Graduate Medical Education Katie McKinney, MD Associate Dean ACGME Designated Institutional Official

College of Medicine Graduate Medical Education (GME) One of 5 Kentucky ACGME accredited sponsoring institutions 60 ACGME accredited programs, across multiple specialties and subspecialties Three regional sites: Hazard, Morehead, Bowling Green Preliminary working document. Confidential and proprietary.

GME Programs 28 ACGME accredited Residency programs 30 ACGME accredited Fellowship programs 14 ASHP accredited Pharmacy programs 3 CODA accredited Dental programs 3 CAMPEP accredited Medical Physics programs 1 ACOE accredited Optometry program 1 Hospital Administration Fellowship program 10 (+) Non-ACGME-accredited Fellowship programs 2 ACGME Pre-accredited programs (Bowling Green) CODA-commission on dental accreditation ASHP-american society of health system pharmacists CAMPEP-commission on accreditation of medical physics education programs ACOE-Accreditation Council on Optometric Education

2017-18 GME Learners

Annual Total ACGME Residents and Fellows 628 645 673 87

2017-18 Interns

GME 2017 Graduate Data *Those continuing in fellowship training were excluded from this data set. N=118

2017 GME Graduate Future Plans 97.7% Full Time (167/171) .6% Part Time (1/171) 1.7% N/A (3/171) *Those continuing in fellowship training at UK were excluded from this data set.

Residents’ Overall Evaluation of the Program

Faculty's Overall Evaluation of the Program

GME Faculty Expectations Supervision Expectations Feedback Evaluation

Supervision Attending ultimately responsible for care Learner progressive responsibility Levels of supervision Direct Indirect-Direct immediately available Indirect-Direct available Oversight Department/program level supervision policies

Setting Expectations Iterative Rotation/situation goals and objectives Specific to person’s training level/role/job Clear and proactive communication Iterative Actual performance Individual’s response to feedback

Types of Feedback Formative Summative Ex: verbal “real time” discussion Low stakes Sharing observations Summative Ex: Evaluations Recording summary of observations Documents the feedback you’ve already provided

High Quality Feedback Timely (ACGME standard < 14 days after rotation end) Specific Balances ‘reinforcing’ and ‘corrective’ Allows learner reaction and reflection Enables an action plan for continued improvement

House Staff Evaluations Completed through MedHub software system Single sign on with LinkBlue UK ID Program administers Deadline:14 days after end of rotation

ACGME Milestones Developmental framework to operationalize measurement of competency Evaluations contribute to program milestone decisions Finish GME Begin GME

Faculty Evaluations Completed through MedHub Program administers GME Faculty Evaluation form Aggregate data viewable when threshold met (min=3) Annual faculty evaluation report to department

GME Resources GME Website: https://gme.med.uky.edu/ GME WebAPP: http://gmemobile.med.uky.edu/ UK Healthcare Supervision Policy: #A09-025 Supervision of House Medical and Dental Staff MedHub: Faculty Resources & MedHub Community