Transcription
Division of General Internal MedicineState of the DivisionSeptember 2014Wishwa N. Kapoor, MD, MPHChief, Division of General Internal Medicine
Overview A busy year; very active in innovations, educationand research—a lot has happened A difficult year; I promised to do 3 things: preservejobs, maintain compensation, advance careers– We have accomplished all threeThe Division is outstanding in everything it does—there is no other Division like it in the country!!!2Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Highlights Clinical––––Innovations: Population management implementedEnhanced Care Program developedShared shavings plan implemented and a successShadyside section integrated with GIM Education– Outstanding residency recruitment year– Chancellor's Affirmative Action Award: CEED– New CER/PCOR programs: ENACT, Methodology, PCOR K12 Research– New centers and programs– Faculty Recruitment– New grants funded: CDRN, K12, ENACT, R01’s, R21’s, others3Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Organizational Structure FY 2014Division of General Internal MedicineResidencyTraining inicalProgramsPrimary careHospitalistInst Pt/Doc ComWomen’s HealthPalliat. carePalliativecareK12 DegreeKL2/K12DegreesGeriatricsCSTPGlobal HealthWomen’s HlthCST/ResearchUnderservedGIMGIM ConsultCETPCTSI EvalProgramsCTSI EducPRoMHWomen’sHSRShadysideRUPHIOne yr dsHospitalMedicineLEAD programChronicDis TR
Division Leadership Wishwa N. Kapoor, MD Melissa McNeil, MD Michael Elnicki, MDRobert Arnold, MDFranziska Jovin, MDShanta Zimmer, MDKevin Kraemer, MDGary Fischer, MDAlda Maria Gonzaga, MDThomas Painter, MDThuy Bui, MDMichael Fine, MDDoris Rubio, PhDJoanne Riley, RN, MPMDeborah Simak, RN, MnedLynn RagoPatrick ReitzChief, Division of General Internal MedicineDirector, Center for Research on Health CareDirector, Institute for Clinical Research EducationAssociate Division Chief, General Internal MedicineDirector, Section of Women’s HealthDirector, Section of GIM, UPMC ShadysideDirector, Section of Palliative Care and Medical EthicsDirector, Section of Hospital MedicineDirector, Internal Medicine Residency TrainingDirector, GIM FellowshipMedical Director, GIM Practice–Oakland, Vice Chair, QualityDirector, Med-Peds Residency TrainingDirector, Medical Student ClerkshipsMedical Director, Health Care to the Underserved PopulationDirector, VA Center for Health Equity Research and PromotionDirector, CRHC Data Center; Co-Director, ICRESenior Division AdministratorDirector, Quality ImprovementAdministrator, CRHCAdministrator, ICREDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Center for Medical Education Research Director: Michael Elnicki Goals and Strategic Vision– Stimulate Scholarship in Medical Education– Provide mentoring– Create educational research infrastructure Support Educational Programs within ICRE– Develop a medical education program using online and distancelearning technology6Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Director, Section of Decision Sciences Amber Barnato, DirectorKen Smith, Co-DirectorJoyce Chang and Janel Hanmer lead methods innovationSDS plans to grow and strengthen city-wide collaborationsDescriptivedecision science(what people do)Normative decisionscience (whatpeople should do)Patient Causal inferenceDecision sciencemethodsHrQOL and utilityassessmentDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Officially launched September, 2014 jointly withGSPH Health Policy Institute (crmth.pitt.edu) Mission: investigate associations between media,technology, and health outcomes and to develop,implement, and evaluate related interventions Featured on Essential Pittsburgh (WESA)September 15, 2014 Director: Brian Primack gave TEDMED talkSeptember 11, 2014 as part of center launch Will be recruiting 2 junior faculty membersDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
