The First Decade
Plenary Sessions |
Interested in attending the 2013 Reynolds Grantee Meeting? Contact us to find out how.
Plenary Sessions
Introductions and Overview
Rani Snyder, MPA, Donald W. Reynolds Foundation
Rosanne M. Leipzig, MD, PhD, MSSM
Keynote Address – Health Care Reform and Geriatric Palliative Care: Be at the Table or Be on the Menu
Diane E. Meier, MD, is Director of the Center to Advance Palliative Care (CAPC), a national organization devoted to increasing the number and quality of palliative care programs in the United States. She is also Vice-chair for Public Policy and Professor of Geriatrics and Palliative Medicine; and Gaisman Professor of Medical Ethics at the Mount Sinai School of Medicine.
The Affordable Care Act and the enormous cost pressures on the U.S. health care system have focused attention of both payers and providers on effective safe mechanisms for helping seriously ill and complex patients remain safely in the community, avoiding costly and risky hospital and emergency department visits. This creates an unprecedented opportunity for (previously marginalized) geriatrics and palliative medicine specialists to lead in the development and implementation of proven models that both increase quality and reduce costs. Assuring that we step up to meet this opportunity is the biggest challenge facing our field.
Opportunities for Being at the Table
Diane E. Meier, MD, MSSM , and Nancy Lundebjerg, MPA, AGS
Engaging the Millennial Learner
Curtis L. Whitehair, MD, MedStar GUH and MedStar NRH
Dr. Whitehair is an Assistant Professor of Clinical Rehabilitation at the Georgetown University School of Medicine, and a faculty member of the Harvard Macy Institute Educators in Health Professions scholars program at Harvard Medical School.
There has been a lot written about the Digital Native, Digital Immigrant and Digital Wisdom or Literacy as it pertains to the learners of today. Most of this literature originated in the early 2000’s concerning how K-12 pedagogy would react to this new Digital Native. Much has been learned about them over the last decade, but these new learners are rapidly approaching medical school and residency training. This presentation will focus on understanding the today’s learner or generation so that educators can start to appreciate the impact this may have on their teaching style, pedagogy and curriculums of the future.
Are They Practicing What you are Preaching? (Part 1 and Part 2)
Eric S. Holmboe, MD, ABIM, and Kelly J. Caverzagie, MD, Nebraska
Dr. Holmboe is Chief Medical Officer and Senior Vice President of the American Board of Internal Medicine and the ABIM Foundation. His area of expertise lies in interventions to improve quality of care and methods to evaluate physician performance. Dr. Caverzagie is the Associate Vice-Chair for Quality and Physician Competence in the Department of Internal Medicine at the University of Nebraska Medical Center. He is actively engaged in many national activities regarding competency assessment for physician trainees.
Drs. Holmboe and Caverzagie will provide an update on the state of learner assessment in academic medicine. This will include a discussion of the narratives as a reporting mechanism for the Next Accreditation System, and will be followed by small group work to discuss what our competent learners’ should be doing/ what competence looks like.
Geriatrics Value Equation Advancements: Leadership by Junior Faculty
Jennie Chin Hansen, RN, MSN, FAAN
Ms. Hansen is the Chief Executive Officer of the American Geriatrics Society.
Wrap Up
Rosanne M. Leipzig, MD, PhD, Mount Sinai School of Medicine
Rani Snyder, MPA, Donald W. Reynolds Foundation
Award ceremony – three free 2013 AGS registrations to the 1st place winner, two free 2013 AGS registrations to the 2nd place winner, and one free 2013 AGS registration to the 3rd place winner of Product of the Year competition.
Faculty Development Sessions
Message Matters
Handout: Message Development Worksheet
John Beilenson, Strategic Communications & Planning
Whether you are writing an abstract, teaching a class, preparing a podium presentation, creating a poster, writing a Tweet or working with the media – creating a concise compelling message is a fundamental skill. This hands-on workshop will help you learn and practice the basics of how to create a powerful message and improve all of your short-form communications.
Advocacy
Diane E. Meier, MD, MSSM , and Nancy Lundebjerg, MPA, AGS
During this session, clinical and academic leaders will learn how they can and should participate in influencing health policy- through support of membership organization activities; cultivation of relationships with Congressional and Senate representatives and their staffs; and use of "public comment" opportunities in the regulatory and rule-making processes at CMS and other government agencies.
Transforming Existing Geriatrics Curricula Into Robust Interprofessional Experiences
Gary Blanchard, MD, Umass; Erika Oleson, DO, Umass; and Jeffrey Schlaudecker, MD, University of Cincinnati
This session will focus on curriculum development knowledge and skills for interprofessional education, focusing on the concepts of interprofessional team-based care. Participants will learn effective techniques on how to incorporate principles of interprofessional education and how to align interprofessional collaborative practice competencies into existing geriatrics educational initiatives for physician trainees. They will also discuss strategies for engaging other disciplines when enhancing existing medical student/resident educational initiatives and describe how to develop successful interprofessional curricula.
