USF Graduate Medical Education Annual Report

GRADUATE MEDICAL
EDUCATION

ANNUAL REPORT 2017–2018

Letter from
the DIO

Graduate Medical Education (GME) at USF Health Morsani College of
Medicine (MCOM) endeavors to provide a learning environment for the
attainment of knowledge, skills, and attitudes necessary for our residents
and fellows to achieve the highest level of professional and personal
accomplishment. Our community commits to education, accreditation,
quality and safety in patient care, and safeguarding public trust.
I was honored to accept the role of Designated Institutional Official
in March 2018. I thank each member of the GME community for their
dedication and work towards ensuring the highest level of training while
delivering the best medical care for our community to make lives better today and in the
future. I am proud to be a part of this community.
MCOM has been active in GME training since 1971. Our institution currently sponsors 86
programs, of which 66 are ACGME accredited programs. The programs encompass 732
residents/fellows.

During the 2017-2018 academic year, GME had many changes. We added four new
ACGME accredited programs in Gynecologic oncology, Maternal-fetal medicine,
Reproductive endocrinology and infertility and Forensic psychiatry. Dr. Maya Balakrishnan
became our Director of Quality & Patient Safety and spearheaded an inter-professional
and interdisciplinary quality improvement project on Surviving Sepsis in conjunction with
Tampa General Hospital. Finally, our residents, fellows, and faculty weathered Hurricane
Irma to provide care for our patients in the Tampa Bay community.
It is my pleasure to provide this year’s Graduate Medical Education Annual Report at
USF Health Morsani College of Medicine. This annual report provides an overview of our
accomplishments, details of our various educational programs and activities, and a summary
of goals for 2018-2019 academic year. Our achievements and progress are a testament to the
commitment of our GME community.

Cuc Mai, MD FACP
Designated Institutional Official
Senior Associate Dean, Graduate Medical Education
Associate Professor

2 Morsani College of Medicine GME 11

Organizational Chart

Program Directors (77) Charles (Charly) Lockwood, MD, MHCM Maya Balakrishnan,
Education Dean, USF Health MD, CSSBB

Coordinators (45) Morsani College of Medicine Director of Quality
Bryan A. Bognar, MD, MPH, FACP and Safety
Vice Dean for Educational Affairs
Linda Snell,
Morsani College of Medicine Executive
Cuc Mai, MD Assistant

Sr. Associate Dean, GME
Designated Institutional Official

Chair, GMEC
Sue Middleton, MHA*
Director, Graduate Medical Education

Amy Fioramonte, PhD Patti Taylor, MS DeLaura Shorter Kayla McCollum*
Asst Dir., GME Asst. Dir., GME Academic Services Academic Services

Administrator Administrator

YuanYuan Lu Aiying Zhen Victoria Wales
Biostatistician Fiscal & Business Administrative
*Personnel change in 2018-2019
Specialist Specialist

2186 Morsani College of Medicine GME 3

Graduate Medical Education
Committee (GMEC)

Graduate Medical

Cuc Mai,

Director of Quality & Patient Safety
Maya Balakrishnan, MD

Program Review Special Assessment CLER Annual Institution
Cuc Mai, MD Todd Kumm, MD Luis Llerena, Review (AIR)
(Chair) (Chair) MD (Chair) John Cha, MD (Chair)

Committee Committee Committee Committee
Overview: Overview: Overview: Overview:
• Review program • Maintain and • Develop the • Perform the

metrics. follow the special infrastructure annual institutional
review policy and and policies to review and develop
• Provide oversight procedures. coordinate the a quality
over Self-Study CLER focus improvement plan
process. • Perform program areas of quality for graduate
special reviews. improvement, medical education
• Based on areas of patient safety, at the institutional
non-compliance, • Monitor outcomes and supervision level.
determine of Special Review between trainees
appropriateness for action items. and affiliated • AIR annual report
programs to receive hospitals. is presented to
special review. • Provide regular the GMEC and
updates to GMEC on • Help develop and governing body.
2017-2018 outcome status. track resident
Accomplishments integration in QI/PS 2017-2018
• Created internal 2017-2018 at the affiliate sites. Accomplishments
Accomplishments • Monitored action
assessment • Reengineered 2017-2018 items set for 2017-
tied to ACGME Accomplishments 2018 with 81% of the
annual survey. Special Review • Use of same RL goals completed.
Process and solutions error
• Reviewed all annual Procedures. reporting
program across sites.
documents and • Standardized Special
metrics. Review GMEC and • Increased training
Program Report. in TeamSTEPPS.
• Mentored PDs for
optimal ACGME • Reviewed and • TGH-USF QI
Annual Update mentored 6 collaborative
responses. programs SEPSIS project.
needing
• Developed cohort remediation. • Increase C-suite
of trained involvement.
assessors/reviewer.

