Resident Corner Current Residents and Fellows Top Information and Resources This portion of the site connects residents and fellows to important topics and timely information and resources. Use the quick links below to select a specific topic. Committees Duty Hours Evaluations and Surveys General Competencies Moonlighting Resident Participation in Committees Resident Graduate Medical Education Committee: The Resident Graduate Medical Education Committee (Resident GMEC) is a subcommittee of the GMEC that provides a forum for residents to meet and discuss work environment and educational issues. The Resident GMEC consists of representatives from each core program, led by the committee-selected chair, vice chair and member-at-large. Representatives from the institution, hospital administration, nurse management and information technology make regular presentations to this group. In collaboration with the Senior Associate Dean, the group meets every month, providing an effective forum for issues to be raised that pertain to the educational and work environment. The officers represent the resident body as voting members of the Graduate Medical Education Committee (GMEC). In addition, the Resident GMEC chair also makes a formal report to the Medical Executive Committee each month. Residents and fellows may contact their resident representative or the officers if there are issues you would like to see discussed. Hospital Committees: In compliance with the ACGME institutional requirements, UF College of Medicine – Jacksonville provides residents and fellows the opportunity to participate on appropriate institutional and departmental committees and councils, where actions affect their education and/or patient care. This is an important experience, as the residents role on such committees provides input into decision-making on behalf of quality patient care and access to information to bring back to their peers. In addition, through committee participation, the residents and fellows have a venue through which to develop physician leadership. The committee opportunities at UF Health Jacksonville and chairs of these committees are: Acute Service Line Council: Co-Chairs: Margaret “Megan” Mathews, R.N., Ashley Carter, R.N. and Ashley Frederick Contact: Marie Becker Meeting date/time: 1st Tuesday of every month at 7:30am Location: Birch/Cherry LRC 1st floor The mission of the UF Health Jacksonville Acute Service Line Council is to identify and resolve issues related to patient care and communication and to design improvement efforts that provide mutual benefit to all groups on the frontlines of patient care delivery of medical, surgical and progressive care issues, particularly on 8N, 8S, 7N, 7S, 6N, CPCU, 4N, 4S and 5N/5S in the Pavilion. CAUTI Prevention Team: Chair: Valerie Platt Contact: Martha Dementev Meeting date/time: Last Tuesday of every month The mission of the CAUTI Team is to have zero CAUTIs Critical Care Service Line Council: Chair: TBD Contact: Shannon Mason Meeting date/time: 2nd Monday of every Month Location: 6th Floor Conf Room The mission of the UF Health Jacksonville Critical Care Leadership Team is to identify and resolve issues related to patient care and communication and to design improvement efforts that provide mutual benefit to all groups on the frontlines of patient care delivery on CVICU, CCU, SICU, MICU and Neuro ICU. Discharge Information Team: Co-Chairs: Joan Sacerio and Angie Prince Contact: Joan Sacerio and Angie Prince Meeting date/time: 4th Wednesday of every month at 1:00 p.m. Location: Room 122, CC Basement The purpose of the Discharge Information Team is to develop an organizational process to improve patient experience HCAHPS scores related to the patients’ perceptions about the information hospital staff provided them with, related to the discharge information composite by: Providing them with information in writing about what symptoms or health problems to look out for after leaving the hospital Enhancing communication between healthcare providers and patients with regard to whether or not patients would have the help they need when they leave the hospital Discharge Timeliness Team: Chair: TBD Contact: Allison Martin Meeting date/time: 3rd Thursday of every month at 2:00 p.m. Location: STAR Unit, CC 4th floor The purpose of the Discharge Timeliness Team is to develop organizational processes to improve discharge efficiencies by: Preparing for discharge Predicting discharge date Writing discharge orders early Discharging patients soon after the order is written Diversity Council: Co-Chairs: Leslie Ward and Thanh Hogan, PharmD Contact: Thanh Hogan Meeting date/time: 3rd Wednesday every month at 11:30 a.m. Location: Swisher Boardroom, Tower I, 10th Floor The mission of the UF Health Jacksonville Diversity Council is to create and foster a work and learning environment that promotes respect, cultural awareness and acceptance of every individual. The council’s commitment is to ensure that all employees understand and appreciate the value of diversity at UF Health Jacksonville. They do so through events, education and input from guest experts. Focus goes beyond race and ethnic diversity to include gender and religious diversity, job diversity, cultural competency and diverse generations