Core Fellowship Curriculum

One of the unique advantages of Fellowship training at Emory / Children’s Healthcare of Atlanta is a common core curriculum for all fellows.  This common curriculum introduces fellows to our strongest campus teachers and content experts irrespective of subspecialty, while also facilitating interaction among fellows across all pediatric subspecialties.   The common curriculum includes the following specific courses: 

·FIRsT (Fellows Introduction to Research Training) -1st year
·Ethics Symposium - 1st year
·Quality Improvement and Patient Safety course - 1st year
·Teaching Symposium - 2nd year
·Career Development - 3rd year

Following are more detailed descriptions of the individual courses:

Fellows Introduction to Research Training (FIRsT) provides pediatric fellows with an overview and introduction to clinical and translational research in the academic setting. Didactic sessions, panel discussions, and interactive opportunities provide forums for fellows to gain an appreciation of the fundamentals of clinical and translational research, biostatistics, epidemiology, the research enterprise, and practical and applied aspects of conducting research. These concepts are conveyed over a 20-hour period, comprised of 4-hour sessions over 5 days, annually following the general pediatrics board examination.

Course Description

FIRsT will provide pediatric fellows with an overview and introduction to clinical and translational research in the academic setting. Didactic sessions, panel discussions, and interactive opportunities will provide forums for fellows to gain an appreciation of the fundamentals of clinical and translational research, biostatistics, epidemiology, the research enterprise, and practical and applied aspects of conducting research. These concepts will be conveyed over a 20-hour period, comprised of 4-hour sessions for 5 days during the fall.

Objectives

At the completion of FIRsT, fellows will be able to:

1. Apply the principles of biostatistics including the types of variables, data distribution, hypothesis testing, statistical tests, measures of association, regression, diagnostic tests, systematic review and data analysis to their research projects.
2. Apply the principles of epidemiology and clinical research design including study types, bias and confounding, causation, incidence and prevalence, and screening to the review of research studies and to formulating their own projects.
3. Incorporate concepts related to management of research data including principles of data security in study design into implementation
4. Apply concepts related to developing a biosketch and a curriculum vitae (CV), formulating hypotheses and specific aims, and finding funding
5. Synthesize the steps for submitting a study for Institutional Review Board (IRB) review and utilize resources available through the Department of Pediatrics and Children’s Healthcare of Atlanta for conducting research.
6. Successfully fill the role of mentor and mentee and apply these concepts to their academic interactions.

FIRsT Course Director:

• Inci Yildirim, MD, PhD, MSc, Assistant Professor of Pediatrics and Epidemiology, Infectious Disease, Emory University School of Medicine, and Department of Epidemiology, Rollins School of Public Health 

FIRsT Administrative Coordinator:

• Mary Jane Polizzotto, Fellowship Program Coordinator, Pediatric Nephrology, Pediatric Fellowships Committee Coordinator

FIRsT Faculty:

• Valerie Biousse, MD, Professor of Ophthalmology and Neurology and Cyrus H. Stoner Professor of Ophthalmology, SOM

• Beau B. Bruce, MD, PhD, Medical Officer / Analytics Lead, Enteric Disease Epidemiology Branch, Centers for Disease Control and Prevention and Adjunct Assistant Professor of Ophthalmology, Neurology and Epidemiology, SOM

• David Carlton, MD, Marcus Professor of Pediatrics Division Director of Neonatal-Perinatal Medicine, Emory University School of Medicine

• Hughes Evans, MD, PhD, Marcus Professor of General Pediatrics and Vice Chair for Medical Education, Department of Pediatrics

• Lucky Jain, MD, MBA, George W. Brumley Jr. Professor and Chair Emory University School of Medicine, Department of Pediatrics, Chief Academic Officer, Children’s Healthcare of Atlanta

• Stacy Heilman, PhD, Pediatric Research Director, Department of Pediatrics and Children’s Healthcare of Atlanta