Use of Social Media in Graduate Medical Education
Curtis L. Whitehair, MD, MedStar GUH and MedStar NRH
Social Media has become one of the fastest areas of socialization worldwide. Education should begin to harness the power of social media to provide a learning environment that is desired by the learners of today. These new learners expect this technology, yet most involved in curriculum development are not well versed in Social Media and Digital Technology. Through this workshop, there will be an appreciation for how to meet the technological expectations of today’s learners. With this new understanding, curriculum developers will not fear the future and technology and will be able to develop tactics that will enhance and improve their current learning environment. This workshop will discuss the components of Social Media and give examples of how it is currently being used in GME today.
See One, Do One: Creating Geriatrics Competencies Assessments for UME / GME Learners
Lisa Granville, MD, Florida State; Hal H. Atkinson, MD, MS, FACP, Wake Forest; and Zaldy S. Tan, MD, MPH, UCLA
During this session, participants will have an opportunity to engage in the design and implementation of an assessment method for the geriatrics competencies at both the UME and GME levels using “Medication Management” competency domain as an example.
Utilizing the Electronic Medical Record to Enhance Geriatric Education
Kathryn E. Callahan, MD, Wake Forest; Franklin Watkins, MD, Wake Forest; Victor Hirth, MD, USC; Mamata Yanamadala, MBBS , Duke; Kathy Wiley, MD, MS, MUSC; and Patty Iverson, MA, MUSC
This session will focus on methods to integrate patient care templates, decision support tools, and best practice reminders into the Electronic Medical Record (EMR) of an academic medical center, thus supporting geriatrics competencies and assist in learner and provider performance assessment. Facilitators will discuss their experiences in implementation and address implications for tracking of geriatrics teaching, utilization of resources, and patient outcomes.
Write your own Medical Adventure: Infusing Critical Thinking into Medical Education Curriculum
Handout: Natural Language Question Activity
Handout: Mrs. Porter: A Critical Thinking Activity
Amit Shah, MD, FACP, UT Southwestern; Linh M. Nguyen, MD, UTH Houston; and Jennifer A. Larson, MSE, UTH Houston
This interactive session will highlight the importance of, the benefits to, and strategies that educators can incorporate to support student development of critical thinking and clinical reasoning.
Developing Longitudinal Geriatrics Programs for Medical Students
Aging and Integrated Medical Scholars (A Geriatric Scholars Track)
Kevin Craig, MD, Missouri; Lisa Royse, MEd, Missouri; Peggy Gray,BS, Missouri; and Edward Vandenberg, MD, Nebraska
During this session the participants will be given an overview of two successfully-run programs for medical students interested in additional experience with geriatric patients and physicians who care for the elderly. The participants will learn a variety of educational and leadership activities available to the students and be able to discuss some the challenges they are facing in implementing leadership and learning opportunities over the course of the four-year medical school curriculum.
Negotiation 101
Lisa Walke, MD, Yale, and Cynthia Brown, MD, MSPH, UAB
This session will provide insight on the art and science of negotiation. Through the use of a bargaining style assessment tool, presentations, and a negotiation exercise, participants will gain insight into their personal negotiation style and will learn the steps to become a more effective negotiator.
Conflict Management
Karen Sauvigne, MA, MSSM
During this session the participants will use the TKI self-report tool to understand their own tendencies in dealing with interpersonal conflict situations and explore five basic conflict-handling modes. The participants will expand their awareness of their own preferred style in dealing with interpersonal conflicts; learn about a range of ways to deal with conflict; recognize the conflict styles of others; learn to assess conflict situations; and practice using different conflict modes.
360 Assessment
Eric Holmboe, MD, ABIM
Participants will learn and discuss ways to implement and multi-rater feedback ( a 360 evaluation) and provide feedback to the learner.
What to Do about Social Media?
John Beilenson, Strategic Communications & Planning (SCP)
So-called new media seems to be all around us -- from blogs to Facebook, Twitter to LinkedIn, YouTube to Pinterest. While these platforms seem to offer opportunities for geriatrics professionals to communicate more broadly, they also require time and attention -- precious and limited resources for clinicians and junior and even mid- or late-career faculty. This workshop will provide a brief overview of the various types of social media and suggest concrete examples of how to use them to connect with broader policy, practice, and academic constituencies.