4 Morsani College of Medicine GME 11

Committee Education

MD (DIO)

Research Diversity/Inclusion & Wellness
Amy Fioramonte, Health Disparities (Coming 2018–2019)
PhD, (Chair) (DIHD) James Palmer, MD
(Coming 2018–2019) (Chair)
Committee
Overview: Hassan Mir, MD (Chair) Committee
• Highlight important Overview:
Committee • Plan the institutional
educational Overview:
literature in • Review the wellness curriculum.
graduate medical
education to compositional • Maintain the
the GMEC, help diversity of wellness website.
residents and housestaff within
program directors training programs. • Coordinate with the
develop scholarly wellness initiatives
products. • Review, develop and for the house staff.
implement strategies
• Review all studies & initiatives for • Plan activities
requesting IRB recruitment of focused on
approval involving diverse housestaff. wellness.
residents.
• Develop and
• Develop implement training
collaborative which promotes
research projects cultural competency
across programs. for all housestaff.

2017-2018 • Encourage and
Accomplishments support projects
• Implemented related to Health
Disparities.
USF Health GME
Research Grant • Disseminate census
Program with 7 data and the
Grant winners. demographics of our
patient population.
• Hired Biostatistician
for trainees’
research projects
(26 requests).

2186 Morsani College of Medicine GME 5

The Annual Institutional
Review (AIR)

The Annual Institutional Areas of Accomplishment in 2017-18
Review (AIR) is an ACGME
required institutional level The AIR committee noted the following accomplishments FY 18:
self-study. The review
content is predetermined • USF GME appointed a Director of Quality Improvement, Dr. Maya
and approved by the Balakrishnan, to facilitate and monitor institution wide QI initiatives. Dr.
Graduate Medical Balakrishnan, along with the Resident Advisory Committee, agreed on
Education Committee the initiative “Surviving Sepsis.” Tampa General partnered with USF and
(GMEC). In 2017-18 the with the combined support Dr. Balakrishnan hosted 4 QI boot camps
data content reviewed for with a combined 90 participants from various specialties and
the self-study included the disciplines. The Surviving Sepsis Project teams are implementing their
most recent minutes/ interventions and will continue to go through the PDSA cycle until 2019.
action plans of GMEC
subcommittees; most • With the goal of mitigating ACGME citations and areas for improvement
recent Resident and regarding Case Logs, the Program Review Subcommittee developed
Faculty ACGME Survey and implemented a process to monitor program compliance with
results with trend data; meeting case log minimum requirements. This new process will flag
overall data dashboard of programs prior to the end of the academic year of non-compliance.
citations, board pass rates, Measurement of success of this effort will be based on the FY19 ACGME
and other key indicators; Letter of Notification.
citation data from ACGME;
and finally, suggested • The Office of Graduate Medical Education improved GMEC
areas for improvement
from ACGME. Communication methods by (1) Using the resident management
system, New Innovations, notification feature as an alternate way to

distribute GMEC agenda items and minutes; (2) Ensuring appropriate

dissemination of GMEC decisions across the institution through New
Innovations and the monthly Education Coordinator meeting.

• The Special Assessment Subcommittee revised the data collection
template(s) and protocol for special reviews. This revision included
standardizing the special review program report to include QI goals,
corrective actions, and GMEC monitoring of outcomes. This revised
process ensures ACGME requirements are being met and that
programs will receive a robust review and clear follow-up procedures.
The Special Assessment Subcommittee reviewed 6 programs during
the 2017-2018 AY using this revised process.

• The ACGME requires all trainees to have access to systems for reporting
errors, adverse events, unsafe conditions, and near misses in a
protected manner as well as opportunities to contribute to root

cause analysis (RCA) or other similar risk-reduction processes. As one of

the first steps to ensure trainees are utilizing the error reporting system
and participation in RCAs, the CLER Subcommittee requested

and received data on error reporting submitted by trainees from each

major affiliate site.
• The Research committee initiated a USF Health GME Research Grant

Program that provides financial support to trainees’ research projects.

6 Morsani College of Medicine GME

Radiology Program
(Miami Baptist)

This grant program was introduced to requirements, ensures that new programs
encourage more trainee led research projects. do not unduly interfere with existing
The Research subcommittee received 28 accredited programs, and ensures a
applications for the grant and 7 were approved. similar level of institutional support for
trainees in these programs as is available
• The Research Subcommittee in partnership for other GME trainees.
with the College of Public Health and the USF
GME Office, hired a Biostatistician for trainees’ • Encourage best practices throughout the
research projects. The committee devised and institution by highlighting programs that
implemented a communication/ marketing have established best practice in a particular
strategy and established intake processes and area. Share these best practices across the
procedures. To date the biostatistician, institution specifically targeting programs
YuanYuan Lu, has worked on 26 projects. that do not perform well in that area.

Targeted Areas for • Develop overall QI/PS GME Curriculum to
Improvement in 2018-19 ensure programs are meeting ACGME common
program and CLER requirements initiatives.
• RAC will host two town hall sessions per
academic year with these goals: (1) facilitate • Improve CLER metrics in; Resident
more interaction between residents/fellows Participation in RCA (Increase from 41%to
in different specialties, (2) provide a forum for 45%), Distribute QI/PS data related to
trainees to communicate and exchange residents (Increase from 6% to 20%) and
information with other residents/fellows Handoff Observation (Increase from 29%
relevant to their ACGME-accredited program to 50%).
and their learning and working environment.
• USF Health GME Research Grant Program
• Provide education to trainees and faculty on will continue for 2018-2019. The committee
process for reporting unprofessional will focus on a greater diversity of projects, in
behavior, and a confidential process for terms of programs represented and types of
reporting, investigating, monitoring, and projects funded.
addressing such concerns.
• Develop and/or offer Biostatistics
• To support programs in addressing educational program(s).
ACGME increased focus on Wellness,
Diversity and Health Disparities, GMEC will • Arrange a USF GME Wellness Week for
endorse the initiation of 2 Subcommittees all GME residencies.
Diversity/Disparities and Wellness.

• Develop Educational learning series to
prepare programs for the upcoming ACGME
Common Program Requirements that will be
effective 2019.

• Develop non-ACGME accredited program
policy with the goal of establishing an
organizational structure that promotes the
educational quality of USF training
programs, complies with regulatory

2186 Morsani College of Medicine GME 7

GME Institutional
Reporting Dashboard

UNIVERSITY OF SOUTH FLORIDA MORSANI COLLEGE OF MEDICINE

ACGME #: 110184
DIO: Cuc Mai, MD
CEO/Director/President: Charles J. Lockwood, MD
GME Director: Sue Middleton, MHA
Institutional Review Coordinator: Linda A. Snell and DeLaura Shorter

8 Morsani College of Medicine GME 11

The Office of Graduate Medical Education has designed Program

Scorecards to track and monitor institutional and ACGME compliance of the programs at
the University of South Florida (USF) that are accredited by the Accreditation Council for
Graduate Medical Education (ACGME). Data from individual program scorecards are
aggregated into an Institutional Scorecard.

2186 Morsani College of Medicine GME 9

GME INSTITUTIONAL REPORTING DASHBOARD CONT.

The Graduate Medical Education Committee (GMEC), its sub-committees, and institution
leaders utilize Scorecards to determine the quality of our programs, and to identify
programs that are not meeting expectations set by the institution and the ACGME.

2186 Morsani College of Medicine GME 11

USF ACGME
Accreditation Status

USF ACGME ACCREDITATION STATUS

TaT2ph0hpe1r3UeoxSwiFmUiMtahStCeOaFdMnatMaerepfcoCeprirvOtohedexMincmoenxratteitsnceiuteeedidvvaieasticdetcarfcesodoArintpatrthtiliinoe2n0un2fer1eod.xmtatschiceterAeCvdGisiMtiatEtaieosffnAecpftrirvoielm2Ju0lty2h21e.9,A2C01G3MwiEtheafnfective July 29,

As part of the ACGME Next Accreditation System (NAS), programs complete an annual
Ainstpearrnt oafltShee lAf-CSGtMuEdNyewxtitAhccarendiAtaCtioGnMSyEstseimte(NvAisSi)t, pervoegraym1s0cyoemaprlest.e an annual internal Self-Study with
an ACGME site visit every 10 years.

