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Welcome to the Health Sciences Center
Student Orientation!
September 6, 2018
Health Sciences Center Student Orientation
Christen C. Hairston, Ph.D.
Executive Director, HSC Student Affairs Administration
Greenville Health System
Director, Student Success Initiatives
USC School of Medicine Greenville
September 6, 2018
Agenda
• Welcome
• Overview of Health Sciences Center
• What does Success mean for you?
• Conscious Leadership
• Working at GHS: Talent Acquisition and Development
• BREAK
• Interprofessional Case Studies
• Closing
Welcome to GHS! Student Affairs Administration
Housekeeping Items
• Restrooms
• Eating/Drinking in Auditorium
• Questions/Interaction
• Canteen
• Paper Evaluation
Why Fall HSC Orientation?
• Community: Connect HSC students as a community.
• Culture: Socialize you to the GHS culture.
• Success: Advance your success as a GHS student learner
• Future Workforce: We want you to work here.
Health Sciences Center The Health Sciences Center (HSC) is a shared academic health center with four partners:
1. Large, integrated health system
2. Primary research partner
3. Primary undergraduate partner
4. Primary graduate/professional
partner
Health Sciences Center
The partnership provides the framework for a shared “clinical university” model that bridges the gap between academics and clinical practice.
The Health Sciences Center is: • Innovative • Interinstitutional • Interprofessional • Interdisciplinary
Here today… • ATI (55) • Bob Jones University (2) • Clemson University (29) • Clemson University/GHS (2) • Elon University • Furman University (4) • GHS Greenville (2) • GHS Laboratory • Greenville Technical College (26) • Missouri State • Presbyterian College • MUSC (4) • North Greenville University
• University of SC Greenville • Spartanburg Regional
Healthcare Systems • Tri-County Tech • University of South Carolina (11) • USC College of Pharmacy • USC Upstate • USC Upstate Mary Black School
of Nursing • Virginia College (4) • Western Carolina University • Winthrop University
HSC Student Numbers (FY17)
• 55 unique universities (137 affiliation agreements)
• 90 academic programs
3517 unique students
7045 encounters
386 USC School of Medicine Greenville students
228 residents and fellows
4131 Learners in the CLE
Greenville Health System
• 8 hospitals
• 172 clinical practices
• 15,000+ employees
• 1,500+ career paths
• Approximately 5,000 students…
Opportunity
HSC Student Affairs Administration Who we are and how we can help
HSC Student Affairs Administration
Mission: Educate, elevate and empower students to be the change they want to see in the future healthcare workforce.
Vision: Strive to set the Student Affairs standard across academic health centers nationwide by modeling collaborative and innovative practices that transform student experiences.
HSC Student Affairs Administration
Access
Workforce
Development
Success Community
Engagement
Onboarding
&
Orientation
Equity, Inclusion
&
Student Success
HSC Culture
&
HR Connection
Student Mixers
&
K-12 Outreach
Plexus SAA Website
HSC Student Newsletter
HSC Student Handbook
HSC Student Mixers
Students in the HSC
• For-credit vs. Exploratory Experiences
• Hospital vs. Physician Practice
• Short-term vs. Long-term
• Hands-on Immersive vs. Observership
• Clinical Rotation vs. GHS Homegrown Program
• Undergraduate vs. Graduate vs. Professional
Student Experiences all have…
• Interaction: Supervisor-Learner Relationship
• Learning: Rigor and Skill Advancement
• Environment: Workplace Environment
You’re not just here for a rotation; you’re here
for a purpose.
SAA, 2016
Student Resources
Resources at GHS
• Onboarding Support
• Parking/Shuttle Service
• Eating Options
• Training time
• Uniform/Dress
• Computer Access
• Absence/Tardiness
• Badge Accesses
• Badge office
Badge Office Hours
Monday, Tuesday & Thursday
10:00 am – 12:00 pm & 12:00 pm – 3:00 pm
Wednesday & Friday
7:00 am – 12:00 pm & 12:30 pm – 3:00 pm
Courier service available to other campuses.
