Published: June 1, 2016

A new year, academically speaking

June marks the end of another academic year and the completion of various aspects of training—medical school, residency, and fellowship. About 20.4 percent of Academy Members are in full-time academic practice, and another, more fluid group of practitioners are either in part-time or voluntary academic otolaryngology.


Sujana S. Chandrasekhar, MD AAO-HNS/F Past PresidentSujana S. Chandrasekhar, MD
AAO-HNS/F Past President
June marks the end of another academic year and the completion of various aspects of training—medical school, residency, and fellowship. About 20.4 percent of Academy Members are in full-time academic practice, and another, more fluid group of practitioners are either in part-time or voluntary academic otolaryngology. Nearly 15 percent of our Members are residents or fellows-in-training. As such, many of us will be attending end-of-year and graduation parties and ceremonies as another batch of chief residents and fellows goes out into the world and other residents advance to the next year of training.

The residency experience is like no other. You become intimately involved with people you didn’t choose, but who become your family for several years and, indeed, your lifetime. You get to know each other’s partners, children, taste in music. You learn how to negotiate: “I’ll cover your call this weekend if you’ll take my next weekend,” for example. You learn how to learn and teach on the run. The senior resident figures out how to guide the junior resident for part of the case, while the attending supervises both. Residents pair up to make presentations and posters better, and get to travel to nice locations to present them, such as San Diego for this year’s Annual Meeting. One resident starts a really good research project, and breathes longevity into it by engaging the next one and so on, so that that residency program becomes really outstanding at that topic. Another resident applies for a Leadership Forum & Board of Governors Spring Meeting travel grant, comes home enthused, and the next year three residents from that program attend. And they all see that they can make a difference.

If you are involved in any teaching, June provides a time to reflect on how you’ve done over the year. I have the great fortune to interact with residents from four of the five New York City programs on a regular basis. I see residents start with one level of knowledge and understanding, and end having leapt forward to an advanced status. It is said that a teacher is one who makes her- or himself progressively unnecessary; I agree with this wholeheartedly.

I have been thinking about the joy of watching a student advance, and the pride in having had even just a little to do with it. A young medical student came to me when I was full-time faculty at Rutgers New Jersey Medical School, interested in otolaryngology. He was smart and hardworking and self-motivated, and fantastic both clinically on his rotations and in my lab. By the time he was ready to apply to residency, I had moved across the river and was teaching in New York City. I was so happy that he matched from the medical school where I had previously taught into the residency program where I was currently teaching. He excelled in his residency and went to Florida to do a prestigious fellowship. He came back to NJMS and in six short years had become full professor and vice chair of the department! And then, as the rapper Big Sean says, “It’s evolution, man. Eventually the student becomes the teacher.”

Jean Anderson Eloy, MD, that young man I had mentored so many years before, became my mentor in thinking and writing about, of all things, gender issues in otolaryngology. There is something overwhelmingly gratifying about reflecting on the students and residents I have trained, where they started, and how they have succeeded.

When the Academy says it’s your partner from residency to retirement, it means it. Just as your co-residents and co-fellows are your buddies for life, and your professors are always there to offer advice and introductions, every Academy initiative is designed for otolaryngologists in all stages of their careers.

This issue of the Bulletin details many of the Health Policy programs at the Academy. As you read the particulars, you will see how you benefit from the work that is being done, no matter your type or location of practice. How can you help? Please participate in Academy surveys when you get them; please fill out the RUC surveys so that our Health Policy team can ensure that we are reimbursed properly for services that we render. As you transition from year to year in residency or practice, engage your juniors to do the same.

Have a great new year!

