CLINICIAN EDUCATOR AND ACADEMIC ADMINISTRATOR TRAINING DURING RESIDENCY

ACADEMIC ADMINISTRATOR, CLINICIAN EDUCATOR (AACE) TRACK

Rationale and Development

This is a new initiative which was piloted from January to June 2008. The AACE track started formally on July 1 2008.

The Academic Administrator, Clinician Educator (AACE) Track was developed as part of an institution-wide movement towards promoting future academic leaders in clinical care, continuing education, and administration. Through this specialized residency track, Western Psychiatric Institute and Clinic (WPIC) and the Department of Psychiatry encourage interested residents to teach more effectively, administrate as leaders, think scientifically and innovatively, and strive for clinical excellence in a rigorous manner. The AACE Track is available to residents in both the four-year general and the five-year combined general and child psychiatry residency programs. In a modified form the track will also be available to Triple Board and combined Family Medicine and Psychiatry Residents. This coordinated program provides AACE Track residents (ATRs) with enhanced theoretical knowledge and practical training necessary to act as leaders of our field in the face of rapid scientific advances of the 21st century.

WPIC offers the AACE Track considerable resources for clinical training, education, and administration and is richly endowed with faculty supporting these pursuits in their own careers. An extensive clinical therapeutics program, which includes both pharmacological and psychosocial treatments for a variety of psychiatric disorders, provides robust clinical opportunities. Through these resources and various electives, ATRs gain added expertise in the etiology of mental disorders, service delivery systems, community resources, treatment modalities, educational methodologies, and administrative activities. WPIC also leverages resources from The University of Pittsburgh Center for Instructional Development to enhance resident skills as teachers and mentors in preparation for a life-long continuing education. Ultimately ATRs participate in an additional broad-based structured training approach, in which clinical care, administration, and education are offered in an integrated context.

The AACE Track is being designed for residents who intend to pursue clinician educator, and/or academic administrative careers after graduation from the residency program. Residents may express interest in the AACE Track at any point during their training, but do not formally apply until the end of their second year. Training will include working with a senior faculty / mentor on a formal project, as well as, educational activities, didactic lectures, and journal discussions. All ATRs meet twice-monthly with the AACE Track Director, Dr. Lalith Kumar Solai, the Chief Resident for Education, and invited faculty. These meetings concentrate on successful use of ones mentor, development of educational skills, enrichment of clinical knowledgebase, enhancement of leadership roles, instruction on business and financial issues, integration into community activities, balancing life and work, and support of academic projects.

As part of the application process, the ATR candidate must propose an academic project (e.g. Quality Assurance activity, data-mining investigation, publication of clinical findings, educational initiative/course/seminar, etc.). Residents may create their own individualized project or choose from a variety of suggested AACE Track projects. For instance, residents with special interest in administration may consider participating in the Quality and Performance Improvement in Psychiatric Academic Health Systems Elective. During this elective, they would develop a project while also gaining a better understanding of the role of performance measurement, quality improvement and evidence-based practices within the context of an academic medical center. Over the course of their PGY-III and IV years, the ATR will actively participate in meetings with their peers and mentors as well as relevant Medical Directors, Program Leaders, and Service Chiefs, along with the associated Vice Presidents attached to the project. Upon completion of the project, the ATR will disseminate the findings of their experience to the academic community through publications in peer review journal articles, poster presentations for regional or national conferences, resident workshops, and other appropriate venues.

In addition to the individual project, ATRs can be engaged in a variety of clinical activities designed to hone their skills in patient management, advanced psychopharmacology, and psychotherapy. They will also be introduced to educational roles early in their careers to develop communication and mentorship skills. Specifically, ATRs may act as preceptors for the first and second year medical students in Problem-Based Learning (PBL) groups and Observed Structured Clinical Examinations (OSCEs). They will also be expected to participate in case conferences and give at least one formal presentation to the resident body. Furthermore, they will participate in a Seniorship during which they will provide mentorship and direct supervision to PGY-II and/or PGY-III residents during their PGY-IV and above years.

Another key aspect of the AACE Track is the encouragement of resident involvement in administration and leadership activity. ATRs are expected to attend and participate in the monthly Administrative Course with Drs. David Kupfer and Claudia Roth during which they address the intricacies of hospital administration, business planning, risk management, legal considerations, marketing and branding, policy development, contract negotiation, and development of infrastructural resources and programs. ATRs will also be encouraged to participate in the CCBH Managed Care Elective to gain a better understanding of the role of Managed Care Organizations in the delivery of behavioral health care. If interested, ATRs can also take advantage of reduced tuition for courses through the University of Pittsburgh Business School. Furthermore, the AACE Track is flexible enough to accommodate alternative training options with proper planning.

At the end of the residency training, some AACE Track residents will go on to post-graduate training either in our department or elsewhere. We have fellowships in child and adolescent, public service, forensic, dual diagnosis, and geriatric psychiatry. Within our department, one can follow a career progression arc from the AACE Track while a resident to an AACE Track faculty position. Regardless of their future endeavors, graduates of the AACE Track are well-equipped to embark on rewarding and challenging careers in clinical education, residency and medical student training, hospital administration, and as forward thinking leaders in academic psychiatry.

Continued development of the residency AACE Track

The AACE Track continues to develop as a unique additional prospective training program for residents offered by WPIC. Overall, it will include:

1. A system for matching the residents with productive clinical-educators and/or administrative mentors with the assistance of faculty leaders ("meta-mentoring"),

2. A formal application process with rigorous review of residents' background and academic project proposals by AACE Track faculty and residency training director,

3. "High-yield" time-limited projects such Quality Improvement projects, Educational Seminars, and publications in clinical journals during the residency,

4. Rich, supportive learning environment provided by bi-weekly AACE Track resident meetings

5. Mandatory attendance in scheduled activities such as bi-weekly meetings, journal clubs, case conferences, educational seminars, and practical workshops.

6. Presentations of senior residents' projects, which are critiqued by peers under the direction of a senior faculty member

7. Dissemination of the University of Pittsburgh AACE Track experience through presentations at annual meetings of the American Psychiatric Association and the American Association of Directors of Psychiatry Residency Training.

8. Promotion of ATRs for formal recognition, financial awards and fellowship opportunities.
   
   

List of AACE Track residents 2008-2009:

List of AACE Track candidates (residents who have formally expressed their interest in applying):

Natalie Velasquez

Further information may be obtained by contacting: