ARCS ReviewNovember 2011

HOGA AGM

Patricia SmithDonna Fedorkow

Bev Pindar-Donickand many others

Objectives• Review current Academic Role Listing to:–Determine appropriateness of item inclusion• Addition• Deletion

– Establish “relativity” of items• Equitable points allocation for different roles

– (Identify areas to increase HOGA $$)

Too Big a Bite to Chew

ARCS: Biggest Issues

• Cumbersome–Bean counting

• Lack of “relativity”–“Same” role has different value– Some role “over valued”

Adopt the K.I.S.S. Principle

Premis:As AFP Members there are certain expectations

• Teach on a day to day basis• Involve learners in deliveries• Welcome learners into the

operating room– L&D - C/Sections– Gyne OR

• Teach while on call • Supervise on the wards

Calculations:

• Generalists (St. Joes & MUMC)– PGY 1&2 resident months x 20 ÷ # generalists

with fudge factors for time away– On call allocation – “don’t you remember, I

covered you from 8 ‘till 10 that day”• Subspecialists– # resident months x 20 ÷ # subspecialists with the

subspecialty divvying up the pot– On call allocation – same as above

3-year Average CalculationsDiscipline Average Recommended value

SGH Generalist 613 600

MUMC Generalist 587 600

MFM 340 400

Colpo 347 400

Gyne Onc 440 400

Urogyne 333 400

REI 333 400

Ultrasound 100 100

Sexual Medicine 150 150

PND 49 49

Per member of group: allocation as per group consensus

Teaching Sessions

• What is done during any rotation: practice orals, OSCEs, teaching sessions, chat over coffee etc., is a part of the rotation and covered in the predetermined points

• Additional teaching sessions are at the discretion and scheduling of the undergraduate and postgraduate program

Proposal #1:

• Generalist receive 600 points per site per year• Subspecialists receive 400 points per year• Ultrasound stays at 100 points per year• Sexual Medicine stays at 150 points per year• PND stays at 49 points per year

• To be divided PRN

Lectures/Simulations/EvaluationsLecture Old New Recommendation

Academic half day 5 5

CMAS 1 (per hour) 5 (per half day)

OSATS ? 5 (per half day)

PG OSCE 1 (per hour) 5 (per session)

MF3 2 5

Clerkship 1.5 5

LMCC Review Course 10 5

UG OSCE (5.5 hours) 3 5

McMaster CME Presentation

5 5

Does not account for length of session

Proposal #2:

• Academic Half Day• MF3• Clerkship• LMCC Review etc.– All 5 points per session

Does not account for length of lecture

EducationUndergraduate Site Coordinator

• Minimum of 2 students per rotation • 10 points per year

Proposal # 2:That the above definition and points allocation be adopted

Research

Role Old Points New Recommendation

Journal reviewer 3 2

External Grant Reviewer 5 3

Abstract review (per abstract) 5 0.25

Proposal #3:Adopt new values for above roles

Research

Activity Old Points New Recommendation

Presentation Oral/Poster-First presentation-Subsequent presentations

1010 5

Invited: National, International 10

Invited: Local, Regional 5

Proposal #4:Adopt new values for above roles

Research GrantsType Old Points New Recommendation

Major Competitive – TriCouncil(CIHR, NSERC, SSHRC) & NIH - Principle Investigator - Co-Applicant

5020

100

Other Competitive – eg. Heart & Stroke, Cancer Care Ontario, ECHO, Canadian Diabetes Association, CFWH - Principle Investigator - Co-Applicant

3010

50

Non Competitive/Industry Funded - Principle Investigator - Co-Applicant

15 5

Proposal #5:Adopt new values for above roles

MD Stipended RolesFrom MD Supplemental $$

Old New Recommendation

Tutor MF 1-5 points Stipend to individual

Pro Comp Facilitator points Stipend to individual

Proposal #6:Adopt new values for above roles

Committee Membership• Ex Officio membership based on a stipended

role (eg. undergraduate coordinator) is NOT eligible for additional ARCS $.

• Committees eligible for ARCS $ must be educational or research based:

Department Provincial

FHS National

University International

Proposal #7:Adopt the above principles

Accountability

• Star CV allows for input of university activities at source

• Mistakes happen so it is up to the individual to check for accuracy

• Corroboration is needed for claims made from outside the university eg: presentations, abstract reviews, grant reviews, committee membership, publications etc.

• Random audits will take place

Ccccccccccccc cccccccccc

Making the Pie Bigger

FHS Program• UG Clerkship – student

headcount• UG MD Supplemental –

leadership roles• PG – resident headcount

AFP• Headcount – HOGA

members• Repair – Alms from Internal

Medicine• Academic Contributions –

AFP identified roles

Make the ARCS Pie Bigger

Pie Enhancers• Student Advisor• MD Admissions• MD OSCE• Tutor MF• Facilitator PC• MF3 Clinical skills

Further Work• Research Grants• Multiple Presentations of same work• MD program roles and participation• Postgrad roles and participation• Mentorship: Undergrad & Postgrad• Encourage roles that make the pie bigger

Proposal # 8: should we continue?

Proposal # 9

Anyone wanna take over?