2022 Annual Report

Dartmouth Hitchcock Medical Center Entrance

Executive Summary

Our Mission
We improve patient and learner well-being through the education of healthcare professionals. With commitments to equity, diversity, quality, safety, and accreditation, we strive for innovation in the application of evidence-based and learner-centric strategies for continuing, interprofessional education and professional development.

About us 
CLPD Team StructureThe Center for Learning and Professional Development (CLPD) offers diverse and innovative learning opportunities to enable health care professionals to maintain and improve their knowledge, skills, and behaviors. CLPD is comprised of 7 teams: Advanced Practice Providers (APP), Colby-Sawyer College Enhanced Partnership (CSCEP), Continuing Medical Education (CME), Continuing Nursing Education (CNE), Graduate Medical Education (GME), Learning Design and Systems (LDaS), and Simulation-based Education and Research (SBER).

2022 Summary
2022 was marked by numerous advancements for CLPD. We are particularly proud of the work done to improve our quality metrics as well as the growth and expansion of several programs. We look forward to another successful year providing high-quality education for Dartmouth Health and its many partners.

Accomplishments

The Center for Learning and Professional Development has engaged in and completed many projects over the past year designed to broaden our impact with our learners and improve the quality of our programs. The list below highlights some of these accomplishments within the themes of Design and Delivery, Quality and Continuous Improvement, and Recruitment, Retention, and Workforce Development.

GME Professionals Day

DESIGN & DELIVERY

  • The Core CLPD Interprofessional Continuing Education team completed the Train the Trainer program with the IPEC Collaborative to build strategy for increased IPCE awareness and educational offerings throughout the Dartmouth Health system.
  • A significant portion of the Teaching with Simulation Instructor Course (TWSIC) has been redesigned to create a more modular and streamlined experience, conducted remotely, with updated content for 2022.
  • Cheryl Elinsky, MS, PA-C spoke to a national audience at a Vizient webinar about her new role as the Director of Continuing Professional Development and Education for APPs at Dartmouth Health.
  • Several members of SBER contributed to peer-reviewed papers, book chapters, and presented at both national and regional conferences on topics related to simulation practices being done at Dartmouth Health.

The 2022 Ambulatory Care Conference

Ambulatory Care Conference GroupThe 2022 Ambulatory Care Conference: Aligning Nursing Practice was offered in Nashua in the spring of 2022. This well-attended conference highlighted changes in best practice in the care of patients who receive treatment in outpatient facilities including medical offices, clinics, ambulatory surgery centers, and other community based settings.

  • LDaS was awarded a gold medal in Learning and Development Best Advance in Competencies and Skill Development from the Brandon Hall Group HCM Excellence Awards. This was in recognition of a microlearning project to reduce extreme glucose events among the inpatient population at Dartmouth Hitchcock Medical Center.
    Cara DeLura, Logan Stahler and Matt Haselton

Number of CME and/or CNE Activity Participations FY22

0
Live Activities
0
RSS/NRSS
0
Enduring Materials

Participants in NH DEA License-conformant
Opioid Education Activities FY22

0
Participants

QUALITY & CONTINUOUS IMPROVEMENT

Jenna Lavoie , Katie Silvius and Elizabeth Ticehurst
Elizabeth Ticehurst, Katie Silvius and Jenna Lavoie

  • Members of LDaS and GME presented at the annual Association for Hospital Medical Education conference “A Standardized Approach to Scaling Evaluation to Meet New ACGME Milestone 2.0 Requirements.”
  • The Ophthalmology and Interventional Radiology – Integrated Residency programs, both in Initial Accreditation, had successful virtual Accreditation Council for Graduate Medical Education (ACGME) site visits in 2022.
  • Results from the 2022 ACGME Annual Resident Survey Well-Being Score regarding being emotionally drained at work were improved from 2020 and remained steady from 2021.
  • Mary Hitchcock Memorial Hospital (MHMH) and 39 training programs received Reaccreditation with Commendation from the ACGME.

50/51 GME Training Programs
Fully Matched for AY22-23


Matched

New Accreditation Platform Launched

CloudCMELDaS implemented and rolled out a new, industry-standard, accredited continuing education platform, CloudCME, supporting more than 30,000 learners in their professional education.

