1. No category

Med-Peds
Residency Training
An Equal Opportunity University
An Equal Opportunity University
UK
MedPeds
is
GREAT!!!
An Equal Opportunity University
Goal of Training
Prepare residents to be knowledgeable and
compassionate physicians in their future practice:
– Adult and pediatric primary care
– Adult/pediatric subspecialty care
– Academic medicine
An Equal Opportunity University
FACULTY AND LEADERSHIP
An Equal Opportunity University
Med-Peds Residency Program
• Curtis Cary, MD, FAAP, FACP
– MedPeds Program Director
– MedPeds Group Continuity Clinic Director
• John Stewart, MD
– MedPeds Associate Program Director
– Polk Dalton Continuity Clinic Director
An Equal Opportunity University
• Chris Feddock, MD, FAAP, FACP
– MedPeds Associate Program Director
– Assistant Dean of Curriculum
– Former MedPeds PD for 5 years
Med-Peds Chief Residents
Amanda Foxx, MD
An Equal Opportunity University
Justin Purdy, MD
Internal Medicine Leadership
• Chairman: David Moliterno, MD
• Program Director: Kristy Deep, MD, MA
• Associate Program Directors:
– Jackie Gibson, MD
– Laura Fanucchi, MD, MPH
– John Ragsdale, MD, MS (MedPeds Trained)
• VA Educational Site Director: Sean Lockwood, MD
• Education Specialist: Rachelle Aker
An Equal Opportunity University
Pediatrics Leadership
•
•
•
•
•
Chairman: Carmel Wallace, MD
Program Director: Jenna Ross, MD (MedPeds Trained)
Associate Program Director: Lindsey Ragsdale, MD
Program Coordinator: Michael Fralix
Residency Staff Support: Jim Duncan
An Equal Opportunity University
Med-Peds Continuity Clinic Attendings
• Curtis Cary, MD
– Pediatric Wards
– Polk Dalton Clinic
– HIV Medicine
– HIV Education
– Children’s Twilight Clinic
• John Stewart, MD
– Polk Dalton Clinic
An Equal Opportunity University
• Chris Feddock, MD
– Salvation Army Clinic
• Chipper Griffith, MD, MSPH
– Salvation Army Clinic
Med-Peds Hospitalist Faculty
Internal Medicine Services
•
•
•
Chandler Hospitalists
– Paula Bailey, MD
– T.J. Lile, MD
– John Ragsdale, MD, MS
– John Romond, MD
– Alan Hall, MD
Good Samaritan Hospitalists
– Zack Roy, MD
– John Romond, MD
VA Hospitalists
– Mary Duke, MD
– Mike McCoy, MD
An Equal Opportunity University
Pediatrics Service
• Kentucky Children’s Hospital
– Curtis Cary, MD
– T. J. Lile, MD
– Alan Hall, MD
Med-Peds Subspecialty Faculty
• Mike Anstead, MD
– Adult and Pediatric Pulmonary
• Hubie Ballard, MD
– Neonatology
• Deb Flomenhoft, MD
– Adult Gastroenterology
• Brian Murphy, MD
– Adult and Pediatric Infectious Diseases
• Donna Stanton, MD
– General Pediatrics
• Michael Young, MD
– Adult Infectious Disease
An Equal Opportunity University
•
Jenna Ross
–
•
Jackson Smith, MD
–
•
Adult Gastroenterology
Nicole Leedy, MD
–
•
Pediatric Cardiology
Joe Auer, MD
–
•
Adult and Pediatric Endocrinology
Doug Schneider, MD
–
•
General Pediatrics
Adult Infectious Diseases
Scottie Day, MD
–
PICU
Community Med-Peds Faculty
•
•
•
•
Fayette County
– Amanda Smith, MD
Clark County
– Larry Ertel, MD
Harrison & Nicholas County
– Stephen Besson, MD
– Andy Usery, MD
Scott County
– Andrew Balbaugh, MD
– Joel Knight, MD
– Erin Johnson, MD
An Equal Opportunity University
Med-Peds in Leadership Positions
•
•
•
•
Mary Duke, MD
– Med-Peds Program Directors Association, President, 1997
– UK Med-Peds Program Director 1995-2005
– Lexington VAMC Chief of Medicine
– Former ACP Governor
Christopher Feddock, MD, MS
– Med-Peds Program Director 2005 - 2010
– Assistant Dean for Curriculum
Chipper Griffith, MD, MSPH
– Senior Associate Dean for Medical Education
Angela Dearinger, MD, MPH
– Lexington VAMC Associate Chief of Staff for Education
An Equal Opportunity University
Categorical
Programs
An Equal Opportunity University
Internal Medicine &
Pediatrics Housestaff
Residency Programs
Number per Year
Med-Peds
6
Internal Medicine
• Categorical
