Funded Innovation Awards in 2016
The project Advanced Critical Care Life Support (ACCLS) A Practical, Multi-Disciplinary Collaborative Approach to Teaching and Skill Maintenance for Emergent Events in the ICU is designed to improve knowledge, preparedness, collaboration, and outcomes in the Trauma Burn ICU by providing a shared multidisciplinary experience of simulated, uncommon, life-threatening occurance in the ICU. By obtaining knowledge and working on team dynamics, Attendings, Fellows, Residents, Nurses, Mid-level Health-Care Providers, TBICU staff, and Medical/Nursing Students will not only gain knowledge and improve communication between team members, but also help participants recognize possible barriers to effective and efficient care and help the team develop processes to best handle rare emergent events in the ICU in which they work. The process and outcomes of the project will be evaluated and results analyzed, presented and published. If successful, we plan to develop additional scenarios that can be utilized by other ICU teams.
Investigators: Jill Cherry-Bukowiec, MD, MS, PNS, FACS; David Machado-Aranda, MD, FACS; Kathleen To, MD, FACS
Team Members: Lori Pelham, RN; David Stoll, RN; Sarah Taylor, RN; Anna Krzak, PA
The overall objective of this CME activity is to provide granular didactic education pertaining to healthy nutrition and meal preparation, as well as health-related physical activity and exercise prescription. Participants attending the 2-day course will have an opportunity to: (1) learn from renowned experts in the fields of Nutrition/Dietetics, Exercise Physiology, Public Health, Behavior Change, and Obesity/Metabolism, through research-based keynote lectures; (2) engage with peers in small group discussions to design needs-analyses and behavior change plans for specific case-studies; (3) participate in hands-on opportunities to plan, shop for, and prepare nutritious/delicious meals; and (4) experience a battery of different physical activities and group exercise classes designed to improve health-related fitness. The driving theme of this activity will be healthy lifestyle adoption for both physicians and their patients. This theme and overall mission of the activity are closely aligned with the priorities of the UMHS Departments of Pediatrics and Physical Medicine and Rehabilitation-both of which have a long, rich history in preventive medicine research and clinical care.
While the value of multidisciplinary care for cancer patients is undisputed, most efforts are centered on patients with a curable diagnosis, whereas comprehensive, multidimensional care involving all relevant specialties remains an unmet need for patients diagnosed with brain metastases and/or leptomeningeal disease. In our proposal entitled, “Engaging academic and community partners: a tumor board-based approach to enhancing the multidisciplinary care of patients with brain metastases and leptomeningeal disease,” we propose a novel CME activity using an interactive, tumor board-based format to enhance the multidisciplinary coordination of patients with brain metastases/leptomeningeal disease in the academic and community settings, to assess the practice patterns, unique needs and changes in practice of academic and community providers before and after this event, and to foster future partnerships with community sites and increase potential enrollment on interventional clinical trials. This effort uniquely stems from the University of Michigan Multidisciplinary Brain Metastases Working Group consisting of faculty from medical oncology, radiation oncology, neurosurgery, neuro-oncology, physical rehabilitation and neuroimaging that seeks to advance the treatment of this patient population through collaborative research efforts leading to improved patient outcomes.
On April 15th, the Department of Urology hosted the 2nd annual D.U.S.T. course – the only CME course in the world where participants are taught the science, rationale and technique of the Dusting approach to endoscopic laser stone surgery. “Dusting” utilizes the capabilities of high-power holmium lasers to pulverize stones into fine powder. Held in the Clinical Simulation Center, advances in technique are explored through practical laser demonstrations in bench models. Participants also got to use the new single use (disposable) digital ureteroscope – the first time urologists in the United States were able to road-test this device. Didactic lectures, roundtable discussion of cases, and review of procedural videos by experienced faculty, aimed to provide a comprehensive learning experience in the minimally invasive management of kidney stones. On the day we had over 50 participants from throughout the country, as well as one attendee from the United Arab Emirates! We also had a superb guest speaker—Dr Bodo Knudsen, Associate Professor of Urology at Ohio State University—a renowned endourologist known for his research on laser fibers for stone surgery.