Accreditation and Oversight

New ACGME Programs Approved

Programs Program Director Positions Length of Accreditation Site Visit Citations
2 Training Effective Date Date
Forensic Psychiatry Ryan C. Wagoner 3
Gynecologic Thomas J. 3 1 07/01/2017 02/01/2020 2
Oncology Rutherford
3 07/01/2017 11/01/2019 2
Maternal-Fetal Judette Louis
Medicine 3 04/27/2017 06/01/2019 2

Reproductive Anthony N. Imudia 3 3 04/19/2018 06/01/2020 0
Endocrinology
and Infertility

Program • Site Visit Date Citations
ACGME Program Site Visit

Accreditation Status

Advanced Heart Failure and Transplant Cardiology Continued Accreditation 05/24/2017 4

Complex General Surgical Oncology Continued Accreditation 04/04/2017 1

Thoracic Surgery Accreditation Withheld 01/12/2018 9

•

GMEC Program Actions – GME Special Reviews

# Program Review Date # Program Review Date
10/25/2017
1 Advanced Heart Failure and 3 /19/18 4 Clinical Cardiac
Transplant Cardiology Electrophysiology 10/20/2017
9/28/2017
2 Allergy and Immunology - 9/6/2017 5 Interventional Cardiology
Pediatrics

3 Cardiovascular Disease 10/6/2017 6 Ophthalmology

•

New Program Directors (PD) & Education Coordinators (EC)

ACGME Programs 2017/18 2016/17 2015/16 2014/15
5
New PDs 10 8 5 4

New ECs 6 10 9

2017-18 average turnover rate: PDs = 15% ECs = 9%

*Non-accredited programs are not included*

12 MMoorrssaanniiCCoollleleggeeoof fMMeeddiciicnineeGGMMEE 11
10

Accreditation Areas for Improvement

2018 Citation/AFI by Category

50

40 26 25

30 Citation

20 15 AFI

10 14 20 20

0 2016 2017 2018

2018 Citation/AFI by Category

15

12

9 12 4 Citation
6
61 AFI
36 2
51
0 3 2 3
Other Institutional
Program The Procedural Evaluation Support
Personnel Education Experience
Program
and
Resources

2186 Morsani College of Medicine GME 13

USF ACGME
Accreditation Status

Program Positions Length of Accreditation Self Study Date 10 Year Site Visit
Approved Training Status Date

Addiction Psychiatry 2 1 Continued 10/01/2020 04/01/2022
07/01/2020
Advanced Heart Failure and 1 1 Continued 01/31/2019
Transplant Cardiology 02/01/2018
08/01/2020
Allergy and Immunology 6 2 Continued 08/31/2016 07/01/2020
04/01/2022
Allergy and Immunology-Pediatric 6 2 Continued 02/28/2019 07/01/2020
05/01/2018
Cardiovascular Disease 18 3 Continued 01/31/2019 09/01/2024

Child and Adolescent Psychiatry 6 2 Continued 10/01/2020 08/01/2022
04/01/2021
Clinical Cardiac Electrophysiology 2 2 Continued 01/31/2019 04/01/2025
04/01/2025
Clinical Neurophysiology 3 1 Continued 11/30/2016 03/01/2021
03/01/2021
Colon and Rectal Surgery 2 1 Continued 03/01/2023 07/01/2020
w/warning 12/01/2020
06/01/2021
Complex General Surgical Oncology 8 2 Continued 02/01/2021 04/01/2021

Cytopathology 2 1 Continued 10/01/2019 07/01/2020
04/01/2022
Dermatology 12 3 Continued 10/01/2023
07/01/2020
Dermatopathology 1 1 Continued 10/01/2023 04/01/2021
07/01/2020
Emergency Medical Services 1 1 Continued 09/01/2019 07/01/2020
07/01/2020
Emergency Medicine 30 3 Continued 09/01/2019 04/01/2020
07/01/2020
Endocrinology, Diabetes, and Metabolism 6 2 Continued 01/31/2019

