Dr. Joyner’s Blog: July

Welcome! We are excited that you are here to begin your new journey with us.

Many of you have traveled from around the country – and from around the world –  to be at the University of Washington School of Medicine. You are coming with eagerness to learn and wide-eyed curiosity about this next chapter in your life. It is an exciting time!

Although we have all faced challenges and uncertainty this year – the year of the COVID-19 pandemic – we want you to know that we are here for you. World-class faculty and staff are committed to teaching you and to helping you as you start your journey. We want you to gain all of the experiences and have all of the learning opportunities you need to do your work. We want you to feel that you are working in a learning environment that is safe, inclusive and equitable.

Our new GME mission statement embraces all that we want you to be as you develop your own sense of doctoring within our system:

To improve the health of the public by fostering the professional growth of physician-leaders within a supportive and dynamic culture of learning, building the foundation for a workforce that represents and enhances the communities we serve.

As in all learning environments, there will be uncertainty during your training, not only because of the unpredictability of COVID-19, but because you will be – and should be – learning new things about your chosen specialty. You will meet new colleagues and friends. You will encounter new interdisciplinary teams with whom you collaboratively will learn to take care of patients and, along the way, you will learn more about yourself.

Matriculating now into your new residency or fellowship program should be an adventure – even for those of you who are UW alumni returning as subspecialty fellows. Our top priority is to offer you the best clinical learning environment so that you can develop the skills, behaviors, and attitudes you will need to be successful, independent doctors.

You are one of the amazing high-caliber physicians-and dentists in-training that sets UW apart from other institutions. The new wave of nearly 500 residents and fellows joining us over the next 3 months only highlights this point. You represent an exceptionally diverse and exceedingly qualified class who will enrich each other’s lives and learning experiences.

Read more in the UW Medicine Welcome to our incoming class in The Huddle.

Who you are

Exceptional.

  • In total, you are 498 incoming housestaff, the largest incoming group on record
  • Your gender breakdown: 51% women and 49% men
  • You are pursuing 120 different specialties
  • 320 of you are first-year residents

In some, cases nearly 33% of all US medical school graduates going into your specialty applied to your UW program, and you are among the select few to be admitted to our very competitive programs.

Diverse.

  • Altogether, you were born in 47 different countries
  • 28% of you were born outside of the United States
  • 52 of you graduated from a medical school outside of the United States.
  • You span generations – you are GenZ’ers, Gen Y’ers, and Gen X’ers.

This is no accident. Diversity and inclusion are core values of UW Medicine and are affiliated training hospitals.

Qualified.

  • 122 of you have achieved other graduate degrees. To name a few, these include:
  • 39 PhDs
  • 50 Other Master Degrees
  • 5 MBAs

 

Where you are

Graduate Medical Education (GME).  GME programs sponsored by the UW School of Medicine are designed to train physicians with habits of life-long learning and mature ethical and professional approaches to their practice.

UW Medicine. Among nearly 900 institutions, UW SOM is the 5th largest in the number of programs accredited by the Accreditation Council for Graduate Medical Education (ACGME), and 8th largest in the number of trainees. The UW SOM offers over 120 residency and clinical fellowship programs and partners with the School of Dentistry to support 4 dental residency programs which are accredited by the Commission On Dental Accreditation (CODA).  The GME Office oversees more than 70 non-ACGME accredited fellowship programs, too!

For more information about our accredited programs, see the Residency and Clinical Fellowship Programs.

WWAMI. UW Medicine is by far the largest sponsor of GME programs in the five-state region known as WWAMI, which includes Washington, Wyoming, Alaska, Montana and Idaho (WWAMI). UW Medicine has a very important role in building a physician workforce capable of meeting the requirements of a rapidly-evolving healthcare environment for urban, rural and underserved areas in our region.

In addition to Seattle-based training, there are three distinct models for GME across the WWAMI region – Community Based–UW Affiliated, Regional Training Tracks, and Regional Resident Rotations.

Who we are

GME Leadership. We are responsible for the administrative oversight and academic quality of UW’s residency and clinical fellowship programs. Most importantly, we are here for you. We want you to feel safe in an environment where you can learn. The GME leaders listed below oversee an amazing and committed team that supports residents, fellows and programs in the UWSOM.

