Residency Administration I served as the Associate Residency Program Director at Cedars-Sinai from 2014-2016. Our residency is comprised of a total of 26 residents. I primarily focused on two aspects of our residency: curriculum development and evaluation.
Curriculum development
We have restructured our didactics curriculum to focus on interactive learning using a “Theme Week” format. In addition to the standard lecture hour, a second hour is devoted to an interactive “clicker” style question and answer session. This allows not just the imparting of information/knowledge, but also engages the learner by asking them to digest and distill the material to answer questions about it.
Evaluations and Milestones
In the last year, we have completely overhauled our evaluation system for the residents. The two major changes we made were
Revision of the rotation evaluations to milestones-based questionnaires. We developed a matrix to assign which milestones would be assessed on which of the rotations and at which sites, taking care that all would be assessed several times and yet that no individual rotation would be overburdened. This allows us to directly translate these evaluations into milestone assignments.
An Electronic Point-Of-Care system that allows on-the-fly evaluation of residents performing observable tasks. We developed five questionnaires: Surgery, Clinic, Nursing, M&M, and Topic evaluations. The residents have badge buddies with QR codes which can then be scanned to take the attending directly to a SurveyMonkey page with the appropriate questions. These questionnaires also are based heavily on the milestones verbiage so as to allow better translation for the CCC’s milestone level assignments.
Clinical teaching
Subspecialty Clinics Rotation
As a part of their chief year, each resident completes a “subspecialty clinics” rotation, of which one day per week is spent with me in my private practice office. The residents are encouraged to obtain a better understanding of the general day-to-day of an outpatient office which differs substantially from the experience in a community-based clinic.
Continuity Clinic Attending
In August 2015, I will begin attending the Saban Community Clinic where the residents provide care for the uninsured and Medi-Cal patients of our community.
Labor and Delivery
As discussed in my teaching of medical students, two days per week I am the in-house attending on labor and delivery. There, I work closely with the residents and medical students both in management of the housestaff patients as well as the supervision of the unit as a whole. The attendings, residents, students, and nurses round on the patients 6 times per day, and each of these sessions also serves as another opportunity for education for both students and residents.
Resident Didactics
Wong M. ASPRE Preeclampsia Trial. Resident landmark article review.
Wong M. CRASH-2 trial results. Journal club.
Wong M. Closed-loop insulin for T1DM in pregnancy. Journal club.
Wong M. Trauma in Pregnancy. Interactive case discussion and lecture.
Wong M. Adjunctive Azithromycin for Cesarean Family-Feud. Resident landmark article review.
Wong M. Pallister-Killian Syndrome and PPROM after amnioreduction. M&M.
Wong M. Azithromycin for cesarean delivery. Journal club.
Wong M. LEEP and preterm birth risk. Journal club
Vulvar Disorders. Resident lecture.
Effective Powerpoint presentations. Interactive lecture and simulation.
Office based Ob/Gyn CREOG Review. Interactive lecture.