Southern Illinois University Springfield, Illinois

1. Southern Illinois UniversitySpringfield, Illinois

2. Context University Medical School 2 Community Hospitals Practice Plan separate from hospitals Categorical, Preliminary, Med/Psych residencies and 4 fellowships (ID, Endo, Pulm, GI) Full time faculty number 60

3. Pre-EIP Innovations Open access model for GIM division and resident clinics Residents assigned a specific cohort of patients with a single ambulatory mentor One of 22 programs in the Academic Chronic Care Collaborative

4. Developed resident competency demonstration tool utilizing a modified mini-cex format Resident led QI projects Residents as teachers curriculum Patient Safety Conference monthly

5. SIU Main Areas of Focus Communication / Professionalism Curriculum Patient outcomes assessment Evaluation portfolio integration Quality Improvement Creation of a culture of patient safety and error reduction Resident centered learning paradigms

6. Communication / Professionalism Improve transfers of care - incorporate report function into sign-in / sign-out rounds - Direct observation of handoffs Communication Curriculum (PGY 2) - Group sessions - Didactic curriculum - Standardized patient encounters - Empathy Sessions - Summative evaluation in PDL

7. Patient Outcomes Assessment In-patient - hospital (JCAHO) initiatives Out-patient - Extending DM to all residents - Pilot another chronic illness

8. Evaluation Portfolio Organized to create a single mean by level of training across 6 ACGME competencies 360 degrees Integration of patient outcome data Break free the chains of any commercial vendor Culture of safety assessment (program wide) Annual program evaluation Annual faculty evaluation

9. Quality Improvement Extend expectation of resident involvement to divisional QI projects Continue resident led QI projects in DGIM

10. Resident Centered Learning Weekly conference on every rotation around questions centered at the point of care Contraction of rotations Selection of tracks for PGY-3 year Flexibility for research months in PGY-2 year

11. EIP Process Faculty Retreat EIP Planning Committee Four working groups Comm / Professionalism Inpatient QI Outpatient QI Evaluation Faculty / Residents Surveys

12. “There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things.” Niccolo Machiavelli (The Prince)