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Even Better Together.

The quality and quantity of tools such as workshops, presentations and curriculum support is magnified when we work together.

FY 2015 AAIM Innovation Grant Recipients

Global Is Local: Creating, Piloting and Evaluating a Community-Engaged Service Learning Rotation with Migrant and Seasonal Farmworkers in Rural Minnesota
As part of a collaborative group with Pharmacy, Dental and Medicine Faculty, we are creating a pilot rotation which will be a community-engaged and service learning opportunity in rural Minnesota. Learners will work in community health observing multiple agricultural workplaces, meeting with community leaders and seeing patients, under Faculty supervision, via two mobile medical units that will visit communities of Migrant and Seasonal Farmworkers (MSFW) in rural Minnesota.
Participating Institutions:  University of Minnesota Medical School, University of Minnesota College of Pharmacy, University of Minnesota School of Dentistry, and University of Minnesota Department of Chicano and Latino Studies
Submitting Author:  Jonathan D. Kirsch, MD

Using Virtual Patients to Learn Key Cross Cover Skills
We plan to design, test, and implement web-based virtual patient modules to develop fourth year medical students’ knowledge and skills in approaching and managing common cross cover scenarios on inpatient general internal medicine wards.
Participating Institutions:  Medical College of Wisconsin
Submitting Author:  Ankur Segon, MD

The Electronic Health Record as Teaching Tool
We plan to develop an electronic tool for faculty development demonstrating the teaching capabilities of the Electronic Health Record (EHR).  In addition to providing education regarding documentation, billing and compliance issues, the tool will demonstrate techniques for maintaining effective interpersonal communication with patients and the multidisciplinary team while using the EHR. Faculty will learn ways to improve student documentation and integrate evidence-based and clinical decision tools into clinical encounters with learners. In addition, we aim to highlight how the EHR can teach principles of population health management and quality improvement.
Participating Institutions:  Duke AHEAD (Academy for Health Professions Education and Academic Development), Duke University School of Medicine, UNC Academy of Educators, and University of North Carolina School of Medicine
Submitting Author:  Diana B. McNeill, MD

Development of a High Value Bedside Examination:  Needs Assessment for a Novel Physical Diagnosis Curriculum
We are designing a physical examination curriculum that explicitly emphasizes the high value and cost-effectiveness of bedside diagnostic skills. A number of common presenting concerns, like dizziness or back pain, frequently prompt low-yield, diagnostic testing. However, how improved knowledge of physical examination and its utility might reduce this overuse is not apparent.    To develop our “high value, cost-effective physical exam” (HVPE) teaching kit’s content, we will interview expert practicing physicians who are educators in academic medicine. In our interviews, we will determine how the physical exam might reduce costly diagnostic testing and establish the curricular content for the teaching kit.
Participating Institutions:  Medical College of Wisconsin, University of Chicago Pritzker School of Medicine, and Jefferson Medical College
Submitting Author:  Paul A. Bergl, MD

Flat Screen Simulation of Family Meeting Scenarios Combined with Real-Time Experiential Learning for Resident Education
Effective training in family conference facilitation in the ICU has been identified as a need at our institution by postgraduate trainees during a mixed-methods pilot study. Our proposed curriculum will include two stages: a) flat screen simulation exposing participants to commonly encountered dilemmas in family meetings, with the opportunity to choose from a selection of possible clinician responses and eventual reveal of the most appropriate selection and b) experiential learning through structured peer debriefing after actual family meetings. Patient and family satisfaction will be monitored from data collected by the hospital.
Participating Institutions:  Pennsylvania State College of Medicine and Milton S. Hershey Medical Center
Submitting Author:  Susan Glod, MD

DX: Diagnostic Excellence  - A Prototype Virtual Patient Case to Reduce Diagnostic Error
This project will develop and evaluate a virtual patient case that introduces the foundational concepts of diagnostic error to medical students. It will be the pilot for a series of cases that teach students the cognitive processes and system-related issues leading to diagnostic error, and will equip students with the knowledge, skills, and attitudes to mitigate diagnostic error. The case will be developed on the MedU platform, used at over 150 medical schools.   This pilot program will be offered without charge to those institutions and will supplement existing patient safety curricula, and we anticipate the program will be widely adopted.
Participating Institutions:  MedU and the Society to Improve Diagnosis in Medicine
Submitting Author:  Andrew PJ. Olson, MD

Promoting Humanistic Qualities in Medical Education by Incorporating Resident Essay Teaching Modules into the Curriculum
To promote professionalism and humanistic qualities in the teaching environment, a resident in the program will be given the opportunity to present one of their own cases as a humanities teaching module session for a teaching conference, under the guidance of a faculty mentor.  These will be included in the resident’s portfolio under professionalism and also be considered for publication.
Participating Institutions:  Providence Sacred Heart Medical Center
Submitting Author:  Judy Swanson, MD