Family Medicine 24 3 Continued 06/01/2019

Female Pelvic Medicine & Reconstructive Surgery 3 3 Continued 12/01/2019

Forensic Pathology 2 1 Continued 10/01/2019

Forensic Psychiatry 2 1 Initial

Gastroenterology 12 3 Continued 01/31/2019

Geriatric Psychiatry 2 1 Continued 10/01/2020

Gynecologic Oncology 3 3 Initial

Hematology and Medical Oncology 31 3 Continued 01/31/2019

Hematopathology 2 1 Continued 10/01/2019

Hospice and Palliative Medicine 6 1 Continued 01/31/2019

Infectious Disease 11 2 Continued 01/31/2019

Internal Medicine 115 3 Continued 01/31/2019

Internal Medicine/Pediatrics 20 4 Continued 10/31/2018

Interventional Cardiology 2 1 Continued 01/31/2019

Interventional Radiology - Integrated 10 5 Initial

Maternal-Fetal Medicine 3 3 Initial

14 Morsani College of Medicine GME 11

Psychiatry
Program

Musculoskeletal Oncology 1 1 Continued 01/01/2020 07/01/2021
Neonatal-Perinatal Medicine 9
Nephrology 9 3 Continued 10/31/2018 04/01/2020
Neurological Surgery 14
Neurology 32 2 Continued 01/31/2019 07/01/2020
Obstetrics and Gynecology 24
Ophthalmology 12 7 Continued 06/01/2023 12/01/2024
Orthopaedic Sports Medicine 3
Orthopaedic Surgery 20 4 Continued 11/30/2016 05/01/2018
Otolaryngology 12
Pain Medicine 6 4 Continued 12/01/2019 06/01/2021
Pathology-Anatomic and Clinical 18
Pediatric Endocrinology 3 3 Continued 11/01/2019 05/01/2021
Pediatrics 59
Physical Medicine and Rehabilitation 12 1 Continued 01/01/2020 07/01/2021
Plastic Surgery - Integrated 24
Preventive Medicine 8 5 Continued 01/01/2020 07/01/2021
Psychiatry 32
Pulmonary Disease and Critical Care 16 5 Continued 02/01/2025 08/01/2026
Medicine
10 1 Continued 11/30/2016 05/01/2018
Radiation Oncology 32
Radiology-Diagnostic 3 4 Continued 10/01/2019 04/01/2021
Reproductive Endocrinology and
Infertility 4 3 Continued 10/31/2018 04/01/2020
Rheumatology 2
Sleep Medicine 1 3 Continued 10/31/2018 04/01/2020
Spinal Cord Injury Medicine 2
Sports Medicine 41 4 Continued 08/31/2017 02/01/2019
Surgery 2
Surgical Critical Care 0 6 Continued 11/30/2018 05/01/2020
Thoracic Surgery 12
Urology 5 2 Continued 03/31/2017 09/01/2018
Vascular and Interventional Radiology 3
Vascular and Interventional Radiology 2 4 Continued 10/01/2020 04/01/2022
Vascular Neurology 10
Vascular Surgery - Integrated 2 3 Continued 01/31/2019 07/01/2020
Vascular Surgery
4 Continued 09/01/2020 03/01/2022
4 Continued 11/30/2018 05/01/2020
3 Initial

2 Continued 01/31/2019 07/01/2020

1 Continued 01/31/2019 07/01/2020

1 Continued 08/31/2017 02/01/2019

1 Continued 06/01/2019 12/01/2020

5 Continued 02/01/2021 08/01/2022

1 Continued 02/01/2021 08/01/2022

0 Withheld NA NA

4 Continued 05/01/2021 11/01/2022

1 Continued 11/30/2018 05/01/2020

1 Continued 11/30/2018 05/01/2020

1 Continued 11/30/2016 05/01/2018

5 Continued 02/01/2021 08/01/2022

2 Continued 02/01/2021 08/01/2022

2186 Morsani College of Medicine GME 15

ACGME 2018
Survey Results

The ACGME’s Resident/Fellow and Faculty Surveys are conducted annually. These surveys
poll residents/fellows and faculty members from ACGME accredited programs collecting
critical evaluations of their program’s components, and assisting programs in their review for
accreditation purposes. All specialty and subspecialty programs (regardless of size) are required
to participate in these surveys each academic year between the months of January and June.
In aggregate our residents and faculty survey results were above the national compliance rates
in most areas.

2018 Resident Survey Results

2018 Faculty Survey Results N=525/609

OB-GYN Program Plastic Surgery Program

16 Morsani College of Medicine GME 11

2017-18 GME Resident/
Fellowship Exit Survey

Trainees completing their respective
residency and fellowship programs in 2018
were given the opportunity to complete an
exit survey to identify factors affecting
graduates’ choice of practice location, gather
feedback on their self-rated level of
competency training, and assessment of their
training program.