  • Byron Joyner, MD, MPA, Vice Dean for Graduate Medical Education and Designated Institutional Official
  • Jennifer Best, MD, Associate Dean, GME Education & Accreditation
  • Cindy Hamra, Assistant Dean GME Operations & Administration

Please contact any of us with questions, comments, or concerns.

Getting Started

For reference materials, useful forms, and information on the various benefits that are available to residents and fellows at UW, please see the Incoming Residents & Fellows and Current Residents & Fellows pages of this website. Many pertinent details surrounding your rights and responsibilities can be found in the Residency and Fellowship Position Appointment (RFPA) Agreement 2021-2022.

Wellness. Be on the lookout for The Wellness Corner, a monthly blog post from the GME Wellness Service containing information highlighting wellness activities and opportunities in Seattle and around Puget Sound. At this time, for your safety and the safety of the public, we are following Governor Jay Inslee’s Roadmap to Recovery phased reopening plan. We look forward to the time when you can hang up your white coat, get out of the hospital – and your home – and enjoy the life that indeed does exist outside of residency or fellowship training.

COVID-19 Culture. In the context of COVID-19, we must continue to be mindful and vigilant.  The UW will require faculty and other academic personnel, staff, student employees, and trainees to be vaccinated against COVID-19 by autumn quarter in order to work on our campuses or within our facilities. All of our hospitals require the 3 W’s: washing your hands, wearing your mask, and watching your distance.  Look out for each other and for yourselves. We are slowly recovering and will continue to do so as long as we work together!

I look forward to working with you on new initiatives and ideas that will address the challenges we now face head-on. And, for all the new and exciting things this academic year will certainly bring for you, the GME Office’s core priorities remain the same: that you receive the best possible education, achieve and maintain a healthy work-life balance, and make a real difference for the patients that you serve. Our most significant wins and defining achievements in GME have always been rooted in housestaff ideas and in their participation.

In order for me to best do my job, I need to, and would like to, hear from you – all of you. Your engagement is critical to ensuring that we have the best possible education program for you, as well as for the patients we serve.

Some of you chose to match with our programs without ever having been to our campus. COVID-19 did not allow us to conduct safe, in-person interviews last year but that will not stop us from ensuring that you have everything you need to become a successful part of our system.

It is my distinct pleasure to welcome all of you to the University of Washington. I look forward to working with you and to embrace the opportunities and challenges that await us in the 2021-2022 academic year.

Be well and stay healthy!

Byron D. Joyner, MD, MPA
Vice Dean and Designated Institutional Official (DIO)
Graduate Medical Education, UW Medicine

GME News & Notes: June

Dear GME Community,

First, welcome to the almost 500 residents and fellows who are joining us for 2021-22!  We also want to say congratulations and good luck to those graduating at the end of June and July.

Dr. Joyner and Dipti Chrastka and I really enjoyed meeting those of you who dropped by to pick up lunch on Thursday at Harborview Medical Center.  We’ll continue to host these GME Drop In sessions through the year and our next will be at UWMC in August.  More information to come!

The June/July academic year transition is always a very busy time of year in the GME world. This issue of GME News & Notes is packed with information – awards, publications, opportunities, new leadership and team members, etc.

Many thanks to those who reached out to me with information to share here.  Please continue to do so by sending to me at hamrac@uw.edu.

Cindy Hamra

Cindy Hamra
Assistant Dean of GME

People

2020-2021 GME Committee Transitions: Thank you to the following individuals for their service on our GME committees during AY21:

  • Graduate Medical Education Committee (GMEC): Robin Berger, Resident, Psychiatry & Behavioral Sciences; Hugo Carmona, Fellow, Pulmonary and Critical Care Medicine; Arjune Dhanekula, Resident, Thoracic Surgery- Integrated; Ekamjeet Dhillon, Resident, Orthopaedic Surgery; Ashley Eaves, Resident, Physical Medicine & Rehabilitation; James Fink, Program Director, Neuroradiology; Jon Ilgen, Faculty, Emergency Medicine; Katie Johnson, Fellow, Child Abuse Pediatrics; Natasha Kwendakwema, Resident, Internal Medicine; Kat McGhee, Program Administrator, Rheumatology; James Owens, Program Director, Child Neurology; Brandon Peplinski, Resident,  Internal Medicine; Katie Smolinski, Resident, Physical Medicine & Rehabilitation; Grace Wandell, Resident, Otolaryngology; Matthew Wise, Resident, Family Medicine; Athena Wong, Program Administrator, Psychiatry & Behavioral Sciences; Nicole Zern, Surgery
  • GME Position Allocation Committee (GMEPAC): Jorg Dziersk, Program Director, Cardiothoracic Anesthesiology; Bill Freeberg, Program Administrator, Radiology; Katie Nowlin, Program Administrator, Cardiothoracic Surgery
  • Clinical Learning Environment Review (CLER) Subcommittee: Lola Mudgistratova, Resident, Emergency Medicine
  • Policy Subcommittee: Sagar Chawla, Resident, Orthopaedic Surgery; Nick Freedman, Faculty, Physical Medicine & Rehabilitation; Giana O’Hara, Fellow, Geriatric Medicine; Brandon Peplinski, Resident, Internal Medicine

Publications, Awards, and Staffing Updates

  • Edward Briercheck, Fellow, Hematology, is senior author of “Low-cost transcriptional diagnostic to accurately categorize lymphomas in low- and middle-income countries” in Blood Advances.
  • Daniel Cabrera, Assistant Program Director, Internal Medicine Residency, received a grant to focus on skill development for responding to bias and mistreatment from the Alliance for Academic Internal Medicine, the American Board of Internal Medicine, the ABIM Foundation, the American College of Physicians and the Josiah Macy Jr. Foundation, which together have awarded a total of $287,500, split among 32 projects at medical schools and training programs.  More information is here.
  • Eric J. Chow, Fellow, Infectious Diseases, is author on the following:
  • Kevin Duan, Fellow, Pulmonary, Critical Care and Sleep Medicine, has been selected as a 2021 Doris Duke Physician Scientist Fellow. His research project: “Assessing the Value of Post-Discharge Home Oxygen After a COPD Exacerbation.”
  • Sherise Epstein, Resident, Otolaryngology, is a recipient of an AAO-HNSF Rande H. Lazar Health Services Research Grant. Dr. Epstein will be working with Dr. David Horn to evaluate special education outcomes among children with severe to profound hearing loss during her T32 research fellowship this year.
  • Olivia Frederiksen has joined the GME office as our Accreditation and Regulatory Specialist.  Olivia is taking on the monumental task of getting our Program Letters of Agreement in order and launching our PLA Generator.
  • Congratulations to the 2021 Department of Medicine Evans Award recipient Cody Gehring, Resident, Internal Medicine. This award is presented every year to one (or more) graduating medical student and 2nd year resident. The Evans award recognizes the special qualities of warmth, understanding, compassion and concern for the needs of others as exemplified by and expressed throughout the life of Dr. Robert S. Evans, who served as Chief of Medicine for many years at the Seattle VA Medical Center.
  • Courtney Gilliam, Fellow, Pediatric Hospital Medicine, published Grounded in Justice: An Equity Framework for Chief Residents in Academic Medicine