Request minimum of 10 business days before start date.
Shuttle Service
• Monday – Friday, 6:00 am – 8:00 pm
• GHS Police/Security dispatch phone
864-455-7931 • Even if the shuttle isn’t running, you can call dispatch
for a security escort (it just may take a while as emergency calls will take priority).
HSC Student Clearance
[email protected] 864.455.5654
Office located in the Employee Service Center behind Medical School Garden (Entrance #3)
Student Affairs Administration
Connector Office
Suite 402
864.455.1177
Student Study Space
Greenville
• #yeahTHATGreenville
• Swamp Rabbit Trail
• Falls Park
• Farmers Market on Saturday
• Life Center
• Downtown Greenville
• GHS Discounts all over Upstate
• Concerts
• Community Engagement Opportunities
Ask us! Christen Hairston, PhD Executive Director, HSC Student Affairs Administration Greenville Health System
Director, Student Success Initiatives Clinical Assistant Professor USC School of Medicine Greenville
[email protected] Office: 864.455.1176
Natalie Carey, MSM Senior Student Services Coordinator HSC Student Affairs Administration, Greenville Health System
[email protected] Office: 864.455.5494 Fax: 864.455.5234
Susan Orr, MEd Student Services & K-12 Program Coordinator HSC Student Affairs Administration Greenville Health System
Success Coach and Student Success Staff USC School of Medicine Greenville
[email protected] Office: 864.455.1177
Emily Burrell Student Services Coordinator HSC Student Affairs Administration Greenville Health System
[email protected] Office: 864.455.5654 Fax: 864.455.5234
Ask of you for today
• Be curious and open
• Be present – minimize use of cell phones
• Ask questions
• Engage
• Demonstrate respect for others
• Reflect on your experience
• Provide feedback
Health Science Center: A Unique Shared Academic Health Center
David L. Cull, MD, MBA
Vice President Academic Development
Health Sciences Center
HSC Creation and Evolution
2008
GHS adopted a vision for transformation
dedicated to changing the way
healthcare is delivered and taught.
2010
USC entered into a foundational
agreement with GHS — USC School of
Medicine Greenville (USCSOMG).
Spring 2013
Clemson became GHS’ primary
research partner — Clemson University
School of Health Research (CUSHR).
Fall 2013
Furman became GHS’ primary
undergraduate partner and paved
the way for the Institute for
Advancement of Community Health
(IACH).
2017
New GHS-owned LLC created in
partnership with Clemson, Furman,
and USC. GHS Clinical University evolves to
Health Sciences Center.
2013 2016
What is the most important healthcare issue facing the U.S.?
• Opioid crisis?
• Cure for cancer? Heart disease? Diabetes mellitus?
• Obesity epidemic?
What is the most important healthcare issue facing the U.S.?
• Opioid crisis?
• Cure for cancer? Heart disease? Diabetes mellitus?
• Obesity epidemic?
Answer
Dysfunctional health care system that is unable to meet even the basic needs of the U.S. population
U.S. Health Care: A System in Crisis
• Health care costs escalating/unaffordable
• Concerns regarding quality and safety
• Problems with access to care • Aging population with increased need for healthcare
• Inadequate workforce pipeline to meet needs
• Clinician burnout
• Early retirement
• Failing health care model • Physician-centric care structure
• Focus on disease treatment
• Focus on hospital care
Health Status of South Carolina
1. In the past 5 years, children in poverty increased 28%
2. South Carolina ranks 47th for low birthweight (10%, compared to the national average of 8%)
3. South Carolina ranks 43rd for diabetes (12%, compared to the national average of 10%)
4. South Carolina also ranks 43rd for smoking (21%, compared to the national average of 18%)
5. South Carolina ranks 47th for high cholesterol (42%, compared to the national average of 38%)
Changing the U.S. Health Care System: A New Approach
Quadruple Aim
“a compass to optimize health system performance”
• Enhance patient experience (patient-centered)
• Shift focus from treating disease to maintaining health
• Increase value (improve quality/reduce cost)
• Improve the work life of health care providers
Academic Health Centers: Solution to the Crisis?