at work. Donor Council: (Request surgical or ED residents) Chair: TBD Contact: Shannon Mason Meeting date/time: 4th Tuesday of each month at 3:00 p.m. Location: 8th Floor conference room Donor Council reviews data and processes associated with organ donor processing and ventilator management of the brain dead. Epic Interdisciplinary Committee: Chair: Curtis Warden, MSN, RN Contact: Curtis Warden Meeting date/time: 1st Tuesday monthly at 10:30 a.m. Location: Alumni Auditorium, Clinical Center 2nd floor This committee discusses clinical issues and how to use Epic to help. Provides an excellent means for housestaff to see and understand Epic’s integration with clinical care. Ethics Committee: Chair: Kamela Scott, PhD Contact: Kellie Howard and Cynthia Simon Meeting date/time: 4th Tuesday every other month at 12:00 p.m. Location: (TBD – typically Dogwood Room) This committee reviews ethical decision-making challenges presented by physicians and/or patients and families. The committee provides resource to providers in the "gray areas" of patient advocacy and decision-making, as well as making recommendations or resolving conflict. The hospital Ethics Committee makes recommendations and reports to the hospital's Medical Executive Committee. Infection Control Committee: Co-Chairs: Michael Sands, M.D. and Chad Neilsen, MPH, CIC Contact: Leslie Coover Meeting date/time: 4th Thursday quarterly (June, Oct., Jan., April) Location: Swisher Boardroom, Tower1, 10th floor (usually) The Infection Control Committee is responsible for review and oversight of hospital infection epidemiology and prevention endeavors. Data on prevalence of infections by key areas of the hospital are reviewed and strategies proposed to control infection rates. Community-acquired infection rates are monitored and nosocomial infections are targeted for prevention. Infection Control Committee reports on data trends and PI activities to the Performance Improvement Committee. Medical Informatics Committee: Chair: Kendall Webb, M.D. Contact: Angelique Ragans and Tina Lintz Meeting date/time: 3rd Thursday of each month at noon Location: EM Library The mission of the Medical Informatics Committee is to provide opportunities in medical informatics for housestaff of UF Health Jacksonville. There will be educational programs regarding medical informatics provided during and between committee meetings. Members will be trained as SuperUsers of the Epic EMR and will be provided opportunity to become an official certified trainer of Epic. Members will have increased access to IT staff to provide feedback about and assist with improvements of all aspects of the EHR. Members will also be encouraged and provided support as is possible to assist with desired scholarly projects involving medical informatics. Multidisciplinary Critical Care Committee: Chair: TBD Contact: Cynthia Gerdick and Shannon Mason Meeting date/time: 1st Friday of each month at 7:30 a.m. Location: McGriff Boardroom, LRC, 4th Floor The Multidisciplinary Critical Care Committee brings together an interdisciplinary group of leaders and caregivers representing all of the critical care areas of the hospital, to collaborate on equipment and protocols and practice patterns that will improve care and outcomes for all. Needle Stick Exposure Team: Chair: Sandra Brown Contact: Sandra Brown Meeting date/time: 20th day of each month from 11:00 a.m.- 12:00 p.m. Location: 4th Floor Conference Room The needle stick exposure team works to decrease needle sticks and splashes. Pain Ideas Team: Chair: Linda Lawson Contact: Hannah Pegarido Meeting date/time: 3rd Thursday of the month at 1:30 p.m. Location: Birch-Cherry Room, LRC, 1st floor The Pain Ideas Team brings together an inter-disciplinary group to look at pain related issues, analyze data, develop education, promote advocacy and develop solutions to improve pain management for patients. Patient Safety Committee: Chair: Tim Bryant Contact: Tim Bryant Meeting date/time: 3rd Tuesday of each month at 7:30 a.m. Location: Birch/Cherry Room, LRC, 1st Floor This committee coordinates and oversees patient safety endeavors and improvements for the hospital. The patient safety activities are guided primarily by the Joint Commission standards and the National Patient Safety Goals. Patient Safety Committee measures and outcomes are reported to the Performance Improvement Committee. Performance Improvement Committee: Chair: Kelly Gray-Eurom, M.D. Contact: Leslie Coover Meeting date/time: 2nd Tuesday of each month from 7:30 a.m. - 9:00 a.m. Location: McGriff Boardroom, LRC, 4th Floor The Performance Improvement Committee (PIC) provides hospital-wide review and oversight of all quality measures and outcomes and performance improvement endeavors. Data from both clinical and non-clinical hospital services and departments are reviewed and PI opportunities and methodologies identified. Performance Improvement Committee reports and recommendations are presented to the hospital Medical Executive Committee and to the UF Health at Jacksonville Quality Board. Ambulatory PIC: Co-Chairs: Christopher Scuderi and Rita James Contact: Leslie Coover Meeting date/time: 2nd Wednesday of each month from 4:30 p.m.