 


More from June 2016 - Vol. 35, No. 05

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REGENTSM UPDATEQuality reporting for 2016
Quality reporting for 2016 Now is the time to prepare for Physician Quality Reporting System (PQRS) reporting for calendar year 2016. There are many changes to requirements this year and the fines associated with failing to report are significant. Highlighted below are important considerations and information on reporting via RegentSM, a Qualified Clinical Data Registry (QCDR.) For practitioners who still maintain paper charts, or who want to take advantage of the simplicity of reporting measures groups, RegentSM offers a solution. Make sure to read the July Bulletin for information on all of Regent’s measures and measures groups that will be available to you in 2016. Also, make sure to visit www.entnet.org/Regent as we will be updating this page frequently with RegentSM PQRS reporting resources. Using RegentSM for PQRS 2016 RegentSM does all of the work for you if you are reporting as an individual or as a group, and depending on whether you choose to report individual measures or measures groups. 1. Know the penalties Practice Type PQRS and Value Modifier Penalties Solo practioners and practices with 2-9 providers -2% PQRS and -2% Value Modifier = -4% Practices with 10 or more providers -2% PQRS and -4% Value Modifier = -6%   2. Decide how to report RegentSM pilot sites Advanced ENT & Allergy Advanced ENT Augusta ENT Colorado ENT & Allergy Dr. Steven Peskind, MD & Associates Ear Nose & Throat Clinics of San Antonio East Alabama Ear, Nose & Throat, P.C. ENT and Allergy Associates Hebert Medical Group Oregon Health and Science University Pinnacle Ear Nose & Throat Associates, LLC Premier Medical Group Select Physicians Alliance, PL South Florida ENT Southern New England ENT* Texas Ear, Nose and Throat Specialists, P.A. University of Alabama – Birmingham Hospital University of Missouri Medical Center* White Rock ENT *Newly added You may report either as an individual or as a group. Individuals may report individual measures or measures groups, while practice groups may report individual performance measures only. If you decide to report as a group, first, understand your practice size as there are different CMS requirements depending upon how many Eligible Professionals (EPs) are in your group. Next, make sure to register with CMS if you plan to report as a group. For more information on group reporting and to self-nominate with CMS before the June 30, 2016 deadline, visit https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Self-Nomination-Registration.html. For practices of two to 99 EPs NEW! Practices of two to 99 EPs participating via the Group Practice Reporting Option (GPRO) may report quality measures via RegentSM for the 2016 reporting period, and Reporting Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS survey measures is optional. For practices with 100 or more EPs Groups with 100 or more EPs are also required to report the CAHPS for PQRS measures through a CMS-Certified Survey Vendor in addition to satisfactorily reporting PQRS measures via RegentSM. For more information on CAHPS for PQRS click here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/downloads/2016PQRS_CAHPS_MadeSimple.pdf. 3. Learn about Regent’s measures and measures groups Visit www.entnet.org/Regent and click on the measures link in the right-hand navigation to view all of the measures contained in Regent. As noted above, RegentSM is also able to accommodate measures group reporting. The measures groups are listed here: www.entnet.org/content/quality-measures-groups. Get started Visit www.entnet.org/Regent and sign up to learn more. Then, make sure all the physicians in your practice are AAO-HNS Members and up-to-date on dues payment with the AAO-HNS even if they choose not to participate in RegentSM. Nurses, physician assistants, audiologists, speech pathologists, and non-physician providers do not have to become AAO-HNS Members to participate. Dues payment for 2017 starts in October 2016. All Member dues must be paid by January 15, 2017, for participation in RegentSM. Stay tuned to your AAO-HNSF emails and watch for our full launch date, which is anticipated to be late summer 2016. Visit www.entnet.org/Regent. PQRS reporting needs already addressed? PQRS reporting is just the first phase of RegentSM. RegentSM is the first Otolaryngology Clinical Data Registry and will be growing to include measures covering the depth and breadth of the specialty. In the future and as measures are added, Members will be able to engage with RegentSM data for research, quality improvement, and meeting Maintenance of Certification and licensure needs. If your practice or institution cares about defining quality in practice and documenting the value of the care you provide, then you need to become part of RegentSM, even if you don’t need to report for PQRS.