Traditional AHC Model
Decreased State & Federal funding Complex, expensive
infrastructure
Patient care supports research enterprise Patient Care
Research & Education
Traditional AHC Model
Patient Care
Research & Education
NOT structured to develop new models of health care
Constructing an AHC Model for 2018 Characteristics:
• Lean. Nimble. Capable of rapid innovation.
• Academic agenda- Quadruple Aim
– Education focus- workforce development
– Research focus- directly improving patient care
• Health delivery, research, and education enterprises
– Aligned
– Each financially sustainable
• Highly leverages resources
GHS Furman
USC Clemson
Health Sciences Center “a clinical university model”
Patient Care/ Clinical Learning Environment
Education &
Research
HSC Workforce Pipeline Programs
• GHS MedEx Academy • High school seniors and college students
• USC School of Medicine • Undergraduate medical education
• GHS Graduate Medical Education • Residency programs
• Clemson Nursing School • Undergraduate & nurse practitioner
• Allied Health Professions • Clemson BS Cardiovascular Imaging Leadership Program
• Pharmacy program
GHS MedEx Academy Tier 1 – Exploration (High School Seniors)
Learning experiences to introduce competencies needed for health professions careers.
Tier 2 – Biomedical Ethics & Advisement (Freshman/Sophomore)
Advisory and discovery experiences to align academic choices with
career decisions.
Tier 3 – Research & Test Prep (Sophomore/Junior)
Learning experiences which build preparatory skills and aptitudes and
guide students’ health career decisions.
Tier 4 – Clinical Experiences and Professional Development (Seniors/Gap Year Students)
Clinical/non-clinical, hands-on, research-rich learning experiences.
MedEx in USCSOMG
Class of 2016: 2
Class of 2017: 8
Class of 2018: 7
Class of 2019: 14
Class of 2020: 10
Class of 2021: 18
Current Student Totals
The 21st Century Physician
PAST FUTURE • Team-Based Care
• Multidisciplinary Approach
• Electronic Age of Information
• Patient Centered
• System-based Practice
• Responsible for health of Groups of Patients
• Value-Based Care
• Do Good
• Autonomous
• Independent
• Memorize Everything
• Doctor Centered
• Individual or Small-Office Based Practice
• Treat Individual Episodes of Illness
• Disregard Cost
• Do No Harm
We are changing your health one doctor at a time.
Graduate Medical Education Pipeline GMH Current/Proposed Footprint
Location/Program
Number Residents
per Year
Number Years
in Program
Number of
Residents
FY2017
Number of
Residents by
FY2020
Number of Residents with
Proposed Reductions
Greenville Memorial Hospital
Family Medicine 7 3 21 21 18
Internal Medicine (categorical and preliminary) 13 3 40 40 36
Combined Med/Peds 5 4 20 20 20
Pediatrics 10 3 31 31 31
OB/GYN 6 4 24 24 24
General Surgery (categorial and preliminary) 7 5 35 35 27
Pyschiatry 5 4 14 20 20
Orthopaedics Surgery 5 4 20 20 20
Emergency Medicine 10 3 10 30 24
Total Residents 215 241 220
Fellowships
Sports Medcine- FM 2 1 2 2 2
Colorectal Surgery 1 1 0 1 1
Minimally Invasive Surgery 2 1 2 2 2
Vascular Surgery 3 1 3 3 3
Ortho Sports Medicine 4 1 4 4 4
Child and Adolescent Fellowship 2 2 0 4 4
Devolopmental Behavioral Peds 3 1 3 3 3
Total Fellows 14 19 19
Total Residents and Fellows 229 260 239
Graduate Medical Education Pipeline Greer/Oconee GME Footprint
Location/Program
Number
Residents per
Year
Number Years
in Program
Number of
Residents
Oconee Memorial Hospital
Family Medicine 6 3 18
Emergency Medicine 1 3 3
Greer Memorial Hospital
Family Medicine 6 3 18
General Surgery 3 5 15
Neurology 2 4 8
Pyschiatry 6 4 24
Emergency Medicine 1 3 3
Sports Medicine Fellow 2 1 2
Total Expansion 91
Nursing Pipeline Clemson Nursing School - Launched August
Transformative Initiatives
