Beth Israel Deaconess Medical Center

Education Elective/Education Learning Lab

Our new departmental learning lab was completed in spring 2018. It has advanced simulation, task training, and multimedia capabilities that will augment our already substantial educational resources. The lab is available to residents at all times via card access.

We now offer a new senior elective in education. The resident will teach, train, and assess peers and medical students in our new learning lab, simulation centers, and classrooms. They will focus on “just in time” training so that learners will gain skills and knowledge they need for their next rotation rather than mastering content in a fixed order that may differ from their clinical experiences. They will also participate in curricular design and educational research.

Those who demonstrate a strong commitment to these areas longitudinally may be eligible for a Certificate of Excellence in Teaching upon graduation.

BIDMC Education Learning Lab

Competency Based Curriculum

Based on a review of the literature and our strategic planning process, we are embarking on a curricular redesign that will reduce our structured classroom sessions in order to allow more protected time to focus on mastery-based learning with deliberate practice.

Utilizing our new, sate-of-the-art education lab as the hub, residents are responsible for mastering skills, knowledge, and workflow relevant for upcoming rotations. They have support from faculty and peer mentors.

Applying online didactic content, they develop skills through both supervised and independent practice on our robust collection of simulators and task trainers, learning at their own pace.

Learners demonstrate mastery through completion of written quizzes/tests, Objective Structured Clinical Exams (OSCES), checklists, and assessment of motion metrics for skills including point of care ultrasound and bronchoscopy.

Virtual Airway Simulator Prototype in the BIDMC Education Lab

Spinal and Epidural Simulator in the BIDMC Education Lab

Echo and Point of Care Ultrasound Training

Our program leads the world in innovative teaching of echo and point of care ultrasound to Anesthesiology trainees. We have created novel curricula that are in use at dozens of centers globally. We have developed and implemented metrics to assess learner progression and enhance teaching efficiency.

Our echo and ultrasound simulation lab just underwent a complete space redesign focused on improving workflow for our regularly scheduled TEE, TTE and point of care ultrasound courses. The space remains the most robust anesthesia specific ultrasound skills center in the world. It complements our unique online and iBook-based course materials.

BIDMC Echo Simulation Lab

Patient Safety/Teamwork

All CA3s complete an innovative Root Cause Analysis (RCA) curriculum. After train-the-trainer sessions with select faculty, resident teams conduct RCA projects. Each resident team presented its findings and suggestions during departmental grand rounds sessions. We are adding implementation to ensure that viable ideas can be incorporated into our systems to enhance quality and patient safety. Improving transitions of care is one target area of this program.

A point system in place assures that residents get exposure to elements of quality improvement each year. To accrue points, residents complete activities such as IHI open school modules, quality improvement projects, research, or root cause analysis.

Residents are encouraged to lead QI efforts, and our chair has agreed to support the most promising projects each year.

Those residents who complete exceptional activities (i.e. lead projects), are eligible to receive a Certificate of Excellence in Quality Improvement.

Global Health Offerings

Botswana- Residents can choose to rotate in Botswana at Scottish Livingston Hospital (SLH) providing anesthesia and critical care under the guidance of our full time BIDMC faculty member, Dr. Ed Klune. SLH is a 350-bed hospital. Rotating BIDMC residents will receive training in a wide range of clinical conditions and round with fellow residents, SLH physicians, nurses and Dr. Klune. In addition, they will be expected to prepare teaching sessions for and participate in learning sessions from SLH medical staff.

Scottish Livingston Hospital, Botswana

China- Peking Union Medical Center Hospital is a 1200 bed quaternary care facility in Beijing, China. PUMC is consistently ranked the top medical school in China. This rotation provides residents the opportunity to experience clinical and research ventures at a sophisticated center. The aims are to foster cross-cultural competency and build relationships between our two academic centers. We also participate in a No Pain in Labor initiative at multiple hospitals in China.

Group Photo from the No Pain In Labor Course

Global Health Effectiveness Course at Harvard School of Public Health- Residents may apply to participate in a 2-week public health elective focused on global health effectiveness. We find this is an excellent way to develop successful projects prior to traveling and providing care in other countries.