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ORR - Chair Message
November 2002 AAMC-ORR Annual Meeting 2002 HighlightsThe 113th AAMC Annual Meeting, titled "Improving the Nation's Health", provided ORR attendees with some of the best content in the group's 11 year history. 37 resident members, representing 23 different specialties, and 37 GME institutions participated in sessions covering issues at the forefront of GME. Browse the links below for complete summaries of the meeting highlights, downloads of session materials, links to related information, and information on upcoming ORR events and meeting dates. Meeting Highlights:ORR/OSR Joint Session - Errors in Medicine: Forgive and RememberThe Institute of Medicine's (IOM) 2000 report, "To Err is Human" asserted that medical errors were not due to bad people in health care-but the fact that good people are working in bad systems that need to be made safer. Dr. Charles Bosk, Ph.D., Professor of Sociology at the University of Pennsylvania and author of the landmark book, "Forgive and Remember: Managing Medical Failure" (1981), has established himself as a leader in bioethics. During his keynote address, Dr. Bosk provided attendees with a thoughtful, yet entertaining historical perspective on this otherwise serious topic, along with his opinion on the impact of the IOM report and the work of the resultant Patient Safety and Data Standards (PSDS) Committee. This session was rated highly by attendees. Please visit the links below for more information on Dr. Bosk, the IOM, and the PSDS Committee. ORR Working Session - Problem Solving and Team Building Under the New ACGME Duty Hour RegulationsWith the ACGME duty hour compliance deadline looming, the GME community is dealing with developing effective implementation plans and troubleshooting potential pitfalls. The complexity of this process necessitates that residents, whom the regulations effect, play a central role. ORR members participated in a working session designed to help resident leaders understand the duty hour regulations, learn to recognize potential compliance shortfalls, and develop effective strategies for addressing these shortfalls. Working in small groups, members discussed a series of case-scenarios which were specially developed by the ORR Ad Board. In a discussion session moderated by Dr. Chip Rice (ACGME Chair) and Dr. David Leach (ACGME Executive Director), each group presented their findings. This session was rated highly by participants. You are encouraged to download the session materials, share them with other GME leaders, and adapt them for use in your own institutions.
NRMP Lawsuit UpdateAmidst the many positive advances occurring in today's GME environment, the lawsuit filed by Jung et al against the NRMP, its sponsoring organizations, and various GME institutions, is a major step backward. Senior AAMC staff members Bob Dickler (Senior VP, Office of Government Relations) and Joseph Keyes (General Counsel and Senior VP, Division of Medical School Affairs) provided an overview of the NRMP Lawsuit and the current status of the litigation, in addition to answering numerous questions from the ORR membership. They reported that the suit is currently pending a motion for dismissal filed by the AAMC. As a part of its role in coordinating the defense for the lawsuit, the AAMC Executive Council conveyed a General Assembly meeting to discuss creation of a "Fund to Support Graduate Medical Education." The fund, supported by a dues surcharge to AAMC member institutions, will help defray the non-attorney costs associated with the defense. The motion to create the fund was overwhelmingly approved by the General Assembly. Visit the links below to learn more about the NRMP lawsuit and related information.
ORR/OSR Plenary - Industry RelationsThe appropriate role and balance of physician interaction with the medical industry is an age old debate. The release of the "Draft Compliance Program Guidance for Pharmaceutical Manufacturers" by the Office of the Inspector General (OIG) of the Department of Health and Human Services signifies a renewed federal interest in guarding against inappropriate relationships. In the past year the ORR has focused on the unique issue of medical industry in GME, which was the impetus for this joint session with the OSR. The session featured three experts who represented key perspectives of the debate: Dr. Nancy Tomes, PhD (Professor of History, Stony Brook University), Dr. Andrew Thomas, M.D. (Assistant Dean for GME, Ohio State University), and Dr. Mark Horn, M.D. (Director of Medical Alliances Civic Affairs, Pfizer, Inc.). Dr. Dev Sangvai. M.D. (ORR Immediate past-chair) and Michael Rosenthal (OSR Immediate past-chair) provided the resident and student responses to the speaker's comments. According to participant ratings, this session was limited only by its lack of time to accommodate the numerous questions from the audience. Visit the links below to find out more about the speakers, and the related information.
The Troubled Resident: Prevention and InterventionThere are many problems and challenges of residency that contribute to mental and physical stress. Sources of stress may be personal, professional, or financial. These stresses contribute to poor resident performance and threaten resident well-being. Residency programs and health care institutions have a responsibility to recognize warning signs of the troubled resident and to offer support and guidance. Dr. John Coombs (Associate Dean for GME, Washington University School of Medicine) moderated a well-attended session on the troubled resident. Dr. Anderson Spickard, Jr. (Medical Director, The Center for Professional Health, Vanderbilt University Medical Center) spoke about Vanderbilt University's comprehensive program for physician wellness, which covers both faculty and residents. He identified key factors of this program's success, including intense marketing to house staff and faculty, free assessments, and institutional commitment. Phillip Bryson LICSW, MSW (Director of Counseling and Graduate Medical Education, University of Washington School of Medicine) identified common resident stressors and discussed the need for access to services. He also reviewed the features of the UWGME Counseling program, a free, confidential, and on-site service. Resident perspective was provided by Dr. Jessica Roberts, and ORR past-chair (Assistant Professor, Child & Adolescent Psychiatry, Oregon Health Sciences Center). Feedback from ORR members was excellent. Visit the links below to learn more about this issue.
2002 - 2003 Administrative Board ElectionsThe ORR enjoyed excellent participation from members during its Administrative Board elections. Congratulations to our new Board. Chair Chair-Elect Past-Chair At-Large Members: Vineeta Ahooja, M.D. - Internal Medicine Erik Beyer, M.D. - Thoracic Surgery Jesse Goodman, M.D. - Psychiatry Azita Hamedani, M.D. - Emergency Medicine Corinne Horn, M.D. - Otolaryngology Andrew Wright, M.D. - Surgery of the Alimentary Tract Thank you, Francis Nuthalapaty, M.D. |
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