HSC Research - What makes us different? • HSC research focus that directly improves the communities
we serve
• Research ideas not from academicians but from clinicians caring for patients • “Quality improvement without the committees”
• Research focus • Health care delivery improvements (eg. care protocol outcomes) • Medical education • Diabetes mellitus
• Prevention & management
HSC Research: Examples Measure Accurately, Act Rapidly, and Partner with Patients (MAP) improves hypertension control in medically underserved patients: Care Coordination Institute and American Medical Association Hypertension Control Project Pilot Study results Robert B. Hanlin, MD, Irfan M. Asif, MD, Gregory Wozniak, PhD, Susan E. Sutherland, PhD, Bijal Shah, MD, Jianing Yang, MS, Robert A. Davis, MS, Sean T. Bryan, MD, Michael Rakotz, MD, Brent M. Egan, MD
Investing in CenteringPregnancy™ Group Prenatal Care Reduces Newborn Hospitalization Costs Amy Crockett, MD, MSPH, Emily C. Heberlein, PhD, Leah Glasscock, MS, Sarah Covington-Kolb, MSW, MSPH, Karen Shea, MSN, Imtiaz A. Khan, DO
BMC Medical Informatics and Decision Making Effect of clinical decision rules, patient cost and malpractice information on clinician brain CT image ordering: a randomized controlled trial. Gimbel RW, Pirrallo RG, Lowe SC, et al.
HSC Guiding Principles
The HSC is a shared academic health center designed to:
• Improve the health of South Carolinians
• Demonstrate success through improved public and patient health
• Deliver HSC and partner wide national recognition through collaboration and health care transformation
Student Success Christen C. Hairston, Ph.D. Executive Director, HSC Student Affairs Administration, GHS Director, Student Success Initiatives, USC School of Medicine Greenville
What is success for you?
What does success mean for you?
PollEv.com/CHRISTENHAIR317 or
Text CHRISTENHAIR317 to 37607
Characteristics of Healthcare
• Patient-centered
• Fast paced
• Life / death
• Hierarchy
• Abundant and diverse expertise
• Convergence of organizational and academic cultures
• Challenging / rewarding
Success in Healthcare Careers • Work / Life Balance
• Lifetime learning
• On time is 5 minutes early
• Respectful
• Humble
• Prepared
• Well-trained / Self-guided learner
• Curious / open
• Self-aware
As you think about success for you…
• Objective Measures of Success • Exams • Grades • Ranks • Acceptances / Placements • Jobs
• Subjective Measures of Success • Balance • Joy • Peace • A sense of meaning • Good life for family
Making the most of your GHS experience
• Training
• Time demands
• Flexibility
• Adaptability
• Ask Questions
• Find Mentors
• Teach us
• Technology
• Reflect
Conscious Leadership Sharon Wilson, MA, FACHE, CEAP Director, Conscious Leadership Development Academy for Leadership and Professional Development
Conscious Leadership
A leadership framework at GHS that has expanded into a
cultural framework
Sharon L Wilson, M.A., FACHE, CEAP Director, Conscious Leadership Development
HSC Student Orientation 2018
Leadership Skill Set
Strong Leaders are Self-Aware
What is Leadership?
Our Big Idea…
Strong Leaders are Self-Aware
At GHS, we talk about
Conscious Leadership .
Leadership is Influence
Conscious
Caregiving
Conscious Leadership
What
• A set of principles and concepts that invite self-awareness and use a common language.
Why
• Self-awareness is a key to improving our interactions with others (coworkers, students, patients, customers, etc.)
Emotional Intelligence or EQ
People with higher EQs make an average of $29,000 per
year more than people with lower EQs.
- Travis Bradberry, Ph.D.
Conscious = Present and Self-Aware
Let’s get present
• Three to five deep breaths
• Pay attention to your breath
Austrian neurologist and psychiatrist and Holocaust survivor.
