What Your Graduate Medical Education Program is Missing: How to Operationalize an Operations Curriculum (Education Committee and the ED Admin & Clinical Operations Committee Sponsored)
Emergency department (ED) Administration and ED Operations are components of the Model of the Clinical Practice of Emergency Medicine (EM Model) and include essential knowledge and skills necessary for the clinical practice of EM by board-certified emergency physicians. Additionally, the Accreditation Council for Graduate Medical Education (ACGME) requires residency programs to provide education and assess residents in the following areas of systems-based practice: patient safety, quality improvement, system navigation for patient-centered care, and physician role in health care systems. Despite this, resident experiences vary and there is no universally adopted educational approach for preparing EM residents for the administrative, operational, or leadership responsibilities they will face. A standardized operations curriculum is a significant benefit to residents, as all EM physicians face challenges such as patient flow, value-based care, and key quality measures in daily practice.
For the first part of the didactic, we will introduce the challenges and need for a structured operations curriculum. The bulk of the didactic will focus on sharing the perspectives of residency program directors and operational leaders that have successfully implemented operations curriculums through residency electives, interest tracks, resident-led quality reviews, longitudinal patient safety curricula, and other experiences. Panel moderators will pose questions that focus on (1) ACGME requirements and how an operations curriculum can help address milestones, (2) how to implement structured educational content, (3) mutual benefits of an operations curriculum (scholarly output, QI/QA projects, patient safety, fellowship preparedness), and (4) ongoing gaps in administrative and operations education.
Presenters:
- Jamie Aranda, MD
- Wendy W. Sun, MD
- Nancy Jacobson, MD
- Kathleen S. Williams, MD
- Giovanni Rodriguez, MD
- Joshua W. Joseph, MD, MS, MBE
- Brian Yun, MD, MBA, MPH
- Joshua J. Baugh, MD, MPP, MHCM
- Maegan Reynolds, MD
- Sarah Russell, MD
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Jamie Aranda, MD
Medical Director
Medical College of Wisconsin Affiliated Hospitals
Jamie Aranda is an assistant professor at the Medical College of Wisconsin (MCW) and a medical director for Froedtert Hospital Emergency Department in Milwaukee, WI. She is an instructor for the Health Executive Administrative Leadership Fellowship at MCW. She is also the System Director for Advanced Practice Providers in the Department of Emergency Medicine and the inaugural Medical Director for the Physician Associate Program. Areas of interest include clinical pathways, patient flow, and resident, fellow, APP, medical, and PA student education. -
Wendy W. Sun, MD
Yale University School of Medicine
Dr. Wendy W. Sun is an Administration Fellow and Instructor of Emergency Medicine at the Yale School of Medicine. She is passionate about patient quality and safety, physician wellness, and health innovation. Having served as a past President of the Society for Academic Emergency Medicine Residents and Medical Students (SAEM RAMS) and the Resident Member on the SAEM Board of Directors, she continues to be invested in the advancement of Emergency Medicine through research, mentorship, education, and advocacy.
Dr. Sun earned her undergraduate degree at Columbia University in Biomedical Engineering. She subsequently obtained her Doctor of Medicine from Virginia Commonwealth University School of Medicine where she was inducted into the Gold Humanism and Alpha Omega Alpha Honor Societies. Most recently, she completed Emergency Medicine residency at Yale - New Haven Health where she served as Chief Resident. She continues to further her education as a candidate of the MBA for Executives at the Yale School of Management. A Canadian from Toronto, she now resides in New Haven. -
Nancy Jacobson, MD
Medical College of Wisconsin Affiliated Hospitals
Nancy Jacobson received her Bachelor of Science degree in Biology at the University of Wisconsin-Madison in 2009 and her Doctor of Medicine at the Medical College of Wisconsin in 2014. She went on to complete an emergency medicine residency at the Medical College of Wisconsin, graduating in 2017. She splits her clinical practice between Froedtert Hospital and the Clement J. Zablocki VA Medical Center. She is committed to improving patient quality safety and experience in the Department of Emergency Medicine, as well as being dedicated to resident education and wellbeing. Since 2017, she has served as the faculty co-chair of the Medical College of Wisconsin Emergency Medicine Resident Wellness Committee, and has published on workplace motivators and operational factors supporting physician wellness. She currently serves and the Medical College of Wisconsin System Director for Quality, Safety, and Experience; a Froedtert Hospital Emergency Department Medical Director, and a course co-director for the Medical College of Wisconsin Quality Improvement and Patient Safety Pathway. She is Department of Emergency Medicine Core Faculty and involved in resident teaching. Her research interests include patient safety, diagnostic error, system of care, quality improvement, physician wellness, and qualitative research.
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Kathleen S. Williams, MD
Medical College of Wisconsin Affiliated Hospitals
Dr. Kathleen Williams is an assistant professor and residency program director in the Department of Emergency Medicine at the Medical College of Wisconsin. She received her Doctor of Medicine from Rush Medical College in Chicago, IL. She completed her residency training from the Medical College of Wisconsin.
