Oregon Health & Science University is one of only 100
medical centers in the nation to train the next generation of neurosurgeons, as
part of our mission to advance cures for neurological disease.
In order to maintain the highest standards of education and
patient safety, the American Council of Graduate Medical Education (ACGME)
performs a thorough records review and site visit of every residency program
every 5 years. Our program spent months preparing documents and then underwent
our site visit in June, 2011.
The results were better than we hoped for. In addition to a
clean bill of health and full 5-year accreditation period, our residency
complement was increased from 14 to 18 trainees. The review committee
recognized the strong training environment, nationally recognized faculty, and
tremendous opportunities to learn in a safe and supportive environment for
patients and trainees in making these decisions.
To top it off, the OHSU Program was also commended for
overall quality, and became the first neurosurgery residency program in the
country invited to share a ‘notable educational practice’ with other programs
nationally. The practice cited is a new call schedule arrangement that shortens
the length of duty shifts for the doctors working through the night in the OHSU
Neurosciences ICU, taking care of the sickest patients. The schedule makes sure
a well rested and focused doctor is only seconds to minutes away from the
bedside of critically ill patients. It also provides for optimal care
‘handoffs’, so that shorter shifts do not result in confusion about patient
status or recent events.
The new schedule was developed by a group of educators and
trainees in our Program, who could see all angles of each challenge and
potential solution. Kudos to key players, Dr. Brian Ragel, Assistant Professor
of Neurological Surgery, and Dr. Mark Piedra, Senior Neurosurgical Resident!
OHSU’s innovative schedule will soon be reported in the
medical literature, and has been posted at the ACGME’s education innovations
website.
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