Tsveti Markova, M.D., F.A.A.F.P., associate dean of Graduate Medical Education.
The Wayne State University School of Medicine’s Graduate Medical Education has successfully achieved institutional accreditation from the Accreditation Council for Graduate Medical Education for five years, the maximum number of years awarded by the nonprofit organization.
WSU is the sole sponsoring institution for nine active GME programs for nearly 150 residents and fellows in Dermatology, Family Medicine, Internal Medicine, Ophthalmic Plastic and Reconstructive Surgery, Orthopaedic Surgery, Otolaryngology, Physical Medicine and Rehabilitation, Urology and Transitional Year. “We knew we were providing an excellent education and fulfilling the requirements, but it is still a great honor that we’re getting recognized like this by the ACGME,” said Tsveti Markova, M.D., F.A.A.F.P., associate dean of Graduate Medical Education and Designated Institution Official for residency programs solely sponsored through WSU.
Residencies are the next step after graduation from medical school, and typically provide three to seven years of supervised training, depending on the medical specialty.
The GME programs’ leadership, faculty and staff worked for nearly a year preparing for the rigorous review through ongoing internal reviews, bi-monthly meetings with the school’s Graduate Medical Education Council, surveys from residency participants and feedback from program directors and participating hospitals’ administration.
The GME’s strengths include highly academic programs; committed faculty physicians; a scholarly environment, including resident-published research and presented projects on the state and national level, with strong faculty mentoring; commitment to the highest standards for education; a strong hospital experience; and future plans focused on quality improvement of safety, effective, efficient, evidence-based and patient-centered care.
“We met all those milestones, and it wasn’t happenstance, this was by design,” said Pierre Morris, M.D., program director of the Family Medicine and Transitional Year residencies, and a WSU assistant professor in the Department of Family Medicine and Public Health Sciences.
Educational outcomes include quality of educational experience, patient-care experience, duty hours’ compliance, patient safety, faculty quality, scholarship activities and more. The review culminated with a one-day site visit by the ACGME in October. ACGME’s Institutional Review Committee announced its decision in April.
This oversight based on the GME continuous improvement model was designed under Dr. Markova’s tenure, to value resident education as much as service commitment and duty hours to patients, ensuring a quality experience for all, Dr. Morris said.
The ACGME is a private, nonprofit organization that accredits about 8,700 residency programs in 130 specialties and subspecialties that educate about 109,000 residents. Its mission is to improve health care by assessing and advancing the quality of resident physicians’ education through exemplary accreditation. Accreditation is voluntary but programs must be ACGME-accredited to receive graduate medical education funds from the federal Center for Medicare and Medicaid Services.
Although the SOM has long traditions in GME by joint-sponsorship of programs with the DMC, the GME at WSU as a sole-sponsor has accomplished the maximum nod from the council in a relatively short amount of time. The School of Medicine established its first independent residency program with Crittenton Hospital Medical Center for Family Medicine in 2007, and following that the Institution achieved an initial three-year accreditation in 2008.
“We came to Crittenton with a clean slate, and we were able to build upon previous residency programs, and we took things from that set up and refined and improved upon it,” Dr. Morris said.
Since then, “We have grown dramatically to nine programs right now partnering with other regional hospital systems,” Dr. Markova said. “What we are trying to accomplish is that the students who are graduating from medical school have enough residency positions to get the specialty of their choice.”
“I’m extremely grateful and appreciative of these new collaborative partnerships with hospitals,” Dr. Markova added.
She also is thankful for the vision and related support provided by Dean Valerie M. Parisi, M.D., M.P.H., M.B.A., and Vice Dean of Medical Education Maryjean Schenk, M.D., M.P.H., M.S., a professor of Family Medicine and Public Health Sciences.
“The successful continuing accreditation of the Wayne State University School of Medicine GME institutional program by the ACGME demonstrates our commitment to high quality medical education and medical education leadership,” Dr. Schenk said. “Dr. Markova’s leadership of quality and patient safety competency-based graduate medical education ensures that our patients receive the very best that modern medicine has to offer while being cared for in an environment that focuses on the needs of the individual patient.”
Since the beginning, the GME office at WSU has focused on growing partnerships with Detroit area hospitals, and now has residency programs at Crittenton, Oakwood Hospital & Medical Center in Dearborn, Oakwood Heritage Hospital in Taylor, Barbara Ann Karmanos Cancer Center in Detroit, the John D. Dingell VA Medical Center in Detroit, and others with smaller rotations, with more major affiliations coming soon. In addition to the sole-sponsored programs, WSU established strong affiliation agreements with the DMC’s and the Henry Ford Hospital’s residencies and fellowships programs.
“There are great programs and opportunities in front of us for growth,” Dr. Markova said. “All of these hospitals are happy with the partnership and very engaged.”
Dr. Markova credits several new initiatives for the ongoing success of the GME program, including the establishment of a new GME office and the creation of special task forces to address institutional accreditation issues.
WSU’s residency program competes for top-notch residency and fellowship program applicants, she said, and received an unheard of 100 percent match rate success for all programs this year. Even better, WSU’s Class of 2012 makes up 33 percent of upcoming residents. “We hope after they train in our residency programs, they will stay in our community,” she said.