She has served in a leadership role in the EM residency program since 2018. She has interest in GME curriculum development and design, character development in GME training, and use of novel methods for physician coaching and team based training in resuscitation leadership.
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Giovanni Rodriguez, MD
EM Resident
Harvard Medical School/Massachusetts General Hospital
Giovanni Rodriguez, MD, is a first-generation Mexican American who obtained her BS in biology at University of Wisconsin-Madison. Additionally, she obtained her medical degree from Indiana University School of Medicine. Dr. Rodriguez is a current chief emergency medicine resident at the Harvard Affiliated Emergency Medicine Residency at Mass General Hospital /Brigham and Women's Hospital. Her academic work primarily focuses on mitigating health disparities through education and operational leadership. She focuses on work primarily on safety discharging and ensuring access after ED discharge.
Dr. Rodriguez's SAEM experience includes, former AWAEM Newsletter Committee member and Resident Member for the AWAEM Executive Committee. Currently, Dr. Rodriguez serves as a RAMS Board Member-at-Large and RAMS Board liaison to the ED Administration and Clinical Operations Committee and All DEI Task force Committee.
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Joshua W. Joseph, MD, MS, MBE
Brigham & Womens Hospital/Harvard Medical School
Dr. Joshua W. Joseph is an Emergency Physician and Clinical Informaticist at Brigham and Women's Hospital and an assistant professor of Emergency Medicine at Harvard Medical School. I currently serve as the medical director for data analytics for the Mass General Brigham Emergency Medicine network. My research examines the intersection of patient throughput, clinical decision-making, and quality, through the lens of machine-learning techniques. This research encompasses how the decisions of individual physicians on-shift affect throughput in the department and hospital as a whole, and how physicians and nurses can help to mitigate structural inequalities in the delivery of care. -
Brian Yun, MD, MBA, MPH
Boston Medical Center
Brian J. Yun, MD, MBA, MPH serves as the Vice Chair of Clinical Affairs in the Department of Emergency Medicine at Boston Medical Center. In this role, he oversees the clinical operations and quality and patient safety programs of the emergency department, which cares for more than 130,000 patients each year. Prior to this role, he was the Director of Clinical Operations of the Massachusetts General Hospital’s Department of Emergency Medicine.
Dr. Yun graduated with a MD and MBA from Tufts University School of Medicine, where he was also named to the AOA Honor Society. He has an MPH in Clinical Effectiveness from the Harvard T.H. Chan School of Public Health. After finishing his residency in emergency medicine at the combined Brigham and Women’s Hospital and Massachusetts General Hospital Harvard Affiliated Emergency Medicine Residency, Dr. Yun completed an Emergency Department Administration Fellowship at Massachusetts General Hospital. -
Joshua J. Baugh, MD, MPP, MHCM
Harvard Medical School/Massachusetts General Hospital
Joshua Baugh MD, MPP, MHCM is the Medical Director for Hospital Emergency Preparedness at Massachusetts General Hospital, the Director of Clinical Operations for the MGH Emergency Department, and an Assistant Professor at Harvard Medical School. Dr. Baugh earned his MD at Harvard Medical School, his Masters in Public Policy at the Harvard Kennedy School of Government, and his Masters in Healthcare Management at the Harvard School of Public Health. After training in emergency medicine at UCLA, he completed dual fellowships in Emergency Medicine Administration and Disaster Medicine at MGH. He is board certified in emergency medicine and practices clinically in the MGH Emergency Department.
Dr. Baugh also conducts research in the areas of emergency department operations, physician burnout, and emergency preparedness, and has lectured regionally and nationally on these topics
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Maegan Reynolds, MD, LSSBB
The Ohio State University and Nationwide Children's Hospital
Dr. Maegan Reynolds is an Assistant Professor of Emergency Medicine and Pediatrics. She completed a Emergency Medicine Residency at Denver Health in Denver, CO and Pediatric Emergency Medicine Fellowship at Nationwide Children’s Hospital prior to joining the faculty at The Ohio State University in 2016. Dr. Reynolds continues to split her clinical time between OSU and NCH. Dr. Reynolds was the Director for the NCH Emergency Department Resident rotation for several years, prior to transitioning to the Director of Quality Improvement Education for the OSU Emergency Medicine Residency. Dr. Reynolds serves as the OSU Emergency Department Lead for Quality Improvement and Patient Safety and as the Lead for the Oncology Pod. Dr. Reynolds completed her Lean Six Sigma Black Belt Training through The Ohio State University Fisher School of Business and ongoing research interests include QIPS initiatives in the Emergency Department with a current focus on sepsis care, Oncology care pathways, quality improvement graduate medical education, pediatric emergency medicine education, and emergency department management of febrile infants. -
Sarah Russell, MD
Medical College of Wisconsin
Sarah Russell, MD is an emergency medicine resident at Medical College of Wisconsin (MCW). She obtained her medical degree from MCW. During medical school, she was a member of the quality improvement and patient safety pathway during which time she completed a quality improvement project aimed towards improving patient understanding of discharge instructions. Currently she is a member of the Administration/Operations resident track. At present, she is working on a project regarding procedural consent within the emergency department.