• Primary Care
• Preliminary
19
6
2
Pediatrics
• Categorical
• Peds/Adult Psych/Child Psych
• Peds/Peds Neuro
8
2
1
An Equal Opportunity University
Med-Peds as Categorical Chief Residents
• 2010-2011
– John Stewart, MD, Internal Medicine
• 2011-2012
– Catherine Habashy, MD, Internal Medicine
– Martin Rains, MD, Internal Medicine
• 2012-2013
– Amanda Smith, MD, Internal Medicine
– Mark Wurth, MD, Pediatrics
• 2013-2014
– Priya Veeraraghavan, MD, Pediatrics
An Equal Opportunity University
Future Med-Peds Categorical Chief Residents
• 2014-2015
– Kelli Trent, MD, Pediatrics
• 2015-2016
– Carrie Gaby, MD, Pediatrics
An Equal Opportunity University
Curriculum
An Equal Opportunity University
Residency at a Glance
Pediatrics
Internal Medicine
Intern
8 months
8 months
Junior Resident
8 months
8 months
Senior Resident
8 months
8 months
Total
24 months
24 months
An Equal Opportunity University
Intern Level Curriculum
Intern Level
Rotations
Internal Medicine
Pediatrics
Ambulatory Consult
Ambulatory Consult
Chandler Wards
Chandler Wards
Emergency Medicine
Inpatient Consult
Inpatient Consult
VA Wards
Adolescent Medicine
Behavior and Development
General Pediatrics Clinic
General Pediatrics Wards
General Pediatrics Wards
Hematology/Oncology
Newborn Nursery
NICU
An Equal Opportunity University
Junior Level Curriculum
Junior Level
Rotations
Internal Medicine
Pediatrics
Ambulatory Consult
Ambulatory Consult
Ambulatory MedPeds
Chandler Wards
CCU
Consult
MICU
VA Wards
“A” Selective
CCHMC Emergency Medicine
General Pediatrics Wards
Individualized Ambulatory MedPeds
Individualized Rotation
NICU
PICU
Subspecialty Wards
An Equal Opportunity University
Senior Level Curriculum
Senior Level
Rotations
Internal Medicine
Pediatrics
Ambulatory Consult
Ambulatory MedPeds
Chandler Wards
Consult
Elective
Good Samaritan Wards
MICU
VA Wards
“A” Selective
Cardiology
Community MedPeds
General Pediatrics Wards
Individualized Rotation
Individualized Rotation
Individualized Rotation
UK Emergency Medicine
An Equal Opportunity University
Pediatrics “Tracks”
Primary Care
Academic Medicine
Hospitalist Medicine
Ambulatory MedPeds
Community MedPeds
Gen Peds Wards
Gen Peds Clinic/Advocacy/Twilight
NBN
Ambulatory MedPeds
Gen Peds Wards
Gen Peds Clinic/Advocacy/Twilight
NBN
Research/Resident as Teacher/Advocacy
Ambulatory MedPeds
Gen Peds Wards
Gen Peds Wards or PICU or NBN
Research/Resident as Teacher/Advocacy
Subspecialty Rotation or Gen Peds Clinic
Subspecialty
ICU
Ambulatory MedPeds
Gen Peds Clinic/Advocacy/Twilight
Research/Resident as Teacher/Advocacy
Subspecialty Rotation
Subspecialty Wards
Ambulatory MedPeds
An Equal Opportunity University
NICU or PICU
NICU or PICU
Research/Resident as Teacher/Advocacy
Subspecialty Rotation
Med-Peds Rotations
• Emergency Department (intern)
• Ambulatory Med-Peds Elective
– Primary Care clinics
– Geriatrics Experiences
– Surgical and Allied Health Experiences
– Billing and Coding Experiences
• Community Med-Peds
– Clinical experience with a combined practice
• Elective
– Clinical or Non-clinical
An Equal Opportunity University
Facilities
An Equal Opportunity University
Facilities
•
•
•
•
•
•
•
Lexington VA Medical Center
Chandler Medical Center
Good Samaritan Medical Center
Kentucky Children’s Hospital
Kentucky Clinic
Polk Dalton Clinic
University Health Services Building
An Equal Opportunity University
The New UK Healthcare
Chandler Medical Center
An Equal Opportunity University
Kentucky Clinic and UHS
An Equal Opportunity University
Polk Dalton Clinic
An Equal Opportunity University
Markey
Cancer
Center
VA Complex
Old Chandler
Medical
Center
Children’s
Hospital
Gill
Heart
Center
Allied
Health
Building
You Started
Here This
AM
An Equal Opportunity University
New Chandler
Medical Center
Pediatrics
An Equal Opportunity University