Building Learner Assessments for Your EPAs
Kelly J. Caverzagie, MD, Nebraska
Participants in this session will begin identifying potential assessment methods for the geriatric EPA's and their associated curricular competencies. Workshop activities will focus on helping educators identify specific assessments that can be applied to home institutions. The exercises in this session will build upon lessons learned and activities completed during the morning plenary session therefore attendance at this session is recommended.
Teaching Prognostication
Eric Widera, MD, UCSF, and Elizabeth Eckstrom, MD, MPH, Oregon Health & Science U
This case based, hands on session will review recent advances in utilizing prognostication to inform decision making, and offer tips on how to teach prognostication to students and residents. Come prepared to practice your teaching skills and have fun!
Public Medical Writing
Louise Aronson, MD, MFA, UCSF
From opinion articles or letters to the editor in newspapers to essays in medical or policy journals, physician's stories have the potential to inspire change and give a voice to society’s most vulnerable. This workshop will introduce participants to Public Medical Writing and how such narratives can be used to educate and advocate on behalf of older patients, geriatrics and geriatrics education.
Innovations in Learner Assessment
James Powers, MD, V, and Joshua C. Denny, MD, VU
During this session the participants will learn about the use of automated text analysis to derive competency-based learning from reflective narrative writing samples. The goal of the session is to engage the participants in the ongoing process of operationalizing and measuring competencies in medical education.
Applying Motivational Interviewing to Geriatric Medicine
Handout: Sample Manuscripts of Randomized Controlled Trials using Motivational Interviewing
Handout: Facilitating Behavior Change: Guidelines for Practitioners who Care for Older Adults
Lisa Gibbs, MD, UC Irvine; Carla Herman, MD, New Mexico; and Keri Oetzel, PhD, New Mexico
This workshop will demonstrate specific ways that Motivational Interviewing (MI) can be successfully utilized in the care of older adults. The workshop will provide a brief overview of MI, demonstrate specific take-home approaches that can be implemented into practice, and offer opportunities to participate in exercises that demonstrate the use of MI.
From Idea to Implementation: Moving your Educational Project from Brain to Bedside
Handout: Glassick Criteria
Handout: Workshop Lesson Plan
Timothy Farrell, MD, Utah; Deborah Simpson, PhD, MCW; Manuel Eskildsen, MD, MPH, Emory; Cherie Brunker, MD, Utah; Kathryn Denson, MD, MCW; Gary Blanchard, MD, UMass; and Kathryn Eubank, MD, UT Southwestern
During this session participants will be oriented to and apply a systematic framework for project design using Glassick’s criteria for assessing scholarship to help anticipate and overcome barriers early in the process of product development. This workshop is intended to analyze and apply a systematic process of moving from idea to product development/implementation and finally to dissemination consistent with the Glassick criteria for education as scholarship.
Reynolds Next Steps Grants: Improving the Ability of Physicians to Work with Other Health Disciplines
Gregg Warshaw, MD, Cincinnati; Peter Boling, MD, Virginia; Catherine Eberle, MD, Nebraska; Brenda Keller, MD, Nebraska; Jeff Schlaudecker, MD, Cincinnati; Mandi Sehgal, MD, Cincinnati; and Steve Zweig, MD, Missouri
This workshop will present details on developing new curriculum from four of the Interprofessional Reynolds Next Steps grant sites. The objective is to stimulate an inter-site discussion of innovative methods for improving the ability of physicians to work effectively in teams. At the end of this session participants will have learned about several new curricula developing within the Next Steps grant program and will have an opportunity to share related curricula ideas from their own institutions. The session will encourage networking and the sharing of ideas among Reynolds’ schools.
Using Standardized Patients and Collateral Informants (Part 1 and Part 2)
Handout: The Depressed Patient M2 ICE Small Group SP Scenario
Handout: Depression small group question
Handout: The Effective Use Of Collateral Source Informant
Handout: Depression in the Elderly
Handout: Reynolds Workshop: Using Standardized Patients and Collateral Informants in Geriatric Medical Education
Handout: Survey for SPReynolds Workshop
Handout: Depression in the Elderly & Use of Collateral Source
Jane Potter, MD, UNMC; Edward Vandenberg, MD, Nebraska; Lindsay Wilson, MD, UNC; and Anthony J. Caprio, MD, UNC
During this workshop, the facilitators will guide participants through the detailed, creative process that ensures a successful collaboration with Standardized Patients (SPs) and Collateral Informants (CIs). Strategies for training the SPs and CIs, including example scripts and guides, and illustrative video clips of simulated exercises will be provided for the participants to review. After learning about the creative process, the participants will have a chance to rotate as a group through an interactive SP-CI experience. Finally, the session will allow for collaboration among participants regarding other uses of the SP-CI method for various learners at their home institutions.
Chart Stimulated Recall: Strategies and Skills for Implementation Training
Handout: Directions for Administration and Assessment
Handout: Chart Stimulated Recall Checklist
Handout: Report of Evaluation
Pamela Basehore, EdD, UMDNJ; Steven Huege, MD, UPenn; and Stephen Scheinthal, DO, UMDNJ
This workshop session will provide a brief overview of performance based assessment and the use of chart stimulated recall (CSR) in assessing clinical reasoning skills in residency training. Participants will learn the steps used to develop and validate a CSR in geriatric psychiatry as a model for developing an instrument in their home institutions. The effective use of the instrument is an important component of the validation process. A demonstration of a CSR discussion will offer participants the opportunity to observe administration strategies for conducting the CSR discussion. Participants will then have the opportunity to practice and critique these skills during the mock role play CSR interactions, as well as participate in the scoring of the instrument through the use of an audience response system.
Promoting Scholarship Among Reynolds Geriatric Program Faculty
Michael Hosokawa, EdD, Missouri; Kimberly Hoffman, PhD, Missouri; Ellen Roberts, PhD, MPH, UNC
During this session the participants will learn about the current status of promotion and tenure and forms of scholarship; will identify and discuss opportunities to develop their current grant-supported ideas and activities as scholarship; learn of potential venues for presentation/publication of scholarly projects in geriatric care and education; and begin working on a geriatric education activity that can be developed as a research project, presentation or manuscript.
Developing Regional Reynolds Awardees Consortia
Hal Atkinson, MD, MS, Wake Forest; Lisa Gibbs, MD, UC Irvine; Jan Busby-Whitehead, MD, UNC; Mindy Fain, MD, Arizona; Mitchell Heflin, MD, MHS, Duke; Victor Hirth, MD, USC; Mark Supiano, MD, Utah
This workshop will describe the process by which the Gerolina and GeriWest consortia were formed. During small group and panel discussions, the participants will learn how Reynolds institutions in geographic proximity can form their own consortia to enhance educational exchanges as well as joint projects. We encourage representatives of schools in potential geographic locations for new consortia to attend and discuss the feasibility of collaborating with regional partners.
Platform Skills
David Reuben, MD, UCLA
During this interactive session the faculty will have the opportunity to practice their presentation skills and learn how to prepare and deliver effective, highly rated lectures.
Direct Faculty Observations of Student Performance
Handout: Rater Assessment Form
Handout: Framework: Information Gathering History
Handout: Performance Dimension Training Exercise: Information Transfer
Handout: Performance Dimension Training Exercise: Information Gathering
Eric Holmboe, MD, ABIM; Anne Fabiny, MD, Harvard; and Donna Rosenstiel, LCSW, VU
During this session, participants will observe a a video of a student conducting a clinical assessment, rate the student's performance using a newly developed assessment tool, and discuss their rating in terms of factors that influenced their observations and ratings of trainees in clinical encounters.
Concurrent Problem-Solving Sessions
Junior through Seasoned
Small Group Problem-Solving
David Reuben, MD, UCLA, will provide an introduction to the Concurrent Problem-Solving Sessions.
During this session you will discuss and help each other to solve current problems that you may be facing. Although your problems may appear unique, most have been encountered by other faculty who can provide insights and advice based on their own experiences with similar problems. This will be done in small group sessions of 6 to 8 people during which each person will describe one problem in 3-5 minutes and the group will discuss the problem for about 10-12 minutes before moving to the next person’s problem.
Reynolds PIs
Framing the Conversation about Geriatrics
John Beilenson, Strategic Communications & Planning
For 30 years or more, the field of geriatrics has “predicted” the aging of the Boomer generation and the health care and cost challenges this cohort will bring. With 10,000 people turning 65 every day, the Boomers are here, federal policy debates are front and center, and the media pays closer attention every day. So why hasn’t geriatrics gotten its due? How do we talk about the field in ways that engage thought leaders outside our field and influence (even drive) the public debate. This roundtable discussion for Reynolds PIs is to discuss the ongoing challenges of infusing geriatrics into the discussion as well as possible approaches to framing geriatrics more effectively, managing the conversation, and starting to win the hearts and minds of Americans of all ages.
Coordinators
Tips & Techniques: Coordination of a Program and Communication Skills
Yolanda Pitts, MEd, CHES, UNTHSC; Channing Ford, MPA, MA, UAB; TaKrisha Graham, MBA, UT Southwestern; and Jennifer Larson, MSE, UTMSH
During these two sessions, coordinators will learn tips and techniques that will help them improve their skill in running an effective and efficient program; and examine how incorporating critical communication strategies can improve faculty buy-in for new and existing educational initiatives.