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Title of Effective Practice: - California Postsecondary Education ...

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Direct Connection to Policy Area 5 <strong>of</strong> The Illinois Commitment<br />

Graduate Medical <strong>Education</strong> Programs Review<br />

Southern Illinois University - School <strong>of</strong> Medicine<br />

What issue or need is addressed by the effective practice?<br />

In addition to educating medical students, medical schools provide specialty training to clinical residents and<br />

fellows through graduate medical education programs. Conducted in partnership with the medical school’s<br />

affiliated teaching hospitals, these programs train physicians for the region. While the number <strong>of</strong> federally<br />

supported residency and fellowship positions is fixed, the medical school and teaching hospitals may adjust the<br />

allocation <strong>of</strong> federally supported positions to better meet the region’s needs.<br />

Description <strong>of</strong> the effective practice:<br />

Clinical residents and fellows practice medicine alongside attending physicians and learn their specialties while<br />

they provide patient care. Clinical residents and fellows immediately contribute to the region’s health care<br />

system and <strong>of</strong>ten remain in the region to practice medicine once their training concludes. As such, graduate<br />

medical education programs directly impact the region’s health care system. Along with its Springfield-based<br />

affiliated teaching hospitals – Memorial Medical Center and St. John’s Hospital – SIU School <strong>of</strong> Medicine<br />

operates seventeen clinical residencies and ten fellowships in fourteen primary disciplines. The federal<br />

government provides primary funding for the graduate medical education programs through Medicare.<br />

The Graduate Medical <strong>Education</strong> Programs Review project was a comprehensive internal review <strong>of</strong> the region’s<br />

needs for medical specialists and the adequacy <strong>of</strong> the medical school’s clinical residencies/fellowship programs<br />

to meet these needs. The review was conducted by the dean and provost, the associate dean for graduate<br />

medical education programs, and the associate provost for external and health affairs. The team surveyed the<br />

medical school clinical chairs, clinical residency/fellowship program directors, and senior hospital<br />

administrators; and assessed supply and demand for existing residencies/fellowships, quality and regulatory<br />

issues, and potential for growth. The group prepared recommendations regarding changes in the current<br />

allocation <strong>of</strong> residency/fellowship positions and a set <strong>of</strong> priorities for new or expanded programs.<br />

How does this practice achieve sustainability?<br />

The school’s graduate medical education programs have enjoyed long-standing support from the affiliated<br />

hospitals and the medical school, and federal funding for the residency/fellowship positions. This review was<br />

sanctioned by the hospitals and the school and supports the region’s needs for physician specialists. The<br />

Graduate Medical <strong>Education</strong> Programs Review is an example <strong>of</strong> the medical school’s commitment to preparing<br />

physicians for central and southern Illinois, demonstrating the Southern at 150: Building Excellence Through<br />

Commitment strategy for service to the region.<br />

What are the results/measurable outcomes?<br />

This review may be assessed by how effectively it influences changes to the school’s graduate medical<br />

education programs. The number <strong>of</strong> these programs and residents/fellows within them will be monitored and<br />

assessed in relationship to regional demand for the specialties associated with them.<br />

Contact Information<br />

Name: Karen Broquet, M.D.<br />

Email: kbroquet@siumed.edu<br />

Phone: (217) 545-8852<br />

150

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