Pediatric Inpatient Teams
•
•
•
General Pediatrics Ward Services (2 Resident Teams)
– Staffed by Pediatric Hospitalists and Med-Peds Attendings
– Two residents on each team
– Two - Three interns on each team
– Two 3rd year medical students on each team
Subspecialty Pediatrics Ward Services (1 Team)
– Staffed by Pediatric Subspecialist Attendings
• Endocrine, Pulmonology, Nephrology, Cardiology, Gastroenterology
– Two – Three residents (upper level + interns) on the team
56 Hospital Beds
– Over 7,000 admissions per year
An Equal Opportunity University
Pediatric Intensive Care Unit
• 12 bed unit
– Multidisciplinary care
• Trauma – General Surgery, Neurosurgery, Orthopedics
• Cardiac – Cardiology
– All patients staffed by Pediatric Critical Care Team
– 900 admissions average per year
• Three - Four resident team
– 1 week of night shifts per resident
An Equal Opportunity University
Neonatal Intensive Care Unit
• 60 bed acute and transitional care unit
• 850 admissions average per year
• Residents
– One senior level resident
– Two - Three junior level residents and/or interns
An Equal Opportunity University
Specialized Pediatric Clinics
•
•
•
•
•
•
•
•
•
BMI and Healthy Weight Clinic
International Adoption Clinic
Cystic Fibrosis Center
Sleep Clinic
Twilight Children’s Clinic
HIV Clinic
Baby Health
Diagnostic Clinic
Dermatology Clinic
An Equal Opportunity University
•
•
•
•
•
•
•
•
Survivors of Childhood Cancer Clinic
Young Parents’ Program
ADHD Clinic
NICU Graduate Clinic
GI Young Adult Clinic
Mommy and Me Clinic
Lipid Clinic
Family Care Center
Internal
Medicine
An Equal Opportunity University
Internal Medicine Wards
• Chandler Medical Center
– 3 Resident Teams
• VA Medical Center
– 3 Resident Teams
– 2 Hospitalist Teams
• Good Samaritan Hospital
– 2 Resident Teams
– 3 Academic Hospitalist Teams
– 1 Private Hospitalist Team
An Equal Opportunity University
Diversity of Experience
• Chandler Medical Center
– Tertiary and Quaternary Care Hospital
– Active Transplant Program
– Top 25% of hospitals by patient complexity
• Good Samaritan Hospital
– Community-Based Primary Care
– Referral Center for general & subspecialty medicine
• VA Medical Center
– Community-Based Primary Care
An Equal Opportunity University
Chandler Medical Center
An Equal Opportunity University
Good Samaritan Hospital
An Equal Opportunity University
Good Samaritan Hospital
• Hospitalist Rotation
• Each team with 2 residents
– 3rd year resident
– 2nd year resident
• Private Hospitalist Night Coverage
• Residents rotate “late shift”
– Work until 8pm every 4th night
An Equal Opportunity University
Lexington VA Medical Center
An Equal Opportunity University
VA Medical Center
• Resident Team
– 1 upper-level resident
– 2 interns
• Team Cap ~ 14 patients
• Interns rotate night float call schedule: every 6th night
• Resident night float to supervise admissions
An Equal Opportunity University
Chandler MICU
• Two Resident Teams
– Each led by attending and fellow
– Resident structure depends on time of year
• 3-4 residents per team w/ 1-2 residents on night float
• Attending coverage 24/7
An Equal Opportunity University
Residents as
Teachers
An Equal Opportunity University
Med-Peds Housestaff Teaching Awards
•
•
•
•
•
•
•
•
•
•
•
An Equal Opportunity University
Clark Sleeth – Best Intern Teacher (2013)
Carrie Gaby – Internal Medicine (2013)
John Romond – Pediatrics (2012)
Kelli Trent – Pediatrics (2012)
Carrie Gaby – Internal Medicine (2012)
Martin Rains – Best Resident Teacher (2011)
Joseph Brown – Best Intern Teacher (2011)
John Romond – Internal Medicine (2011)
Catherine Habashy – Pediatrics (2011)
Julie Griffin – Pediatrics (2010)
Catherine Habashy – Pediatrics (2009)
UK Healthcare Resident of the Month
•
•
•
•
•
•
•
•
•
•
•
May 2014: Heather Relyea
November 2013: Justin Purdy
September 2013: Carrie Gaby
