[The following appeared on Educate the Young, a blog started by Dr. David Mayer of MedStar Health to promote discussions of patient safety and transparency in health care.]
By David Meyer, MD
April 18, 2013
This coming Saturday, April 26th, the Committee of Interns and Residents (CIR) will be hosting its next QIIQ Conference titled, “How to be a Lead Agent of Change: From Bedside to Transformative Care“, in NYC. Rosemary Gibson, Carole Hemmelgarn, Shelly Dierking and I have the honor of joining leaders from CIR to help facilitate the all-day interactive session. While many faculty will be attending, the major focus of this educational meeting will be on the residents, both from CIR Hospitals as well as other GME programs, and aligns with the “Educating the Young” mission.
Excerpt reprinted from Wing of Zock.
By Sarah Sonies
May 15, 2014
Among New York State counties, the Bronx has some of the poorest health outcomes. National data show that the Bronx lags behind in areas such as childhood obesity, pediatric asthma, and overall pediatric health.
The commonality of these conditions and high rates of hospital readmissions led resident physicians of the Service Employees International Union (SEIU) Committee of Interns and Residents (CIR) to create the Healthy Bronx Initiative in order to address the underlying causes of pediatric obesity and pediatric asthma, two of the major public health concerns in the Bronx.
Part of the HBI featured a partnership between the CIR partnered and community members from the Mary Mitchell Center for the Family Health Challenge, which celebrated its third consecutive year this January.
Structured as an eight-week program for children ages 7-11, the challenge provides a curriculum focused on health behavior changes. Physician residents teach weekly interactive sessions on nutrition, exercise, and environmental health topics in after-school programs at the Mary Mitchell Center. The lessons include takeaways that the students and their families could incorporate into their daily routine each week.
“We were presented with an opportunity to work directly with community members to develop lifelong habits,” said Camille Rodriguez, a first-year pediatric resident at Jacobi Medical Center in the Bronx and a Family Health Challenge teacher. “In order to keep kids motivated and engaged, the lessons were simple. Like encouraging kids to select low-fat milk instead of whole milk, or do 30 minutes of daily exercise.”
Please click here to read the full article.
The following appeared on the blog Educate the Young, a blog started by Dr. David Mayer of MedStar Health to promote discussions of patient safety and transparency in health care.]
By Michael Kantrowitz, DO (Guest Author and Chief Resident, Maimonides Medical Center)
April 18, 2013
It seems that there are a growing number of residents out there who are.
This past weekend, the Committee of Interns and Residents (CIR) hosted an event called “What’s Your QI IQ? Resident Physicians as Quality Improvement Leaders” in New York City. The program was developed as a partnership between the CIR Policy and Education Initiative and the Healthcare Transformation Project of Cornell University.
The day kicked off with introductions by Dr. Svjetlana Lozo, an ob/gyn resident from Maimonides Medical Center in Brooklyn and Dr. Rick Gustave, an emergency medicine resident at Lincoln Hospital in the Bronx. They described the push towards improved quality, safety, and transparency in medical practice and the central role that residents are beginning to play in leading that charge. Next up was Dr. James Pelegano who is an assistant professor and director of the master’s program in healthcare quality and safety at the Jefferson School of Population Health. Dr. Pelegano discussed his own experience in quality improvement in practice as a neonatologist. He then led us in a root cause analysis exercise using the recent death of Rory Staunton, a pediatric patient who succumbed to sepsis as case example.
The Art of Medicine: A Physician-Patient Communication Conference Safe, quality patient care is dependent upon the relationship between health care providers and their patients. Good communication is essential, yet resident physicians typically receive little training. This pocket card details the 5-steps described by Dr. Auguste Fortin.
WHITE PAPER: Implementing the 2009 Institute of Medicine Recommendations on Resident Physician Work Hours, Supervision and Safety
Twenty-six of the nation’s leaders in medicine, health care, patient safety and research released a white paper today with recommendations for improving patient safety and residency training and well-being. The report, published by the journal Nature and Science of Sleep, called for sweeping changes in the design, supervision and financing of U.S. hospital residency care programs to protect patients from serious, preventable medical errors, and end dangerously long work hours for physicians in training. The authors suggest that all medical residents should work no more than 16 hours without sleep, and that Medicare physician training funds to hospitals should be tied to work-hour compliance.
Teaching hospitals and residency programs across the country are scrambling to implement the new ACGME resident work hours rules that will take effect on July 1, 2011. To help provide residents the tools to participate in discussions at their hospitals, CIR created a tool kit that draws on best practices from innovative programs that have fully redesigned their schedules.
Experience shows that when residents participate in schedule redesign, all residents benefit from shorter hours, better training and a safer work environment.
The Work Smart Toolkit is a comprehensive document detailing tips and resources for residency program redesign and case studies of innovative programs that have already made the successful transition.
» Download the Work Smart Toolkit