The GOL2D Project, AMA Reimagining Residency

The GOL2D Project ambitiously embraces the call for novel curricula to prepare physicians for their future practice, to support flexibility and curiosity within residency training and beyond, and to inculcate habits of lifelong learning and reflection, while simultaneously promoting a goal of human flourishing—both for the patients to whom residents deliver care and for the residents themselves, now and into their futures.

A collaboration between University of Mississippi Medical Center and Vanderbilt University Medical Center 

Links to Ongoing GME Programs (Levels 1 - 4)

The Health Systems Science & Innovation (HSSI) Curriculum is a tiered curriculum for residents & fellows at Vanderbilt University Medical Center (VUMC) and the University of Mississippi Medical Center (UMMC) with built-in opportunities for faculty co-learning and radical interprofessional collaboration.  The goal is to encourage our residents and fellows to view their daily practices through a lens of HSSI, identify problems and develop the agency to fix them.

Level 1 Exposure:

A learning experience that provides an overview of subject matter and is designed to introduce House Staff to the topic as well as give additional information about further opportunities.

  • Mandatory for all residents & fellows.
  • Participants inputs serve as a repository of problems to solve in later levels.
  • Opportunity to self-identify interest in later levels.

  • Prerequisite for faculty interested in later levels.
  • Faculty responses will also contribute to repository of problems for later levels.

  • Recommended for any interprofessional team members.
  • Will help to create a shared mental model for teams.

Level 2 Exploration:

A 3- to 4-hour facilitated innovation challenge, run as one session or multiple 1-hour sessions, in which participants analyze a pre-determined problem sourced from Level 1 and design a novel interventions.

  • Participate as team leader or team member.
  • Flexible structure with options for live facilitation, Zoom facilitation, or video module facilitation.
  • Choose from a list of problems identified in Level 1 that may pertain to your clinical specialty.

  • Faculty may participate in resident-led workshop or lead a workshop themselves if interested.
  • No commitment to later levels required.

  • As project develop in later levels, students from various Vanderbilt programs may be drafted on to teams to help problem solve.
  • Potential collaborating health professions programs include graduate nursing students, allied health students, public health students, pharmacy residents & chaplaincy students from the Divinity School.
  • Other potential opportunities for collaboration include:
  • The School of Law for projects related to health policy.
  • The School of Engineering for medical device development.
  • The Owen School of Management for projects that may lend themselves to entrepreneurial opportunities.
  • Peabody college for education-based interventions.

Level 3 Endeavor:

A 2-4 week rotational experience embedded within a clinical department.

  • Customizable elective rotation that can be adapted to fit any residency schedule structure.
  • Guided by combination of structured worksheets and video modules.
  • Most have a faculty mentor identified.

  • Faculty mentor to meet with resident/fellow at least twice per week during rotation.
  • Faculty will receive specific coaching on how to mentor a trainee project (i.e. train the trainer).

  • As project develop in later levels, students from various Vanderbilt programs may be drafted on to teams to help problem solve.
  • Potential collaborating health professions programs include graduate nursing students, allied health students, public health students, pharmacy residents & chaplaincy students from the Divinity School.
  • Other potential opportunities for collaboration include:
  • The School of Law for projects related to health policy.
  • The School of Engineering for medical device development.
  • The Owen School of Management for projects that may lend themselves to entrepreneurial opportunities.
  • Peabody college for education-based interventions.

Level 4 Expertise:

A 1-to 2-year longitudinal project developed during earlier levels of the curriculum.

  • Logitudinal project-based curriculum.
  • Guided by combination of structured worksheets and video modules.
  • Must have a faculty member identified.
  • Must have completed either Level 2 or 3.

  • Eligible for MOC IV credit.
  • HSSI Faculty Training Program which will allow faculty to participate as mentors annually across specialties and contribute to future curriculum design.

  • As project develop in later levels, students from various Vanderbilt programs may be drafted on to teams to help problem solve.
  • Potential collaborating health professions programs include graduate nursing students, allied health students, public health students, pharmacy residents & chaplaincy students from the Divinity School.
  • Other potential opportunities for collaboration include:
  • The School of Law for projects related to health policy.
  • The School of Engineering for medical device development.
  • The Owen School of Management for projects that may lend themselves to entrepreneurial opportunities.
  • Peabody college for education-based interventions.

UMMC Offers the Following Below (Institutional Level): 

Background & Goals

Through its unique private/public institutional partnership, the GOL2D Project will: 

  • Describe three "capacity domains," illustrated by  unique personae, crucial for future physicians, transcendent of specialty. 
  • Create novel interdisciplinary, integrated curricula & experiences (IIEs) that enable residents to develop within these domains, helping them flourish in a complex environment while maturing their identities.  
  • Pilot and scale opportunities for competency-based progression from UME into GME
  • Demonstrate the utility of asynchronous, workflow-based quizzing in advancing individual learning and the learning health system. 
  • Develop processes for longitudinal tracking of life and learning goals for residents and graduates of GME programs using a platform that supports life-long learning and persona reflection.  

The Five Personae / Capacity Domains

The GOL2D Project will “define/describe five ‘capacity domains’ (crucial capacities of the future physician), transcendent of specialty, extending beyond GME to lifelong learning, develop novel, integrated, interdisciplinary experiences to help residents acquire them." 

personae

Evaluation and Portfolio

“An effective portfolio system will permit development of, reflection on, and tracking of personal and professional goals while facilitating a transition to time-variable training and reinforcing the importance of work-life integration” (Powered by CAMHL)

Partners:

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