Of those who responded to the survey,
39 percent indicated they planned to go into
“patient care/solo or group practice,”
14 percent planned to go into “academic
medicine,” and 33 percent are continuing
their training. Additionally, 59 percent of our
graduates intend to practice in Florida, and
41 percent intended to practice out-of-state.
Of those planning to stay in Florida, 43
percent will remain in the Southwest region.
Over 96 percent of graduates would
recommend their USF MCOM training
program to others.

Radiology Program (Miami Baptist)

2186 Morsani College of Medicine GME 17

GME Financials

Educational Funds and Program Director
Protected Time

GME commits significant resources to the residency educational programs. These
resources include over $3.9 million devoted to program director and coordinator salaries.
Program director salaries are supported based on the ACGME Residency Review
Committee required percentages using AAMC Associate Professor 25 percentile for salary.
In addition to salary contribution, GME allocates over $2 million a year to the educational
needs of programs as detailed below.

Category Amount

Books – 7.0% 140,093.82
Catering/Events – 5.0% 101,709.71
578,929.31
Conferences – 28.7% 64,706.17
Consulting – 3.2% 33,978.11
17,965.60
Educational Tools/Technology – 1.7% 96,839.24
Graduation – 0.9% 11,231.46
123,459.45
Memberships/Subscriptions – 4.8% 251,698.10
Printing – 0.6% 470,582.00
16,813.95
Recruiting – 6.1% 91,783.11
Registration/Tuition/Grant – 12.5% 15,666.07
2,015,456
Simulation Center – 23.3%
Supplies – 0.8%
Rent – 4.6%
Others* – 0.8%
TOTAL

* Other includes intra-department transfers, parking, postage, depreciation,
record scanning, gift/meal cards, etc.

18 Morsani College of Medicine GME

Vascular Surgery
Program

Graduate Medical
Education Funding

In 2017-2018, USF GME
contracted with USF Health
MCOM affiliated hospitals to
fund 95 percent of our
residents and fellows.
Departmental funds -
including research projects
and grants – account for the
remaining 5 percent.

Resident Salaries PGY Level 2017/2018 Annual
Salary
As provided for in the House Officer PGY-1 $50,896
contract, the University of South Florida PGY-2 $52,605
Morsani College of Medicine and its PGY-3 $54,434
affiliated hospitals provide competitive PGY-4 $56,579
resident salaries for the southeastern PGY-5 $59,102
United States based on the Association of PGY-6 $61,096
American Medical Colleges (AAMC) Annual PGY-7 $62,203
Survey Southeast mean. PGY-8 $64,069

2186 Morsani College of Medicine GME 19

Clinical Learning
Environment Review (CLER)

The ACGME added the Clinical Learning Environment Review (CLER) in 2014, which occurs
approximately every 18 months. In a CLER visit, ACGME reviews integration of education
in our affiliate hospitals.

The USF MCOM hosted our first ACGME CLER site visit September 22-24, 2014 at Tampa
General Hospital and the USF South Tampa Center. The second site visit occurred
February 7-9, 2017. Over 25 clinical locations were visited by the review team. Residents
and fellows, faculty members, program directors, and other clinical staff were questioned
in the six focus areas shown below.

Wellness through Residency Assistance Program

The Residency Assistance Program (RAP) continues to be an important resource for
residents. RAP continues to be a self-referral program that can be accessed 24 hours a day,
7 days a week by calling 813-870-3344. Pamphlets describing RAP are available from all
residency coordinators, at the GME office at the College of Medicine, and in the lounge and
study/call rooms at Tampa General Hospital. GME also lists information regarding RAP on
the GME website.

RAP trained psychologists confidentially Supervision QI and Health
address individual resident needs and Disparities
provide ongoing counseling and referrals as
needed. In addition, the Office of Patient Safety
Professional Development in the College of
Medicine acts to identify systematic
problems within programs and assists
residents in navigating issues and concerns.

Resident Participation
in QI & PS

Based on internal surveys between July 1, Transitions Professionalism
2017 and June 30, 2018, 84 percent of of Care
GME residency and fellowship programs
conducted various types of Quality Work Hours and
Improvement and Patient Safety (QI & Fatigue Mitigation
PS) projects. Resulting in a total of 257
unique resident and fellow QI & PS
projects.

This image lists the areas of focus identified for
improvement in the CLER site visit based on
resident interviews and observation.

