Bradley A. Moore Jr., MD, FACP Program Updates and Agenda Highlights
Get updates on the Bradley A. Moore Jr., MD, FACP program, including program aims, values, status, and strengths. Explore the agenda, faculty updates, and new curriculum offerings aimed at training compassionate physicians in Internal Medicine.
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Presentation Transcript
Welcome and Program Updates Bradley A. Moore Jr., MD, FACP Program Director July 5, 2023
Agenda 1. Welcome and Opening Remarks 2. Program Aims and Values 3. Status of the Program. Strengths and Areas for Improvement. 4. Faculty Updates 5. Noon Didactics Updates and Expectations 6. Professionalism Expectations 7. MKSAP Board Prep Program Updates 8. Simplified Med Team Policy for Unassigned Patients 9. New Milestone Improvement Plan 10.Other happenings 11.New Optional Mentorship and Leadership Curriculum 12.Closing Remarks
Program Aims To provide compassionate world class care to our patients To become the best physicians we can be The second aim always serves the first
A rabbit hole. Provider: a person or thing that provides something Physician: a person trained in the art of healing
Program Values To train physicians who can pursue any career path in Internal Medicine To provide a rigorous and broad educational experience that challenges and stretches our residents to promote growth, but to do so in a caring environment that focuses on wellness A commitment to personal growth over perfection A commitment to community and the development of life-long relationships Excellence in scholarly activity, research, and quality improvement Caring for the underserved
A Strong Program Highly talented residents (76) and faculty 44% of graduates 2019-2023 entered fellowships 91% of our graduates applying for fellowships in 2019-2023 were accepted 56% of our graduates pursued general Internal Medicine Lots of scholarly activity, publications, and presentations at local, regional, and national meetings A strong culture of togetherness and being a friendly place to train
Recent Publications Chen A, Leung A. Limitation of Interpreting a Single COVID Cycle Threshold Value. Inf Dis Clin Pract. 2023. 31(2). Everett S, Alejo A, Tatar K, Myers J. Recurrent Klebsiella pneumoniae Bacteremia Due to Endotipsitis. Cureus. 2023, 15(5). Everett S, Alejo A, Myers J. Psoas Abscess Precipitated by an Uncommon Pathogen: Pasteurella multocida. Cureus. 2023, 15(5). Gao D, Ek J, George E, Ewing P, Oravec M, Myers J. Predictors of Positive Repeat Blood Cultures in Patients with Gram-Negative Bacilli Bacteremia. Inf Dis Clin Pract. Forthcoming accepted March 2023. Myer A, Myers J. Pasteurella multocida Bacteremia in a Large Community Teaching Hospital, 2011-2020: A Quality Improvement Project Lessons Learned Regarding Immunizations. Inf Dis Clin Pract. 2023. 31(3). Hensperger V, Patel J, Sharma B, Shaub T, Myers J, Raina R. A trial of Therapeutic Plasma Exchange in Intramuscular Ricin Poisoning. Annals of Case Reports. 2023. 8:1145. Otchere, P.; Seif, C.; Myers, J.P. Prosthetic Joint Infection Due to Cardiobacterium hominis: Report of First Known Case and Review of C. hominis Septic Arthritis Literature. Priv Pract Infect Dis, 2022, 2(3): 11; doi:10.55636/ppid2030011.
NEOMED Scholarship Day 2023 Oral presentations Chen A, Myers J. Acute Kidney Injury Due to Extended Vancomycin Leaching from Antibiotic-Loaded Bone Cement Spacer Placement for Infected Total Knee Arthroplasty DeVault K. Delayed Presentation of Post-Cardiac Injury Syndrome Status Post VATS 9 Months Prior Guo LF, Hepburn M, Myers J. Fatal Central Nervous System Jarisch-Herxheimer Reaction During Penicillin G Treatment of Neurosyphilis Hammer M, Guo LF, Myers J.Parvimonas micra prosthetic joint infection: A rare and unexpected knee ache Mba C, Osario C, Hepburn M, Ochoa A. Recurrent Paradoxical Embolism Causing Stroke Due to Pulmonary Venous Malformation: Report of a Case Meniru J, Levine I, Myers J.Aeromonas species Bacteremia: Report of Four Cases in 17-Month Period and Review of the Literature Robison Y, Myers J.Staphylococcus lugdunensis Bacteremia from 2018-2021 at Summa Health: A Quality Improvement Project Vo P, Rea M, Matriano-Lim C. Dirt Vacuum to Unclog a Four-Chamber House: A Case of Using Aspiration Thrombectomy for an Infected Right Atrium-SVC Thrombus
NEOMED Scholarship Day 2023 Poster presentations Boylan K, Ramaniuk A. Endobronchial Actinomycosis Associated with Chicken Bone Aspiration Cho M, Gayomali C, Hostoffer R. Vancomycin Induced Drug Reaction with Eosinophilia and Systemic Symptoms Syndrome with Renal Failure Engle J, Smith M, Ostrow M, Creque E, Dankoff J, Mahesh S. Genetic Counseling and Risk Assessment for Prostate Cancer Patients - Who Should Be Screened? Ghimirey N, Scalera N, Matriano-Lim C, Hansen C, Hepburn M. Hyperacute Presentation of Hashimoto's Encephalopathy: An Unusual Stroke Mimic Laquidara B, Myers J. Urticaria and Angioedema: Harbinger of Dual Autoimmune Conditions in Young-Adult Male Levine I, Meniru J, Myers J. Capnocytophaga canimorsus Bacteremia in a Large Community Teaching Hospital: A Case Series Mirzoy A, Tatar K, Groubert J. New Subcutaneous Nodules on the Abdomen: Prior Injection Sites or Cutaneous Metastases? Raval A, McCorcle C, Myers J. Adult-Onset Still's Disease: Report of a Case from Summa Health
