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For the Employees and Medical Staff of Desert Regional Medical Center November 2013

We underwent our ACGME site review on September 16. Our site reviewer was very impressed with the facilities and the sup-port from Desert Regional. We will find out the results of our accreditation after their next meeting scheduled for the last week of January 2014. In the meantime, we continue to work on the curriculum and expand our UCR Faculty. I am ecstatic and so appreciative that we cur-rently have 85 volunteer faculty and continue to receive requests to assist with the residency. The support we have received from DRMC and the community is extraordinary and provides us with the motivation to produce

a strong foundation for gradu-ate medical education in primary care.

As for our UCR Health Family Medicine Clinics, we have opened a second clinic in El Mirador. We are currently see-ing patients at both the Las Palmas and El Mirador sites. Our practices continue to grow and appreciate all of your refer-rals. We currently take most major insurance plans. Our final Family Medicine Clinic located on the East side of Las Palmas is anticipated to open early 2014.

We had a wonderful turn-out during our first faculty

development lecture on the ACGME Core Competencies on September 9. We hope that the information presented was prac-tical and presented in an effective manner. Any recommendations or suggestions for improvement are welcomed and greatly appre-ciated. We are looking forward to our next faculty development session which will take place on Tuesday, December 3, in the Sinatra Auditorium. Drs. Brian Wexler and Kendrick Davis will continue our series on Preparing for Graduate Medical Education and pres-ent their topic on Interpersonal Communication and the Patient-Doctor Relationship. We look

Welcome to the second issue of the UC Riverside School of Medicine, Family Medicine Residency Program at Palm Springs Newsletter. There have been many exciting changes since our last newsletter in July.

From the Program Director —

Gemma Kim, MDFamily Medicine

Residency Program Director

2 - DIO Message

2 - Faculty Spotlight

3 - Volunteer Faculty

Spotlight

4 - Core Competencies

4 - Supervision

Requirements

ACGME’s Six Core Competencies:Interpersonal and Communication SkillsResidents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients’ families, and professional associates.

Residents are expected to: • Create and sustain a therapeutic and ethically sound relationship with patients. • Develop a trusting, professional relationship that allows them to inquire into and discuss sensitive issues that may

impact on the execution of the negotiated management plan.• Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and

writing skill.• Conduct an interview in a manner consistent with the values of family medicine using appropriate verbal and nonverbal

skills.• Work effectively with others as a member or leader of a health care team or other professional group.• Work effectively with other professionals on the health care team.

555 Tachevah Dr., 3W-105 • Palm Springs, CA 92262Phone: (760) 318-4730 • Fax: (760) 416-7639

1150 N. Indian Canyon Dr. • Palm Springs, CA 92263(760) 323-6511 • www.desertregional.com

(continued on page 3)

1. Patient Care (PC)

2. Medical Knowledge (MK)

3. Interpersonal and Communication Skills (ICS)

4. Practice-Based Learning and Improvement (PBL)

5. Professionalism (P)

6. Systems-Based Practice (SBP)

Residency Policy Highlights: ACGME Supervision RequirementsThe program must demonstrate that the appropriate level of supervision is in place for all residents who care for patients. The supervision policy covers the specifics that apply to the Family Medicine residents and their work within the Family Medicine Center, nursing home, continu-ity obstetrics, home visit, and hospital service settings.

Levels of Supervision:• Direct Supervision- the supervising physician is physi-

cally present with the resident and patient. • Indirect Supervision- the supervising physician is not

physically present within the hospital or other site of patient care, but is immediately available by means of telephonic and/or electronic modalities, and is available to provide Direct Supervision.

• Oversight- The supervising physician is available to provide review of procedures/ encounters with feed-back provided after care is delivered.

Now accepting new patients and offering same day appointments at two convenient locations!

Update

Las Palmas Medical Plaza555 E. Tachevah Drive, 3W-105

Palm Springs, CA 92262

El Mirador Medical Plaza1180 N Indian Canyon Drive, E-425

Palm Springs, CA 92262

If you call before noon, you can get an appointment that day with one of our team of Primary or HIV specialty care physicians

For Appointments:(760) 318-4730(760) 537-1632

Most major insurance plans accepted

Questions, comments or additions?Please contact us at gemma.kim@ucr.edu

or call (760) 323-6166. We welcome your thoughts and feedback!

Volunteer Faculty Spotlight

Babak Khazaeni, MD, FACEP Medical Director of Emergency Medicine

Q: Where did you go to medical school and do resi-dency? A: I attended University of Michigan Medical School and did my residency there as well.

Q: What are you looking forward to most about teaching residents? A: I enjoy the interaction with residents. It keeps one well informed and one needs to keep up with the latest literature to be able to teach residents effec-tively. Since completing residency, I have always worked in hospitals that have had residents rotating through the Emergency Department (ED). I think teaching residents is an important role for any physician.

Q: How do you de-stress? Do you have any hobbies? A: I run and exercise. I also love to cook and travel.

Q: What book(s) are you currently reading? A: Aside from the many cookbooks that I keep buying, I read a lot of spy thrillers, science fiction, and nonfiction books on social sciences.

Q: What is your favorite restaurant? A: I am a big foodie and travel all over just for a good meal. I don’t think I could name just one but a few off the top of my head would be Bazaar in LA, French Laundry in Napa, and Vetri in Philadelphia.