April 2013: Heidi Frazier
February 2013: Wendy Ballenger
November 2012: Erin Marcotsis
August 2012: Priya Veeraraghavan
June 2012: Candice Olechowski
January 2012: Matt Bacon
September 2011: Stephanie Misciasci
August 2011: Joseph Brown
An Equal Opportunity University
Conferences
and
Independent
Learning Activities
An Equal Opportunity University
Curriculum
Internal Medicine
•
•
•
•
•
Johns Hopkins Ambulatory Modules
Med-Peds Board Review
MKSAP
Morning Report
Noon Conference
An Equal Opportunity University
Pediatrics
•
•
•
•
AAP PREP Curriculum
Med-Peds Board Review
Morning Report
Noon Conference
Pediatric Conferences
• AM Conferences
– Morning report case conferences
– Grand Rounds: Thursday
• Noon Conferences
– Daily
– Structured Curriculum
– General Pediatrics and Subspecialty Conferences
– Advocacy Training and Conferences
– Business of Medicine Conferences
An Equal Opportunity University
Internal Medicine Morning Report
• VA Morning Report – Mondays & Wednesdays
• UK Morning Report – Tuesday, Thursday, & Friday
– UK Ambulatory Morning Report
• Autopsy Conference – Monthly
• Focus on clinical decision-making
– Minimize the rare presentation of the rare disease
– Resident responsible for 3 teaching points
An Equal Opportunity University
Med-Peds Conferences
• Med-Peds Board Review
– Weekly on Mondays and Wednesdays
• Med-Peds Noon Conference and Journal Club
– Monthly w/FREE FOOD
• Med-Peds Grand Rounds
– Quarterly
An Equal Opportunity University
Continuity
Clinic
An Equal Opportunity University
Med-Peds
Continuity Clinic
• Sites
– MedPeds Group (UHS Building)
– Polk Dalton Clinic
• Clinic Attendance
– Once per week as an intern
– Twice per week as an upper-level resident
– Additional clinics scheduled on ambulatory months
An Equal Opportunity University
Program
Specifics
An Equal Opportunity University
Fellowship Matches Since 2004
•
•
Med-Peds
•
– 2010: Academic Medicine (Pitt)
– 2007: Sports Medicine (UL)
– 2006: Allergy (Vanderbilt)
Pediatrics
– 2015: Cardiology (Emory)
– 2012: Pulmonary/Allergy (Vanderbilt)
– 2012: PICU (Vanderbilt)
– 2011: Cardiology (Baylor)
– 2009: PICU (UAB)
– 2006: PICU (Vanderbilt)
– 2004: Pulmonary (Baylor)
An Equal Opportunity University
Internal Medicine
– 2014: Endocrinology (UK)
– 2013:
• Cardiology (MUSC)
• Pulmonary (UK)
– 2011: Cardiology (UK)
– 2011: ID (UK)
– 2010: Pulmonary (Utah)
– 2009: GI (UK)
– 2005: Heme/Onc (UK)
– 2004: Academic Medicine (UK)
Board Pass Rates
# Passing
# Taking Exam
# Passing
# Taking Exam
Class of 2013
3
5
2
4
Class of 2012
4
4
5
5
Class of 2011
6
6
6
6
Class of 2010
6
6
5
5
Class of 2009
5
7
3
3
Last 5 Years Average
An Equal Opportunity University
86%
91%
Retreats and Social Events
• Med-Peds
– Journal Club Monthly
– Switch Party
– End-of-Year Party
• Internal Medicine
– Annual Level Specific Retreats
– ACP Retreat w/UL
• Pediatrics
– Intern Retreat
– AAP Retreat w/UL
– Pint Night
An Equal Opportunity University
Switch Party
An Equal Opportunity University
Housestaff Stipends 2014-2015
UK
Southern
US*
Midwest US*
PGY-1
$49,294
$48,327
$50,219
PGY-2
$50,946
$49,947
$52,007
$52,689
PGY-4 $54,721
$51,656
$53,763
$53,648
$55,804
PGY-3
*2013 AAMC Survey of Resident/Fellow Stipends and Benefits
An Equal Opportunity University
Fringe Benefits
• Vacation
– PGY-1 = 2 weeks
– PGY-2 and above = 3 weeks
– Reading Week – yearly on Internal Medicine
• Eight holidays
• Four bonus days in December/January
An Equal Opportunity University
Fringe Benefits
•
•
•
•
•
•
Insurance: Health, Life & Malpractice
Parking Permit – covered lots close to hospital
Alphanumeric Pagers
Lab Coats - 3 per year
Meal Stipends
Student ID and Activity Cards
An Equal Opportunity University
Fringe Benefits
• Participation in UK Wellness Program
– Available for UK employees, spouses, and retirees.