TEDMED With their combination of boldness, insight, and bright lights, TED talks have long set the stage as the perfect outlet for speakers and performersto deliver memorable and meaningful messages. As an offshoot of this popular conference series, TEDMED convenes thinkers and doers whoare at the forefront of medical and health innovation. Among the diverse collection of speakers at TEDMED 2014 are two Pitt faculty memberswhose talks can be viewed via select livestream showings. Dr. Eleanor Bimla Schwarz will speak as part of the “Turn It Upside Down” sessionscheduled for 9 a.m. EST on Wednesday, September 10, and Dr. Brian Primack will present as part of the “Stealing Smart” session scheduledfor 8:30 a.m. EST on Thursday, September 11. Eleanor Bimla Schwarz, MD, associate professor of medicine, of epidemiology, and of obstetrics, gynecology, and reproductive sciences, haslong been committed to women’s health and well-being. Her research has focused on women’s reproductive health and access to contraceptionand preconception counseling, with a concentration on women internationally. She currently serves as senior medical expert in reproductivehealth for the U.S. Department of Veterans Affairs, as associate editor of Journal Watch Women’s Health, and as a member of the FDA'sAdvisory Committee for Reproductive Health Drugs. At TEDMED 2014, Dr. Schwarz will present on a natural, universally available, and freepreventative for heart disease and other maladies that’s been surprisingly overlooked by Western medicine. Brian Primack, MD, PhD, assistant vice chancellor for health and society, health sciences, and associate professor of medicine, of pediatrics,and of clinical and translational science, has explored how mass media and technology impact behavior and health, including both positive andnegative effects. He has also examined how media literacy education can improve adolescent lifestyle behaviors and how it, and otherinfluences, can reduce practices such as tobacco use, alcohol abuse, and risky sexual activity, among other behaviors. His research also looksat the growing popularity of water-pipe, or “hookah,” tobacco smoking. At TEDMED 2014, Dr. Primack will present on the existing and potentialfuture relationships between popular media products and human behavior and their effect on health.For more information on TEDMED 2014, visit the website.
Co-Directors: Walid Gellad (DGIM) and JulieDonohue (GSPH) Goals: To improve the quality, safety, and efficiencyof medication use and increase the University’svisibility in the area of pharmaceutical policy. Accomplishments (Year 1):– CP3 Post-Doctoral Fellow Jenny Lo-Ciganic, PhD to joinUniversity of Arizona School of Pharmacy as Tenure-TrackFaculty– Two high-profile events: William Shrank from CMMI (Oct2013) and Wendy Nilsen from NIH (April 2014)– Catalyst for funding, including from CDC/NIDA– Website development: www.cp3.pitt.eduDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Center for Women’s Health Researchand Innovation (CWHRI) Mission: to advance women’s health services researchand mentorship Current activities:– Director: Sonya Borrero, MD, MS– Currently comprises 14 faculty and 6 fellows/ post-docsacross numerous department and schools includingnursing, public health, psychiatry, ob/gyne, andpediatrics– Monthly research-in-progress sessions– Biannual presentations at the CRHC/RAND/VAseminars and the Monday women’s health seminarsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Clinical Programs 12Hospital MedicineAmbulatory CareInnovationsShared SavingsQualityDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Hospitalist service Full or part time hospitalists: 34 (29.4 FTEs)––––4.5 FTEs are academic hospitalists10.38 FTEs Nocturnists (PUH and PCI)14.5 FTEs Daylight HospitalistsAlmost all of the hospitalists are involved in teaching Teaching services–––––13Junior Hospitalist Rotation (12 months)Traditional Teaching (31 months)Consult service (12 months)Dedicated Night Teaching Attending (12 months)Procedure Service 24/7 coverageDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
We love our hospitalistsDivision of General Internal Medicine
