1 / 9

MEC Review

MEC Review. Psychiatry Dec 17,2013. Recommendations. Update Objectives - done Update Essential skills/conditions language – done Essential skills/conditions – delirium. Learning Tools Learning Environment/Activities Residents as Teachers. Delirium. New Hampshire Hospital :

Télécharger la présentation

MEC Review

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. MEC Review Psychiatry Dec 17,2013

  2. Recommendations • Update Objectives - done • Update Essential skills/conditions language – done • Essential skills/conditions – delirium. • Learning Tools • Learning Environment/Activities • Residents as Teachers

  3. Delirium • New Hampshire Hospital: • The admissions process actively screens out patients with delirium. • NHH assigned students (max of 32 per year) do call at DHMC and may see this condition in this setting. • However, that is not reliable enough to have this as an essential condition. • Therefore, we would petition the MEC to reassign delirium to an alternative clinical service (eg medicine or surgery).

  4. Learning Assessment Tools • Recommendation • Consider Mini-CEX • Considering: • Oral Board model - • Last week of clerkship • 30 min interview • 5 min student prep • 10 min presentation • 10 min feedback • 4 trained evaluators • To standardize evaluation and feedback • Formative and Summative feedback (12.5 points) • Reporter skills (5 pts) • Interpreter (2.5 pts ) • Manager • Early (2.5 pts) • Proficient (2.5 pts)

  5. Learning Environment/Activities • Recommendation: • Outpatient: “enhance experience across sites.” • Current schedule: • DHMC – ½ day in the same clinic across 5 weeks. • NHH – ½ day at Heater Rd Primary Care. • VA – 1 full day at WCBH Claremont. • CPMC – ½ to 1 full day in child clinic. • Working toward: • DHMC – working with attendings and residents on more active student role. • NHH – adding an additional ½ day in another DHMC based integrated clinic (GIM or OB/GYN) • VA – re-new student involvement in PMHC walk-in clinic – which has received the 2005 American Psychiatric Association Gold Achievement Award and the 2007 VA Advance Clinical Access National Champion Award. • CPMC – actively working with Dr. Chung to expand this experience. • Site visit planned for March 2014

  6. Learning Environment/Activities • Recommendation: • Didactics: “more interactive” • Current schedule: • DHMC/NHH/VA – ½ day all together each Friday 1 -4pm. • Case centered discussion based is the goal. • But drifts back to power point format • CPMC – 2 students with Dr. Chung, very case based (no need to change) • Considering: • DHMC – 3 sessions will change to SBM-like live patient interview and discussion. • (students interview) • Mood disorders - Dr. Holtzheimer • Psychotic disorders - Dr. Noordsy • Substance use - Dr. Nordstrom • NBME review session • (as we are starting to see a downward trend in average test scores)

  7. Learning Environment/Activities • Recommendation: • Assignments: “checklist”

  8. Learning Environment/Activities • Recommendation: • Call hours: “more equitable .” • Current schedule: • Call is 5pm to MN • DHMC – 3 nights • NHH – 2 nights at DHMC • 2-3 admission nights at NHH – end before MN • VA – 2 nights at DHMC and phone call for VA • CPMC – 4 nights. • Changes already made: • NHH and VA – used to have a 12 - 24 hour weekend call. • Now is an 8 hour shift more on par with evening call.

  9. Resident as Teachers • Recommendation: • “Assure distribution of policies and objectives” • Consider Survey Monkey to track and document. • Changes: • Chris Bolka is working with pediatrics coordinator to implement the same system.

More Related