iSPOT (Increasing and Standardizing Peer Observation in PHM Teams)

January 26, 2022 to January 31, 2023

Research has shown peer observation and feedback to be effective tools for performance improvement in multiple settings, from the classroom to the operating room.  This is especially valuable in medicine where successful promotion of behavior change among clinicians is known to be particularly challenging.  Upon completion of training, healthcare professionals often have no or limited structured opportunities for observation and feedback by experts or coaches. Peer observation experiences promote reflection and growth and thus have a role far beyond training alone.  

Pediatric hospitalists play a critical role in the care of hospitalized children, within the framework of healthcare systems, undergraduate, and graduate medical education.  Within pediatric hospital medicine, however, clinicians often engage in patient care and/or teaching activities alone or in parallel, and thus rarely have opportunities for observation by peers as a means of promoting individual reflection and practice improvement.  The advantages of observation using a peer-to-peer model supported by evidence include increased confidence in ability to give and receive feedback, increased confidence in skill development, and elimination of implicit bias in supervisor to learner evaluation.    

Participants will engage in following phases of the project: 

  1. Learn techniques for evaluation and provision of feedback to colleagues, then engage in self-identification and documentation of at least 1-2 goals for the peer observation intervention during a kick-off workshop 
  2. Measure progress through at least 2 peer observation and feedback (POF)/sessions with a hospitalist peer
  3. Review recommendations, progress and consider adjustment or additional goal setting through a re-visitation of self-identified goals 

Peer observation sessions will take place one-on-one at the individual sites and can occur in a variety of settings: teaching, rounding, clinical practice or performance of procedures. Peer observers will be provided with self-assessment forms, observation sheets for use during POF sessions, and prompts for goal-setting and review through REDCap.  It is expected that each session will be approximately 30-60 minutes and a debrief will occur afterward.  Observation sheets specifically outline identification of “what went well” and “areas for improvement” as prompts for discussion and reflection.  Observation sheets may be optionally submitted to the site leader to add to project outcomes and are de-identified. Coordination of peer pairings and approval/submission of MOC4 forms will go through the local site leader.

Elements of Completion:

  • Attendance at the Kick-Off session or review of pre-recorded session
  • Self-assessment & establishment of goals
  • 2 POF sessions with hospitalist peer
  • Attendance at or review of quarterly education and project update sessions
  • Completion of REDCap surveys to indicate goals and outcomes

Kick Off Meeting is January 26, 2022 from 3:00 - 4:30 p.m. CST

Target Audience

Physician, NP, or PA engaged in the practice of Pediatric Hospital Medicine

Learning Objectives

  • List at least five characteristics of effective feedback
  • Describe one model of effective feedback delivery
  • Apply feedback principles to peer observation scenarios
  • Recognize the benefits of peer coaching for individuals and programs
  • Appreciate the diversity of coaching in hospital medicine and potential outcomes
  • Identify at least 2 behaviors of a master coach
Course summary
Available credit: 
  • 8.00 ABP MOC Part II
  • 8.00 AMA PRA Category 1 Credit™
Course opens: 
12/14/2021
Course expires: 
03/31/2023
Event starts: 
01/26/2022 - 3:00pm CST
Event ends: 
01/31/2023 - 4:30pm CST

Participants will engage in following phases of the project: 

  1. Learn techniques for evaluation and provision of feedback to colleagues, then engage in self-identification and documentation of at least 1-2 goals for the peer observation intervention during a kick-off workshop 
  2. Measure progress through at least 2 peer observation and feedback (POF)/sessions with a hospitalist peer
  3. Review recommendations, progress and consider adjustment or additional goal setting through a re-visitation of self-identified goals

Kick Off Meeting is January 26, 2022 from 3:00 - 4:30 p.m. CST

File Project Timeline.docx

Disclosure Statement:

It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.

Planning committee members and presenter(s) have disclosed they have no relevant financial relationships with ineligible companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients and have disclosed that no conflict of interest exists with the presentation/educational event.

 

Faculty and Planning Committee

Priti Bhansali, MD
H Barrett Fromme, MD, MHPE, FAAP
Cherie Ginwalla, MD
Erin King, MD, FAAP
Joanne Nazif, MD
Nicola Orlov, MD
Kamakshya P Patra, MD, MMM
Nikki E Webb, MD, FAAP

H. Barrett Fromme, MD, MHPE, FAAP is a Professor of Pediatrics and a pediatric hospitalist at the University of Chicago, Pritzker School of Medicine where she serves in numerous leadership roles, including Section Chief of Pediatric Hospital Medicine(PHM)and Associate Dean for Faculty Development in Medical Education. Nationally, she serves on the Academic Pediatric Association Education Executive Committee and is immediate Past Chair of the American Academy of Pediatrics Section on Hospital Medicine. She is the co-creator and Faculty Director of the Advancing Pediatric Educator eXcellence (APEX) Teaching Program, co-sponsored by the APA and AAP SOHM. She has received numerous awards from students and residents, locally and nationally, for her teaching. She is passionate about mentorship and serves in both formal and informal mentorship roles to countless colleagues. Throughout her career her research has focused on the scholarship of teaching, and more recently on workforce advocacy and gender equity issues in PHM.

Nicola Orlov, MD is an Assistant Professor of Pediatrics, Associate Program Director for the Pediatric Residency Training Program and Co-Clerkship Director for the Pritzker School of Medicine.  She is a graduate of the University of Chicago Pritzker School of Medicine and subsequently stayed at the institution where completed her Residency Training and Chief Resident year.  She completed an MPH at Columbia University and graduated from The Medical Education Research Innovation Teaching and Scholarship (MERITS) fellowship from the University of Chicago.  Dr. Orlov is board-certified in Pediatric Hospital Medicine.  She is an exemplar educator and mentor who is recognized repeatedly for her teaching and mentorship.  She has a strong interest in faculty development and is a member of the University of Chicago’s Academy of Distinguished Medical Educators where she teaches locally and nationally about coaching and feedback.  Additionally, Dr. Orlov’s recent scholarly work has focused on improving the sleep of hospitalized children. 

Accreditation Statement:

In support of improving patient care, Children’s Minnesota is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Children’s Minnesota takes responsibility for the content, quality and scientific interest of its accredited continuing education events.

Credit Statement:

AMA

Children’s Minnesota designates this blended activity for a maximum of 8 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent to their participation in the activity.

This program offers 8 contact hours of continuing education.  Most medical professional organizations accept AMA PRA Category 1 Credits™.  It is the individual’s responsibility to determine whether an education activity meets the continuing education requirements of their respective licensures and/or professional boards.  Go to your respective organization’s website for more detailed information regarding credit requirements.

Children’s Minnesota is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 8 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to the ACCME for the purpose of granting ABP MOC credit.

 
This activity is eligible for 25 Maintenance of Certification (MOC) Part 4 points from the American Board of Pediatrics (ABP).

Available Credit

  • 8.00 ABP MOC Part II
  • 8.00 AMA PRA Category 1 Credit™
Please login or register to take this course.

Individual participants are not able to register without a designated site leader. 

Required Hardware/software

You will need a computer with internet access to join the kick-off meeting and course materials/websites.