Inpatient 1717847811797101892302004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014MontefioreShadysideDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Hospitalist Service – New Programs Post discharge follow up program Care coordination model: Franziska Jovin, KristianFeterik Observation unit - 7G Melissa Wotring GIANT Service: Mahesh Gajendran, ChandraUmapathy, Kishore Vipperla OMT Ortho-Medicine Co-management Service Patient Safety Collaborative: “Addressing IV Access” :Franziska Jovin, William Levin Resident Lead Program: Franziska Jovin, WilliamLevinDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Hospitalist Service – Academic achievementsScholarly ActivitiesPublications : 12 publications by the members of the group 2 National Meeting participationsAdditional Degrees: Kristian Feterik – MBA , Amherst University Mahesh Gajendran – MPH , University of Pittsburgh Anwar Dudekula- Masters in Clinical Research, University ofPittsburgh17Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Hospitalist Service – Hospital Committees Kristian FeterikeRecordMedical Records Committee Franziska JovinMedical Executive Committee ( President, Medical Staff)Risk Management Committee William LevinPatient safety collaborative Wesley ThackerHospital Ethics Committee,Anticoagulation Task Force18Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Patient Experiences Program Multidisciplinary: faculty, residents, nursing,hospital leadership, patient relations rep Program Highlights:– “Sacred 60”unit director rounds to include new question: “Is there anything that could have been done differently?– Patients First standing column in housestaff newsletter Informs housestaff about various initiatives and provides tips on howto improve patient experiences Recognizes housestaff and others who have gone “above andbeyond” for patients– End of the Day Check-In Team-led rounds at the end of the day focuses on patients’satisfaction with care received and understanding of care plan– Team Photo Cards Patient knows who their primary doctors are at every level of theteamDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Ambulatory Care ,34149,57140,000UPMC MontefioreUPMC ShadysideTurtle Creek PC (Med-Peds)30,000Palliative CareOtherTotal Ambulatory Visits20,00010,00002008200920102011201220132014
Stability inVisits, Panel Size, HT messages, New Patients210001900017000MD VisitsHT MessagesPanel15000130001100090007000New Patients Per QuarterDivision of General Internal MedicineCRHC, ICRE, CHERP, 115000
Access To Care - Oakland MyUPMC–––––10,619 with active accounts24,789 distinct message threads36,973 individual messages6,399 patients sending at least one messageMost messages are Requests for Medical AdviceDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Access to Care -- Shea My UPMC–––––25Messagingcritical forMeaningfulUse1,619 patients with active accounts2,549 message threads3,423 individual messages833 patients with at least one messageSharp increase in MyUPMC messaging at end of FY 14Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Challenging eyHCC/NotableCodesHEDIS26Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHCValueBasedPurchasing
Our Response – Continue to Support High Quality, HighValue Care Innovations for FY 14Firm Patient ConferenceHuddlesIncreased Nursing supportfor MD in FirmsDiabetes QI ProgramEnhanced Care ProgramClinical Psychologist– Dr. Lisa Galie Healy Shared Savings Program Telederm (will implement atSHEA) Shea – Submitting forMedical Home Certification27On Going Initiatives Care Team– Pharmacist MUH & SHEA– Diabetes Educator MUH &SHEA– Health Educator (now full time)– Social Worker MUH & SHEA– UPMC Practice Based CaseManager 1.5 MUH .5 SHEA Hypertension Program Quality focus MUH & SHEA– Prevention– Chronic Disease Management– Implementation of Firms atSHEA