Implementation of a Multi-Disciplinary Clinical Ethics Continuing Medical Education Curriculum
Medical ethics is an integral component of education for all clinicians. However, Michigan Medicine lacked a formalized mechanism to provide ethics education to house officers and clinical faculty in intensive care units (ICUs). To meet these needs, a novel, self-sustaining, longitudinal multidisciplinary program facilitating case-based didactics in clinical medical ethics will be developed and implemented for practicing physicians within the context of the interdisciplinary/interprofessional ICU team. The program consists of weekly “ethics rounds.” These multidisciplinary sessions are structured and customized based upon the workflow and preferences of each unit. Qualitative interviews using the “think aloud” method are used to evaluate the effect of the program on the framing and resolution of ethical issues that emerge in ICUs, along with a validated metric assessing Team Effectiveness. The frequency and content of ethics and palliative care consultations is also measured to determine if these
educational initiatives have an organizational effect over time.
To learn more about Clinical Ethics, visit: http://cbssm.med.umich.edu/what-we-do/programs/clinical-ethics
Funded Innovation Awards in 2015
Development of a maintenance of procedural skills "short-course" for Emergency Medicine faculty at an academic institution
This research is aimed at developing, incorporating, and evaluating a novel model of a maintenance of certification (MOC) program for academic emergency medicine (EM) physicians. This pilot MOC "short-course" is designed to address the specific needs of practicing adult and pediatric EM faculty physicians within the academic medical institution. Faculty members are often charged with teaching procedures to residents and other learners at the expense of their own hands-on experience. In this work, faculty physicians' needs related to procedural skills are identified and a robust training and assessment program to address those needs will be developed. The program's impact will be evaluated and optimal intervals of retraining for improved retention of skills will be identified. It is anticipated that the incorporation of MOC "short-courses" will immediately improve the quality of patient care in the ED and improve our faculty's skill and confidence during their oversight and support of learners in the ED.
Investigators: Suzanne Dooley-Hash, MD, Robert Huang, MD, Marcia Perry, MD, Nikhil Theyyuni, MD, Helena Wang-Flores, MD, Deb Rooney, PhD
Drug Discovery and Development Boot Camp
The Department of Pharmacology held a full day program to assist researchers in navigating the complex route through new drug discovery and development. The program brought together more than 170 basic, clinical and translational researchers from U of M, other universities and industry. Speakers from U of M, NIH and industry presented ground-breaking work on new drug targets, insights on discovery of new medicines, approaches for preclinical and clinical evaluation as well as routes to funding. The keynote speaker was Rajesh Ranganathan, Ph.D., Director of the Office of Translational Research at the NINDS, who provided insights into funding mechanisms at the NIH to facilitate drug discovery and development in neurologic diseases. Networking during lunch and the reception after the program afforded opportunities for researchers to interact and hopefully form new collaborations. With the success of the boot camp, additional drug discovery and development programs are planned for the future.
Funded Innovation Awards in 2014
MiChart Simulation Training in Obstetrics: Recipient of 2014 Innovations in CME Grant
OB MiChart Simulation Training is an innovative and comprehensive inter-professional, simulation-based, patient safety initiative designed to educate and prepare OB care teams for the inpatient launch of the EHR system, MiChart. A total of 188 unique individuals participated in 64 simulation sessions over a 4-week period; several individuals attended multiple training sessions. Simulation participants were comprised of: OB/GYN faculty, fellows, and residents; Certified Nurse Midwives (CNMs); Family Medicine faculty and residents; and Labor & Delivery nurses. Led by OB Faculty, with extensive nursing support, learning scenarios consisted of provider/nurse pairs who worked through simulated routine and emergent deliveries using the MiChart practice environment on the Labor and Delivery unit. Preliminary feedback suggests that OB MiChart Simulation Training was extremely effective in understanding MiChart and care team roles, in the context of practice-based workflow.