IHI Open School Training
Prior to completion of your Transitional Year Residency, you will have completed the IHI Open School Modules. Completion certificates will be maintained in your training folder. (http://www.ihi.org)
My Mistake – A QI/PS Presentation
“My Mistake” is a tool designed to teach and evaluate the ACGME core competency of systems-based practice (SBP). Making mistakes while practicing medicine will unfortunately always happen. It is important for new physicians to understand that mistakes happen, admit their mistakes, realize how mistakes occur, and use the lessons learned to try to ensure they and others do not repeat the same mistake. Each intern will prepare a presentation outlining a mistake they made with an analysis of this mistake. This will be formally presented to the group one time during designated didactic meetings (similar to a department M&M conference).
My Mistake curriculum description and forms can be found in the appendix.
TY residents are required to present in a case-based didactic session to other TY residents and faculty. The TY resident will choose an interesting case encountered during a clinical rotation or a medical question formulated from a patient encountered or discussed during a clinical rotation. The TY program director is available to assist with mentoring for writing a case presentation. This presentation will demonstrate that the TY resident is able to do such things as evaluate relevant literature and decide if the literature supports the need to make a clinical change or manage a case in a different manner. A didactic conference focusing on the “how to’s” of scholarly activity/products, reviewing the literature, and accessing electronic medical literature will be covered prior to the Case Presentations.
Case presentation forms can be found in the appendix of the handbook.
All UAMS COM TY trainees are required to participate in scholarly activity in order to graduate. Given the length of the Transitional Year program, completion of the assignments outlined below have been designed to meet the necessary minimum criteria.
TY residents actively participate in 5 TY specific Journal Clubs throughout the year. They are required to present an analysis of a journal article of their choice and encouraged to choose an article related to their specific area of interest. The resident presents 10 minutes of background information, 10 minutes of discussion (includes interpretation of results, and how conclusions affect our practice), and 10 minutes of questions/answers, including statistics and study design. Please see didactic schedule for Journal Club dates.
A TY resident may elect to participate in up to 1 month of an elective in research. The TY resident will identify a research mentor and project. This must be approved by the TY program director. Specific goals and objectives for the research month and project will be outlined and presented to the TY program director.
Practice Based Learning and Improvement
My Reflection Portfolio Projects
UAMS COM TY Residents will complete a written assignment, reflecting upon a specific event or learning point that was unique to a rotation or the healthcare system. This project does not need references, only the resident’s thoughts about a situation they encountered and the lessons learned. Examples include: discussing an ethical dilemma that was faced and how it was handled, summarizing a key medical lesson learned during the rotation, or discussing insight that was gained about a specific aspect of the healthcare system during a clinical rotation. Residents submit their written project to the TY program director. Feedback is given to the resident and the project is evaluated using the evaluation form. The write up and the evaluation will be kept by the program director in the TY resident’s file.
TY Residents will complete a total of two My Reflection Portfolio Projects, with one each due in December and May. My Reflection description and forms can be found in the appendix.