Overuse Clinical CAse Morbidity and Mortality (OCCAM’s) Conference
OCCAM’s Conference is named after Occam’s razor, a principle of parsimony, economy, or succinctness used in problem solving. The curriculum for trainees consists of two parts: (1) OCCAM’s Conference and (2) OCCAM’s Workgroup. The OCCAM conference is centered on a case of overuse that led to an adverse event or near-miss. The first part will be dedicated to case presentation with evidence based on teaching points, followed by a segment on the patient-centered view. Then a modified fishbone will be utilized to perform root cause analysis on (1) drivers of overuse and (2) systems-based factors that led to the sentinel utilization event. Finally, a brainstorming session of how to prevent future events will be held. From the OCCAM’s Conference, the results from the RCA and brainstorming session will be transferred to the OCCAM’s Workgroup, which serves to prevent future overuse events by creating value and safety improvement projects.
Icahn School of Medicine at Mount Sinai
Hyung (Harry) J Cho, MD, completed his BS from Cornell University, MD from Temple University, and his internal medicine residency from Yale University. Since graduation in 2011, he has been an academic hospitalist at Mount Sinai. He serves as director of Quality and Patient Safety for the Division of Hospital Medicine and chair of the High Value Care Committee for the hospital. He remains dedicated to the education and mentorship of trainees in quality, safety and value improvement, and has been awarded the Resident Teaching Award, the Hospital Medicine Teaching Award, and the Top Hospitalist honor from ACP Hospitalist, awarded to 10 individuals in 2014.
Carlo Lutz is a graduate of Cornell University where he earned a BA in Sociology, Magna Cum Laude and was inducted into the Phi Beta Kappa honors society. He is currently enrolled as a medical student at the Mount Sinai School of Medicine and is a member of the High Value Care Committee at Mount Sinai Hospital. He is former president of REMEDY and health policy chair of AMSA at Mount Sinai.
Truyet-Trinh (Trini) Truong, MD, received her BA in Economics and Biology from Swarthmore College, MD from Temple University, and residency at Yale before joining Mount Sinai as an academic hospitalist. Her interests are quality and safety, high-value care, and post-acute care transitions. Her projects include High-Value Pulmonary Embolism treatment algorithm and acute and post-acute care communication. As the Medicine Mortality Review Committee Chair, she oversees the mortality review process and identifies preventable events and quality improvement strategies. Dr. Truong is also actively involved in medical education and has co-developed curricula for advanced practice. clinicians and medical residents.
Andrew Coyle, MD, currently serves as a chief resident in the Department of Medicine at Mount Sinai. He received a BS in Economics from Clemson University and an MD from Case Western Reserve University. His major project during residency was developing a medical student curriculum on issues in healthcare for the homeless. He was the 2014 recipient of both the Housestaff Excellence in Teaching Award from the Mount Sinai Institute for Medical Education and the Ira M. Goldstein Award for Resident Teaching. He is interested in the intersection of primary care for vulnerable populations and medical education.
Andrew S Dunn, MD, MPH, received his MD from the New York University School of Medicine and completed his residency at Mount Sinai Medical Center. He is currently professor of Medicine and the division chief of Hospital Medicine for the Mount Sinai Health System, consisting of seven hospitals and more than 80 hospitalists. His research interests are in anticoagulation, most specifically in the management of venous thromboembolism, atrial fibrillation, and the perioperative management of warfarin. He has lectured nationally and published in numerous journals and is also an author of the American College of Chest Physician’s guidelines on anticoagulation and thrombosis.
Mather (Dilan) Jogendra, MD, MSc, completed his undergraduate education at the University of Toronto. He received his MSc degree from Marshall University in Huntington, WV after which he was involved in the monitoring multi-center/multinational pharmaceutical clinical trials. He obtained his medical degree from National University of Ireland, Galway and completed his internal medicine residency at Bassett Medical Center-Columbia University in Cooperstown, NY. He subsequently obtained his Cardiology-Hypertension Clinical Fellowship at Mount Sinai/James J. Peters Bronx VA Medical Center prior to joining the Hospital Medicine faculty at Mount Sinai. His interests are in medical education, quality and patient safety, and clinical research.
Karen Blanchard, MD, received her undergraduate degree from Dartmouth College. She earned her MD from Emory University School of Medicine and completed her internal medicine residency at Emory University in Atlanta, GA. She served on the Emory University faculty at the Atlanta VA Hospital until July 2014 when she joined the Mount Sinai School of Medicine faculty as an assistant professor in Internal Medicine.
Shelley Greebel, LMSW, is an inpatient social worker at Mount Sinai Hospital in General Medicine. She provides emotional support and counseling to patients and their families, conducts psychosocial assessments, and works with the multidisciplinary team to develop and implement safe and appropriate discharge plans. Mrs. Greebel serves on the Mount Sinai Hospital High Value Care Committee with a focus on patient-centered approach. She received her master’s degree in social work from Columbia University.
Deborah Korenstein, MD, is a clinician educator, health services researcher and the editor-in-chief of ACP Smart Medicine, an evidence-based clinical decision-support tool. Prior to her role at ACP, Dr. Korenstein was an associate professor of Medicine in the Division of General Internal Medicine (DGIM) at the Icahn School of Medicine at Mt. Sinai, where she was the founding director of the Primary Care Residency Program and the director of Education of the DGIM. Her teaching and research interests are focused on evidence-based medicine, overuse of medical resources, and conflicts of interest in medical education, research, and practice.