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| 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.
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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.
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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.
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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. |