RECRUITMENT, RETENTION, WORKFORCE DEVELOPMENT

  • The James Varnum scholarship, through a successful grant request submitted by Deb Hastings, PhD, RN, NPD-BC, CNOR(E), awarded $40,000 to 24 nursing recipients who were enrolled in either a practical nursing, associate, baccalaureate or masters program.
  • 100% of respondents to the most recent GME Alumni Survey would choose to train at Dartmouth Hitchcock Medical Center if given the opportunity to do it over again.
  • Members of the SBER team represented Dartmouth Hitchcock Medical Center at the Love Your Heart Night at Northeast Delta Dental Stadium and at the Mount Ascutney Health fair. Booths were set up to teach Hands-Only CPR and raise awareness of cardiopulmonary care and heart health.
  • SBER once again participated in the Summer Internship Program. This year the program was expanded to allow additional interns to work in the department. Interns participated in operational support of simulation as well as innovation and technical support.

Highlighted CLPD Promotions and New Team Members

Deb HastingsDeb Hastings, PhD, RN, NPD-BC has been promoted to Director of Nursing Professional Development and Joint Accreditation. In addition to overseeing nursing professional development, serving as liaison with our affiliating schools of nursing, and providing career counseling, she will oversee the application process for Joint Accreditation. Joint Accreditation offers organizations the opportunity to enhance interprofessional education and collaboration by offering a single inclusive application process for multiple health care professions.

Click squares below to see next highlighted team member

Highlighted CLPD Promotions and New Team Members

Cheryl Elinsky

Cheryl Elinsky, MS, PA-C joined CLPD as the Director of Continuing Professional Development for Advanced Practice Providers. In her role, she focuses on the development of a system-wide onboarding program for new APPs, exploring professional development opportunities for APPs and acting as a consultant for the program directors of the APP postgraduate programs at Dartmouth Health.

Click squares below to see next highlighted team member

Highlighted CLPD Promotions and New Team Members

Dorothy MullaneyDorothy was appointed as the inaugural Chief APP Officer in the newly established Office of Advanced Practice Providers. She is passionate about APRN and PA practice and this rapidly growing role in the health care teams at Dartmouth Health. In this position Dorothy will focus on developing the system-wide infrastructure for APPs that will support and enhance role utilization; workforce planning; clinical practice; the patient experience; leadership structure and development; clinical and financial performance; education and professional growth; engagement and well-being; and enhancing the culture of quality and safety

Click squares below to see next highlighted team member

Colby-Sawyer Nursing Student

Colby-Sawyer nursing graduates that took
nursing positions at Dartmouth Health

of CSC Students

Students enrolled in the Colby-Sawyer/Dartmouth
Health enhanced partnership academic programs

0
+

Dartmouth Health employees enrolled in Colby-Sawyer
online MBA program specific to employees

0

Initiatives

As we look to the future, the Center for Learning and Professional Development has been actively working on a number of initiatives for FY22 that build upon the accomplishments of FY21. The list below follows the same set of themes and highlights some of these initiatives.

Simulation Training

DESIGN & DELIVERY

Guide
Highlighted Conferences

Click the tabs on the left to learn more about each conference.

First Aid Kit on HikeWilderness first aid courses were held to provide best practice in the care and treatment of individuals who become ill or are injured in austere settings.

Suicide Prevention TrainingThe interprofessional Connect Suicide Prevention 3-day “Train-the-Trainer” program was offered to Dartmouth Health employees. This is an important initiative that provides learners the opportunity to help others at risk for suicide.

Opioid Use DisordersThe Center for Technology and Behavioral Health (CTBH) offered 20 interprofessional AXL (Advanced opioid use disorder X-Waiver team Learning collaboratives) webinars. This series was designed to increase treatment capacity for opioid use disorders by training more prescribers.

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  • QStream Mobile PhoneLDaS provided learning design and systems support in the community group practices and member organizations. Examples include microlearning Qstreams for the Manchester Ambulatory Surgery Centers’ Medicare & Medicaid Services visit and glucose management for inpatient nurses at Cheshire.
  • This year the SBER team increased their collaboration with the Office of Research Operations in an effort to streamline research in and around simulation and to help navigate and alleviate some perceived and real roadblocks.
  • SBER has refocused some support to the newly formed department for Interprofessional Continuing Education (IPCE) to increase awareness and connect teams to further implement IPCE throughout Dartmouth Health.

