In Attendance: Drs. Adriano, Jeter, Kelleher, Kim, Macario, McHenry, Press, Ratner, Shafer, Sun, Telischak, Telusca; Cuen, David, Roberts
Introduction: Melissa Cuen was introduced as the new administrative associate to the Education and Training Office. Melissa is a UC Berkeley graduate and comes to us from industry and also worked at the California Society of Anesthesiologists. She will be handling the resident lecture series, resident reimbursements and research fellow appointments, among other things. She will work at an off-site location at Arastradero Road.
The Peer Support and Resiliency in Medicine (PRIME) program: Dr. Ratner and the leadership of the resident wellness program have changed the name of the program to PRIME (Peer Support and Resiliency in MEdicine).
PRIME Scholarship: Donations made to the Amy Wang Memorial Fund are used to promote resident well-being. For example, some of those monies are used to support the CA1 rafting team building trip in the summer. Dr. Ratner and the wellness group proposed a new initiative whereby Stanford residents can apply for a $1,500 PRIME scholarship. Up to two of these scholarships will be awarded each year to promote trainee wellness and resiliency through one of the following ways:
1- Attendance by the resident at a national or international meeting/program focusing on the promotion of physician resiliency/wellness followed by a verbal presentation or written report to the residents, fellows and/or faculty.
2- Implementation of a program by the resident that focuses on the promotion of physician health that is targeted towards trainees and may include trainee’s family members. Program evaluation via surveying participants would be completed.
3- A research project that studies or promotes physician trainee health/resilience.
4- Other activities may be submitted for consideration and all require a faculty advisor
If interested please email Dr. Macario a one page proposal by June 15, 2014. A full scholarship description including selection committee is below in Appendix.
Pediatric Advanced Life Support (PALS) course: Based on interest by the housestaff, Dr. Naiyi Sun updated the group that the first PALS certification course for anesthesia residents was held on Saturday April 26, 2014. 16 residents attended the course including 5 CA-1, 4 CA-2, and 7 CA-3 residents. The format was a condensed 1 day course specifically designed for anesthesia MDs. The 12 evaluations received back showed all residents rated the course 4/4. In response to, “Do you think this course should be offered to anesthesia residents every year?” all residents answered yes. Since the course feedback was positive the department will fund it for next year. The chief residents will survey residents to see how many are interested for a Saturday course next yr and the plan is to offer either 1 or 2 courses per yr.
Weekday afternoon lecture Series: The 2014-15 CA2 lecture resident representatives are Drs. Quentin Baca and Chris Clave and the CA3 representatives are Drs. Stephanie Jones and Jan Sliwa. Dr. Basarab-Tung is the new Director of the CA2-CA3 lecture series and is finalizing the lecture schedules based on meetings with residents to obtain input as to format and content.
Western Anesthesia Residents’ Conference (WARC): The 52nd annual WARC resident research conference took place at the Intercontinental Hotel in Century City, CA on May 2-4, 2014. Dr. Tawfik reports that 24 abstracts were presented by 19 residents, two medical students and one fellow. Included were six research abstracts by the residents who received research months in 2013-2014. Drs. Justin Pollock and Jason Johns had verbal presentations. Dr. Barrett Larson won first prize in category Science & Technology for a new ultraportable fluid-cooling device. Next year WARC is in Seattle. All residents receiving research time during the academic yr are required to present at WARC.
Outcomes after residency: Dr. Macario reviewed data on board certification rates, fellowship choices, and practice type for alumni.
Board Certification rates: The 2008-2012 alumni graduates (n=106 over those 5 yrs) of Stanford Anesthesia residency have an overall board certification rate of 97% as compared to the national average of 89%.
Practice type: For the 106 graduates between 2008-2012 where are they now? 31% are in academic practice at one of the 4 affiliated hospitals (Stanford 11%, Santa Clara Valley 8%, Palo Alto VA 7%, Packard 5%), 20% are in community practice in the Bay Area, 20% are in community practice outside California, 20% are in community practice in California outside the Bay Area, and 8% are at an academic medical center not Stanford.
Fellowship choices: For Stanford Anesthesia graduates for this year 2014, 75% will go on to a postgraduate fellowship with cardiac (n=4), pediatrics (n=4), research (n=3), ICU (n=3), regional (n=2), and pain (n=2) as the choices.
Medical Humanities: Drs. Audrey Shafer and Yeuen Kim, Clinical Assistant Professor in the Dept of Medicine, proposed a Medical Humanities experience for the CA3 class titled, “Rodin and Physical Diagnosis: Medical Humanities to Improve Visual Observation and Communication Skills.” This will take place during a normally scheduled CA3 lecture period and involve a guided tour of the Cantor Arts Center and exercises in observing and describing. Dr. Kim indicated the goal is to expose residents to art education and apply what is learned at the gallery to improve clinical skills through tolerance of ambiguity, visual observational skills and building community. This program has been well received at SCVMC. Dr. Kim will work with Janine to schedule the session.
Chief Resident Update:
The new chief residents are working on the block 13 schedule and their plan is to get the future block schedules out at least two months in advance.
The CA1 river rafting trip will be on July 19-20.
We are happy to announce a new scholarship called the Peer Support and Resiliency In MEdicine (PRIME) Scholarship whereby Stanford Anesthesia residents can apply for funding up to $1500 to promote trainee wellness and resiliency in one of the following ways.
1. Attendance at national or international meeting/program focusing on the promotion of physician resiliency/wellness.
The resident would propose a meeting they want to attend and rationale to the Selection Committee. Ideally, the meeting should grant CME credit, but this is not required. The resident may wish to include in the application how after the meeting, they will present salient points relevant to residents, fellows and/or faculty. Alternatively, for example, a written report can be produced. Conference week or absence days could be used to attend.
Examples of meetings:
• AMA-CMA-BMA International Conference on Physician Health
• Canadian Conference on Physician Health
• Mindful Living Programs for Health Professionals
• Mindfulness Based Stress Reduction (does not offer CME)
• University of Mass. Center for Mindfulness in Medicine, Health Care and Society conferences
• International Research Congress on Integrative Medicine and Health
2. Implement a program that focuses on the promotion of physician health that is targeted towards trainees and may include trainee’s family members.
Example: Wellness on Wheels programs are available through Stanford University’s Health Improvement Program (HIP) for groups >10 people. These may include stress reduction, nutrition, exercise, yoga or pilates classes. http://hip.stanford.edu/classes/wellness-wheels.html
The application would specify program and budget needed. Afterwards, the awardee would prepare an abstract/summary of the program, and ideally, include before and after data, representing program evaluation.
3. Perform a research project or participate in an ongoing research project that promotes physician trainee health/resilience. Funds may be requested to assist in data collection, analysis supplies, research assistant time or other approved activities pertinent to the project.
4. Other activities may be approved, if proposed to and accepted by a Selection Committee.
1. Applicants will submit no more than a one page proposal of how the funds will be used and explain how this activity could promote physician resiliency.
2. Each applicant will identify a faculty member mentor for the proposal.
3. A selection committee will review the applications, and determine which 2 applicants will receive funds.
Selection Committee Members:
Program Director, Associate Program Director, Program Coordinator
Co-Directors of PRIME program or 2 faculty participants in the PRIME program (Emily Ratner, MD and Tara Cornaby, MD)
Chief Resident representative (1), One Resident Education Committee Representative from CA-1,CA-2, CA-3 class