20 Morsani College of Medicine GME 11

Quality Improvement
Collaborative Project

“Surviving Sepsis”

With the 2017 onboarding of the new GME Director of Quality Improvement, Dr. Maya
Balakrishnan, USF GME has launched a joint Quality Improvement initiative with
Tampa General Hospital revolving around surviving Sepsis.
GME-TGH hosted several Quality Improvement boot camps for approximately 90
participants broken into six multi-disciplinary teams from seven Residency and Fellowship
programs as well as various hospital personnel (nurses, pharmacist, IT).
Each team has committed to the initiation, implementation, and monitoring of the PDSA
cycle of their selected intervention for their project. Each project team has been, and will
continue to, communicate their project’s progress within their teams, to their
stakeholders (i.e., involved units or service lines; at noon conferences, CPITs, or division
meetings), GME, and TGH.
Our goal is by 6/2019, we will have sustained engagement for >85 percent of participating
teams in their identified QI initiative for >6 months.

2186 Morsani College of Medicine GME 21

Resident Scholarly
Activity & Leadership

Research Grant
Program

GME allocated $50,000 to fund and
support trainees’ research projects. In
2017-2018 there were 28 applications
received and, through a competitive
selection process, 7 different
research projects were offered grant
awards.

Grantee Name Project Name Award
Daniel Kerr Combined therapy with cannabinoid receptor agonists $7,500
Hematology/Oncology and immune checkpoint inhibitors in aggressive
non-Hodgkin’s lymphoma cells: Mechanisms of $7,500
Andrew Kuykendall cannabinoid-induced immunogenicity
Hematology/Oncology Where fibrosis meets monocytosis: Using morphologic, $5,000
genomic and clinical data to better define the $7,500
Tania Mendoza overlapping clinical entities of myelofibrosis and $7,500
Hematopathology chronic myelomonocytic leukemia $7,500
Sandrine Niyongere Investigation of Gene Profile and Protein Expression in
Hematology/Oncology Blastic Plasmacytoid Dendritic Cell Neoplasm (BPDCN) $7,500
Nidhi Patel Identifying subpopulation of Chronic Myelomonocytic
Cardiovascular Disease Leukemia patients with elevated GMCSF
Parth Shah Hypersensitivity
Surgical Oncology Clinical Utility and Economy of Handheld Ultrasound in
an Outreach Clinic Setting
Emma Westermann-Clark Identification of Beta-Catenin antibody staining on IHC
Allergy & Immunology and CTNNB-1 mutation in patients with adrenocortical
carcinoma as a predictor of better response to a
combination of sulindac with polychemotherapy
The role of Matrix Metalloproteinase 7 in a Novel Mouse
Model of Idiopathic Pulmonary Fibrosis

22 Morsani College of Medicine GME 11

Residents on Committees

In 2017-2018, peer-selected residents served on both the Resident Advisory Committee
(RAC) and the GME Committee (GMEC). RAC is comprised of 12 elected members, each
representing the affiliated hospitals. Members of RAC attend monthly RAC and GMEC
meetings. RAC affiliate hospital representatives also attended various quality and safety
committee meetings at their assigned hospitals. Below is the list of 2017-2018 RAC members:

Assigned Role Last Name First Name Program GMEC
Subcommittee
Co-Chair Golas Adam Surgery AIR/GMEC
Co-Chair Mancera Norberto Ophthalmology CLER/GMEC
Administrative Coffman Joseph Internal Medicine AIR/Special
Chair Assessment
Safety Chair Baumgarten Adam Urology CLER
Research Chair Denson Aaron Hematology/Oncology Research
Chief Resident Beilan Jonathan Urology Program Review
Chair
Wellness Chair Cooper Meghan Urology Research
QI Chair Declue Christopher Radiology Special
Assessment
Social Chair Shah Savan Internal Medicine Special
Assessment
Communication DeSouza Stephanie Internal Medicine Program Review
Chair
Technology Nehaul Roger JAHVA Quality & Safety
VA Patient Safety Peek Elizabeth JAHVA Quality & Safety
Chair

2186 Morsani College of Medicine GME 23

Professional Development

The office of GME developed and hosted several Program Director workshops and
faculty development programs. The Program Director workshop was held on the topic of
program self-study and health disparities.

