Alertness Management/Fatigue Mitigation	Duty Hours
ACGME Core Competencies	Other Resources
Specialty Specific Resources	Biomedical Library
Biomedical Library Program Liaisons	Sakai CLE

I.  Alertness Management/Fatigue Mitigation: 

 a. Life Curriculum: "Learning to Address Impairment and Fatigue to Enhance Patient Safety" sponsored by Duke University School of Medicine. Log onto www.medicalcrossfire.com -Enter "Life Curriculum" into the database search box at the top left of the home page.

-You will have to register (it's free) by creating a password before logging onto the site.

-You will find a narrated module entitled "Fatigue" that covers how to recognize fatigue and mitigate its negative consequences.

b. Life Curriculum also covers the following subjects in a web based narrated format geared toward program directors and faculty:

i.    Stress and Depression

ii.      Substance Abuse

iii.    Disruptive Behavior

iv.    Burnout

v.     Boundary Violations

vi.    Impairment

vii.  Instructive Feedback

c. USA Consultation and Outreach:  The staff in the USA Consultation and Outreach Office offer seminars at no charge to staff and faculty, in areas such as:

i.   Anger management

ii.  Conflict Resolution

iii.  Stress Management

iv.  Time Management 

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II. Duty Hours

ACGME Guidelines for Resident Duty Hours (ACGME Website)

III. ACGME Core Competencies

a.  To assist programs in the implementation and evaluation of core competencies the ACGME has created "Educating Physicians for the 21st Century".  Educating Physicians for the 21st Century provides Program Directors and faculty with foundational information on the Outcome Project.  This web based module contains additional links, resources, and practical examples to help you implement the competencies, implement an assessment system, develop an ACGME competency-based curriculum, and develop a program evaluation plan.

Topic areas include:

• Introduction to competency-Based Resident Education
• Practical Implementation of the Competencies
• Developing an Assessment System
• Developing a Curriculum Plan
• Developing a Program Evaluation Plan 

By working through these five modules you will:

• Articulate foundational principles of competency-based resident education
• Develop a curriculum plan for your program
• Develop an assessment system for your program
• Develop a program improvement plan for your program

Additional Educational Resources from the ACGME Outcome Project (Enhancing Residency Education through Outcomes Assessment)

• Advancing Education in Interpersonal and Communication Skills - To provide educational resources for program directors and other medical educators to teach and assess Interpersonal and Communication Skills.
• Advancing Education in Practice-Based Learning & Improvement - To provide educational resources for program directors and other medical educators to teach or foster and access practice-based Learning & Improvement. 
• Advancing Education in Medical Professionalism - To provide educational resources for program directors and other medical educators to aid teaching and assessing professionalism.

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b. GME Today:  A GME Curriculum within and across the USAH residency and fellowship programs to assist in supporting the framework of the Accreditation Council for Graduate Medical Education's (ACGME) general competencies. This ensures quality of patient care while training tomorrow's physicians. 

Additional competency resources are as follows:

a.  Patient Care - Residents must provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

"Managing End-of-Life Care" - NCME Video (DVD available in the GME Office) 

• "Medical Ethics and End-of-Life Decisions" - NCME Video (DVD available in the GME Office) and NCME TV Video (available at www.usa-cme.com)
• "Enhancing Patient Safety Around Bedside Procedures"
• "Palliative Care:  Everybody Wants To Go To Heaven But Nobody Wants To Die To Get There"

b.  Medical Knowledge - Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care.

Basics of Research - Evidence-based Practice in the Health Sciences On-line Tutorial Modules include:

• Introduction to Evidence-Based Medicine
• Structure of the Literature
• Research Design
• Searching the Literature
• Evaluating the Quality of Research

Information can be found by visiting the following web site and following the instructions for medicine course: http://www.mlanet.org/education/web/web_courses.html.

• "Teaching Yesterday, Today and Tomorrow:  A Worthy Academic Focus"
• "Medical Error"
• "Issues in Clinical Research Design"

Adolescent Medicine

• "Sports-Related Injuries in Children: Recognition and Management" - NCME Video (DVD available in the GME Office)
• "Improving Acute Pain Management in Children: Essential Tools, Techniques, and Treatments" - NCME TV Video (available at www.usa-cme.com)

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Domestic Violence

• "Domestic Violence: The Role of the Proactive Physician" - NCME Video (DVD available in the GME Office)
• "Domestic Violence: Still A "New" Agenda in Healthcare" - NCME TV Video (available at www.usa-cme.com)
• "Elder Abuse: Detection, Management, and Prevention" - NCME TV Video (available at www.usa-cme.com)
• "Domestic Violence"

c.  Practice-Based Learning and Improvement

Residents must learn to investigate and evaluate their care of patients, appraise and assimilate scientific evidence, and continuously improve patient care based on constant self-evaluation and life-long learning. 