- 6:00 p.m. Location: Deal Boardroom, LRC, 4th Floor Med PIC: Chair: Jeff House Contact: Leslie Coover Meeting date/time: 4th Thursday of each month from 7:30 a.m.- 8:30 a.m. Location: McGriff Boardroom, LRC, 4th Floor Surgical PIC: Chair: TBD Contact: Leslie Coover Meeting date/time: 1st Wednesday of each month from 4:30 p.m.- 5:30 p.m. Location: McGriff Boardroom, LRC, 4th Floor Pharmacy & Therapeutics Committee: Chair: Scott Silliman, M.D. Contact: Bernadette Belgado, Pharm.D. and Amy Birch, Pharm.D. Meeting date/time: 3rd Monday of each month at 11:30 a.m. (no meeting July or Dec) Location: Deal Boardroom, LRC, 4th Floor The P&T committee oversees all pharmacologic agents on the hospital formulary, evaluating and recommending new drugs to be added to the formulary and those meds that should be removed from the formulary (for effectiveness, risk or cost issues) and recommending guidelines for special use circumstances for meds that pose higher risk to patients. P&T Committee recommendations are presented to the UF Health Jacksonville Medical Executive Committee for approval. Anti-infective Subcommittee Chair: Carmen Isache, M.D. Contact: Christopher Jankowski, Pharm.D. Meeting date/time: 2nd Thursday of every 3rd month at 12 noon (Mar-Jun-Sep-Dec) Location: McGriff Boardroom, LRC, 4th Floor Advises the P&T Committee, medical staff and hospital administration regarding formulary and policies related to anti-infective drugs. Participates in QM and oversees antimicrobial stewardship activities. Medication Use Analysis Chair: Jeff House, D.O. Contact: Amy Birch, Pharm.D. Meeting date/time: Quarterly, 2nd Tuesday of every 3rd month at 12 noon (Feb-May-Aug-Nov) Location: Dogwood, LRC, 1st Floor Conducts medication use analysis with the mission of improving and optimizing the medication use process. Identifies potential drug-related problems & root causes, creates opportunities for improved patient care and supports appropriate prescribing, dispensing and monitoring of medications. Nutrition Subcommittee Chair: TBD Contact: Gerald Schmidt, Pharm.D. Meeting date/time: Quarterly at 12 noon Location: Paul Tan Conference Room, CC, Basement Advises P&T Committee in all matters pertaining to formulary status & policies related to parenteral/enteral nutrition products. Policy & Bylaws Committee: Chair: Andy Kerwin, M.D. Contact: Kellie Howard (Cynthia Simon) Meeting date/time: 1st Tuesday of each month at 12:00 p.m. Location: Deal Boardroom, LRC, 4th floor Policies and Bylaws Committee reviews all proposed policies, forms and bylaws for UF Health Jacksonville and makes recommendations to the Medical Executive Committee on same. Resuscitation/Code Committee: Co-Chairs: Andy Godwin, M.D., Cynthia Gerdick and Linda Lawson (North) Contact: Molly Becker Meeting date/time: 3rd Wednesday of each month at 9:00 a.m. Location: EMS library, Emergency Medicine Offices The UF Health Jacksonville Resuscitation Committee reviews all code blue activations and Rapid Response Team activities, to assess processes and procedures for impact on patient outcomes—including code blue survival to discharge and hospital mortality rate. The Resuscitation Committee reports to the Performance Improvement Committee. Transfusion Committee: Co-Chairs: Agnes Aysola, M.D. Contact: Ashley Zicchino Meeting date/time: Quarterly, on the 3rd Thursday of the Month (Jan, Apr, July, Oct) at Noon Location: Anesthesia conference room, 2nd floor Clinical Center Transfusion Committee gathers representative from all departments for discussions regarding the usage of blood and blood products in different department, MTP and emergency release blood protocols, any adverse event related to blood transfusion and how to prevent that and latest trend in transfusion. Women’s Division Service Line Council: Chair: TBD Contact: Amanda Ratliff and Nadine Oldaker Meeting date/time: Quarterly 2nd Wed @ 9:00 a.m. Location: L&D Downtown Family Waiting Room, 3rd floor The mission of the UF Health Jacksonville Women’s Service Line Council is to identify and resolve issues related to patient care and communication and to design improvement efforts that provide mutual benefit to all groups on the frontlines of patient care delivery, particularly on NICU, L&D, 3S and 3N. There is also an Epic physician advisory committee—to address issues surrounding functionality and use of the hospital’s electronic medical record (Epic®). Resident and fellow participation will be sought, as the committee logistics are established. Residents are also encouraged and invited to participate in other UF Health Jacksonville committees, as their specialty and advocacy interests for process improvement may apply. Residents also participate in selected committees at Wolfson Children's Hospital, including the following: PICU Quality Improvement Committee Pediatric Pharmacy and Therapeutics Committee Infection Control Committee Patient Safety and Improvement Committee Ethics Committee WCH Continuing Medical Education Committee Medical Steering Committee GME Oversight Committee Duty Hours The implementation by the Accreditation Council for Graduate Medical Education of resident duty hours standards in 2003 represented a significant initiative designed to create an environment in which residents have time to learn medicine and to safely and effectively participate in patient care and educational