  • Fuki Hisama, Program Director, Medical Genetics & Genomics Residency and Associate Program Director, Combined Pediatrics & Medical Genetics/Genomics Residency, is co-author on the ACGME Milestones 2.0 for Medical Genetics.
  • Manny Jauregui, Resident, Otolaryngology, was first author of an article published in the December 2020 issue of Current Opinion in Otolaryngology & Head and Neck Surgery. The article, titled “Current management of type III and IV laryngotracheoesophageal clefts: the case for a revised cleft classification,” summarizes the pediatric laryngotracheoesophageal cleft (LTEC) literature and proposes a revised cleft classification system that more accurately reflects our current understanding of these anomalies.
  • Juliet Meggs has joined GME’s Learning Gateway team as a new instructional designer. She’ll be supporting (and helping us evolve) our learner-centered design process for asynchronous programs similar to Physician Well-Being and Bystander Intervention trainings.  Among her many qualifications, Juliet holds a masters in education, doctorate in counseling psychology, and has more than a decade of experience teaching online and in-person college courses.  She brings a creative and thoughtful approach to course design that builds a culture of community where everyone feels like they can participate meaningfully.
  • Kelly Ness, Fellow, Metabolism, Endocrinology and Nutrition, is the 2021 recipient of the Brunzell Award. Dr. Ness received the award for her research on the role of microglia in central regulation of blood glucose.
  • Susan K. Peterson, director of academic appointments and compensation at the University of Washington School of Medicine, is the 2021 recipient of the  John R. Pettit Endowed Leadership Award.  The Pettit Award is named after John Pettit, UW Medicine’s former associate vice president for business and legal affairs, a person known for his leadership, integrity and positivity — all characteristics shared by Susan.
  • Elisabeth Poorman, Fellow, Addiction Medicine, is author of “The Number Needed to Prescribe – What Would It Take to Expand Access to Buprenorphine?” in the New England Journal of Medicine.
  • Clare Richardson, Fellow, Pediatric Otolaryngology, was awarded the 1st Place William Potsic Basic Science award for her presentation, “Cross-sectional and Volumetric Assessment After Slide Tracheoplasty in 3D Printed Infant Tracheal Models,” at the American Society of Pediatric Otolaryngology (ASPO) Annual Meeting. Dr. Richardson was also elected to present at the “Sim Tank” event at the American Academy of Otolaryngology – Head & Neck Surgery Annual Meeting (Top 3 simulation submissions) for her project: “A 3D Printed Laryngeal Suturing Simulator for Endoscopic Laryngeal Cleft Repair.”
  • Nina Tan, resident, Internal Medicine, is co-author of “Faith-Based and Federal Government-Affiliated Training Sites for Primary Care: Implications for the Provision of Women’s Health Services” in the Journal of General Internal Medicine
  • Congratulations to our many PD and APD colleagues who were recognized as Seattle Magazine’s Top Doctors for 2021!
  • Congratulations to the new members of AOA UW Chapter: Anne Erickson, Resident, OB/GYN; Mackenzie Holmberg, Resident, Internal Medicine; Allison K. Ikeda, Resident, Otolaryngology-HNS; Molly Kelly, Resident, Internal Medicine; Neeraja Konuthula, Resident, Otolaryngology; Austin S. Lam, Resident, Otolaryngology; Vanessa Leonhard, Resident, Plastic Surgery; Suzanne Seo, Fellow, Pediatric Emergency Medicine; Christopher Sorensen, Resident, Internal Medicine; Jonathan Staloff, Resident, Family Medicine; Grace Wandell, Resident, Otolaryngology; Matt Wise, Resident, Family Medicine

