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Competency Assessment:
Forethought Not Afterthought

Current Practices and Innovations in Graduate Medical Education

September 10-12, 2003
Westin Hotel Copley Place
10 Huntington Avenue
Boston, MA

Organized by: Tufts Health Care Institute
Who should attend: Residency program directors, designated institutional officials, directors of GME, GME faculty, and institutional and program administrators.
Wednesday, September 10, 2003
6:00 - 6:30 p.m. Welcome
6:30 - 7:30 p.m. Reception and Dinner
7:30 p.m. Keynote: Deborah E. Powell, MD, Dean, University of Minnesota Medical School
 
Thursday, September 11, 2003
7:15 - 8:00 a.m. Breakfast and Registration
Session I: Beginning with the End in Mind—Integrating Assessment into Curriculum Development
8:00 - 9:00 a.m.

Plenary I: Assessment as a Discipline and Habit of Mind
Hershey S. Bell, MD, FAAFP,
   Vice President for Medicine/Family Practice and Medical    Education, Hamot Medical Center

9:00 - 10:15 a.m.

Panel Discussion: Integrating Assessment into Curriculum Development and Rotational objectives

Donald Bordley, MD
     Professor of Medicine, Associate Chair for Education
     Internal Medicine Residency Program Director
     University of Rochester

Carol Carraccio, MD
     Associate Chair for Education
     University of Maryland School of Medicine

Reed Williams, PhD
     Professor and Vice-Chairman for Education Affairs      Department of Surgery, Southern Illinois University
     School of Medicine

10:15 - 10:30 a.m. Break
10:30 - 11:45 a.m.

Workshop I: Practical Approaches to Integrate Competency Assessment into Curriculum Development

Concurrent, skill-based workshops

Patrick Alguire, MD, FACP
     Director of Education and Career Development,
     American College of Physicians
Donald Bordley, MD
Hershey Bell, MD, FAAFP
Carol Carraccio, MD, and
Robert Englander, MD, MPH
     Director of Inpatient Management and Inpatient
     Services, Connecticut Children's Medical Center
Reed Williams, PhD

11:45 - 1:00 p.m. Lunch and Exhibits
Session II: Understanding and Applying Assessment Tools to Measure and Document Resident Competence
1:00 - 2:00 p.m.

Plenary II: The Assessment Toolbox: Experience to Date

Patrick Alguire, MD
Susan Swing, PhD, Executive Director of Research, ACGME

2:00 - 3:15 p.m. Workshop II: Practical Approaches to Using the Toolbox to Assess Competency

Concurrent, interactive workshops

Practice-based Learning and Improvement (PBLI)
Carol Carraccio, MD, and Robert Englander, MD, MPH
Professionalism
Deirdre Lynch, RhD
      Research and Evaluation Specialist, ACGME
Interpersonal Skills and Communications
Greg Makoul, PhD
      Associate Professor, Director, Program in
      Communication and Medicine, Northwestern University
Systems-based Practice (SBP)/PBLI
Diane Hartmann, MD
      Associate Professor, OB/GYN, Associate Dean for       Graduate Medical Education, University of Rochester
The Use and Misuse of the Global Assessment
Cynthia Silber, MD
      Associate Dean for Graduate Medical Education,
      Thomas Jefferson University
Fred Gorstein, MD
      Director of Laboratories, Vice Chair, Department of       Pathology, Thomas Jefferson University

3:15 - 3:30 p.m. Break
3:30 - 4:45 p.m.

Workshop II: Some workshops will be repeated.

Professionalism
      Deirdre Lynch, RhD
Interpersonal Skills and Communications
      Greg Makoul, PhD
PBLI: Using the PIM for Teaching and Evaluation
      Lorna Lynn, MD, American Board of Internal Medicine
      Eileen Reynolds, MD, Beth Israel Deaconess Medical       Center 
SBP and PBLI
      Diane Hartmann, MD
The Use and Misuse of the Global Assessment
      Cynthia Silber, MD
      Fred Gorstein, MD

Friday, September 12, 2003
7:15 - 8:00 a.m. Breakfast and Registration
Session III: Research Initiatives and Opportunities
8:00 - 9:00 a.m.