Innovations: New Firm Structure/Care Management Huddles 4 Firms – 2 nurses, 1 secretary, 1 Floatsecretary More nurse support for patient outreach,follow-up from office visits, pre-visit planning Effort to close care gaps on every phone call Monthly firm huddle with UPMC PBCM,pharmacist, social work to discuss difficultpatient situations28Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Diabetes Project –Jaishree Hariharan, MD Pre-Visit Planning For Patients A1c 9––––Reminder of visitEncouraged to test prior to visit and bring in meterDiscuss gaps in careAdvice and counselling on self-management Meter Download Process Beginning Now Plans for Resident QI Project to (MUH and SHEA)– Improve eye exams– Improve foot examsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Enhanced Care Program – Dr. Jodi Bryk Patterned after “Ambulatory ICU” model Patient with Cave Score 3, multiple ED or hospital visits,multiple specialists, chaotic care Team––––––MD (Drs. Jodi Bryk, Thuy Bui, Anna Marie Lewarchik)Psychologist (Dr. Lisa Galie Healey)Psychiatrist – Mark MillerCare Manager – Jackie Cunnard, RNMedical Assistant /SWUPMC-HP community Based Mobile Teams Evaluation – Swati Schroff; Pamela Peele, Wishwa Kapoor Enrollment started July, 2014 Patients enrolled: 45Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Shared Savings Program – UPMC HP and GIM(Oakland and Shea) If Medical Expense Ratio (MER) 0.91, percentageof net gain goes to UPP-GIM Percentage depends on MER.– MER 86-91% -- 40% to GIM– MER 85-85.99% -- 50% to GIM– MER 85% -- 60% to GIM Must have 4 STARS on HEDIS measures or more Medicare, Medicaid, and Commercial assessedseparately Acuity adjustments (HCC) (Increase Revenue)Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Processes In Place for Shared Savings Decrease ED visits– Changes in nurse triagepractices– Focus on same day visits– “Call Us First” Campaign Outreach to high cost,high risk patients– UPMC HP Practice basedcare manager– Informal huddles with careteam– Coordination of care Decreaseredundant/unnecessaryspecialty consultation Improved HCC coding– HCC Sheets from PSD– Educational presentations atfaculty meetings– Reports from PSD Outreach to close HEDISgaps
Shared Savings Results Oakland/Shea (July – Dec 2013)Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Overall STAR Rating 4.8 (out of 5)UPMC-HP Medicare PopulationLipid Med AdherenceHTN Med AdherenceDM Med AdherenceHigh Risk MedsRheum Arthritis MgmtDM: Kidney MonitoringDM: Eye ExamGlaucoma TestingDM: Lipid ScreeningCVD: Lipid ScreeningColon Cancer ScreeningBreast Cancer ScreeningDM: ACE/ARBOsteoporosis Mgmt0%10%20%30%40%50%60%70%80%Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC90%100%
GIMO Recognition GIM excels in CMS STAR ratings:– Score 4 or 5, in 13 out of 14 Criteria– Overall score of 4.8 out of 5 maximum Recognitions:– GIMO sustains recognition as Level 3 PCMH– 13 MDs maintain national recognition for excellence indiabetes careDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
GIMO Compliance with Diabetes StandardsFacultyGIM Oakland Faculty DM Pts w/ Office VisitsEnding Sept' 1310097 96 98 9892 92 93 93Ending Dec' 13Ending Mar' 1493 93 92 9381 8180PercentagesEnding Jun' 14716784 8370 6976 74 75 746040200A1CLDLNephropathyEye ExamFoot ExamADA StandardsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHCBP 140/90
GIMO Compliance with Diabetes StandardsResidentsGIM Oakland Resident DM Pts w/ Office VisitsEnding Sept' 1310095 95 94 9386 84 8380PercentagesEnding Dec' 1390 88Ending Mar' 14Ending Jun' 1486 887865605146 45696365 645861654240200A1CLDLNephropathyEye ExamFoot ExamADA StandardsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHCBP 140/90
GIMO Compliance with Diabetes Standards: A1C 8Comparison of Faculty and Resident Patient A1c 8PercentageEnding Sept' 1310090807060504030201007171Ending Dec' 1372Ending Mar' 147263FacultyEnding Jun' 146460ResidentsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC58
GIMO: PreventionFacultyPercentage of Applicable Faculty Patients for Whom Service Complete(Documented)Ending Sept' 1310080 8280Ending Jun' 1496 97 97 9779 81 81 80747063566083 84 83 8280 80 80 8066584940302010Prevention StandardsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHCColorectalCholesterolPapMammoPnuFlu 65 0Flu 50-64PercentageEnding Mar' 1492 92 92 929050Ending Dec' 13