Content and Context
CONTENT
What we are
talking about
CONTEXT How we are talking and
listening
All leadership is a conversation. All conversations have two parts.
content context video
Two Models of Context
Above
Below
As Me
By Me To Me
Through
Me
To Me
As Me Through Me
By Me
R
E
S
P
O
N
S
I
B
I
L
I
T
Y
SURRENDER
O
N
E
N
E
S
S
- I am at the effect of… - Life is happening to me
Victim – Villain - Hero
Questions: Why me? Whose fault is it?
Questions: What can I learn from this? How am I creating this?
Creator –Challenger -Coach
-I cooperate with what wants to happen.
Co-Creator
Non-Attachment Non-Judgment Non-Resistance
Purpose and love
Shifting through: - Awareness -Presence - Consciousness
COMMITMENTS
-I take healthy responsibility - I choose to….
Questions: What is seeking to emerge? What wants to happen in and through me?
Four Ways of Being in the World
Activity statements
1. “No one in administration understands me.”
2. “I can learn from my mistakes.”
3. “I wonder about the possibilities.”
4. “It’s no use, they will never change.”
5. “I wish I could get enough sleep.”
6. “How can I better understand my co-worker?”
7. “I have everything I need.”
8. “I shouldn’t have eaten that donut.”
To Me
By Me
BEING
“RIGHT” DEFENSIVE CLOSED
LEARNING CURIOUS OPEN
Above the Line
Below the Line
The Line
TRUST
FEAR
BEING
“RIGHT” DEFENSIVE CLOSED
LEARNING CURIOUS OPEN
Above the Line
Below the Line
The Line
Self-Awareness
The ability to look at oneself to get a clear perception of your personality, strengths, weaknesses, thoughts,
beliefs, motivation, and emotions.
Above and Below the Line Inventory
Read the item and indicate if you have done that in the
past week.
1 = No, not at all 2 = Maybe 3 = Yes, absolutely
No Judgement Zone
It’s not good or better to be Above The Line… It’s not bad or wrong to be Below the Line… It just IS…
The Business Case for Conscious Leadership
• Stronger, more nimble teams…
• Higher levels of alignment…
• Collective and individual ability to focus on what’s most important…
• …and personal benefits, too.
• Conscious Leaders foster work environments that promote safety and employee engagement.
• Conscious Leaders are more resilient to burnout.
• Attendance is not enough; you must practice Conscious Leadership/Professionalism skills and principles.
Research: Major “Take-Aways”
You’ve
got to
practice!
Learning Any New Skill
A Suggestion
• Jot thoughts, events, feelings
• How did you react and respond?
• Above or Below the line?
Daily reflection and journaling
PAUSE and focus on Self-Awareness
91
• What do I notice about myself?
• What can I learn about myself?
• Is there an opportunity for me to grow?
Tools and Resources
Resource Packet
Further Study
Suggested Books:
• The 15 Commitments of Conscious Leadership Dethmer, et al.
• The Power of TED* *The Empowerment Dynamic, David
Emeralds
• QBQ! The Question Behind the Question, John G. Miller
• Focus: The Hidden Driver of Excellence, Daniel Goleman
Website: http://academy.ghs.org/conscious-leadership/
Questions or Comments?
Working at GHS Jay Sanderson Director, Talent Acquisition and Development
Caring Across Diverse Populations Panel of Professionals
Demographics (based on 2016 data)
• There are 73 languages spoken in Greenville – 8.23% of the people in Greenville speak a non-English language
• 5.5% of the population of Greenville are not US citizens
• The median age in Greenville is 34
• The median household income is $45,360
• The poverty rate is 16.8%
• There are over 75 religious variations practiced in Greenville
Care Goal
To promote an environment where everyone is respected, appreciated and treated with
dignity regardless of cultural, religious, ethnic or social characteristics.
Equity vs. Equality
Who can tell me the difference?
Equity vs. Equality
• Equity is giving everyone what they need to be successful.
• Equality is treating everyone the same.
• Since everyone is different and we embrace these differences as unique, we must also redefine our basic expectations for fairness and success as contingent upon those individual differences.