Additionally, the office of GME at the MCOM continues to facilitate faculty educational
sessions/Lunch n Learns and GME Lead Hour, which are geared toward meeting the
faculty development needs of GME program directors, assist program directors, and key
GME faculty. These sessions are teleconferenced to remote areas in order to include as
many participants as possible. The following educational sessions were held in 2017-18:

Program Directors’ (PD)
Workshop

Presenters: Cathy Meade, PhD and Shirley
Smith, MA; Rani Gereige, MD and Beatriz
Cunill De Sautu, MD

Topics included:

• Health Care Disparity: The What…Why….and
How

• Preparing for Your Self-Study

Dates: January 25 and January 26, 2018

Rheumatology Program

Program Coordinator Professional Development

GME held several New Innovations training sessions covering evaluation reporting, block
and assignment scheduling, checklists, custom reports, and milestones. The annual
‘Education Coordinator Retreat’ was held November 7, 2017 at the Florida Aquarium. Topics
covered included self-study, evaluations, file retention, quality improvement, and finances.

In 2017-2018, GME continued to conduct monthly Education Coordinator meetings in
which institutional information regarding GME and accreditation, affiliated hospital,
resident issues, and other relevant items were disseminated and discussed. GME also
sponsored two program coordinators to attend the 2018 ACGME annual conference.
Three other coordinators were sent to the AHME annual conference and the semi-annual
New Innovations conference.

24 Morsani College of Medicine GME 11

GME Lead Hour Title: Using QI Tools for Annual
Accreditation
Title: Self-Study and the GMEC Check-in Presenter: Cuc Mai, MD
Date: June 13, 2018
Process
Presenter: DeLaura Shorter
Date: April 11, 2018

Lunch 'n' Learn Education Series

2017 Presentations Title: Fat Chance for Obesity Medicine
Education in Medical Schools
Title: GME Finances Presenter: Nicholas Pennings, DO
Presenter: Sue Middleton, MHA Date: March 15, 2018
Date: August 15, 2017
Title: Medical Student Wellness and Beyond:
Title: An Internal Medicine Scholarly Activity Creating a Healthy Culture for All
Initiative: Facilitate Housestaff Involvement in Presenter: Maya Hammoud, MD, MBA
Scholarly Activities Date: March 19, 2018
Presenter: Kellee Oller, MD
Date: October 19, 2017 Title: Integrating Wellness & Nutrition: Lessons
from University of Cincinnati
2018 Presentations Presenter: Sian Cotton, PhD
Date: March 22, 2018

Title: Entrustable Professional Activities: Can the Title: Project on the Good Physician: Using Life
Continuum between UME, GME, and CME Finally Stories to Study Medical Student Wellness
Be Bridged? Presenter: Tania Jenkins, PhD; John Yoon, MD
Presenter: Deborah DeWaay, MD Date: March 29, 2018
Date: January 18, 2018
Title: Peer Support: Mitigating the Emotional
Title: Integrating High-Value Care in GME Toll of Medical Errors
Curricula Presenter: Jo Shapiro, MD, FACS
Presenter: Christopher Moriates, MD Date: April 5, 2018
Date: February 6, 2018
Title: Preparing GME Leaders and Learners to
Title: Healthcare Disparities in GME Institutions Eliminate Health Care Disparities
Presenter: Christine Redovan, MBA Presenter: Baretta Casey, MD, MPH; John
Date: February 8, 2018 O’Handley, MD; and Wilhelmine Wiese-
Rometsch, MD, FACP
Date: June 5, 2018

Morsani College of Medicine GME 25

2018 NRMP
Match Results



Match Day 2018 Our Incoming 2018 residents and fellows
brought diversity, originating from 115
different medical schools worldwide.
Current incoming foreign medical
graduates are 17 percent of all incoming
trainees. Diversity data for our under-
represented minority is shown below. The
table below shows the diversity of 36 GME
programs. Data collected from ERAS
matched applicants only.

Under-Represented Minority (URM) Enrollment
% of Enrollment

26 Morsani College of Medicine GME 11

USF GME
By the Numbers

750 OB-GYN Program

USF RESIDENT/FELLOW GROWTH RESIDENT
DATA
2013–2018 732 2017-18

726 536 RESIDENTS
723 196 FELLOWS
732 TOTAL
725

704

700 FY 13/14 FY 14/15 FY 16/17 FY 17/18

Number of Resident and Fellow Positions by fiscal year

2186 Morsani College of Medicine GME 27

USF Morsani College of Medicine
Graduate Medical Education
17 Davis Blvd., Suite 308
Tampa, FL 33606
Phone: (813) 250-2506
health.usf.edu/medicine/gme/