Internal Medicine Residency Program at
Saint Barnabas Medical Center

Educational Innovations Project

We are among 21 medicine residencies (of 388 programs) invited to participate in the Education Innovations Project (EIP) of the Internal Medicine Residency Review Committee (RRC-IM) of the Accreditation Council for Graduate Medical Education, our accrediting body. Our selection was based on our excellent accreditation record, programmatic achievements, an approved letter of intent, and a competitive proposal.

The RRC-IM has developed this bold new initiative to facilitate innovations in graduate medical education. They wish to integrate improvements in medical education, improvements in resident educational outcomes, and improved quality and safety in patient care, and to advance competency-based education and outcomes-based assessment. The RRC-IM therefore unveiled a pilot study designed to enhance the flexibility of successful programs in charting the future of internal medicine graduate medical education. Programs with track records of success in accreditation and ABIM outcomes were given the option of entering, by competitive application and review-- a new, alternative pathway to accreditation – The Educational Innovations Project.

Participants are a very elite group of 21 programs (~ 5% of medicine residencies) including Mayo, Duke, Henry Ford, University of California-San Francisco, University of Wisconsin, Ohio State University, Beth Israel Deaconess (Harvard), North Shore-Long Island Jewish/Einstein, Scripps, New York Medical College, Indiana University, University of Pittsburgh, and the University of Cincinnati, among others. EIP programs are accredited for as long as (an unprecedented) 10 years and enjoy special, different, relaxed program requirements to facilitate educational and clinical innovations. At the recent meeting of the Alliance for Academic Internal Medicine, medicine, organizational, and RRC leadership repeatedly lauded the EIP effort and programs, referring to participants the “crème de la crème”, the “best and the brightest”, and those who will rewrite medicine’s future in education, care, and accreditation processes.

The stated goals and purpose of the EIP are “to facilitate innovations in graduate medical education (GME) that: (1) Integrate medical education, resident educational outcomes, and quality improvement in patient care (“The “Quality Agenda”), and (2) Advance competency-based education and outcomes-based assessment (“The “Outcomes Agenda”). These innovations are aimed at training internists to provide safe, patient-centered, data-driven care as informed leaders in health care delivery systems, and to transform internal medicine GME (graduate medical education) from a process-based to an outcomes-based educational system. The innovations and outcomes of this pilot project will be disseminated to the GME community and will form a basis for future accreditation requirements in internal medicine, and potentially other specialties… the RRC-IM proposes a pilot study designed to enhance the flexibility of successful programs in charting the future of internal medicine graduate medical education. Programs with track records of success in accreditation and ABIM outcomes will be given the option of entering a new, alternative pathway to accreditation – The Educational Innovations Project… Objectives: Each participating program must address the following major objectives of this project: (1) To create program-wide innovations in residency training programs directed toward advancing safe, high-quality patient-centered care coupled with competency-based residency education. (2) To facilitate patient care systems that foster high-quality care and competency-based education in the residency training environment. (3) To facilitate the development of educational and evaluative tools that can be disseminated and utilized broadly in GME. (4) To develop training models that better serve the professional needs and ultimate career goals of trainees.”

Our proposal focuses on humanism and is titled "Read two poems and Call me in the morning. Humanities/humanism at the bedside for residents and other health care professionals. A controlled innovation to improve resident education and patient care outcomes. Short title: Humanities/Humanism at the Bedside". We are very excited about this potential opportunity to improve our program and contribute generally to better residency education and patient care. Beginning with the July 2007-08 academic year our educational program was enriched by a bedside humanities-based curriculum, presented in the context of daily didactic and management rounds, intended to enrich our residents' education and train more humanistic residents who will perform better, provide better patient care, and have greater opportunities for personal growth. Each day we introduce literature, poems, music and art into the daily curriculum. In addition, in order to enhance our daily curriculum, we hold a weekly conference, “Medical Humanities and Performing Arts Lecture Series.” These lectures have included such titles as “An Afternoon at the Opera”, “Medicine in Literature”, “Narrative Medicine in Art” and “Vincent van Gogh: His Life and Art”. We also have had guest speakers, such as the famed Dr. “Patch Adams”, Dr. Sal Mangione, Dr. John Oberlander and Dr. Richard Baron. During the 2009-2010 year we will be presenting lectures by Dr. Faith Fitzgerald and Dr. David Pistesky.

Our program has been featured in an article by Dr. Pauline Chen for the New York Times and an article for the AAMC Reporter. Between 2007 and 2009, we have presented our project to national meetings, as did other EIP participating programs, where ours was extremely enthusiastically received and generated a lot of excitement. Whether it is our residents, patients, faculty or a national meeting, we have received a very enthusiastic response to our humanities based curriculum.

For the 2009-2010 academic year, we are expanding our project to include the Internal Medicine Faculty Practice – our out patient continuity clinic. We look forward to continuing our efforts and assessing our Humanism project for its impact.

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Internal Medicine
Residency Program

Saint Barnabas Medical Center


Department of Internal Medicine

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