June 11, 1998
At our June 9 communications meeting, Franklin Medio, Ph.D., director
of the Office of Graduate Medical Education, spoke to the management team
concerning GME initiatives. Dr. Medio joined the College of Medicine in
Sept. 1997. He has 20 years of experience in the health care field, has
held faculty positions at three medical schools and one major teaching
hospital and has worked as an independent consultant. Dr. Medio brings
additional strength to the MUSC leadership team. GME is an integral function
of our mission. Through improving our understanding of the GME program
and priorities, employees throughout the Medical Center can be better prepared
to support our mission. We are looking forward to working with Dr. Medio
and we plan to continue communication of GME initiatives as we move forward.
W. Stuart Smith, Interim Vice President for
Clinical Operations Interim CEO, MUSC Medical Center
Recognition: Relay for Life Award
- MUSC has been a participant and corporate sponsor of the American Cancer
Society’s Relay for Life for several years. In Relay for Life, teams from
many organizations throughout Charleston raise money through sponsorship,
bake sales and other events, then gather for a 12-hour relay. This year,
MUSC’s team raised more than $5,500 to fight cancer. At the June 9 communications
meeting, Relay for Life chairman Jay Sorrels presented MUSC with an award
in appreciation of its corporate sponsorship and the efforts of the team
Announcement: MUSC Hurricane Symposium
- Physical Plant, Safety and EMSstaff members, nurses, physicians and
any other interested Medical Center employees are invited to attend the
MUSC Hurricane Symposium on Friday, June 19, from 8 a.m. to 4 p.m. at Baruch
Auditorium. Speakers include: Ed Smolik, a nationally known facilities
engineer; Karen Weaver, R.N., M.A., MUSC Medical Center director of Surgery
and Women’s & Infants’ Services; Cathy Haynes, deputy director of the
Charleston County Emergency Preparedness Department; and Rob Fowler, NBC
Channel 2 meteorologist. This program on how to prepare for the 1998 storm
season is free, but registration is required. Call 792-2409 to register.
Teaching Residents How to Teach
- Franklin Medio, Ph.D., director of the Office of Graduate Medical Education,
spoke to the management team on the office’s development of the Core Curriculum
program for residents. The Core Curriculum is part of MUSC’s strategic
plan. It includes essential topics that cut across all medical and surgical
specialities, such as teaching skills, medical infomatics, ethics and continuous
- The first element of the Core Curriculum, a special course designed
to teach residents how to teach medical students and each other, has been
in place since January. Medio said there is a growing recognition among
medical schools of the importance of preparing residents to be effective
teachers. He said even those residents who have no plans to enter academic
life have teaching responsibilities during their residencies, and they
can benefit from programs that help them develop skills to integrate their
teaching and patient care responsibilities. To underscore the importance
of the course, Medio begins by pointing out to residents that even when
their actions are simply being watched by a medical student, they are teaching;
they cannot avoid being role models. Medio has worked with seven departments
so far and plans to reach all residency programs by the end of 1998.
- The teaching skills course addresses several key areas, including the
- Roles and responsibilities of residents. Medio said the “spoon feed
me” habit some learners have must be broken, and residents can help in
this process. The program also works to help residents become self-motivated,
- The learning curve. Students who are proficient at learning information
may not be immediately skillful at using medical instruments and putting
what they learn into action. This section helps resident learn how to be
effective at teaching these essential “psychomotor” skills.
- Principles of clinical learning. Here, residents learn how to find
time to teach, taking advantage of the many teaching opportunities during
a hectic day of patient care.
- The resident as team leader. Medio makes a point to remind residents
when they don’t have the answer to a problem or question, it can be turned
into a teaching opportunity by showing students how they go about finding
- Socratic teaching method. This shows residents how to question students
in a positive, dynamic way to help them learn rather than punish them for
not having an answer.
- Evaluation of clinical performance. This section deals with who should
evaluate whom and when that evaluation should take place. In other words,
faculty need to evaluate residents, and residents need to evaluate their
students, but students and residents also should have a chance to evaluate
their teachers in order to improve the curriculum.
- Handling the “difficult” individual. This section covers the problem
of what to do when an individual is not cooperative or motivated. For example,
a student may feel he has the right to pick and choose his curriculum based
on his particular interests and goals rather than satisfy the requirements
established for all students.
- Medio said the program, which formally recognizes residents as educators,
already has had an impact on the organization. Expectations of the residents’
roles are shifting and expanding, as is their authority. Medio said there
also is a demand for similar training to be made available for interested
faculty members, perhaps in the form of workshops on specific topics.
- The program also is reaching outside the walls of the university. Medio
and George Arana, M.D., associate dean for Graduate Medical Education,
presented MUSC’s Core Curriculum at the recent Association of Academic
Medical Centers’ Group on Residency Affairs meeting in March, and Medio
has been invited to participate in a special AAMC Graduate Medical Education
and Group on Educational Affairs Core Curriculum Working Group meeting
on June 24.
- Additional Core Curriculum elements:
- Managed care. Medio received a small grant from the Partnerships for
Quality Education group of the Pew Charitable Trusts Foundation. He is
working with Donald Fox, M.D., director of the Division of General Internal
Medicine and Geriatrics residency program, and Peter Carek, M.D., director
of the Department of Family Medicine residency program, to design a special
clinical education program for primary care residents. This program will
allow residents to spend time at offices of Palmetto Primary Care and Carolina
Family Care physicians to get real-world experience.
- Medicare compliance and regulations. Another Core Curriculum program
covers the real-world topic of recent changes in Medicare rules and regulations.
Group lectures from Health Care Financing Administration officials give
residents an update on the policies and procedures for complying with Medicare
billing. Working with MUSC’s compliance staff, Medio plans to design computer-based,
self-directed instructional materials so residents can keep up to date.
- Hospital communication. In the planning stages is a communication skills
training program for residents on how to effectively navigate the myriad
of information that is communicated throughout the hospital. It covers
both computerized information systems and plain old talking, boosting such
skills as how to best communicate with referring physicians. This program
is a recommendation of the MUSC Hospital Executive Committee Communication
Charting the Course - JCAHO Update
- Vivian Gettys, Joint Commission on Accreditation of Healthcare Organizations
program manager, announced a JCAHO steering committee has formed to plan
and put into place a course of action for maintaining the Medical Center’s
performance in meeting JCAHO standards.
- The interdisciplinary steering committee of 52 members is responsible
for ensuring the Medical Center fulfills JCAHO standards. Committee activities
- Ongoing evaluation of the Medical Center’s performance based on JCAHO
standards will be integrated into day-to-day operations.
- Development of action plans with a focus on making a positive impact
on patient care and services to improve patient outcomes.
- Ongoing review and revision of Medical Center policies and procedures.
- The committee is incorporated into MUSC’s Quality Network. It is composed
of three teams that report to a core group.
- The patient-focused team will address standards in the areas of patient
rights, assessment and care, patient education and continuum of care.
- The organizational-focused team will concentrate on the standards covering
performance improvement, leadership processes, human resources, environment
of care, information management and infection control.
- The leadership-focused team will work on standards dealing with governance,
management, medical staff issues and nursing leadership.
- Gettys added that the Medical Center is midpoint in the survey period
and could be chosen for a random, unannounced survey by the Joint Commission
during the first quarter of 1999. Specific areas that have been most troublesome
for accredited hospitals nationwide are targeted in this type of survey.
She said this underscores our need to be prepared at all times. The steering
committee will help us do that in an organized, planned way.