Department of Medicine Task Force on Education Version date 2/11/13

Education Task Force Goal: Develop strategies that adapt to the changing education and clinical environment Issues to address: –Complete plans for UME/GME during post-Sandy recovery –Consider structural changes given the Sandy experience and external forces, including size of GME programs –Develop strategy for role of housestaff in inpatient/ambulatory settings

TFE SWOT Matrix: key findings Strengths Experienced faculty educators across 11 divisions Delivery of more than 40% of the entire four-year medical school curriculum Balanced clinical autonomy with faculty supervision Opportunities FGP and wide ambulatory care network as part of learning environment Defining career development tracks (e.g. “fast track” for research or clinical practice) Increase link between UME and GME curriculum (e.g. inter-professional education) Actively recruit trainees with diverse career interest phenotypes Weaknesses Not attracting pool of medical students from top institutions Negative NRMP survey data re: resident satisfaction, quality of academics, reputation of program High overall resident workload and overabundance of inpatient unit time (e.g. ICU) Downward trend in board pass rate for residents Threats Balancing duty hours, hand-offs, and patient safety Reductions in funding for GME Preparation for Next Accreditation System (NAS) Absence of specialists on teaching rounds at Bellevue

Comparison of percentage of trainees linked to top 25 institutions: PGY1 categorical, primary care, NYUSoM matriculants and graduates Year Percent of class (%) n=49 n=41 n=165 n=50 n=42 n=163 n=49 n=41 n=161 n=50 n=42 n=160 n=51 n=43 n=157 n=157

Strategies Strategy 1: Attract and retain top talent across UME-GME spectrum Objectives 1.Standardize and promote “Fast Track” research opportunities 2.Develop “career-development pathways” for training 3.Emphasize training through patient-centered outpatient care 4.Develop core curriculum based on population health, patient safety, quality standards, and inter-professional education 5.Develop and support faculty teaching

Strategies Strategy 2: Develop GME training model that adapts to changing healthcare landscape Objectives: 1.Align educational goals with institutional mission 2.Increase ambulatory training time and opportunities 3.Teach and assess competencies through patient-centered longitudinal care medical home model 4.Establish performance and accountability standards linked to competencies for cost effective evidence-based practice and professionalism

Strategies Strategy 3: Innovate and strengthen system for multimodal educational experiences Objectives: 1.Develop and implement new teaching modalities that will enhance traditional teaching methods (e.g. web-based journal clubs and case-conferences) 2.Review records and match teaching opportunities to faculty with academic appointments 3.Centralize the administration of research opportunities for trainees across all divisions (summer research, honors program, MD/PhD, concentration, etc.) 4.Explore external funding opportunities to support educational programs

Future goals over the next 12 months Develop trainee recruitment strategies based on career pathway opportunities (e.g., primary care, research, specialty, population) Address issues of service and academic balance that deter current applicants to the residency program Begin to leverage education data for innovative curricular initiatives linking UME to GME