MPPDA Research Committee

MPPDA Research Committee

MPPDA Annual MeetingMPPDA Annual Meeting

Nashville 2013Nashville 2013

Why research for Med-Peds?

Insert plug to join the research committee Insert plug to join the research committee here.here.

Members

Michael Aronica MD, Chair, SUNY BuffaloMichael Aronica MD, Chair, SUNY Buffalo Bob Hopkins MD, U ArkansasBob Hopkins MD, U Arkansas Ronald Williams, Penn StateRonald Williams, Penn State Princess Dennar, TulanePrincess Dennar, Tulane Steve Strausbaugh, Case WesternSteve Strausbaugh, Case Western Depak Palaksheppa, MGHDepak Palaksheppa, MGH Patrice Thibodeau, MainePatrice Thibodeau, Maine Sharon Wretzel, BaystateSharon Wretzel, Baystate Anoop Agrawal, BaylorAnoop Agrawal, Baylor Jen Lindstrom, AlbanyJen Lindstrom, Albany

Review of Charges Developing a “gate-keeping” process such that all surveys and research Developing a “gate-keeping” process such that all surveys and research

data requests of the MPPDA membership are vetted by the committee.data requests of the MPPDA membership are vetted by the committee. Maintaining a database of publications authored by members of or about Maintaining a database of publications authored by members of or about

Med-Peds programsMed-Peds programs Updating the annual survey of Med-Peds Program Obtaining IRB approval Updating the annual survey of Med-Peds Program Obtaining IRB approval

with expectations of publishing data obtained in the annual program surveywith expectations of publishing data obtained in the annual program survey Submitting at least 1 (one) manuscript yearly for publicationSubmitting at least 1 (one) manuscript yearly for publication Creating an environment for Med-Peds collaborative research among Creating an environment for Med-Peds collaborative research among

programsprograms Keeping a list of active committee members for yearly submission to the Keeping a list of active committee members for yearly submission to the

Executive Committee for documentation of participationExecutive Committee for documentation of participation Preparing and presenting quarterly reports to the Executive Committee, Preparing and presenting quarterly reports to the Executive Committee,

including strategies for meeting objectives not currently met.including strategies for meeting objectives not currently met.

Deliverables for 2012-2013

Fourth Annual Med-Peds program Survey in Fourth Annual Med-Peds program Survey in Summer.Summer.

Format Med-Peds BibliographyFormat Med-Peds Bibliography Compile list of Med-Peds graduates from each Compile list of Med-Peds graduates from each

program and AAP program and AAP Med-Peds SectionMed-Peds Section

Long Term goals for the MPPDA research Committee Obtain annual MPPDA national survey data with Obtain annual MPPDA national survey data with

analysis and survey revision.analysis and survey revision. Support MPPDA in data collection for executive Support MPPDA in data collection for executive

committee initiativescommittee initiatives Improving research networking and development Improving research networking and development

of a National Med-Peds PBRN of a National Med-Peds PBRN  Increase and support Med-Peds faculty publicationIncrease and support Med-Peds faculty publication

Annual Med-Peds Program Survey Program CharacteristicsProgram Characteristics RecruitmentRecruitment Program/Program Director SupportProgram/Program Director Support Ambulatory TrainingAmbulatory Training Board CertificationBoard Certification GraduatesGraduates Curriculum & Transitional committees Curriculum & Transitional committees MiscellaneousMiscellaneous

Annual Program Survey

Survey conducted during Summer 2012Survey conducted during Summer 2012 Contacts emails were found from MPPDA Contacts emails were found from MPPDA

& ACGME databases& ACGME databases SurveyMonkey survey method SurveyMonkey survey method 62 out of 77 programs responded (81% 62 out of 77 programs responded (81%

response rate)response rate)

Annual Med-Peds Program Survey: Program Characteristics

ITEM Mean SD

Number of Residents/ Program

18.6’10/’11 = 18.1/18.6

+/- 8.3

Number of faculty FTE’s/Program

6.5’10/’11 = 6.9 /8.5

+/- 8.7 (Median=4)

