Wright State University Sponsored Graduate Medical Education
Annual Report 2006
Robert Smith M.D.
Chair, Graduate Medical Education Committee (GMEC)
Dayton Area Graduate Medical Education Consortium (DAGMEC)
Margaret Dunn, M.D.
Designated Institutional Officer
Wright State University
Our sponsored programs have offered graduate medical education to 365 residents in 18 programs (attachment). Our affiliated programs in Internal Medicine and Transitional Medicine, sponsored by Kettering Hospital, and the Family Medicine program sponsored by Miami Valley Hospital have also served 57 residents. BSOM graduates started in 17 positions in our sponsored and affiliated programs, together with 13 graduates of other Ohio schools. We have continued to actively collaborate as a GME community through the activities and programs of DAGMEC.
A new program in Plastic Surgery, under the leadership of Dr. Michael Johnson, welcomed its first resident this past July. Two programs underwent a site visit last year: Psychiatry, receiving an outstanding review and 5 year accreditation, and Sports Medicine, receiving 3 year accreditation. We have also welcomed new program directors to two of our existing programs: Dr Michael Heffernan for Dermatology and Dr. Mark Campbell for Obstetrics and Gynecology. Both these programs also began intensive preparations for 2007 site visits.
In all our programs residents have often provided the uninsured in our community access to medical care which would have been otherwise unavailable. As the holes in the health care safety net for the under and uninsured widen, the potential service demands for care increase and must be monitored closely to maintain the quality of our residencies and their accreditation.
Faculty have assumed increased responsibilities for the continuity of patient care. While physician extenders have helped with meeting these challenges, the reconfiguration of American GME has resulted in huge increases in the time and intensity of the faculty participation in GME. It has also become far more difficult for voluntary faculty to make the commitment of time necessary for participation on teaching services.
The entire GME faculty have ever increasing service responsibilities as well as higher expectations for the quality of teaching and evaluation. In the past year DAGMEC has newly focused on faculty development and delivered a variety of professional programs for faculty and program directors on the conduct of internal reviews as well as evaluation.
Overall compliance with the duty hours requirements has been excellent. However, there are ongoing challenges to maintaining consistent compliance with the rules regarding residents having no more than 30 hours of continuous duty, having 24 hours free from all educational and clinical responsibilities every week, and having at least 10 hours off between duty shifts. These challenges can be the consequence of transitions of care, particularly in the residency programs which participate in the care of the most acutely ill patients. Our programs are committed to full compliance with ACGME accreditation standards and are actively working to improve patient care through greater consistency and efficiency in handoffs and care transitions.
The incredible commitment of our GME faculty, both voluntary and full-time, has allowed our programs to continue to provide outstanding graduate medical education while providing appropriate supervision and continuity of care for patients. Our program directors have continued to meet ever increasing challenges in managing these complex educational programs.
Operationally DAGMEC has been a division of GDAHA since its inception. DAGMEC’s governance has been restructured in collaboration with the Executive Committee of the GDAHA Board to be more congruent with that of its other councils. A GME Council composed of hospital Vice Presidents for Medical Affairs and Directors for Medical Education, the GMEC Chair, and the BSOM dean and DIO, has replaced the former Board of Directors and will be reporting to the Board of GDAHA.
Collaborative initiatives included disaster preparedness training led by the department of Emergency Medicine aimed at increasing the numbers of local medical responders. Local GME educators also explored opportunities to collaborate on clinical simulation, in order to best leverage local expertise and current resources in planning for needed future expansion. At the state level, the first annual “State of GME in Ohio” meeting was held in Columbus in October 2006, organized through the Ohio Council of Teaching Hospitals.
All Dayton area physicians are encouraged to share their concerns and suggestions regarding GME with the GMEC. Please visit the WSUSOM or the DAGMEC websites for further information.
Sponsored Residency and Fellowship Programs
Aerospace Medicine - Robin Dodge, M.D.
Child and Adolescent Psychiatry - William Klykylo, M.D.
Dermatology - Michael Heffernan, M.D.
Emergency Medicine - James Brown, M.D.
Sports Medicine Fellowship - James Tytko, M.D.
Family Medicine - Teresa Zryd, M.D.
General Surgery - Paula Termuhlen, M.D.
Internal Medicine - Virginia Wood, M.D.
Cardiology Fellowship - Abdul Wase, M.D.
Gastroenterology Fellowship - Christopher Barde, M.D.
Hematology/Oncology Fellowship - Michael Baumann, M.D.
Infectious Disease Fellowship - Jack Bernstein, M.D.
Internal Medicine / Pediatrics - Marc Raslich, M.D.
Obstetrics/Gynecology - Mark Campbell, M.D.
Orthopaedic Surgery - Richard Laughlin, M.D.
Pediatrics - Ann Burke, M.D.
Plastic Surgery - Michael Johnson, M.D.
Psychiatry - David Bienenfeld, M.D.
Affiliated Residency Programs
Family Medicine, Miami Valley Hospital - Ted Wymyslo, M.D.
Internal Medicine, Kettering Medical Center - Stephen McDonald, M.D.
Transitional, Kettering Medical Center - John Shrader, M.D.
March 2007
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