Quality Assessment and Improvement

• "Measuring and Improving the Quality and Safety of Medical Care: Beyond Joint Commission" - NCME TV Video (available at www.usa-cme.com)
• "Medical Errors in Hospitals: Causes and Preventions"
• "Preventing Medical Errors"

Cost and Resource Management in Medical Practice

• "Controlling Medical Costs" - NCME Video (DVD available in the GME Office)
• "Preventing Falls in Older Hospitalized Adults: Six Steps to Lower Liability and Reduce Non-reimbursed Costs" - NCME TV Video (available at www.usa-cme.com)

Life Long Learning and Evidence-based Medicine

Evidence-based Practice in the Health Sciences Tutorial for Medicine

d.  Interpersonal and Communication Skills

Residents must demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients' families, and professional associates. Some recommended resources that may assist in this area are as follows:

Teaching Skills for the Physician Educator

Select> Research Resources > Scroll down to the "ABC's of Learning and Teaching in Medicine." Also use this link to access the BMJ 2003 series of articles pertaining to "Residents as Teachers" by clicking on "full article" for text.

• "Defining Excellence in Medical Teaching"
• "Teaching Physicians to Teach:  The Stanford Faculty Development Center Model"

Communication Skills for Health Care Professionals

• What Language Are You Speaking? Improving Communication as a Safety, Quality, and Efficiency Imperative" - NCME TV Video (available at www.usa-cme.com)
• Improving Communications Across the Transition of Care and Preventing a "Voltage Drop"

e.  Professionalism  

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.  

f.  Systems-Based Practice  

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. 

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IV.Other Resource Information

GME Today:  A GME Curriculum within and across the USAH residency and fellowship programs to assist in supporting the framework of the Accreditation Council for Graduate Medical Education's (ACGME) general competencies. This ensures quality of patient care while training tomorrow's physicians. 

USA Career Services - Offerings include interview skills, mock interviews, CV review/critique, career services webinars and more.

Medical Crossfire - An online resource focusing on the scientific, clinical, and therapeutic issues of topical interest to active physicians, independent of sponsorship or advertising influence and edited by recognized leaders in the relevant therapeutic categories. In addition to hosting the Medical Crossfire^TM debate program, MedicalCrossfire.com offers physicians and other health care professionals a robust suite of interactive learning tools, news, journal articles, and peer-reviewed literature.

USA Faculty Development - The Office of Faculty Affairs offers a number of programs designed to assist faculty in their career development.

Office of Continuing Medical Education - The Office of Continuing Medical Education provides numerous and varying resources for educational and faculty development purposes. 

USA Biomedical Library  The USA Biomedical Library provides access to the library's book and journal collection. It also serves as a centralized entry point into the library's numerous research tools and databases including PubMed, Access Medicine, ACP Pier, Cochrane, DynaMed, Ovid's Primal Pictures, and other authoritative and full text tools only available through the library's paid subscriptions. This link also provides easy access to reference librarians via email, chat, text, or telephone. Most of the library's resources can be accessed from off-campus locations with your student or faculty log in via the proxy server.  

Educational Technologies and Services  The Department of Educational Technologies and Services (251-460-6317 coordinates quality improvement of education by providing support and development to College of Medicine faculty and students.  Educational support includes designing and developing instructional materials and methodologies, keeping up-to-date with innovative technological advancements, and developing assessment strategies.  Educational support is provided for all College of Medicine educational departments (i.e. Medical Education, Continuing Medical Education, Graduate and Residency Programs).

Evidence-Based Medicine in Primary Care and Internal Medicine  Evidence Based Medicine   systematically searches a wide range of international medical journals applying strict criteria for the validity of research. Experts critically appraise the validity of the most clinically relevant articles and summarize them including commentary on their clinical applicability. EBM also publishes articles relevant to the study and practice of evidence-based medicine.

MedEdPORTAL  A new resource from the Associate of American Medical Colleges (AAMC) for publication and dissemination of peer-reviewed works related to medical education; resources for educational scholarship.

Faculty Vitae  Faculty Vitae is a Web-based publication of the AAMC's Faculty Development and Leadership (FD&L) section.  Its features bring resources for professional development to the desktops of faculty in medical schools and teaching hospitals.

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V.Specialty Specific Resource Information

The Color Atlas of Family Medicine
The Color Atlas of Family Medicine is an indispensable resource for family doctors, who come across more rashes, eye problems, skin cancers, and infections than any single specialist.

Greenspan's Basic & Clinical Endocrinology, 9e
Greenspan's Basic & Clinical Endocrinology is the one-stop guide to the entire field of clinical endocrinology and its scientific underpinnings.

Child, Adolescent and Teen Conditions in Healthcare

Slide Presentation on Evaluating the Competencies
Provided by the ACGME's Notable Practices Review Committee in Diagnostic Radiology

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