Number of Core faculty FTE’s/Program

3.8

‘10/11 = 3.4/3.9

+/- 2.3

Year Program Started

1989 +/- 8.5 years

Mean number Resident/Faculty FTE = 2.9 (’10/’11 = 2.4/2.2)

Annual Med-Peds Program Survey: Program Characteristics

ACGME Sponsoring InstitutionACGME Sponsoring Institution

Annual Med-Peds Program Survey: Program/Program Director Support

ITEM MEAN SD

Length of Time as PD

6.1 years2011 = 6.1 years

+/- 4.3 Years

Age of PD 45 years +/- 11.7 years

PD annual salary $180,00010/11 = 169K/165K

+/- $36,900

Program Director time dedicated to program

0.41 FTE

‘10/’11 = 0.42/0.41

+/- 0.14 FTE

APD time 0.25 FTE‘10/’11 = 0.22/0.27

+/- 0.21 FTE

PA/PC time 0.77 FTE‘10/’11 = 0.76/0.68

+/- 0.55 FTE

Annual Med-Peds Program Survey: Program/Program Director Support

PD Gender: 57% Male PD Gender: 57% Male ((‘‘10/10/’’11 = 55/52% male)11 = 55/52% male)

Have an APD: 61% of programs Have an APD: 61% of programs ((‘‘10/11= 66/68)10/11= 66/68)

Have a separate/own Program administrator: Have a separate/own Program administrator: 82% of programs 82% of programs ((‘‘10/10/’’11 = 82/79%)11 = 82/79%)

Have a Med-Peds Chief Resident: 93% of Have a Med-Peds Chief Resident: 93% of Programs Programs ((‘‘10/10/’’11 = 87/87%)11 = 87/87%)

Have a PD controlled Budget: 65% of Have a PD controlled Budget: 65% of Programs Programs ((‘‘10/10/’’11 = 57/63%)11 = 57/63%)

Annual Med-Peds Program Survey: Program/Program Director Support

Ambulatory PD’s decreased from 42% to 37% from 2009. Hospitalist PD’s increased from 11% – 16%.

Annual Med-Peds Program Survey: Ambulatory Training

ITEM Mean SD

Number of Continuity Sites

2.3 sites/ program(‘10/’11 = 2.2/2.3)

+/- 2.2 (Median=1)

NCQA Sites 0.6 sites/program +/- 1.0

24 Programs have at least 1 NCQA certified 24 Programs have at least 1 NCQA certified ambulatory clinicambulatory clinic

Annual Med-Peds Program Survey: Graduates

Annual Med-Peds Program Survey: Miscellaneous Programs with access to a handoff Programs with access to a handoff

curriculum: 91%curriculum: 91% Patient safety curriculum:Patient safety curriculum:

Own Program runs: 7%Own Program runs: 7% Core Programs run: 70%Core Programs run: 70% Institution Runs: 57%Institution Runs: 57%

Annual Med-Peds Program Survey: Academic Productivity Program DirectorProgram Director

Manuscripts: 1.6/Program +/- 2.4 (median = 1)Manuscripts: 1.6/Program +/- 2.4 (median = 1) Poster Presentations: 1.7/Program +/- 2.4 (median = 1)Poster Presentations: 1.7/Program +/- 2.4 (median = 1) Oral Presentations: 2.2/Program +/- 3.1 (median = 2)Oral Presentations: 2.2/Program +/- 3.1 (median = 2)

ResidentsResidents Manuscripts: 2.9/Program +/- 3.1 (median = 2)Manuscripts: 2.9/Program +/- 3.1 (median = 2) Poster Presentations: 5.2/Program +/- 4.3 (median = Poster Presentations: 5.2/Program +/- 4.3 (median =

4.5)4.5) Oral Presentations: 3.8/Program +/- 3.7 (median = 3)Oral Presentations: 3.8/Program +/- 3.7 (median = 3)

Annual Med-Peds Program Survey: Changes for 2013 NAS support questionsNAS support questions

Data on graduates who fail the certification Data on graduates who fail the certification examsexams