activities. The ACGME further advanced this effort with new changes to the duty hours standards in 2011 and again in 2017. In addition to the UF College of Medicine – Jacksonville polices and the ACGME duty hour standards in section IV.F. of the common program requirements, each program may implement policies that meet or exceed these standards for resident duty hours. Please see your individual program policies for any specific requirements set forth by your program. Monitoring of duty hours and fatigue is conducted primarily at the programmatic level, but also at the institutional level—to assure compliance with standards of patient safety and clinical quality outcomes for our patients, as well as quality educational outcomes for our trainees. Every resident and fellow is expected to log his/her actual activity by duty type and location in the confidential web-based residency management system, New Innovations. The program and the institution hold the expectation that each resident and fellows will provide accurate and timely data entry and apply the highest standard of honesty and integrity in both work and reporting. Residents and fellows are also required to provide documentation and assessment of compliance with the duty hours standards through the duty hours assessment survey, conducted by the institution at least three times each year. For those challenged by scheduling issues, as well as with time and workflow management struggles, the chief residents and program leadership are available to assist. The Designated Institutional Official, also is a ready resource for questions and clarification of the standards and provides assistance with issues that may remain unresolved through the program’s chain of command. Finally, the Duty Hours Hotline enables residents and fellows to report duty hour noncompliance issues in a secure and confidential manner. All submissions are treated in a seriously with follow-up by the Office of Educational Affairs and the DIO. Evaluations and Surveys The University of Florida College of Medicine – Jacksonville utilizes a web-based residency management system, New Innovations, for submission of required confidential faculty evaluations and resident surveys. Your program assistant/residency coordinator will provide you with username and password and assist with any logon issues. Residents can be assured of confidentiality when completing faculty evaluations and where possible, also anonymity. While it is possible to track who has not completed an evaluation or survey, the actual content of the individual responses is treated in a highly confidential manner. The confidentiality surrounding resident/fellow and faculty evaluations mirrors that which our patients expect as they entrust us with their personal and health information each day. UF College of Medicine – Jacksonville requires that each resident and fellow evaluate all appropriate faculty members annually during the month of March, although individual programs may have additional requirements and schedules. The Senior Associate Dean conducts an annual all-campus resident survey that provides information for the annual program evaluation of educational effectiveness and provides program and work environment information to the DIO, dean and appropriate hospital leaders. Notification and instructions will be broadcast to all residents/fellows at the appropriate times. The ACGME also conducts an annual survey that serves to assist them in monitoring and assessing programs. General Competencies and Milestones All residency programs require their residents to train and develop in the six general competency domains of patient care, medical knowledge, professionalism, interpersonal and communication skills, practice-based learning and improvement and systems-based practice, as defined by the ACGME in 2001, to achieve the level expected of a new practitioner. Toward this end, programs must define the specific knowledge, skills and attitudes required and provide educational curriculum and experiences for their residents to demonstrate the competencies. Furthermore, programs must assess the outcomes of these educational experiences, as measured by learner performance and application of the principles and knowledge taught. As the specialties (under ACGME) define the milestones for development, educators will assess resident and fellow performance to assure an appropriate developmental trajectory toward independent practice. Moonlighting/Outside Activities All residents and fellows must adhere to the University of Florida College of Medicine – Jacksonville Resident Moonlighting Policy which recognizes two categories of moonlighting: (1) internal activity and (2) external activity. Both have specific requirements that must be met. All moonlighting activity must have prior approval by the program director and the Senior Associate Dean for Educational Affairs. Please refer to your individual program policies for more specific information. If moonlighting is allowed by your program, please be reminded that moonlighting is a privilege to be earned, not a right to be expected. Excellent and consistent performance must be demonstrated in academic, clinical and scholarly activities, as well as compliance with measures of professionalism.