GIMO: PreventionResidentsPercentage of Applicable Resident Patients for Whom Service Complete(Documented)Ending Sept' 13Ending Dec' 13Ending Mar' 14Ending Jun' 141009083 84 857064604650676770 70 7155 57 55 535552 5354 5659 584639302010ColorectalDivision of General Internal MedicinePrevention StandardsCRHC,ICRE, CHERP, VAPHCCholesterolPapMammoPnuFlu 65 0Flu 50-64Percentage9378804089 91 91
GIMO Secondary PreventionGIM Oakland Secondary Prevention OverallEnding Sept' 13100Ending Mar' 148988 858280PercentagesEnding Dec' 1369 71 71 6970 71 69 69CAD Ptsw/LDL 100HTN Pts.wBP 140/90Ending Jun' 1484 86 84 8486 87 87 87ALL Pts wBP 140/90All Pts NonSmokers6040200CAD Pts w/LDLPast 12 Mo.Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
GIM Patient SatisfactionCare Provider (CP) l 75thPercentileCare Provider Overall96.295.095.5Friendliness/courtesy of CP97.697.096.9Explanations of problem/condition96.394.495.7Concern for questions/worries96.595.295.6Efforts to include in decisions96.394.895.4Information about medications95.893.895.0Instructions for follow-up care95.494.195.1Spoke using clear language97.596.696.6Time CP spent with patient95.494.994.8Patients' confidence in CP96.294.596.1Likelihood of recommending CP 95.794.1Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC95.8
QI for Residents in Ambulatory Care Systems based practice– DM – focus on eye and foot exam– Divide into teams Each month group decides on intervention for one of thefocus areas Both groups carry out both interventions Clinic staff involved in project teams Practice-based learning– Use of dashboards and reports Recognize systematic deficiencies Identify patients for outreach QI scholarly projectsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Opportunities in quality metrics Eye Exams Foot examsInterventions Implementing of camera from eye exams Resident QI projects Preventative planning Increased conversation in huddles Increased outreach on phonesDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Shadyside Quality improvement activities have accelerated In the process of applying for NCQA PCMHrecognition Part of shared savings The section became integrated with GIMO––––45More faculty from GIMO seeing patients at SheaHospitalists providing inpatient teaching at SheaJoint meeting at MontefioreStandardization of teaching and residency programDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Shea Redesign as PCMH: System changes Standards and processes:– Care management, self-management and medicationmanagement Datasets and registries Improving response times– Same day appointment slots– Physician response to e-messages, nurse calls and answeringservice calls QI projects:– Diabetes guidelines, immunizations, care of vulnerable pts Policies/procedures/protocols, community resource listsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Shea QI ImprovementsInitial results following process redesign as PCMH Turn around time results– 98% after-hours, answering service calls connected MD to pt 30 minutes– 100% patient calls to nurse answered same day– 99% patient calls needing MD intervention, answered by next businessday– 96% patient requests completed within 48 hours QI Results– Improved in Flu shot and Pnemovax rates, exceeding 90th percentile– Improved HbA1c rates and % HbA1c 9, LDL rates, and foot exam rates NCQA PCMH recognition/final score pending:– Began passing 1 of 6 Must Pass Elements; baseline score 38 out of 100– Currently passing all 6 Must Pass elements with score of 80 pointsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Shea Compliance with Diabetes StandardsFacultyShea DM Faculty Pts w/Office VisitsEnding Sept' 1310094 9697 9992 91 91 91Ending Dec' 1395 95Ending Mar' 14Ending Jun' 1492 93907980Percentages706469 6883 84 8377666470605044403020100A1CLDLNephropathyEye ExamFoot ExamADA StandardsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHCBP 140/90
Shea Compliance with Diabetes StandardsResidentsShea DM Resident Pts w/Office VisitsEnding Sept' 13100Ending Mar' 14Ending Jun' 1493 94 95 959082 84 82 81806870PercentagesEnding Dec' 137174 7260636654 52 5660504246 45 474940303020100A1CLDLNephropathyEye ExamFoot ExamADA StandardsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHCBP 140/90
