University of Pittsburgh Internal Medicine Residency Training
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University of Pittsburgh Internal Medicine Residency Program
UPMC Montefiore Hospital, N-713,
200 Lothrop Street
Pittsburgh, PA 15213
Phone: 412-692-4942
Fax: 412-692-4944
 

Educational Innovation Project (EIP)

In October of 2006, the University of Pittsburgh Internal Medicine Residency Program was selected as one of only 21 internal medicine programs from across the country to lead the Educational Innovation Project (EIP). This project, created by the Accreditation Council for Graduate Medical Education (ACGME)'s Residency Review Committee with the goal of re-creating and improving Internal Medicine Residency Education, offers selected programs with a history of accreditation excellence the opportunity to develop innovative educational programs and to provide data on both resident and patient outcomes under this innovation. With the growing number of career opportunities and skill sets necessary to practice medicine in the "real world," national leaders in residency education believe it is time to innovate the education that residents receive. This is a well-deserved honor for our program. The University of Pittsburgh Internal Medicine Residency Program is recognized for its commitment to education and its innovative curriculum, with individualization of career training in our clinical and research tracks and programs. We have been selected for our creativity, vision, dedication to education, and ability to put the proposal into action.

Building Blocks of Residency Training

Our model of the residency training of the future uses genomics as a metaphor with building blocks where the clinical/scientific knowledge-base of medicine is intertwined with the themes shown above. The healthcare system, the School of Medicine (SOM), the patients, the faculty and our residency teaching leadership (key clinical faculty or KCF) provide the bonds that link these two helices. It takes this entire spectrum of building blocks to function seamlessly to develop physicians prepared to work in the health care of the 21st century.

In conceptualizing the future of our residency training, we have extensively used the Institute of Medicine (IOM) report entitled Crossing the Quality Chasm to transform the training of internists for the future. The goals of the IOM related to improving health care closely correspond to the objectives of the ACGME to improve physician training while advancing high-quality patient-centered care in high-quality health care systems and responding to the professional needs and career goals of physicians. The University of Pittsburgh Medical Center, a leading integrated health system in the United States, is making major changes in health care delivery to achieve the goals outlined by the IOM panel. Our innovations will include the following: (1) preparing doctors for their careers by developing a core educational program for the first two years of residency and customizing a flexible third year of training designed to

reflect individual residents' career goals and specific areas of focus or concentration; (2) infusing information technology solutions throughout the health care system and training; (3) employing innovative teaching methods (active learning methods using small group sessions, problem-based learning, simulation, standardized patients, web-based modules, and others); (4) promoting continuous healing relationships; (5) enhancing patient-clinician-team communication; (6) teaching evidence-based practice for lifelong learning; (7) focusing on patient safety in every patient encounter; and (8) learning prevention and chronic disease management. We are aggressively planning changes in the system of care and developing intensive curricula in each of the eight themes. Outcome-based and educational evaluation of all of the innovations is an integral component of our residency program.