• Sarah Marie Huban, MA, CIP, CHRC, Manager HPP & Research Regulatory Affairs, Children's Healthcare of Atlanta

• Linda Orkin Lewin, MD, Professor of Pediatrics, Department of Pediatrics, Emory University School of Medicine

• Courtney McCracken, PhD, Director of Pediatric Biostatistics Core-Department of Pediatrics

• Azhar Nizam, MS, Senior Associate, Department of Biostatistics, Rollins School of Public Health

• Ravi Patel, MD, Associate Professor of Pediatrics, Division of Neonatology Department of Pediatrics, Emory University School of Medicine

• Matt Oster, MD, MPH, Assistant Professor of Pediatric Cardiology, Sibley Heart Center

• Marc J. Overcash, Assistant Dean, School of Medicine, IT Deputy Chief Information Officer

• Matthew Paden, MD, Associate Professor of Pediatrics, Division of Critical Care

• Briana Patterson, MD, Assistant Professor Division of Endocrinology and Aflac Cancer Center Department of Pediatrics Emory University School of Medicine

• Amelia Randall, Director, Programs - Finance and Academic Administration, Emory University School of Medicine

• Susan M. Ray, MD, Professor of Medicine, Infectious Diseases, Department of Medicine, Medical Director of Georgia Tuberculosis Program, Medical Director of Hospital Epidemiology, Grady Healthcare, Vice Chair IRB Committee A3

• Andi L. Shane, MD, MPH, MSc, Associate Professor of Pediatrics and Interim Division Director, Division of Pediatric Infectious Disease and Marcus Professor of Hospital Epidemiology, Emory University School of Medicine and Children’s Healthcare of Atlanta

1. Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing Clinical Research, 4th edition, Lippincott Williams & Wilkins, 2014

2. Howard Hughes Medical Institute, will be provided as a portable document file downloaded onto a flash drive.

3. Emory Laney Graduate School of Arts and Sciences documents on mentoring

Spring 2020

12:30-2:30 p.m.

Winship Cancer Bldg, Room 5012

Agenda

Monday, Feb. 3
Introduction to Issues in Pediatric Ethics: Starting with a Case….

·Kathy Kinlaw, MDiv, HEC-C, Associate Director, Emory Center for Ethics, Assistant Professor, Pediatrics, Emory

Thursday, Feb. 13
Disability, Ethics and Talking with Parents

·April Dworetz, MD, MPH, MA, Assistant Professor, Pediatrics – Neonatology, Emory
·Rachel Kolb, MA, PhD Candidate, Emory University
·Jennifer Sarrett, MEd, MA, PhD, Center for the Study of Human Health

Monday, Feb. 17
Ethical Issues re “Medical Futility” and End of Life Care

·Kathy Kinlaw, MDiv, HEC-C
·Kari Esbensen, MD, PhD, Hospital Medicine, Emory
·Jeff Klick, MD, Pediatric Palliative Care

Thursday, Feb. 27
Ethics Committees, Ethics Consultations, and more

·Grace Mattimore, RN, Clinical Ethicist, CHOA
·Kathy Kinlaw, MDiv, HEC-C

 Monday, March 2
Ethics in Pediatric Research & Issues in Preclinical Diagnosis

·Paul Root Wolpe, PhD, Director, Emory Center for Ethics

Monday, March 9
The Intersection of Law and Ethics

·Jessica Braunstein, JD, Associate General Counsel, CHOA

Shabnam Jain, MD, MPH, Course Director

The growing importance of Quality Improvement (QI) in both academic and non-academic settings needs no emphasis.  It is now required for house-staff by ACGME as well as for faculty for Maintenance of Certification (MOC), and board examinations at all levels test knowledge on this topic.  The Department of Pediatrics QI curriculum for pediatric fellows will be a half-day session consisting of the following: 
                                        
Patient Safety:

·One is Not Zero: Error Prevention Training

QI 101:                                                                                                                  

·QI Methods: Lean, Six Sigma, Model for Improvement

·QI Tools: SMART Aim, Process Mapping, Fishbone diagram, key driver diagram, Pareto chart

·QI Measurement: types of Measures, Run Charts and Process Charts, Common and Special cause variation 

Reliability Science

Included throughout the lectures will be examples of real-life QI projects conducted at Children’s.  Practical application of many of the concepts will be discussed using non-medical examples in this multidisciplinary setting.  Also, we will discuss how to choose a QI project, and differences between QI and research. 

