Feel free to direct chat comments/questions directly to me (Jennifer Kesselheim) and I will integrate them into the discussion.

could you display slides as a slide show, once we choose the topic to cover?

I think this is a great time to force the issue of competency based learning and assessment versus number of cases/procedures and time in fellowship

In Developmental Behavioral Pediatrics we've been able to convert many clinical experiences for the fellows into virtual visits. We have had to figure out the supervision for that.

we also moved didactics onto zoom and partnered with another critical care program so we can have more didactics

we moved didactics to zoom...so far it is working

We have reduced the number of conferences to reduce burden, but kept essential ones. We have found that they are enjoying seeing each other online, some structure, and some normality

we moved to our case conference and didactic to zoom as well, which has worked well. I offered extra educational sessions to allow for more "connection" during this time - there was some interest so we're going to try for every 1-2 weeks

Neonatology has been working on a national curriculum for a couple years using a flipped classroom method and peer review process prior to publication. The neo organization also has a living document where people are sharing web conferences they are open to other program’s fellows joining. Hi Liz!

what program is this ? the neo?

can someone send the link to the neo curriculum?

I know programs using Microsoft Teams for some discussion based forums - like Journal clubs

Neo curriculum: www.mededonthego.com

I"m the neo at Nationwide CHildrens/OSU amd Aliso is here too from Rainbow. Both of us are on the exec committee

Are there any adolescent medicine programs on the call? We are delivering case conference and didactics online via zoom.

On the site go to Pediatrics and we are the Neo Flip programs

My fellows are really enjoying our zoom/webex didactics. They are really close with each other and it is hard to be separated right now.

I echo evans comment, it creates a lot of normalcy

Mine are too! They are thrilled to have it, actually. We have kept things going essentially the same as usual as far as didactics go--the education calendar just comes out with zoom links now. And more faculty participation than ever!!

Elizabeth.bonachea@nationwidechildrens.org if anyone wants to chat about the nicu curriculum

My fellows also seem to be enjoying the web conferences, generally have a social checkin and swapping parenting tips. Using WhatsApp for rapid communication and socializing. We have also started using a Slack workspace to organize education opportunities, boards questions, ideas, questions, etc

We have had the biggest faculty participation in our Journal club with the webex option. Some faculty are hesitant to use virtual platform likely due to unfamiliarity.

My understanding is that fellows can be redeployed and serve as attendings in their core specialty for up to 20 % of their time.

yes acgme permits fellows to work as attendings up to 20% of their total effort (per year if I'm not mistaken, so they can't do all of the next three months for example)

at nationwide childrens- nephrology program: faculty and fellows are both on the same phone/ video telehealth visit

yes I double checked "it must not exceed 20% of their time per week or 10 weeks of an academic program"

academic year

Our fellows check in with their preceptor and they decide together if the attending needs to be on the call too. Fellows are no longer coming in for continuity clinic. They are only doing virtual visits.

there is a difference between supervision and billing rules. To bill for telehealth we are told we need to be present either personally or virtually for the entire time that YOU BILL FOR

Agree regd billing part of telehealth

for the 20% as attendings, it is in core specialty I think (so as peditatricians if board certified) and not as subspecialist

correct Andrea

Hours working as an attending in core specialty still count toward the 80 hr work week.

it is by specialty but if your institution moves to stage 2 of the ACGME pandemic stages, it is included for all fellows I think.

correct, core specialty. Though there’s some movement towards deciding competency of senior fellows in case they are needed to be pulled forward as subspecialty faculty if needed. They will need emergency privileges.

Visa of fellow may have additional restrictions in working by fellows.

fellows are sad and disappointed about missing out on meetings that are canceled.

Although ASCO (American Society of Clinical Oncology) meeting will be virtual in early June and we have fellows who have had posters accepted.

Has anyone heard when/if the ABP will be coming out with modifications in the work product requirement?

they said 10-14 days last week for more guidance on work product, grad requirements, and board exams

ABP has insisted that if PD thinks the trainee is competent to graduate

we've had more concerns with incoming fellows related to housing, making sure requirements will be met for residency graduation, etc; the outgoing fellows are fairly set

On the Residency Call yesterday, they discussed holding Zoom calls with incoming residents to help them understand the current landscape, housing, etc

We are planning a recorded zoom event for fellows and mentors that the graduates can then share with their famiilies.

Our current fellows have taken on the role of introducing the new fellow to the area and logistics.

We are planning on continuing both SOC and CCC meetings.

all SOC meetings are

via skype or zoom and going well so far

We are planning to have both CCC and SOC meetings

we are doing both on zoom

is there any guidelines from APPD/ACGME etc reg keeping fellows protected from exposure to covid? Or just institutional/GME policies that we should use.

I have been trying to implement mindfulness techniques to stay calm. And our Faculty advisory committee has provided daily zoom sessions about wellness. Trying to encourage fellows to take time for themselves, and to share what they are doing on their personal time for wellness.

Yes. We already moved to 2 week rotations. Two weeks in hospital and 2 weeks working from home.

we have a contingency plan for pulsed schedules (1 week one week off)

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