Plenary III: Opportunities for Scholarship—Leveraging Competency Assessment to Study Clinical Impact

Martha Regan-Smith, MD, EdD
    Professor of Medicine, Senior Associate, Health Care     Improvement Leadership Development, Dartmouth
    Medical School

Discussants
    Linda Headrick, MD, MS
          Senior Associate Dean for Education and Faculty           Development, University of Missouri School of           Medicine
    Robyn Tamblyn, PhD
          Assoc. Professor, Departments of Medicine and           Epidemiology and Biostatistics at McGill University,           Faculty of Medicine

9:00 - 10:15 a.m. Workshop III: Current Research Initiatives

Concurrent, interactive workshops

Linda Headrick, MD, MS
Stewart Babbott, MD, Director, Faculty and Resident Development, Baystate Medical Center and Karen Bradley, DMD, MBA, Associate Director, Managed Care, CME and Faculty Development, University of Florida College of Medicine
Reed Williams, PhD
Maj. Steven J Durning, MD, FACP
    Uniformed Services, University of the Health Sciences,     Director, Introduction to Clinical Reasoning Course
Robyn Tamblyn, PhD
    Assoc. Professor, Departments of Medicine and     Epidemiology and Biostatistics at McGill University,     Faculty of Medicine
10:30 - 11:45 a.m.

Panel: Research Considerations for Studying the Impact of Medical Approaches on Health Outcomes
    
Moderator: Martha Regan-Smith, MD, EdD

    Discussants:
    Helen Burstin, MD
        Director of the Center for Primary Care Research,         Agency for Healthcare Research and Quality
    Sheldon Greenfield, MD
        Donald Bren Professor of Medicine, University of         California Irvine College of Medicine
    Third Discussant (TBD)

11:45 - 12:30 p.m. Lunch and Exhibits
Session IV: Next Steps: There's No Place like Home
12:30 - 1:15 p.m. First Things First: Faculty Development
Robin Richman, MD
     Chief Medical Officer, Tufts Health Care Institute,
     Conference Director
Karen Bradley, DMD, MBA    
1:30 - 3:30 p.m. Parallel Tracks

Track 1: GME Committee Members Workshop: Educating, Motivating and Preparing for Institutional Reviews in the ACGME Competencies
                Moderator: Jeanne Heard, MD, PhD, Associate Dean for Graduate                 Medical Education, University of Arkansas for Medical Sciences

  • The Intra-institution Assessment Process
    Jeanne Heard, MD, PhD
         
  • The GME Committee as Program Compliance Consultant
    Shep Cohen, MPA

  • Deciding on a Technologic Answer: Build versus Buy, Criteria for Evaluating Software Solutions, Developing a Implementation Plan
    Deborah DeMarco, MD
         Associate Dean for Graduate Medical Education
         University of Massachusetts Medical School     

  • Off the Shelf Software Solutions: What's Currently Available to Assist in ACGME compliance
    Raghavendr G. Kulkarni, MD
         Beth Israel Deaconess Medical Center

  • Final Reflections: Take Home Lessons
    Moderator: Robin Richman, MD
Track 2: Program Director / GME Teaching Faculty
               
Moderator: Rosalie Phillips, MPH, Executive Director, THCI
  • Preparing for RRC Review
    RRC reviewer panel:
         Allan Goroll, MD
             Associate Professor of Medicine
             Harvard Medical School
             Physician
             Massachusetts General Hospital
             Former chairman, Long Range Planning Committee
             Internal Medicine RRC
         Edward Bope, MD
             Residency Director, Family Practice
             Riverside Methodist Hospital
             Former Chairman, Residency Review Committee Chairs, ACGME
             Member, ACGME Board of Directors
         Robert Strauss, MD
             Former Chairman, Emergency Medicine RRC
         Douglas Mathisen, MD
             Chief of General Thoracic Surgery
             Massachusetts General Hospital
             Chairman, Thoracic Surgery RRC

  • Final Reflections: Take Home Lessons
    Moderator: Rosalie Phillips, MPH
3:30 p.m. Conference concludes