At the completion of the above core series, fellows will be equipped with the basic knowledge to start their own QI project with supervision by a content expert (faculty member from the subspecialty area of the project topic) and a QI expert – both will jointly supervise the fellow(s) in their QI project.

Mission Statement

Teaching is a complex and personal art. Academic medical institutions have long emphasized the importance of having a command of the subject matter as the primary reflection or measure of effective teaching. Our experience as learners in the field of medicine has shown us that effective teaching calls on far more than a comprehensive understanding of the material. Conveying new information to adult learners requires skills not usually taught and talents not always rewarded in medicine. As economic pressures on teaching institutions continue to grow the time and effort required for effective teaching is increasingly sacrificed for greater “clinical productivity”. Effective teaching in academic medicine is both more challenging and more essential.

To counter the stress on teaching it is now critical to not only find new and more effective ways to teach but to also convey those teaching methods to the next generation of physician-teachers. Effective teaching requires an integration of skills in speaking, an understanding of the learners and the learning process and an organization of teaching points with clear and useful objectives. These basic skills are essential to all teachers, regardless of their area of expertise. This interdisciplinary program was created to help current physicians in training improve upon their teaching talents and skills using concepts advanced by leaders in the field of adult learning.

Format

The teaching symposium is an interactive educational program. Each session is devoted to specific aspects of the medical learning environment. Faculty members will use didactic presentations and interactive exercises to introduce and practice concepts of adult learning in academic medicine. The sessions are unified by 4 guiding principles for effective learning:

• Convince & Challenge your Learners
• Simplify complex concepts
• Teach with connections in mind
• Confirm Understanding

The first half of the symposium is oriented to adult learning theory and concepts with an emphasis on small group interactions. The second half of the symposium will emphasize speaking skills and adjuncts to improving learner attention and retention of information. The course will conclude mini-lesson presentations which incorporate concepts advanced in this symposium.

Goals for the Teaching Symposium

After participating actively in these seminars and completing recommended project activities, you will be able to:

• Apply principles of teaching to different learning audiences and settings in which you teach.
• Design a teaching portfolio to prepare for career objectives including hiring, promotion, merit increases and tenure.
• Design and deliver a quality formal presentation.

Schedule 2019

12:30-2:30 PM

Monday, November 4– SOM 170A The Big Picture

• Career Pathways in Medical Education - Linda Lewin, MD
• Understanding Adult Learning - Michael Greenwald, MD

Wednesday Nov 13– SOM 153

• Planning a Lesson - M Greenwald, MD
• Feedback - M Greenwald, MD

Friday, November 22 – SOM 190P

• Bedside Teaching - Lisa Bernstein, MD
• Digital Adjuncts - M Greenwald, MD

Tuesday, December 3 – SOM 190P

• Slidology - Ritu Suchdeva, MD
• Public Speaking - Brittany Murray, MD

Thursday, December 12 – SOM 190P

• Models in Precepting
• Small Group Teaching
• Simulation Education

Monday, December 16 – Winship 5012

• Mini-lesson Presentations

TOPICS

Personal Finances - Mr. Alok Deshpande - Smart Path Financial

Physician Employment Agreements - HeLP (Health Law Partnership) Collaborative lawyers

Business of Healthcare Wellness - Lucky Jain MD, Chair, Dept. of Pediatrics

Finding your Best Job - Hal Simon MD - Vice-Chair of Faculty Development, Dept. of Pediatrics