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       Diane Sliwka, MD
Personal Information
Name: Diane Sliwka, MD
Present Position Assistant Clinical Professor
Department of Medicine

 

Education
8/1994-5/1998 B.A. with Honors
Dartmouth College
8/1998-6/2002 M.D. Medicine
University of Connecticut School of Medicine
7/2002-6/2003 Intern, Medicine
Maine Medical Center
7/2003-6/2005 Resident, Medicine
Maine Medical Center
6/2006 Certified in Medical Simulation Training (comprehensive training course for leading a medical simulation program), Harvard Center for Medical Simulation
7/2006-6/2007 Fellow, Medical Education
Beth Israel Deaconess Medical Center
10/2006-6/2007 Harvard/BIDMC AGE Geriatrics Scholarship Program

Licensure and Certification
2005 American Board of Internal Medicine Board Certified (top 10th percentile)
2005-present Medical Licensure, Massachusetts
pending Medical Licensure, California

Academic Appointments
7/2005-6/2007 Instructor of Medicine, Harvard Medical School, Boston, MA

 

Hospital or Affiliated Institution Appointments
7/2005-6/2007 Hospitalist in Internal Medicine, Beth Israel Deaconess Medical Center, Boston

Awards and Honors
2002 American Medical Women's Association Award, U. Of Connecticut School Of Medicine
2005 Robert Hillman Resident of the Year Award, Maine Medical Center Internal Medicine Residency Program

 

Keywords/Areas of Interest
Simulation, Medical Education, Rapid Response Teams, Teaching

Professional Activities
Clinical
Attending, Medical Service, BIDMC: I attend 7 months of the year on this service, supervising 6 house staff and 2 medical students at a time. I have done this for the last 2 years.
Attending, Medical Consultation Service, BIDMC: I attend 6 weeks of the year on this service, supervising medical residents. I have done this for the last 2 years.
Attending, Procedure Service, BIDMC: I attend for 6 weeks of the year on this service, supervising medical residents in performing lumbar punctures, abdominal paracenteses and knee arthrocenteses.
Summary of Clinical Activities
As an inpatient medical attending, I spend the majority of my time supervising housestaff and medical student teams on inpatient medical wards caring for 8-18 patients at any given time on two separate housestaff teams. My clinical responsibilities include admitting patients, daily follow up and discharge of patients with appropriate transitioning back to the outpatient environment. I spend 6 weeks/year on both a procedure service and a medical consultation service where I supervise and help to perform the above procedures, and perform medical consultations for patients on other services including: orthopoedics, general surgery, ob-gyn, psychiatry.

 

Professional Societies
1996-1998 Nathan Smith Premedical Society, Dartmouth College
1998-2001 American Association of Medical Colleges
2000-2002 American Medical Student Association
2004-2005 American College of Physicians
2004-present Society of Hospital Medicine
2006-present Society for Simulation in Healthcare

 

Service to Professional Organizations
1997-1998 Nathan Smith Premedical Society, Dartmouth College
Co-Chair
1998-2001 American Association of Medical Colleges Organization of Student Representatives
University of CT SOM representative
2001-2002 American Medical Student Association, University of CT SOM Chapter
Chair
2004-2005 American College of Physicians, Maine American College of Physicians Governor's Advisory Council
Resident Representative
2004-present Society of Hospital Medicine
Young Physician's Committee
5/2006 Society of Medicine National Meeting
Organized and Led Interest Group: Contract Negotiation

 

Service to Professional Publications
2007-present Reviewer, Up To Date: Perioperative Medication Management

 

Invited Presentations
Regional
2004 Clinical Vignette: Acute HIV Presenting As Aseptic Meningitis, Maine American College of Physicians Annual Meeting, Maine American College of Physicians Chapter[Oral Presentation]
2005 The Role of the Twist Gene in Tumor Invasiveness and Metastasis, Maine Medical Center Department of Medicine[Internal Medicine Grand Rounds Presentation]
2005 The Role of the Twist Gene Tumor Invasiveness and Metastasis, Maine Medical Center Research Institute[Research Presentation]
National
2006 Clinical Vignette: A Case of Acute Anemia and Fever, Society of Hospital Medicine Annual Meeting, Society of Hospital Medicine[Poster Presentation]

CME Courses Attended
5/2006 Society of Hospital Medicine Annual Meeting
5/2006 Perioperative and Consultative Medicine for the Hospitalist-Pre-Course
5/2007 Society of Hospital Medicine Annual Meeting
3/2007 23rd Annual Review of Geriatric Medicine
1/2007 7th Annual International Meeting on Simulation in Healthcare
10/2007 Leadership Course for Junior Faculty, Harvard Medical School
9/2006 Society of Critical Care Medicine Pre-Course: Excellence in Quality and Safety in Critical Care-Medical Emergency Teams/Rapid Response Teams

 

Other Professional Service
2006 Relevance Reviewer for General Internal Medicine Board Certification Exam, Reviewer, American Board of Internal Medicine

 

