PUBLIC AGENDA

Meeting of the Committee on Optimizing Graduate Medical Trainee (Resident) Schedules

to Improve Patient Safety

December 3 - 4, 2007

National Academy of Sciences

2100 C Street, NW  

Washington, DC 20148

Monday, December 3, Lecture Room

CLOSED SESSION (Committee Members and IOM Staff Only)

8:00 AM         Committee Deliberations

10:45               Break

END CLOSED SESSION - START OPEN SESSION

11:00               Welcome

                        Michael Johns, Committee Chair

11:10               Remarks from Study Sponsor and Committee Questions              

Carolyn Clancy, MD, Director, AHRQ

11:50               Lunch

                        Discussion of Sponsor’s Presentation

12:50               Break

1:00 PM          Workshop Begins

                        Introduction, Michael Johns, Committee Chair

1:05-1:35        Panel 1: The Accreditation Council for Graduate Medical Education’s Duty Hours Requirements

                                    Paul Friedmann, MD, former ACGME official

Ingrid Philibert, Sr. VP, Department of Field Activities, ACGME [did not participate because of telephone malfunction]

1:40-2:30        Panel 2: Impact of Duty Hours Requirements on Education

Steven Weinberger, MD, Sr. VP for Medical Education, American College   of Physicians

Tom Whalen, MD, Regent, American College of Surgeons [not present because flight cancelled]

                        Michael Ehlert, MD, President, American Medical Students Association

Sunny Ramchandani, MD, past Chair of Residents and Fellows Section, AMA

2:30-3:15        Panel 3: Work Hours, Patient Safety and Enforcement

                                    L. Toni Lewis, MD, Executive VP, Committee of Interns and Residents

                                    Peter Lurie, MD, Public Citizen

Ethan Fried, MD, Vice Chair for Education, Residency Director-Internal Medicine, St. Luke’s-Roosevelt Hospital Center

3:15 -3:30       Break

3:30-4:25        Panel 4: Sleep and Outcomes Research

Charles Czeisler, MD, Director of Sleep Medicine, Harvard Medical School and Brigham and Women’s Hospital

Christopher Landrigan, MD, Director, Sleep and Patient Safety, Brigham and Women’s Hospital;Research and Fellowship Director, Children’s Hospital Boston, Assistant Professor of Pediatric Medicine , Harvard Medical School

Kevin Volpp, MD, PhD, Assistant Professor of Medicine and of Health Care Systems, Wharton School, U. Pennsylvania and faculty, Center for Health Equity Research and Promotion at Philadelphia VA Medical Center

4:25-5:00        Panel 5: The Federal Role Funding Graduate Medical Education

Miechal Lefkowitz, Technical Advisor, Division of Acute Care, Center for  Medicare and Medicaid Services

Barbara K. Chang, MD, Director of Medical and Dental Education, Office of Academic Affiliations, Department of Veterans Affairs

5:00                 Open mike for audience

5:30                 Recess

END OPEN SESSION - START CLOSED SESSION

6:45                 Dinner Meeting, Committee deliberations

8:45                 Adjournment

Tuesday, December 4, Board Room  (CLOSED SESSION)

8:00 AM         Committee deliberations

3:00 PM          Adjournment

The open session of this meeting is being held to gather information to help the committee conduct its study. This committee will examine the information and material obtained during this, and other public meetings, in an effort to inform its work. Although opinions may be stated and lively discussion may ensue, no conclusions are being drawn at this time; no recommendations will be made. In fact, the committee will deliberate thoroughly before writing its draft report. Moreover, once the draft report is written, it must go through a rigorous review by experts who are anonymous to the committee, and the committee then must respond to this review with appropriate revisions that adequately satisfy the Academy's Report Review committee and the chair of the NRC before it is considered an NRC report. Therefore, observers who draw conclusions about the committee's work based on today's discussions will be doing so prematurely.

Furthermore, individual committee members often engage in discussion and questioning for the specific purpose of probing an issue and sharpening an argument. The comments of any given committee member may not necessarily reflect the position he or she may actually hold on the subject under discussion, to say nothing of that person's future position as it may evolve in the course of the project.  Any inference about an individual’s position regarding findings or recommendations in the final report are therefore also premature.