We implemented an ambulatory block curriculum (4+1) in 2014. It’s been a big hit. See the Curriculum tab for more details, and be sure to ask us about it during your visit to our program.
We are an ‘All-in’ program, filling our entire complement in the Match each year.
Over the last 5 years, about 2/3 of our graduates matched to fellowship programs, with the others entering hospitalist or primary care practices. Averaged over all our programs in the last few years, roughly 50% of all UMKC fellows are graduates of the UMKC Internal Medicine residency.
We utilize a 360-degree evaluation process, incorporating faculty, peer, self, medical student, patient, and nursing evaluations for each resident. These evaluations, along with information on timeliness of record completion, quality of chart documentation, procedures, direct observation by faculty in the form of Mini-CEX’s, conference attendance, use of evidence based order sets, and completion of educational modules is used to gauge residents’ progress in each of the ACGME’s 22 reporting Milestones. Our Clinical Competency Committee reports each resident’s progress in the Milestones twice a year to the ACGME.
It is our belief that an understanding of research methodology is an essential component of Internal Medicine training. As such, we require all categorical residents to complete and present a scholarly project during the course of residency. Projects range from basic science research to clinical/translational research to curricular development/assessment to quality improvement projects, and everything in between. We work to connect residents with a mentor in their area(s) of interest, and Dr. Foxworth, one of our Associate Program Directors, works personally with each resident. In addition, members of UMKC’s Office of Research Administration and Department of Biomedical and Health Informatics are available to assist residents with their project(s). Last year our residents had more than 40 presentations at national/international meetings. In addition, each resident participates in a quality improvement project annually, culminating in a poster presentation at the end of the year.
More than just an opportunity, there is an expectation that residents teach junior learners on most rotations. We pride ourselves on graduating outstanding clinician educators. Recognizing that not everyone is born a great teacher, we recently rolled out our longitudinal Residents As Teachers (RAT) curriculum, giving all our residents an opportunity to learn and practice essential skills.
We have traditionally had Board passage rates well above the national average. This year, 100% of our graduates passed Internal Medicine Boards, and our 3-year (2014-2016) pass rate is 95%.
The legal counsel of the University of Missouri-Kansas City has interpreted the legal duty of the University, as an employer, to incur all costs with obtaining and maintaining visa status during employment. As a result of the significant financial responsibility, we no longer sponsor H1-B visas for our trainees, although we do have several residents on J-1 visas.
Do we have a structured recruitment system to look specifically for residents with particular skill or interests?
We strive to have a diverse panel of residents in each class. We do not specifically recruit to a quota system by medical school origin, research interest, clinical interest, or fellowship interest. We do have a primary care track and we recruit interested candidates to fill these positions. Our rank list is based on a time-tested, continuously refined evaluation process relying on objective ranking utilizing the ERAS selection process.
We hope to recruit well from our medical school. We hope to recruit the best and brightest residents from local, regional and international programs. It is our strong belief that a diverse residency program provides the best training environment for all participants.
Absolutely! The program has a monthly resident luncheon to discuss programmatic and administrative issues and hear the voice of the residents on matters of concern. We have a very effective mentoring program and administrative team to address and react to the concerns of all our residents. We have a good sense of camaraderie and support within the resident ranks and we strive for cohesiveness. Our resident exit surveys are consistently positive regarding the program and the experience.
In addition to continued expansion of our QI/PS curriculum and ambulatory didactic series (with a focus on teaching components of the physical exam), we will be rolling out a hands-on billing and coding curriculum for our PGY-3 residents.
Experience in two contrasting hospital systems gives each learner a much broader exposure to the practice of medicine.