QUALITY & CONTINUOUS IMPROVEMENT

Guide

Simulation

  • SBER in collaboration with anesthesia and other member facilities is currently working on a project to make moderate sedation training available at member hospitals. This training, which must be adapted for local staff, assists in improved patient outcomes and best practice procedure adherence.
  • LDaS collaborated with the Organizational and Employee Development team to develop learning guidelines for Dartmouth Health. This is to support subject matter experts in learning design processes and best practices.
  • Andrew Smith, PhDAndrew Smith, PhD, joined Dartmouth Health in early 2022 in the newly developed role of Resident Well-Being Psychologist. This role was created in an effort to improve the clinical mental healthcare and well-being of GME residents and fellows through the provision of therapy and assessment.

Anesthesiology Residents 2022

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Residents on a Picnic

  • In an effort to support GME resident/fellow overall health and wellness, GME enhanced their wellbeing offerings to include a new and improved resource guide and additional meal options with access to the cafeteria and self-service Micro Mart.
  • Members of the SBER team have begun a lean six sigma greenbelt project focusing on standardizing and improving educational practices for Dartmouth Hitchcock Community Group Practice staff to maintain American Heart Association (AHA) certifications. Goals of the project will strive to ensure high quality AHA courses are more available, increase staff’s ability to maintain certification and competency, while looking to reduce hours of lost work from patient care. For the Dartmouth-Health system, this project work will develop a more cohesive Life Support program and better standardize AHA education and certification reporting. Our Life Support program, part of SBER, is an official AHA training center, which provides certification courses in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) to the Dartmouth-Health staff and the surrounding community.
  • In an effort to establish a unified application process for Interprofessional Continuing Professional Education (IPCE), the Joint Accreditation Steering Committee is working collaboratively to achieve the Joint Accreditation designation, anticipated in July 2023. This accomplishment would include accreditation for physicians, nurses, pharmacists, and other healthcare professions.
  • The Grimshaw-Gudewicz Charitable Foundation continues to generously support CLPD which ensures that we are able to maintain our commitment to positive healthcare outcomes in our rural community setting.

RECRUITMENT, RETENTION, WORKFORCE DEVELOPMENT

Grow
  • In March, the institution was able to fully fund the Resident Pay Philosophy Program established in AY21 and increase GME resident and fellow stipends to meet the AAMC northeast mean benchmark through with support from Senior Leadership and collaboration between GME, Finance and Human Resources.
  • To address new ACGME requirements, a new Time Away from Training Policy was developed in partnership with benefits to provide enhanced medical, parental and caregiver leave options for GME residents and fellows.
  • SBER has been redesigning its structure to enhance collaboration and support across Dartmouth Health. This change reflects their commitment to excellence and improved planning and coordination with other departments on their simulation needs.
  • SBER is coordinating with the Nursing Education department to more efficiently facilitate orientation and competency training for new hires and travelers.
  • SBER has partnered with Colby-Sawyer College to assist in expanding and improving their simulation-based educational offerings. This includes developing new equipment and solutions specific to Colby-Sawyer and working closely to create a collaborative team and improved simulation spaces at Dartmouth Hitchcock Medical Center and Colby-Sawyer College.
  • The Office of APPs will host The First Annual Dartmouth Health Advanced Practice Providers Conference on October 13-14, 2022. There will be approximately 20 APPs presenting over the course of the 2-day event.
  • The Office of APPs will host APP Week, a nationally recognized week September 26-30, 2022. There will be 3 events, 2 of which will include a speaker session. Over the course of these 2 events there will be 16 APPs speaking about clinical excellence and their accomplishments as leaders, educators, and researchers.
  • Deb Hastings has become an inaugural member of the Office of Nursing Support. The Office will provide assistance and resources to current and future Dartmouth Hitchcock Medical Center nursing employees through advisement, advocacy, coaching, mentorship, education and professional development.

    Nursing Team
    Jennifer Orbeso, Deb Hastings and Anne Neu

CONCLUSION

CLPD is proud of the work completed this year to expand and improve educational opportunities across our health system. We look forward to 2023 and another year supporting the work of our colleagues and learners throughout Dartmouth Health.

ADDITIONAL INFORMATION

For more information please email clpd.support@hitchcock.org or click on an image below to visit our websites: