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2022 at UVA 作者: Mind Map: 2022 at UVA

1. Completed

1.1. Improve acute leukemia study visits

1.2. Explore with Leslie or Josh my development pathway - what future is there for me at UVA?

2. Palliative Fellowship

2.1. Improve structure for graduated responsibility

2.1.1. Structure for Fellow role on Palliative Consultation Service

2.1.2. Palliative Care Clinic

2.1.2.1. Earlier DOD responsibility

2.1.3. Hospice

2.2. Improve information sharing

2.2.1. Develop and Maintain UVA Palliative Fellowship Handbook

2.2.1.1. For Fellows

2.2.1.2. For Faculty and Staff

2.3. Improve administrative support for more efficiency

2.3.1. Improve Program Coordinator Interface

2.4. Improve Fellow Rotation Scheduling

2.4.1. Earlier and more efficient elective scheduling

2.5. Improve Fellow Didactics

2.5.1. Topics

2.5.2. Ideas for topics

2.5.2.1. Outpatient goals of care and advance care planning

2.5.2.1.1. Serious Illness Discussion

2.5.2.1.2. Use of ACP module in EPIC

2.6. Diversity and Inclusion

2.7. Develop more robust continuity experience

2.8. Develop and expand hospice experience

2.9. Develop and expand facility experience

2.9.1. Geriatrics Partnership

2.9.2. Augusta Health Partnership

2.10. AY 2022-2023 Fellows

2.10.1. Naimish Mehta

2.10.2. Paul Donegan

2.11. Improve Resiliency offerings

2.12. Faculty recruitment and development

2.13. Improve evaluation process

2.13.1. Use New Innovations to potential

2.13.2. Implement EPA or equivalent

2.13.2.1. EPA-Like

2.13.2.1.1. Palliative Consultation Service

2.13.2.1.2. Palliative Care Clinic

2.14. Funding for fellowship

2.14.1. Application for MC Funding for Palliative Fellowship for AY 2024 and Beyond

2.14.1.1. AY 2023-2024 funding approved for 2 fellows at very last minute

2.15. ACGME Survey

2.15.1. 2022 Survey Response

2.15.1.1. Address Fellowship Weaknesses 2022-2023

3. Clinical Teaching

3.1. 2022

3.1.1. Breaking Bad News Resident Seminar - Internal Medicine

3.1.2. Simulation with Emergency Medicine

3.1.3. 2023

3.1.3.1. Virginia Pain Society

3.1.3.2. Oncology APP

4. Clinical Practice

4.1. Palliative Care Clinic

4.1.1. Improve and evolve virtual visits

4.1.1.1. Waiting for Epic Zoom texting of direct link

4.1.2. I wish we could use electronic +/- paper questionnaires (Pre-visit) for patients

4.1.3. I wish there was a better way to connect patient-reported controlled-substances use with urine drug screen

4.1.4. I wish we had better "welcome to the Palliative Clinic" patient and family information

4.2. On Call

4.3. Palliative Consultation Service

4.4. Maintain and evolve UVA Palliative Reference

4.5. Maintain and evolve My Clinical Reference Files

4.6. Continue to develop Suboxone for Pain

4.7. Practice empathy with healthy boundaries

4.7.1. What does this mean?

4.7.2. What does this look like?

5. Administrative

5.1. Maintain and evolve an efficient filing system

5.1.1. OneNote Notebook

5.2. FYI - Leslie planning to step down as section head and have Josh assume that role

5.2.1. Less than 1 week before planned transition this was halted. Leslie remains section head 2022-2023

5.3. Quality Indicators being assessed

5.3.1. Pain assessed on every new inpatient Palliative Consultation Service consult

5.3.2. Proxy decision maker assessed on every inpatient Palliative Consultation Service consult

5.4. FYI - 10/27/2022 Emily accepts inpatient NP position vacated by Nicole M.

5.5. 10/27/2022 Palliative Consultation Service hospice service remains in flux

5.5.1. I wish we could go back to consultation only for all inpatients - hospice and non-hospice

5.6. 10/27/2022 Palliative Care Clinic nurse position remains unfilled

5.6.1. 10/27/2022 this week traveler RN Heather Foley started

6. Research