Equity vs. Equality
• Equality aims to promote fairness, but it can only work if everyone starts from the same place and needs the same help.
• Equity may appear unfair at times, but it actively moves everyone closer to success by “leveling the playing field.”
Case Studies
• Your row is assigned a Case Study with a Facilitator
• Assign a speaker and a scribe
• Read the case study
• Discuss how you would handle from your particular future professional affiliation (i.e., nurse, physical therapists, aspiring physician, etc.)
• Collaborate with your Panel Leaders
• Answer questions
• Present to the group
Case Study Facilitators Moderator: Emily Burrell, Student Services Coordinator
• Bobbie Rhodes, RN, MS, BSN | Organizational Development Consultant
• Dr. Archie Nguyen, CHI™ | Interpreter, Language Services • Rev. Amber Blackwell, M.Div. | Chaplain, Spiritual Care &
Education • Thelma Kontorovsky, MHA, CHI™ | Supervisor, Language
Services • Scott Porter, MD, MBA, FACS | Vice President, Organizational
Equity | Department of Orthopaedic Surgery • Roberto Martinez, MA, CHI™ | Manager, Language Services
& Cultural Competence
Case Study Facilitators Case #1: Stereotyping & Painkillers
Bobbie Rhodes, RN, MS, BSN
Organizational Development Consultant, Academy of Leadership & Professional Development, GHS
Case #2: Language Barrier – Child as Interpreter, Parent Embarrassed to Share
Dr. Archie Nguyen, CHI™
Interpreter, Language Services, GHS
Case #3: Cultural Beliefs/Spiritual Practices
Roberto Martinez, MA, CHI™
Manager, Language Services, GHS
Case Study Facilitators
Case #4: Sexual Orientation & Gender Identity
Amber Blackwell, M.Div.
Chaplain, GHS
Case #5: Religious Wishes – Jehovah’s Witness
Thelma Kontorovsky, MHA, CHI™
Supervisor, Language Services, GHS
Case Study Facilitators
Case #6: Cultural Vietnamese Beliefs
Scott Porter, MD, MBA, FACS
Vice President of Equity and Inclusion, GHS
Case #7: Cultural Cambodian Traditions
Emily Burrell
Student Services Coordinator, GHS
Case Study Row Assignments
• Rows 1 & 8: Bobbie Rhodes
• Rows 2 & 9: Dr. Archie Nguyen
• Rows 3 & 10: Roberto Martinez
• Rows 4 & 11: Rev. Amber Blackwell
• Row 5 & 12: Thelma Kontorovsky
• Row 6 & 13: Dr. Scott Porter
• Row 7: Emily Burrell
Case Study Panelists’ Introductions
• Name
• Specialty
• Role at GHS
• Favorite thing about having students at GHS
4 C’s of Culture
Call
Cause
Cope
Concerns
Case Studies
• Your row is assigned a Case Study with a Facilitator
• Assign a speaker and a scribe
• Read the case study
• Discuss how you would handle from your particular future professional affiliation (i.e., nurse, physical therapists, aspiring physician, etc.)
• Collaborate with your Panel Leaders
• Answer questions
• Present to the group
SHARE 4 C’s of Culture
• What do you CALL your problem?
• Get the patient’s perception of the problem.
• What do you think CAUSED your problem?
• Treatment must be appropriate to the cause or perceived case or people will not perceive themselves as cured.
• How do you COPE with your condition?
• What has the patient done to improve the condition? How have they tried to make it better? What effect has it had on daily life/routine?
• What are your CONCERNS about the condition/treatment?
• Find out what worries them most about the condition/treatment. Ask how serious they think the condition is. Address fears of complications, interference in life/routine in order to leave them with the reality of the facts.
In closing…
Fall HSC Orientation
• Welcome you to GHS
• Build a sense of community
• Network
• Learn more about the GHS culture
• Offer expertise on how you set yourself up for success
• Share resources
Health Sciences Center
Student Affairs Administration 864.455.5654
www.hsc.ghs.org/education/student-affairs
