation Quality improvement 15

16 PD as Educational Innovator Residency program as a lab for innovation» New teaching methods» New assessments Resources/CPD opportunities» Local Med Ed innovation program (DIME/Wilson etc.)» ICRE/CCME: RIME, simulation summit etc» Program directors group in your discipline 16

17 What is a program director? Human resources Educational design PD s jobs Educational innovation Quality improvement 17

18 Quality improvement Accreditation cycle and everything in between» Timing of Royal College survey Last visit s list of strengths and weaknesses» Timing of university internal processes» Ongoing program review Rotations Teachers Overall program SWOT analysis» Strengths and weaknesses» Also opportunities and threats 18

19 Quality improvement Resources» PA and previous PD» PG office - many have a separate accreditation committee» Specialty Committee» Royal College Educational Standards Unit CPD opportunities» Workshops» Participating in internal reviews of other programs 19

20 What is a program director? Human resources Educational design Educational innovation Quality improvement 20

21 And now. 21

22 Changing education for a changing world Increased complexity of care What do trainees need to learn? What do practitioners need to develop? Requirement for oversight and accountability Changing societal expectations of accountability Failure to fail in residency Addressing poor physician performance Changing learning/teaching environments New learning environments/locations Time pressures on faculty/supervision Resident duty hours

23 Competence by Design Competency-based; outcome oriented Grounded in societal needs Based on CanMEDS competency framework Demonstration and documentation of competence Time facilitated Time is a resource for teaching and learning Learning and assessment strategy Strengthened focus on learning and assessment in the workplace (clinical setting) Across the continuum of learning and practice

24 CanMEDS 2015 Launched at last year s ICRE New language New content New concepts Added to all your specialty requirements via an OTR special addendum effective July 1, 2016

25 CBD Competence Continuum 25

26

27 Medical Expert: Milestones

28 Entrustable Professional Activities (EPAs) The practical application of skills to the job of being a doctor Link the theoretical framework of competencies and milestones to the daily tasks of practice Disciplines identify EPAs that residents must be able to perform within each stage of training. clinically relevant and specific to the discipline. reflect multiple milestones across several of the CanMEDS Roles.

29 How are EPAs used? Used by residents and supervisors to focus teaching and learning in the clinical setting Units of clinical activity which are observed and assessed in the workplace. Resident and supervisor identify opportunities to teach and learn from EPAs in the clinical setting One EPA may mark the achievement of the multiple milestones

30 Examples of EPAs Leading the code team Providing anesthetic care for ASA 1 and 2 patients undergoing general surgical procedures Proposing and implementing management plans for patients with standard presentations of cancer Assessing and providing comprehensive management for patients with airway obstruction, including both medical and surgical treatment 30

31 Changing the culture of assessment 31

32 Assessment for learning Role of coaching Guidance for learning Frequent

33 Assessing competence = Assessing does

34 Program of assessment Multiple samples Work based assessment PLUS Royal College examination

35 How will you be involved?

36 Proposed CBD Rollout Schedule: All Disciplines 36

37 CBD and the program director Human resources Educational design Educational innovation Quality improvement 37

38 /cbd-tools-resources-e 38

39 39

40 Preparing yourself for the journey CanMEDS 2015» CanMEDS booth» CanMEDS interactive (online google it!) Competence by Design» Royal College website» Local and national activities Leadership and Change Management 40

41 What is a program director? Human resources Educational design Educational innovation Quality improvement 41

42 And, at times. 42

43 Manage (your own) expectations 43

44 Find the right balance 44

45 Use your network, get involved, enjoy it 45

46 Welcome! Hope you enjoy the rest of the day Check with desk or me for questions Workshops start at 9:45 Back here for lunch at 11:45 46

47 Next steps Based on this session, identify one priority to be addressed in your program

48 Help us improve. Your input matters. Aidez-nous à nous améliorer. Votre opinion compte! Download the ICRE App, Visit the evaluation area in the Main Lobby, near Registration, or Go to: to complete the session evaluation. Téléchargez l application de la CIFR Visitez la zone d évaluation dans le hall principal, près du comptoir d inscription, ou Visitez le afin de remplir une évaluation de la séance. You could be entered to win 1 of 3 $100 gift cards. Vous courrez la chance de gagner l un des trois chèques-cadeaux d une valeur de