PEDIATRIC NEPHROLOGY FELLOWSHIP DIRECTORS

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PEDIATRIC NEPHROLOGY FELLOWSHIP DIRECTORS

• Dr. Ed Zalneraitis
• April 11, 2008

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EXPERIENCE

• Pediatric Neurologist
• Pediatric Residency Program Director
• Chair, Fellowship Committee
• Past- President APPD
• PD Committee ABP
• Chair, Northeast Pediatric Program Directors

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GOALS

• Elements of fellowship requirements
• Common problem areas
• Strategies for improvement

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OBJECTIVES

• Who makes the rules
• Where and what are the rules
• What are the common problems
• How can we overcome them
• Beyond the minimum

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FORMAT

• Interactive
• Information and discussion two-way
• We are all learners
• We are all experts

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IN THE BEGINNING

• Motivated faculty
• Patients
• Ongoing research

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ACCREDITATION

• ACGME
• Institutional Requirements
• Pediatric RRC
• Common requirements
• Pediatric subspecialty requirements
• Pediatric Nephrology requirements

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KNOW WHAT YOU NEED

• Check the requirements (they are being revised)
• Check PIF
• Consult with core PD or other collaboration
  leader
• Phone a friend

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CERTIFICATION

• ABP subboard for Pediatric Nephrology
• Core certificate once
• MOC Pediatric Nephrology
• SOC meaningful scholarly product
• Matched by accreditation

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COMMON PROBLEM AREAS

• Final fellow evaluation without direct
  supervision
• Scholarly activities faculty and residents
• Curricular Development general, research
• Evaluation of the program surveys and minutes
• PBLI No ILP, QI passive, teaching skills

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COMMON PROBLEM AREAS

• Patient care experience lacking sufficient
  population
• SBP
• administration of a program
• systems errors
• Qualifications of the faculty
• current ABP certified
• Ongoing scholarship

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COMMON PROBLEM AREAS

• Responsibilities of PD
• Documentation of experience
• PIF incomplete
• PIF inaccurate
• PIF inconsistent data
• Institutional support
• Internal review
• Facilities or working environment

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COLLABORATION

• Core program director leads or other
  institutional plan
• Meet twice yearly
• Document meetings

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PORTFOLIOS

• A file plus
• Documentation
• Structured
• Fellows partially own

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TEACHING

• Didactic
• Experiential
• Combined with evaluation and/or documentation

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EVALUATION

• Program by fellows and faculty
• Annual faculty meetings
• Document how evaluations change
• Faculty by fellows
• Fellows by faculty and multi-source

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EVALUATION TOOLS

• Direct observation checklists
• Multi-Source
• Patients and families
• Non-physician e.g. nurse
• Procedural logs with check lists
• Evaluation of CAT, SBP project, QI
• Document and evaluate teaching

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FACULTY DEVELOPMENT

• List what you have done
• Formal training
• Get institutional help
• On line

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CURRICULUM DEVELOPMENT

• Required to document
• APA web site has exercise
• Complete and save

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LETS LOOK

• On line guided tour