Improving "Code Blue" Resuscitation in the Medical ICU:  An Inter-Professional Approach Utilizing Team-Based Simulation and Interactive Group Training
This project introduces a novel, inter-professional, team-based curriculum designed to improve “code blue” resuscitation in the Medical Intensive Care Unit (MICU) at a university teaching hospital.  This inter-professional curriculum includes medicine residents, MICU nurses [RN], respiratory therapy [RT], and pharmacy trainees, and is ICU team-specific as all participants work together in the MICU.  Participants will learn from simulated codes, interactive group sessions, review of audio-visual footage from simulated codes, and an unannounced mock code in the ICU.  Measured outcomes will include ACLS algorithm adherence, perception of leadership and communication during codes, and patient outcomes before v. after curriculum implementation.
Participating Institutions:  University of Louisville School of Medicine
Submitting Author:  Lorrel Brown, MD

Cap Assisted Colonoscopy and Quality Based Competency in Colonoscopy among Trainees
This project is a single center, prospective, randomized controlled trial of colonoscopies performed by GI trainees to determine if cap assisted colonoscopy results in improved technical and quality measures of competency in novice endoscopy trainees.
Participating Institutions:  Baylor College of Medicine
Submitting Author:  Kalpesh Patel, MD

Systems of Care Curriculum for Hospitalist Residents
The University of Colorado Hospitalist Training Program (HTP) trains up to 12 PGY2 and 12 PGY3 residents per year.  HTP residents receive specialized training in inpatient perioperative and consultative medicine, neurology, and geriatrics, and participate in a hospitalist preceptorship rotation.  They also receive didactics on process improvement, patient safety, hospital efficiency, and healthcare finance and complete a longitudinal quality improvement project.  A comprehensive “Systems of Care Curriculum” was introduced across existing rotations in AY 2014-2015 to augment their training in systems-based practice.
Participating Institutions:  University of Colorado School of Medicine
Submitting Author:  Darlene Tad-y, MD

Education of House Staff on Key Components of Discharge Summaries in an Electonic Health Record
The EHR has been in place for several years and recently more extensively used for most areas of documentation including discharge summaries. Despite the progress of the EHR and the increased use of electronic discharge summaries there has been little education of interns and residents regarding components that constitute a quality discharge summary in the EHR. This project will focus on education of house staff to improve quality of discharge summaries and subsequently outpatient provider satisfaction.
Participating Institutions:  Indiana University School of Medicine, Indianapolis VAMC, and Eskenazi Health
Submitting Author:  Amy Munchhof, MD, PhD

High Value Care Physician Role Modeling Project
This project aims to identify the key behaviors and characteristics associated with role modeling high value care to medical trainees in the inpatient setting. This project will be conducted using focus groups comprised of third year medical students, interns, senior residents, and teaching faculty from the internal medicine program at the Hospital of the University of Pennsylvania and Perelman School of Medicine. Results from this project intend to promote faculty development by leading to the creation of an innovative education intervention for teaching attendings on how to role model high value care.
Participating Institutions:  Hospital of the University of Pennsylvania and Raymond and Ruth Perelman School of Medicine at University of Pennsylvania
Submitting Author:  Sarah E. Woodson

Efficacy of a Program Using Standardized Patients to Improve Practice of High Value Care
This project will test the efficacy of utilizing standardized patients to improve a student’s knowledge and practice of high value care.
Participating Institutions:  Johns Hopkins University School of Medicine
Submitting Author:  Amit K. Pahwa, MD

Developing a Curriculum in Cancer Survivorship for Primary Care Providers (PCPs)
This project is designed to raise awareness of the growing population of adult survivors of cancer, many of whom will be cared for by PCPs, either alone or in partnership with an oncologist.   The proposed program will allow us to develop a curriculum to educate participating faculty and their trainees in caring for cancer patients from the time of  diagnosis , through treatment and for the remainder of their life. Our focus will be on finding safe and effective ways to transition care from the oncology clinic to primary care for the cancer survivor.
Participating Institutions:  St,.Vincent's Medical Center and Quinnipiac University School of Medicine
Submitting Author:  Radhika Khwaja

Creating and Implementing a Patient Safety Checklist App for Residents and Students on Medicine Wards
Mobile device applications (“apps”) are increasingly used by medical trainees to guide in-hospital treatment plans. There are no apps currently available to improve the safety of hospitalized patients on the wards. The authors have drafted a patient-safety checklist to be used during rounds on inpatient medicine wards. The proposed project is to develop the checklist as an app for iOS devices such as iPhone or iPad and conduct usability testing with residents and medical students on the inpatient medicine wards.
Participating Institutions:  Baylor College of Medicine and Michael E. DeBakey VA Medical Center
Submitting Author:  Samir Desai, MD