Katrina RRC

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the richest nation: 

the richest nation

Slide3: 

…an the unexpected happened

Slide4: 

SAFETY

. . . the aftermath : 

. . . the aftermath environmental hazards criminal element lack of infrastructure void in communication failed information technology population displacement destroyed/loss documents

…the response: 

…the response

RRC-Surgery: 

RRC-Surgery L D Britt (Chair) J David Richardson (Vice-Chair) Pat Clagett Eric Van Eaton (resident member) Josef Fischer Jerry Goldstone Donald Kaminski Letch Kline Patrick O’Leary Linda Reilly Bradley Rodgers Tom Whalen

RRC-Surgery: 

RRC-Surgery Doris Stoll (Executive Director) Frank Lewis (Ex Officio) Ajit Sachdeva (Ex Officio)

Independent initiatives: 

Independent initiatives Southeastern Surgical Congress (Sharp, Richardson,Cofer et al) numerous individual programs

Slide11: 

? + – …a delicate balance…

Slide12: 

junior residents being told by their Chiefs to disperse residents/faculty receiving limited info(if any) regarding program matters residents working at medical facilities without their institution’s knowledge dispersed faculty members Fact or Fiction?

Communication methods: 

Communication methods no land phones no fax machines erratic mobile phone communication inconsistent e-mail capability

Slide14: 

time on task graduation requirements certification requirements makeup of didactic work “education gap”

Slide15: 

Teaching Hospital JCAHO ACGME Medical Errors CMS/HIPAA Local “turf” batttles Nursing Shortages Uncompensated Care Medicare and Medicaid Cuts Medical Liability IME/DME Cuts Added Patient Expectations

RRC Oversight: 

RRC Oversight Optimal educational environment(with the necessary resources) for residency training

Slide19: 

Executive Committee of the RRC – Surgery Special Meeting

Slide20: 

Committee’s post-Katrina plan strategy developed ACGME approval site surveyors chosen Deans/PD’s notified dates confirmed on-site visits scheduled Action items

Decision: 

Decision Dispatch a senior team to visit the programs on a fact-finding mission

Site Surveyors: 

Site Surveyors Dr. Jay Grosfeld (former vice-chair RRC) Dr. Phillip Burns (immediate past member – RRC) Dr. Doris Stoll (Executive Director – RRC)

Slide23: 

Residency Review Committee Special Meeting( post-site visit) January 30, 2006

Slide24: 

CAUTION

“Two-hit” phenomenon: 

“Two-hit” phenomenon the devastation of the hurricane/flooding diminished appeal of the programs

Slide26: 

temporary resident transfers permanent resident transfers redoing transfers major program reorganization strategies establishment of new institutions for GME new faculty and administration flexibility items to address

Format of Analysis: 

Format of Analysis History/background Infrastructure Faculty/staff Resident complement Education curriculum Clinical volume Commentary/recommendations

Restructuring the education system: 

Restructuring the education system

Short cycle and a formal RRC site visit: 

Short cycle and a formal RRC site visit

Slide33: 

What could we have done better?

ACGME: 

ACGME 724 sponsoring institutions 7,800 accredited programs 99,000 residents 27 RRC’s for 26 core specialties and 115 subspecialties

RRC for Surgery Program Accreditation Statistics: 

RRC for Surgery Program Accreditation Statistics

Slide38: 

the next chapter?

? ? ? CHALLENGES ? ? : 

? ? ? CHALLENGES ? ? ? ? ? ?