Leadership
Leadership skills are essential for physicians in university and community settings in order to sustain the continued development of academic medicine. Madigan Faculty Development Fellows develop the skills necessary to step into a variety of leadership positions.
Fellows cultivate these skills by immersing in leadership. Over the two years they read together numerous books on leadership in a "book club." Fellows organize and lead regular faculty development sessions for the Madigan Family Medicine residency teaching faculty. Additionally, fellows hold leadership positions on department and hospital-level committees at Madigan and Bremerton as well as national positions within the USAFP or similar organizations. Finally, fellows have the opportunity to attend medical conferences which focus on improving leadership and management skills including Society for Teachers of Family Medicine (STFM), the Residency Program Director's Conference and the USAFP.
Clinical Teaching
Clinical teaching is the core academic activity of most faculty. This complex activity is both challenging and rewarding. Fellows gain skills in the principles of adult learning theory and tailor their teaching to embrace these principles. Furthermore, fellows become skilled in providing feedback in a variety of settings.
The fellows serve as attending physicians at Madigan and/or Bremerton Residency Programs in both inpatient and outpatient settings. Fellows develop proficiency in teaching residents and medical students in specialty specific procedures. Clinical teaching experiences are regularly evaluated by the other fellows in a collegial atmosphere. Together, fellows help each other process their experiences and set goals for the future. Finally, fellows attend and participate in morning report, after clinic conferences, Continuing Medical Education (CME) activities, and the Military Unique/Practice Management curricula to further develop their professional teaching identity.
Research
The Madigan Faculty Development Fellowship encourages research and other forms of scholarly activity. Fellows perform original research as well as produce non-research products including review articles, posters, and the quarterly fellowship contribution to the Journal of the Uniformed Family Physician. Research training combines two approaches: formal courses in reseach and completion of required projects. Fellows enrolled in the University of Washington MPH program attend classes focusing on research skills that parallel the timetable and progress of their thesis projects. Fellows pursuing MBA degrees learn research concepts from their MPH colleagues as well as their own projects. Fellows participate in Journal Club. Fellows serve as research judges at the Annual Madigan Research Day.
Curriculum Design
Regular revision of curricula is required by the Accreditation Council of Graduate Medical Education's (ACGME) for all residencies and specialties. Curricula must address mandated core competencies. Fellows develop, review and revise educational curricula. Fellows lead a workshop on curriculum design for residency faculty as well as lead structured discussions, individual tutorials and peer review sessions about the tasks of problem identification, needs assessment, writing goals and objectives, and educational strategies.
Presentation Skills
Many faculty experience considerable stage fright when they have to speak in public. Few faculty have any insight into adult learning theory. Accordingly, the faculty development fellowship focuses on formal presentation skills and incorporation of active learning into these presentations to improve audience retention and educational value. Fellows conduct many formal lectures within the family medicine residency program and always attempt to engage the audience with learning tasks and not rely soley on PowerPoint. Fellows also present in the Department Faculty Development Series, the Annual Madigan Fall Faculty Development Seminar, the semi-annual Applied Research Training courses, an annual workshop at the USAFP Conference, and the spring fellowship "Road Shows" held at other military training institutions.
Medical Innovation
Information Technologies
Information management technology has revolutionized medicine. Physician leaders must be adept in informatics and computer technology. Fellows gain proficiency in programs such as PowerPoint, Excel, Access, SPSS, and DreamWeaver. Madigan uses the DoD electronic medical records AHLTA and ESSENTRIS. Fellows demonstrate use of internet-based medical knowledge systems such as UpToDate, InfoPOEMS, PubMed and teach the use of PDAs and iPhones in medicine. Lastly, fellows are leading the way the development of an automated kiosk-like check-in for patients in clinic.
Medical Simulation
Madigan is fortunate to be home to theAnderson Simulation Center, one of the mosttechnologically advanced simulation centers in the country. Fellows explore the infinite possibilities of simulation in medical education and rapidly become experts at usingthe simulators.They conduct quarterly "Simulation Olympics" for the family medicine residents. They have the opportunity to learn cutting edge simulation at Harvard University's week long medical simulation course.
Community Service
On a quarterly basis, fellows participate in community service such as Habitat for Humanity or Special Olympics.