University Service
Maine Medical Center
2003-2005 Graduate Medical Education Committee, Internal Medicine Resident Rep, Maine Medical Center
2003-2005 Housestaff Association, Internal Medicine Resident Rep, Maine Medical Center
Beth Israel Deaconess Medical Center
2006 Triggers (Rapid Response Team) Training Curriculum Task Force, Member, Beth Israel Deaconess Medical Center
2006 Simulation & Skills Center Curriculum Committee, Internal Medicine Rep, Beth Israel Deaconess Medical Center

 

Summary of Service Activities

As the internal medicine resident representative to the GME committee I met with other housestaff and faculty to address issues relevant to all and represented the interests of the Internal Medicine Program. Topics included house staff duty hours and whether to incorporate simulation into teaching residents at our hospital. As the Internal Medicine Resident Representative, I represented the interests of the Internal Medicine Department for the housestaff association.

 

I review relevance of questions for the ABIM, Internal Medicine Board Certification Exam once yearly. As a member of the Triggers Training Curriculum Task Force, I evaluated the current status of housestaff in responding to acutely decompensating medical patients using surveys, interviews and direct observation. I then created and implemented a program to teach teams of housestaff and nurses regarding specific medical management in such scenarios and communication between various members of the teams. On the simulation and skills curriculum committee, I meet with other representatives from all departments in the hospital to review proposals for simulation programs and to advise regarding feasibility and improvements of such projects.

 

Teaching and Mentoring
Formal Harvard Medical School Courses
2005-2007 Course Title: Renal Pathophysiology Tutorial
Teaching Contribution: Tutorial (problem based learning) leader, 12-1.5 hour sessions
Class Size: 7

Formal Internal Medicine Residency Program, BIDMC
5/2006 and 12/2006 Role: Teaching Attending
Teaching Contribution: Leader daily teaching rounds for Internal Medicine inpatient housestaff and medical students, daily for 2-1 month blocks
Class Size: 10
2/2007-7/2007 Role: Department of Internal Medicine Rapid Response Team Training
Teaching Contribution: Leader simulation and debriefing exercises for nurses, housestaff and medical students 18-2 hour sessions in management of acutely hypoxic medical patients
Class Size: 2 interns and 1 nurse or 3 medical students and 1 nurse per session

Informal Teaching
12/2006 Debriefing in Simulated Medical Scenarios, Faculty Development for Nurse Educators (4 RN educators, 2 hour session)
7/2005-7/2007 Bedside walk rounds with house staff and medical students, 4x/week on all inpatient medical ward months
7/2005-7/2008 Medical Consultation and Procedure Services 6 weeks/year, teach one resident at a time on each service, weekly medical consultation lectures.

Summary of teaching hours
2005-2006 365 total hours of teaching
Formal course teaching hours: 65
2006-2007 425 total hours of teaching
Formal course teaching hours: 125

Teaching Narrative

As an inpatient attending (most months of the year), I lead bedside rounds with both of my teams twice weekly for a total of 4 days/week. This includes teaching residents and students presentation, history and exam skills as well as critical thinking skills in medicine. I also advise senior housestaff in their teaching skills.
As a teaching attending, I spend one month per year leading daily teaching rounds for groups of 10 residents and students. These are often case based and stimulated by house staff patients. Each rounds is preceded by a half hour of case based teaching dedicated to medical students.

In my simulation work, I have created and implemented a simulation  program for teaching housestaff, students and nurses to care for seriously ill internal medicine patients. These sessions feature a simulated exercise where I observe the teams performing medical management and a debriefing session, where I facilitate a discussion reflecting on their experience and teach to the goals of the scenario. Goals include medical management, communication between doctors and nurses and discussions of code status with patients who are acutely ill. Prior to this project, I taught a faculty development class for nurse educators who participate in these sessions.

 

Research and Creative Activities
Non Peer Review Publications and Other Creative Activities
1999-2000 P.I., University of Connecticut School of Medicine, Women's Knowledge and Attitudes Toward Contraception in Poland and the United States
2004-2005 P.I., Maine Medical Center Research Institute, The Role of the Twist Gene in Tumor Invasiveness and Metastasis
2006-present P.I. Rabkin Fellowship in Medical Education, Development and Evaluation of Simulation Based Training Program for Housestaff and Medical Students in Management of Decompensating Medical Patients
Educational Materials
1. Diane Sliwka, M.D. Bleeding Disorders MKSAP Question Writer. 2007

 

Abstracts
1. Diane C. Sliwka, MD. A Case of Acute Anemia and Fever. Abstracts: Research, Innovations, Clinical Vignettes Competition. SHM Annual Meeting. A supplement to the Journal of Hospital Medicine. 2006;1(Supplement 2):76.

 

Summary of in-progress research activity

I have spent the last 6 months collecting data on my teaching program using simulation including surveys of housestaff following the intervention and several months after the intervention. I am currently initiating a pre-post test evaluation of further simulation curricula.

I have am also in the process or writing a descriptive paper regarding the rapid response team structure at BIDMC following surveys, interviews and direct observation of the program.


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