Match Day Madness
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Ready, set, ... on to your residency! |
Emotions swirled around the annual opening of the Match Day envelopes on March 17—screams, shouts, hugs, and tears. "But these are happy tears!" said Emma Goodstein (family medicine), who couple-matched at the University of Arizona, Tucson, with Bailey Lynn (emergency medicine).
Emory SOM's Class of 2017 included 131 students participating in the National Residency Match Program (NRMP). Forty-four students will spend all or part of their residencies in Georgia, and 40 of those will remain at Emory. In addition, SOM students will receive residency training at other prominent institutions such as Duke, Brown, Johns Hopkins, Harvard, University of Massachusetts, NYU, and University of Washington. You can watch the excitement here.
"The Match Day ceremony is a long-awaited culmination of hard work and perseverance that always proves to be one of the most thrilling times in the lives of our medical students," said William Eley, executive associate dean for medical education and student affairs. "Today our students learned they are headed to some of the top programs both here at Emory and throughout the nation to begin their careers as physicians."
Some of the most popular specialties chosen by this year’s graduates were internal medicine (34), pediatrics (16), general surgery (13), emergency medicine (10), and family medicine (8). Prior to the NRMP match, three graduates matched into the military residency program, four matched in ophthalmology, and one matched in urology.
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The excitement was palpable as 131 SOM grads found out where they were headed for their specialties. |
GME Leadership
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Maria Aaron |
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The Graduate Medical Education program, under the leadership of Associate Dean Maria Aaron (ophthalmology) and Assistant Dean Philip Shayne (emergency medicine), oversees 104 programs with 1,266 residents, making it the seventh-largest GME system in the country.
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Philip Shayne |
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Aaron leads many of the GME initiatives, such as core curriculum, residency tracks (including safety/quality, global health, and ethics), and mock accreditation reviews. Shayne oversees training programs and accreditation issues and leads wellness initiatives for residents and fellows.
"Philip and I work very well together, as our strengths and interests complement each other nicely," says Aaron. "We have tried to transform the work of the Emory GME office from merely managing our 104 programs and maintaining accreditation to being innovative and forward-thinking, providing creative educational opportunities and creating graduates who become leaders in health care."
Graduate medical education has changed in the past 20 years, says Shayne, with the adoption of duty hours, core competencies, milestones, and the Next Accreditation System. "It went from a system where programs were reviewed every five years to every year, in an attempt to figure out which programs were struggling," he says.
With the beginning of the Clinical Learning Environment Reviews, the ACGME has placed increasing emphasis on embedding the GME leadership into the health care system. "We are no longer a stand-alone operation," Aaron says. "Gone are the days of simply interacting with residents/fellows, program directors, and chairs. Now, the GME leadership is much more visible and required to have facile interactions with hospital and health system administrators."
In turn, the program directors' jobs became more demanding. "It used to be something you could do on the weekends," says Shayne. "Now, we manage a lot more complexity."
The GME staff is responsible for licensing all 1,266 residents as well as keeping up with 14 participating affiliated institutions, including Grady, the Atlanta VAMC, Children's Healthcare, the Shepherd Center, and more remote clinics. "Our goal in working with program directors and coordinators is to provide guidance and shared resources for a confederation of strong residencies," Shayne says. "We want the program directors to feel that these are their residents."
Most residents are funded through the federal Centers for Medicare and Medicaid, a process that is also managed by the GME office.
Shayne served on the ACGME task force that recently refined the clinical learning environment, including new work hour requirements that maintain the weekly duty hour caps (including accounting for work from home) and give residents more flexibility within those hours. Programs are also charged with giving residents time for self-care.
"People confuse long duty hours with hazing, but it’s really just preparation for what the real world in medicine is like," Shayne says. "The day you leave residency, you will independently begin taking care of patients. Residents need to be prepared for that."
In addition, says Aaron, the changes improve patient safety by reducing the number of handoffs, providing more continuity of care, and enhancing educational opportunities.
Cultivating Wellness
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Dogs in the animal assisted therapy program and their human handlers at the SOM's Medical Education Day. |
Hectic schedules and stressful events seem a bit more manageable after warrior poses on the grass and playing with furry therapy dogs. Centered on the theme of wellness and well-being, the fourth Annual Medical Education Day event was held on March 20 and was the highest attended so far, with more than 140 participants.
In alignment with the SOM's strategic plan to address the issues of burnout and wellness in the workplace, the event was kicked off by keynote speaker Tait Shanafelt, MD, a cancer specialist and director of the Mayo Clinic Program on Physician Well-being, with a talk on “Cultivating Meaning, Balance, and Satisfaction in the Practice of Medicine.”
A strong business case can be made for investing in efforts to reduce physician stress and foster engagement, said Shanafelt, who conducted a national survey that found more than half of US physicians report at least one symptom of burnout. Some antidotes: a sense of community, recreational opportunities, flexibility, and paying attention to/getting help for physicians who, at any stage in their careers, are experiencing distress.
The event hosted 20 sessions with colleagues from the schools of nursing and public health and Emory Healthcare covering lively topics like maintaining the joy of practice, community resiliency and the iChill app, and a four-minute workout.
There were presentations by SOM leadership, animal-assisted therapy, yoga on the lawn, cognitively based compassionate training, and "no strain, no pain" ergonomics. Posters, presentations, and booths highlighted campus resources such as Healthy Emory, FSAP, and Blomeyer Fitness Center.
In additional wellness-related news, surgeon Carla Haack will be recognized as a Henry B. Tippie Clinician Scholar. This $2 million endowment will go toward Wellness Initiatives at the SOM and Emory Healthcare—Jay Patel (Strategic Initiatives)
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