Policies and Processes

  • COVID Vaccine Requirement: On June 2, UW President Ana Marie Cauce and Provost Mark Richards sent out notification that the UW will require faculty and other academic personnel, staff, student employees, and trainees to be vaccinated against COVID-19 by autumn quarter in order to work on our campuses or within our facilities.  This requirement does include medical and dental residents and fellows, most of whom have already received their vaccines.  We will share additional information as we have it.
  • Change to UW’s International Travel Restrictions: On June 3 the Provost approved revised rules for official UW international travel
  • USMLE to limit test attempts as of July 1, 2021: As of July 2, 2021 an examinee’s total number of allowable attempts will be reduced from six (6) attempts to four (4) attempts per Step exam, including incomplete attempts.  To learn more about this change, please review the FAQs on the USMLE website.

GME Policy Updates

The GMEC approved changes to several policies at the June Committee meeting.  Updated policies are on the Policies and Procedures page of the GME website.

  • Program Reduction and Closure Policy:  Reflects changes in the ACGME Institutional Requirements (IRs) effective July 2021.  Includes categories of program reductions and closures (voluntary, ACGME, training site, or Sponsoring Institution initiated) and actions taken by the UWSOM, program, and ACGME to continue to support resident and fellow training, education, salary and benefits.
  • Substantial Disruptions in Patient Care or Education Policy:  Previously known as Continuity of UW Graduate Medical Education and Administration in the Event of a Disaster Policy.  Reflects changes in the ACGME IRs effective July 2021, including changing term “disaster” to “substantial disruptions in patient care and education”.  Policy also revised to incorporate our institutional responses to disruptions in patient care and education over past year (COVID, SCH OR closures).
  • The following policies were approved on the Consent Agenda.  Changes to the policies are very minor, and/or edits only.
    • Policy and Procedure Policy: New ACGME institutional requirement addressing adherence to institutional GME policies
    • Appointment Policy, Credentialing Policy, DEA Registration Policy, Immunization Policy, Licensure Examination Policy, Medical Volunteer Activities Policy, Outside Work Policy, State Licensing Policy, and Telehealth Policy: Updated with new academic titles that take effect July 2021 (Fellow Non-ACGME and Fellow Non-ACGME Stipend)

Events of Interest

COVID Updates

  • We continue to update our guidance for residents/fellows and programs on the COVID-19 Updates page.

Progress, Activities and Resources

  • GME is excited to share our new Mission Statement: The mission of UW GME is to improve the health of the public by fostering the professional growth of physician-leaders within a supportive and dynamic culture of learning, building the foundation for a workforce that represents and enhances the communities we serve.
  • VAPS transition to Cerner: The VAPS EHR transition to Cerner is delayed, as is the training. We currently expect the transition to take effect in 2022 and will share more information when available.
  • Marriott Rooms for first responders: This initiative provides significantly discounted rates for first responders and health-care professionals at hotels near the hospitals where they’re working. Valid medical, government, military or relief organization ID is required for check-in.
  • Childcare resources:
    • Child care openings and tuition savings at KinderCare
      Plan now for care at KinderCare this fall. UW employees receive a 10% tuition discount and enrollment priority at select centers.
    • Backup child care is available to PEBB-eligible UW employees and UW students for when your regular care falls through. Eligible employees can access 10 days of in-center backup care annually through KinderCare, and 5 days of care annually through Bright Horizons that can be provided in-home (for adults or children) or in a local child care center. You must be registered before you request care, so plan ahead for Fall, and sign-up today!
    • In case you missed it, this recent article highlights UW resources to help your family plan for summer.

A Special Thank You to Our Graduating Residents and Fellows

Dear Graduating Residents and Fellows,

This year has been unusually challenging, with enormous loss of human life, social and economic disruption, and dramatic disparities in public health. You have completed your training amidst the crisis of a lifetime.

We want to thank each of you for your help during this past year and a half. Thank you for your commitment to learning and teaching. Thank you for trusting UW Medicine with your development.  In spite of the chaos and the unknown, we hope that your learning environment has been safe and your education, one that is memorable.

This time of the academic year is joyful and bittersweet, as we say goodbye to those completing training programs. We recognize that the University’s decision to prohibit UW-sanctioned in person graduation events is difficult as it limits your ability to celebrate your successes.  Some of you have been with us just a short time, some much longer. Thanks to each of you for your efforts in supporting the UW Medicine mission: “to improve the health of the public.”

Our hope is that you have become better physicians because of being here. Our community is certainly better for having had you with us. We are proud of you and look forward to the contributions you will make to the field of medicine as a representative of the University of Washington.

Congratulations and best of luck!

 

Byron Joyner, MD, MPA
Vice Dean for GME and DIO

Jennifer Best, MD
Associate Dean, Accreditation and Education

Cindy Hamra, JD
Assistant Dean, Operations and Administration

GME News & Notes: May

Our May News and Notes includes recent publications from members of the GME community, several program director changes, the new process for new rotation and PLA requests, new ACGME Survey resources, the AY22 GME event calendar, and open positions in the GME Office.

If you have feedback, and/or information or events that you would like us to include in future posts, please send them to me at hamrac@uw.edu.