• Employee education program (EEP)
– 18 credit hours per year: 6 hours for spring, fall, and
summer at no cost
• Johnson Sports/Exercise Center
• Basketball and football tickets!! Go Big Blue!!
An Equal Opportunity University
Global Health Opportunities
(http://www.stsglobal.org/)
An Equal Opportunity University
Educational Scholarship
•
•
•
•
ACP Membership
AAP Membership
NMPRA Membership
Books
– Harriet Lane Handbook (PGY-1)
– Zitelli Atlas of Pediatric Physical
Diagnosis (PGY-1)
– Philadelphia Guide: Inpatient
Pediatrics (PGY – 1)
– Nelson Textbook of Pediatrics
– MKSAP (PGY-2)
An Equal Opportunity University
•
•
•
Travel stipends if presenting at
regional/national meeting
Board Exam Funds of ~ $4000
– PGY-2: $800
– PGY-3: $1000
– PGY-4: $2500
Pediatric Board Review Course
Lexington
and
Surrounding
Areas
An Equal Opportunity University
Lexington, KY
An Equal Opportunity University
Business Rankings
• Forbes
– #1 Best City for Finding a Job (2011)
– #4 Best City for Business and Careers (2011)
• Business Facilities
– #2 Most Educated Workforce (2008)
– #6 Low Cost Manufacturing Center (2010)
– Editors Location Pick (2010)
• CNN Money
– #6 Best Mid-Size to Start a Small Business (2009)
• KPMG Competitive Alternatives
– #7 Best City for Business Costs (2010)
An Equal Opportunity University
Education Rankings
• Blue Ribbon Education Quotient (2007)
– Top 1/3 of districts nationwide and highest score in Kentucky
• U.S. Census Bureau (2009)
– 13th Highest City with Bachelor’s Degrees
– 7th Highest City with Advanced Degrees
• University of Kentucky
– 8th Best College of Pharmacy
– 26th Best College of Nursing
– 31st Best College of Public Health
An Equal Opportunity University
Quality of Life
• America’s Promise Alliance
– Top 100 Best Communities for Young People (2010)
• Next Cities
– 13th Top Hotspot for Young, Talented Workers (2009)
• Parenting Magazine
– 2nd Best City for Education (2010)
– 5th Best City to Raise a Family (2010)
• Forbes
– 5th Best College Sports Town (2009)
• Kiplinger
– 6th Best Value City (2011)
An Equal Opportunity University
Lakes
Within 1 Hour:
• Cave Run Lake
• Taylorsville Lake
• Herrington Lake
• Guist Creek
• Cedar Creek
An Equal Opportunity University
Worth Driving To:
• Dale Hollow Lake
• Lake Cumberland
• Green River Lake
• Laurel Lake
• Kentucky Lake
• Lake Barkley
World Famous
Lake
Cumberland
Moonbow
An Equal Opportunity University
Hiking and Climbing
•
•
•
•
•
•
•
Red River Gorge (www.redriverclimbing)
Palisades/Jim Beam Nature Preserve
Torrent Falls (www.torrentfalls.com)
Muir Valley
Natural Bridge
Raven Run
Arboretum
An Equal Opportunity University
An Equal Opportunity University
An Equal Opportunity University
Thoroughbreds
• Keeneland – April and October
• Churchill Downs – Spring and Fall Meets
• Kentucky Horse Park
An Equal Opportunity University
Kentucky Bourbon Trail
•
•
•
•
•
•
•
•
Buffalo Trace – Frankfort
Four Roses – Lawrenceburg
Heaven Hill – Bardstown
Jim Beam – Clermont
Maker’s Mark – Loretto
Woodford Reserve – Versailles
Wild Turkey – Lawrenceburg
Tom Moore – Bardstown
An Equal Opportunity University
Vineyards and Wineries
•
•
•
•
Chrisman Mill Vineyards
Equus Run
Jean Farris
Talon Winery
An Equal Opportunity University
An Equal Opportunity University
QUESTIONS
An Equal Opportunity University