CHEST National Conference Acceptances Kyle Devault Kate Boylan David Johnson Mimi Guo Jamie Sindelar Akhinav Raval Ashley Myer Ajmal Mirzoy Abraham Saleem Saeed Khoncarly
I will do everything in my power to help you become the best physician you can be
Getting ahold of me: Come talk to me, don t be a stranger moorebr@summahealth.org 419-571-5530 (urgent issues) Epic Secure Chat: Any patient related issues
Faculty Updates Stephanie Zaugg, DO TY Program Director, IM Associate Program Director Joel Rayl,MD Associate Program Director Kamal Dayal, MD IMC Director Katie Tatar, MD NEOMED Clerkship Director Spike McCorcle, MD M4 Student Director Bryan O Connell, MD Core Faculty Blake Chaffee, MD Core Faculty Adrienne Wolfe, MD Chief Resident Alex Malik, MD Third Year Chief Resident
A great program, but room to improve A recommitment to our Program Aims and Values Improved ABIM pass rate Being fully present and engaged The pandemic restrictions hurt. There was a shift in getting the most out of every day and opportunity to trying to be here as little as possible. A commitment to noon didactics from residents and faculty Vitally important as it serves our goals of community, excellence in patient care, medical knowledge, ABIM pass rate, scholarly activity, and quality improvement Clear professionalism expectations, commitment, and enforcement
Noon Didactics Updates (I ve been very lonely at didactics)
Noon Didactics Updates ACGME Requirement to Provide Protected Didactic Time 2022-2023 Attendance Top Attendees: Stacey Hatch, Abraham Saleem, Celestine Mba, Nirmala Ghimirey, Jordan Hatch
Noon Didactics Updates 60% required attendance for promotion and graduation -Minimum expectation -Has always been mandatory except on ICU/CCU/NF/Pre-Call/Post-Call.
Noon Didactics Updates Protected Time -I need to know if rounding is keeping you from conference so I can address. Many times attendings need a reminder from you that you are going to didactics -If morning IMC runs past noon, still come attend and sign in noting you had IMC and the time you got to conference -Most secure chats can be responded to with I m at protected didactic time but will get back to you at 1 PM. -Obviously urgent patient issues take priority, but should be done so by the senior most resident on the team when possible. -Med team discharges, TCC notes, etc. can wait until after conference
Noon Didactics Updates We are working to improve the quality of the didactic content. We appreciate feedback. Our presentations are high quality and can be listed on CVs, and as such, should be prepared for and presented as you would at a professional meeting. We show up on time. Noon. But it s okay and expected to come late if you can t make it on time. Patient Care Conferences are being Resurrected
PGY Level Passing % PGY1 50% PGY2 60% PGY3 70%
Enhanced Improvement Plan https://www.summalearner.com/rotation-resources
Simplified Med Team Caps for Unassigned Patients
Other happenings Continued Expansion of POCUS curriculum and integration to practice. Hopefully will be going live with QA this academic year. Working on getting a Butterfly for each Med Team. New Simulation and Procedure Curriculum 3rd Monday of Each Month Death and Donuts. Professionalism Workshops Expanded social media presence. Revamping website to make more user friendly. Virtual Recruiting Open House in August. September Residency Outing. Families/Significant Others Included. Likely residency wide event in February too stay tuned. Pulmonary and Critical Care Fellowship Application Submitted Working towards capital improvements: IMC Bullpen Renovation, IM Resident Library Renovation, Med Team Room Renovation.
Future Directions More Fellowships in the Coming Years Summa Journal of Medicine Data for the care we provide on the med team and the IMC. Promoting the IMC for the work we do with Healthcare Equity More addiction medicine training, including MAT
Optional Leadership and Mentorship Curriculum
Study one selected work each semester and meet to discuss If interested, please email me for full details and to sign up. moorebr@summahealth.org
Selected Works 1. Atomic Habits: An Easy and Proven Way to Build Good Habits and Break Bad Ones. James Clear 2. Limitless: Upgrade your Brain, Learn Anything Faster, and Unlock your Exceptional Life. Jim Kwik 3. Extreme Ownership: How US Navy Seals Lead and Win. Jocko Willink and Leif Babin. 4. How to Win Friends and Influence People: Dale Carnegie 5. Finding Joy in Medicine. Reza Manesh 6. Complications: A Surgeon s Notes on an Imperfect Science. Atul Gawande 7. When Breath Becomes Air. Paul Kalanithi 8. The Boys in the Boat. Nine Americans and Their Epic Quest for Gold at the 1936 Berlin Olympics. Daniel James Brown. 9. Do Hard Things: Why We Get Resilience Wrong and the Surprising Science of Real Toughness. Steve Magness
Closing Remarks There is nothing new under the sun. Little has changed. The program is strong, we just need a recommitment to what has always made us great: providing world class care to our patients, pursuing excellence, and a commitment to one another and our culture. We have a STRONG program. We should take pride in our residency and in the care we give our patients. The program is here to help us give compassionate world class care to our patients and to become the best physicians we can be. We all must bring our abilities and talents to the program. Everyone brings something.
First say to yourself what you would be: and then do what you have to do. -Epictetus