Shea QI: PreventionFacultyFaculty Patients w/Office VisitsEnding Sept' 137870605964 6781 83 83 8381 83 82 8078 79 78 7760535040302010Prevention StandardsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHCColorectalCholesterolPnuFlu 65 0Flu 50-64Percentage80Ending Jun' 1496 98 96 9691 92 94 93Pap85 8690Ending Mar' 14Mammo100Ending Dec' 13
Shea QI: PreventionResidentResident Patients w/Office VisitsEnding Dec' 13Ending Mar' 14Ending Jun' 1491 92 93 9280 78 8262 647058 58 59 58636965 6655 54 54 56Prevention StandardsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHCColorectalCholesterolPap46Mammo38 4166Pnu51 51Flu 65 1009080706050403020100Flu 50-64PercentageEnding Sept' 13
Access We meet access audits of less than 72hours appointment 100% of the time! Telephone access: has been has beenexcellent Surveys show very high satisfaction withaccessDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
VA Pittsburgh General Medicine Leadership Dave MacPhersonBernie Good Jo-Anne SuffolettoRob BrooksEducation,Residency Program.Larry GerberErika Hoffman Missy McNeil Adam Gordon Scott HerrleRuth PreisnerVisala MulukAjay KhuranaGaetan SgroElif SonelDave ZielinskiActing Director, VAPHS; Chief Medical Officer, VISN4Co-Director, VA Center for Medication Safety; Chair, MedicalAdvisory Panel for Pharmacy Benefits Management, Dept of VA.Associate Chief of Staff for Education, VAPHSAssistant VP for General Medicine and MedicalVAPHS; Associate PD, UPMC IMSection Chief, Hospital Medicine VAPHSSection Chief, Outpatient General Medicine VAPHS; VA SiteDirector, Medicine Clerkship, UPSOM.Director, Women’s Health Program and VA Advanced Fellowshipin Women’s Health, VAPHSAdvisory Dean, UPSOM; Director, Advancing VA InterdisciplinaryAddiction Training, Research, and Scholarship Center, VAPHS.Course Director, Advanced Physical Examination, UPSOMDirector, Primary Care Procedure Clinic VAPHSMedical Director, IMPACT Clinic, VAPHSDirector, VA Urgent Care RotationFaculty Mentor, Chief Resident in Quality and Patient SafetyDirector, Primary Care Clinics, Aspinwall Division, VAPHSChair, Pharmacy and Therapeutics Committee, VAPHS
VA Section LeadershipDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Teaching Medical Student Teaching Residency– Leadership– Residency Match– Curricular changes and impact of EIP Fellowships Research Education—ICREDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Medical School Course Leaders: Preclinical years Intro to Being a Physician Advanced PhysicalExam– Shanta Zimmer Intro to Interviewing– Reed Van Deusen Intro to Physical Exam– Missy McNeil Ethics, Law,Professionalism– Missy McNeil Clinical Experience– Asher Tulsky56– Scott Herrle AdvancedInterviewing– Carla Spagnoletti Population Health– Greg Bump Mini Elective: MasterDiagnostician– Twee Bui– Missy McNeilDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Medical Student Course Leadership:Clinical YearsThird Year Adult Inpatient Medicine Tom Painter, Missy McNeil, Erika Hoffman, AnuMunshi (Brian Heist for FY15) Combined Ambulatory Med/Peds Clerkship Mike ElnickiDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Medical School Course Leadership: Clinical Years Fourth Year Internal Medicine AI– Tom Painter Women’s Health Elective– Missy McNeil Underserved Care– Twee Bui Substance Abuse– Adam Gordon Palliative Care– Rene Claxton Teaching to Teach– Missy McNeil Transitions Course– Rosanne Granieri58Division of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Medical StudentsCommittees Chair - Curriculum Committee– Chair and Vice Chair – Student Promotions– Missy McNeilAdvisor-Humanism Honor Society– Tom Painter, Missy McNeil, Mike ElnickiAdvisor - Student Honor Council, Student WellnessCommittee– Tom PainterMember-Third and Fourth Year Retention Committee– Tom Painter and Missy McNeilChair – Student Honors Committee– Rosanne GranieriMissy McNeil, Raquel Buranosky, Twee BuiAdvisor-Alpha Omega Alpha Honor Society–Frank Kroboth, Missy McNeilDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Other Leadership Director, Standardized Patient Program– Hollis Day