Cindy Hamra

Cindy Hamra
Assistant Dean of GME

People

  • Katherine Bennett, Assistant Professor Gerontology and Geriatric Medicine and Program Director for the Geriatric Medicine fellowship, is one of the authors of the ACGME Geriatric Medicine Milestones.
  • Chase Cannon, Acting Instructor in Allergy and Infectious Diseases, is the recipient of the Sexually Transmitted Infections Cooperative Research Centers (STI CRC) 2021-2022 Developmental Research Project (DRP) award. Project title: “Predictive Value of Serologic Tests for Syphilis Diagnosis in Asymptomatic Persons with a History of Syphilis.”
  • Basak Coruh, Program Director for the Pulmonary and Critical Care Medicine Fellowship, will co-lead the UW Cystic Fibrosis Outpatient Integration program (UW CT OPTIN) which has been selected to receive funding from the Cystic Fibrosis Foundation.
  • Anisha Ganguly, Internal Medicine resident, is lead author of Race and satisfaction with pain management among patients with HIV receiving long-term opioid therapy in Drug and Alcohol Dependence.
  • Cindy Hamra, Assistant Dean for GME, is corresponding author of A Critical Reflection on the Experience of Non-Physician (“Public”) Members in Milestones 2.0 Work Groups in JGME.
  • Incho Lee, (former Director of Education for GME) and Jennifer Best, Associate Dean for GME, authored Call for Collaboration: The Role of Accreditation in the Transformation, Accountability, and Sustainability of Education in Social Determinants of Health published in JGME.
  • Marisa Osorio, Program Director for Pediatric Rehabilitation Medicine Fellowship, will begin a new role as Division Chief of Pediatric Rehabilitation Medicine at Seattle Children’s Hospital
  • Lindee Strizich, Director, GME Quality and Safety, has been invited to sit on a panel at the AAMC’s Integrating Quality Conference
  • Matthew Thau, Pulmonary and Critical Care Medicine fellow, was selected to receive an American Thoracic Society International Conference scholarship for his abstract “Serial Markers of Endothelial Dysfunction are associated with Acute Kidney Injury in a Population of Severe Trauma Patients.”

Policies and Processes

Program Information

  • The GMEC has approved the following new Program Director appointments.  All must be approved by the ACGME:
    • Andrew McCoy, Emergency Medical Services fellowship program, replacing Michael Sayre
    • Mark Kilgore, Anatomical and Clinical Pathology residency program, replacing Kelly Smith
  • The GME Accreditation team has revised the PLAs and Rotation Requests page to include the new process for new rotation and PLA requests.
  • To facilitate review of the Resident/Fellow and Faculty Survey reports, crosswalk documents listing the applicable Common Program Requirement(s) corresponding with each item on the survey reports are available on the ACGME website in the Common Resources section for each specialty, on the DIO page, and on the Surveys resource page, as well as in the Accreditation Data System (ADS) Help Center.

Events of Interest

COVID Updates

  • We continue to update our guidance for residents/fellows and programs on the COVID-19 Updates page.

Progress, Activities and Resources

  • ACGME Chief Diversity, Equity, and Inclusion Officer, William McDade, is featured on Black Men in White Coats podcast: “From The Southside of Chicago to Top Doctor! – Dr. William McDade”
  • UW Medicine is now accepting applications for a second round of Patients Are First Innovation Pilots. This program awards up to $50,000 in project funds to UW Medicine faculty and staff with an innovative idea to improve patient care or address issues in our care delivery process.
  • The Organization of Resident Representatives (ORR) is now accepting resident nominations for the Community Service Recognition Award. The purpose of the award is to foster a service ethic among resident physicians by recognizing those who have made contributions above and beyond the rigors of residency training to improve the local communities surrounding their training institution. The award includes funded registration to attend Learn Serve Lead 2021: The AAMC Annual Meeting, a virtual recognition award ceremony, and a contribution to a community non-profit. Learn More.  Submission deadline: May 31, 2021.
  • The GME Office is currently hiring for two roles:
  • The UW Housestaff Quality and Safety Committee (HQSC) is excited to announce the 2021 Gene Peterson Faculty Award nomination process.  This annual resident-nominated award is given to a faculty member who demonstrates commitment to resident learning in the areas of quality improvement and patient safety. Please nominate a deserving faculty member hereThe deadline is June 1, 2021.
  • Seattle Children’s Center for Diversity and Health Equity Releases Grant RFA: The Mentored Scholars grant has been expanded to include post-docs this year.