Q: What do you like the most and least about Medicine? A: I find my interactions with patients to be most gratifying. Working in the ED, we see patients from all walks of life and being able to help them is very satisfying. Unfortunately the bureaucracy and the complex paperwork that medicine brings with it is what I like the least.

Faculty Spotlight

2 3

From the Program Director (continued from page 1)

forward to seeing everyone there as it will be a valuable and worthwhile lec-ture. We will continue to present faculty development sessions every other month at DRMC focusing on skills in teaching methods, curriculum design, assessment of learner performance, research meth-odology, and academic leadership. We plan to webcast these sessions to other campuses, such as the UC Riverside School of Medicine Campus and resi-dencies at Riverside County Regional Medical Center.

We will continue to send out an updated newsletter quarterly to communicate with you about new changes and updates regarding the residency program. I would like this newsletter to reflect what you would like to hear from us, so I welcome your comments and more importantly, your suggestions on how we can improve the content. Please feel free to contact me if you are interested in participating with the residency and have not been con-tacted yet or with any questions regarding the residency program.

Dr. Gemma Kimgemma.kim@ucr.edu

(760) 323-6166

Family Medicine Academic Update:Timeline:

A Word from the DIODIO stands for Designated Institutional Official. It is a term used by the Accreditation Council for Graduate Medical Education (ACGME) for the individual responsible for overseeing all of the Graduate Medical Education (GME) programs at an accredited institution that sponsors residences and fellowships. I am DIO for the University of California, Riverside, School of Medicine (UCR SOM).

The UCR SOM is the sponsor of the Family Medicine (FM) residency at the Desert Regional Medical Center (DRMC). The residency program is led by Gemma Kim, MD, the Program Director. The FM residency underwent a site visit for accreditation by a representative of the ACGME on September 16, 2013. The UCR SOM currently sponsors a residency in Internal Medicine (IM) in Riverside. The participating sites are the Riverside County Regional Medical Center (RCRMC), the Kaiser Permanente, Riverside, the Riverside Community Hospital (RCH), and the Riverside Medical Clinic (RMC). The IM residency began in July 2013 with 12 residents. The UCR SOM has also applied to the ACGME for accreditation of a residency in Psychiatry. The site visit took place on September 18, 2013. It is anticipated that the sponsorship of the FM and General Surgery (GS) residencies will be transferred from the RCRMC to the UCR SOM in July 2014. The UCR SOM has joined hands with the Loma Linda Children’s Hospital to initiate a primary care residency track in Pediatrics at the RCRMC from July 2014. A residency in Obstetrics/Gynecology is in the planning stages. The UCR SOM anticipates establishing additional residencies and fellowships in the near future.

Mahender S. Kochar, MD, MS, MBA, JD,

MACPProfessor and

Associate Dean for Graduate Medical

Education, UCR School of Medicine

Dr. Brian Wexler is a Palm Springs native, a local clinical and forensic psychologist, who was born and raised in the desert community.

His college years began with a double major from UC Irvine and graduate degrees from Pepperdine University in Counseling Psychology, and from the California School of Professional Psychology, San Diego, in clinical psychology; dual areas of emphasis included health psychology and family-child issues. Dr. Wexler was commissioned as a Naval Officer in 1990 and served on active duty as a Navy Psychologist during Desert Shield and Desert Storm. Subsequently, he began a position at a Community Mental Health Center in the Washington D.C. area, where he worked as the Director of Outpatient Mental Health for children and adult services. Areas of specialty include issues involv-ing depression, anxiety and panic disorders, trauma, family issues, behavioral health, as well as per-sonal growth and mindfulness. In August 2013 he joined UCR School of Medicine as a behavioral scientist to train future residents in family medicine, to further faculty development, and to enhance the quality of patient care via mindfulness and cognitive behavioral skills. In his spare time, Dr. Wexler loves to travel, hike locally and far away, spend time with his family, and volunteer with the California State Parks in the San Jacinto Wilderness as a member of the Preventative Search and Rescue team.

Brian Wexler, PhDPsychologist/

Behavioral ScientistUCR Family Medicine

Residency Faculty Development:A Special Session for PhysiciansFaculty Development training will occur as a continuous educational enhancement for core and volunteer faculty. The goal is to continually improve in the ability to teach the principles of family medicine with reference to evidence-based medicine and the six core competencies. The session is designed for UCR faculty and any physicians or healthcare lead-ers who are interested in improving their skills as preceptors, evaluators and teachers for the residency program. Faculty Development sessions will be offered every two months for a minimum of one hour.

Upcoming Session: Preparing for Graduate Medical Education: Interpersonal Communication and the Patient-Doctor Relationship

Noon, December 3, 2013 Sinatra Education Center, Desert Regional Medical CenterLunch will be provided

Presented By: Brian Wexler, Ph.D. Psychologist / Behavioral ScientistUCR Family Medicine Residency

Kendrick Davis, Ph.D.Director of Medical EducationUCR School of Medicine

• September2013-ACGMESiteReview• January2014-ACGMEMeeting-

Accreditation Results• March2014-RegisterforNationalResident

Matching Program (NRMP)

• October2014-January2015-InterviewCandidates for Residency

• March2015-MatchResults• July2015-Commencementof1stFamily

Medicine Residency Class