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APPD Virtual Cafe for Fellowship Program Directors
Jennifer Kesselheim
15:02
Feel free to direct chat comments/questions directly to me (Jennifer Kesselheim) and I will integrate them into the discussion.
Jill de Jong - Peds Heme-Onc, Univ of Chicago
16:20
could you display slides as a slide show, once we choose the topic to cover?
Sandrijn van Schaik
19:06
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
Karen Ratliff-Schaub
21:58
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.
Monica Koncicki - St. Chris, Philly, CCM
22:04
we also moved didactics onto zoom and partnered with another critical care program so we can have more didactics
Andrea Orsey
22:51
we moved didactics to zoom...so far it is working
Paula Vanderford
23:16
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
Angela Czaja
23:51
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
Allison Payne
25:21
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!
Dima Ezmigna
26:18
what program is this ? the neo?
Kathleen McGann
26:46
can someone send the link to the neo curriculum?
Jenny Duncan
26:47
I know programs using Microsoft Teams for some discussion based forums - like Journal clubs
Allison Payne
27:01
Neo curriculum: www.mededonthego.com
ebonachea
27:36
I"m the neo at Nationwide CHildrens/OSU amd Aliso is here too from Rainbow. Both of us are on the exec committee
Sharonda Alston Taylor
27:37
Are there any adolescent medicine programs on the call? We are delivering case conference and didactics online via zoom.
Allison Payne
27:38
On the site go to Pediatrics and we are the Neo Flip programs
Evan Shereck
28:25
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.
ebonachea
28:47
I echo evans comment, it creates a lot of normalcy
Jen Schuette
29:37
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!!
ebonachea
30:18
Elizabeth.bonachea@nationwidechildrens.org if anyone wants to chat about the nicu curriculum
Allison Payne
31:36
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
Divya Shakti
33:10
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.
Wayne Price
38:57
My understanding is that fellows can be redeployed and serve as attendings in their core specialty for up to 20 % of their time.
ebonachea
40:02
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)
Mahmoud Kallash
42:02
at nationwide childrens- nephrology program: faculty and fellows are both on the same phone/ video telehealth visit
ebonachea
42:08
yes I double checked "it must not exceed 20% of their time per week or 10 weeks of an academic program"
ebonachea
42:14
academic year
Evan Shereck
43:08
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.
Paul Grimm
43:20
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
Divya Shakti
44:20
Agree regd billing part of telehealth
Andrea Orsey
44:23
for the 20% as attendings, it is in core specialty I think (so as peditatricians if board certified) and not as subspecialist
ebonachea
44:53
correct Andrea
Jill de Jong - Peds Heme-Onc, Univ of Chicago
45:06
Hours working as an attending in core specialty still count toward the 80 hr work week.
Andrea Orsey
45:43
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.
Sharonda Alston Taylor
46:06
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.
Divya Shakti
46:11
Visa of fellow may have additional restrictions in working by fellows.
Jill de Jong - Peds Heme-Onc, Univ of Chicago
46:35
fellows are sad and disappointed about missing out on meetings that are canceled.
Jill de Jong - Peds Heme-Onc, Univ of Chicago
47:07
Although ASCO (American Society of Clinical Oncology) meeting will be virtual in early June and we have fellows who have had posters accepted.
Kathleen McGann
49:36
Has anyone heard when/if the ABP will be coming out with modifications in the work product requirement?
ebonachea
50:02
they said 10-14 days last week for more guidance on work product, grad requirements, and board exams
ebonachea
51:07
ABP has insisted that if PD thinks the trainee is competent to graduate
Angela Czaja
52:17
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
Becky Blankenburg
53:03
On the Residency Call yesterday, they discussed holding Zoom calls with incoming residents to help them understand the current landscape, housing, etc
Jill de Jong - Peds Heme-Onc, Univ of Chicago
54:39
We are planning a recorded zoom event for fellows and mentors that the graduates can then share with their famiilies.
Sharonda Alston Taylor
54:47
Our current fellows have taken on the role of introducing the new fellow to the area and logistics.
John Lin
58:31
We are planning on continuing both SOC and CCC meetings.
Mahmoud Kallash
59:00
all SOC meetings are
Mahmoud Kallash
59:19
via skype or zoom and going well so far
Angela Czaja
59:21
We are planning to have both CCC and SOC meetings
ebonachea
59:25
we are doing both on zoom
Divya Shakti
01:01:25
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.
Jill de Jong - Peds Heme-Onc, Univ of Chicago
01:04:26
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.
Evan Shereck
01:08:14
Yes. We already moved to 2 week rotations. Two weeks in hospital and 2 weeks working from home.
ebonachea
01:08:54
we have a contingency plan for pulsed schedules (1 week one week off)
Wayne Price
01:11:50
Thanks for hosting this!
John Lin
01:12:00
Thanks for doing these.
Katie McVety
01:12:03
Thank you!
Jerri Rose
01:12:10
Thanks for hosting this!