Areas of Concentration– Underserved Care: Twee Bui– Women’s Health: Missy McNeil Director, Student Teaching Palliative Care– Rene Claxton Office of Medical Education– Third/Fourth Year Curriculum: Rosanne Granieri Clinical Scientist Training Program: AmberBarnatoDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Academy of Master Educators Executive Committee: Missy McNeil, Rosanne Granieri AME Membership Committee: Missy McNeil Faculty Development: Missy McNeil, Rosanne Granieri Robert Arnold, MDThuy Bui, MDPeter Bulova, MDRaquel Buranosky, MDHollis Day, MDMichael Elnicki, MDEric Anish, MDGreg Bump, MDAlda Gonzaga, MD, MS Frank Kroboth, MDMissy McNeil, MDThomas Painter, MDGary Tabas, MDAsher Tulsky, MDRoseanne Granieri, MDHarish Jasti, MD, MSCarla Spagnoletti, MD, MSPeggy Hasley, MD, MHSc
Medical Student Teaching Preclinical Years Clinical YearsCourse Precepting/Facilitation Intro to Being a Physician Intro to Interviewing Advanced Physical Exam Advanced Interviewing Ethics, Law andProfessionalism Medical Decision Making Reproductive Medicine Health, Illness and Behavior Preclinical Clerkship AIMC/AI62– 156 months HospitalistAttending– 48 Months StudentTeaching Attending CAMC– 60 Months PreceptingDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Medical Student Mentoring Assistant Dean For MedicalStudent Research: Molly Conroy Advisory Deans– Hollis Day– Adam Gordon Fast advisors Pre-residency advisors Scholarly Project advisorsDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
Residency TrainingLeadership of Residency Training ProgramsDirectorProgramShanta Zimmer, MDAlda Maria Gonzaga, MD, MSMelissa McNeil, MD, MPHRaquel Buranosky, MD, MPHThomas Grau, MDGary Tabas, MDAsher Tulsky, MDKathleen McTigue, MD, MPHThuy Bui, MDPeggy Hasley, MD, MSFranziska Jovin, MDPeter Bulova, MDRollin Wright, MD, MPHRobert Brooks, MD, PhDHaylee Shacklock, MHAProgram Director, IM Residency TrainingProgram Director, Medicine-Pediatrics ProgramTrack Director, Women’s Health TrackDirector, Education Innovations Project (EIP)Track Director, Categorical IM at UPMC ShadysideProgram Director, Transitional YearAPD, Evaluation and AdvisingTrack Director, Clinical Scientist TrackTrack Director, Global HealthAPD Ambulatory, Track Director, GeneralistDirector, Hospitalist PathwayTrack Director, International Scholars TrackTrack Director, GeriatricsAPD, VAMCAdministrative DirectorDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
It Takes a Village: Residency Core Faculty Anish, Eric, MDSHY Core Faculty, Sports Medicine Elective Arnold, Robert, MDMUH, Communication, Palliative Care Brooks, Robert, MD, PhDVAMC APD, Ambulatory Curriculum Bui, Thuy, MDMUH, Global Health Track Director Bulova, Peter, MDMUH, IS Track Director, Procedures, Disabilities Buranosky, Raquel, MD, MPHAPD, Curriculum, Education Innovation Project Bump, Gregory, MDMUH, Patient Safety, M&M, Transitions Corbelli, Jennifer, MD, MSMUH, Women’s Health, Metaanalysis Reitschuler-Cross, Eva, MDMUH, SEC Palliative Care, Fast Facts Childers, Julie, MD, MSMUH, LEAD-Humanities, Pain Management Day, Hollis, MD, MSMUH, Direct Observation, Physical Diagnosis Demoise, David, MDSHY, Shadyside Clinic Director Elnicki, Michael, MDSHY Core Faculty, Med Ed Research Fine, Michael, MD, MScDirector, LEAD Program Fischer, Gary, MDMUH, LEAD-QI/Patient Safety Friedman, Hilary, MDVAMC, Academic HospitalistDivision of General Internal MedicineCRHC, ICRE, CHERP, VAPHC
It Takes a Village: Residency Core Faculty Gerber, Lawrence, MDGonzaga, Alda, MD, MSGordon, Adam, MD, MPHGranieri, Rosanne, MDGrau, Thomas, MDJasti, Harish, MD, MSHariharan, Jaishree, MDHasley, Peggy, MD, MSHerrle, Scott, MD, MSHeist, Brian, MD, MSHoffman, Erika, MDJovin, Franziska, MDLevin, William, MDMalek, Siamak, MDMcNeil, Melissa, MD, MPHVAMC, Inpatient Medicine ServiceProgram Directo
across numerous department and schools including nursing, public health, psychiatry, ob/gyne, and pediatrics - Monthly research-in-progress sessions . - UPMC Practice Based Case Manager 1.5 MUH .5 SHEA Hypertension Program Quality focus MUH & SHEA - Prevention
