Southern Illinois University Springfield, Illinois

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Southern Illinois UniversitySpringfield, Illinois
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Context

• University Medical School
• 2 Community Hospitals
• Practice Plan separate from hospitals
• Categorical, Preliminary, Med/Psych residencies
  and 4 fellowships (ID, Endo, Pulm, GI)
• Full time faculty number 60

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Pre-EIP Innovations

• Open access model for GIM division and resident
  clinics
• Residents assigned a specific cohort of patients
  with a single ambulatory mentor
• One of 22 programs in the Academic Chronic Care
  Collaborative

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• Developed resident competency demonstration tool
  utilizing a modified mini-cex format
• Resident led QI projects
• Residents as teachers curriculum
• Patient Safety Conference monthly

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SIU Main Areas of Focus

• Communication / Professionalism Curriculum
• Patient outcomes assessment
• Evaluation portfolio integration
• Quality Improvement
• Creation of a culture of patient safety and error
  reduction
• Resident centered learning paradigms

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Communication / Professionalism

• Improve transfers of care
• - incorporate report function into
• sign-in / sign-out rounds
• - Direct observation of handoffs
• Communication Curriculum (PGY 2)
• - Group sessions
• - Didactic curriculum
• - Standardized patient encounters
• - Empathy Sessions
• - Summative evaluation in PDL

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Patient Outcomes Assessment

• In-patient
• - hospital (JCAHO) initiatives
• Out-patient
• - Extending DM to all residents
• - Pilot another chronic illness

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Evaluation Portfolio

• Organized to create a single mean by level of
  training across 6 ACGME competencies
• 360 degrees
• Integration of patient outcome data
• Break free the chains of any commercial vendor
• Culture of safety assessment (program wide)
• Annual program evaluation
• Annual faculty evaluation

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Quality Improvement

• Extend expectation of resident involvement to
  divisional QI projects
• Continue resident led QI projects in DGIM

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Resident Centered Learning

• Weekly conference on every rotation around
  questions centered at the point of care
• Contraction of rotations
• Selection of tracks for PGY-3 year
• Flexibility for research months in PGY-2 year

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EIP Process

• Faculty Retreat
• EIP Planning Committee
• Four working groups
• Comm / Professionalism
• Inpatient QI
• Outpatient QI
• Evaluation
• Faculty / Residents Surveys

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• There is nothing more difficult to take in hand,
  more perilous to conduct, or more uncertain in
  its success, than to take the lead in the
  introduction of a new order of things.
• Niccolo Machiavelli (The Prince)