Resident Unionization: Coming to a Hospital Near You? - October 10

Collective bargaining is not a new phenomenon in the larger context of the American workplace. While we’re seeing a rise in unionization nationally, we’re also beginning to see increasing interest from residents in the graduate medical education space. As residents seek to establish unions to collectively bargain on their behalf, institutions, DIOs, PDs, and program staff are attempting to prepare and keep pace with this change while focusing on the importance of training the next generation of physicians. The panelists for this webinar have different experiences operating in a unionized GME environment and will share their background, as well as lessons learned to help their GME colleagues consider this shifting landscape.

Learning Objectives:

• Identify how unions operate at various institutions.
• Understand the educator-learner relationship in the context of a unionized environment.
• Share issues to consider should your institution head toward unionization.

Keith A. Horvath, MD
Senior Director, Clinical Transformation
Association of American Medical Colleges

Keith A. Horvath is Sr. Director, Clinical Transformation in Health Care Affairs at the Association of American Medical Colleges. Most recently he was Director of the Cardiothoracic Surgery Research Program for the National Heart, Lung, Blood Institute at the National Institutes of Health and Chief, Cardiothoracic Surgery at Suburban Hospital, an affiliate of Johns Hopkins Medical Center. Prior to this position he was an Associate Professor of Surgery and a Program Director at Northwestern University, Chicago Illinois. Trained in general and cardiothoracic surgery at the Brigham and Women’s Hospital, Dr. Horvath is a graduate of the University of Chicago, Pritzker School of Medicine. As Sr. Director, Clinical Transformation he works with a team dedicated to improving outcomes at academic medical centers and their affiliates across the US. This includes assisting institutions shifting to value-based care as directed via CMS/CMMI alternative payment models and bundling initiatives. He has a longstanding interest in clinical care improvement with over 20 years’ service on the Society of Thoracic Surgeons Database; Coding & Nomenclature; and Health Policy Committees. This interest extends to clinical training as he serves as the AAMC Representative to the ACGME and co-leads the AAMC Group on Resident Affairs. Professionally, Dr. Horvath has represented the Society of Thoracic Surgeons and the American Association of Thoracic Surgeons to CMS, FDA, RUC, PEAC and Congress. A founding member of the Maryland Cardiac Surgery Quality Initiative, he has also served the Maryland Health Care Commission as a member of its Clinical Advisory Group that rewrote the legislation that governs cardiac care for the State. Additionally he has served on over 20 national committees, 10 editorial boards, and garnered over 25 million dollars in research funding. Finally, Dr. Horvath has performed over 6,000 cardiac operations, has authored and coauthored over 280 publications and logged over 89,000 miles watching, playing and coaching soccer games.

Ann M. Dohn, M.A.
Designated Institutional Official
Executive Director of Graduate Medical Education
Stanford Health Care

Ann Dohn is the DIO, Executive Director of Graduate Medical Education, Training Program Liaison for the Educational Commission for Foreign Medical Graduates, Representative to the National Resident Matching Program and Medical School Representative to the Medical Board of California for the Stanford University programs at Stanford Health Care. She has over 38 years of experience in medical education and oversees 127 ACGME programs with over 1500 trainees. At Stanford she sits on the Graduate Medical Education Review Committee, the Physician Well Being Committee, the Medical Staff Executive Committee, and the Respectful Educator Committee. Ann holds a bachelor’s degree from the University of California at Davis and a Master’s degree from Goddard College. She also holds a certificate of completion in Advanced Health Care Negotiation and Conflict Resolution from the Harvard School of Public Health and is a certified executive coach (Columbia University Coaching Program 2021). Ann was a member of the Steering Committee of the Group on Resident Affairs (2009-2012), an invited reviewer for the AAMC, has presented at the GRA, Western GEA, ACGME and the Congress of Neurological Surgeons meetings, and published several articles and a book chapter on medical education. Ann is a recipient of the ACGME Courage to Lead Award for 2013, The Group on Resident Affairs/AAMC Outstanding Service Award for 2019 and has twice been the recipient of the House Staff Appreciation Award from Stanford’s residents. In 2012, a group of former Stanford residents founded the Ann M. Dohn Legacy, a fund to promote resident well-being.

Michael J. Kelly, MD
Associate Dean for Graduate Medical Education
Rutgers Robert Wood Johnson Medical School

Dr. Michael Kelly is the associate dean for graduate medical education at Rutgers Robert Wood Johnson Medical School, a position he has held since 2013. Prior to that he was the program director for pediatrics at RWJMS for seven years. He served as the initial designated institutional official for Rutgers Health, in which six separate sponsoring institutions were merged into one. Dr. Kelly has held leadership positions within RWJMS as well as Rutgers University and is the current chair of the Advisory GME Council for the state of NJ. He is also the current chair of the Group on Resident Affairs for the AAMC. In his role at RWJMS, he has directly participated in three negotiation cycles with the Rutgers chapter of the Committee of Interns and Residents and has spoken on the issue of unionization n GME at national meetings. Dr. Kelly received his medical degree from SUNY- Downstate and completed a residency in general pediatrics and a fellowship in pediatric critical care medicine at New York Hospital.

Joan E. St. Onge, MD, MPH
Senior Associate Dean for GME and Faculty Affairs
University of Miami Leonard M. Miller School of Medicine

Dr. St. Onge, Senior Associate Dean for GME and Faculty Affairs, Miller School of Medicine. A graduate of Catholic University and Georgetown SOM, she received her MPH from the University of Miami. She has held leadership positions in all aspects of UME and GME and led numerous faculty development programs. As the UM/Jackson Health System DIO, she instituted several wellbeing initiatives, a multitiered approach in providing trainee mental health resources, expanded quality and patient safety training, and developed new GME programs in internal medicine, surgery, palliative medicine, and emergency medicine. As a leader in faculty affairs, she has been involved with salary equity reviews, developed mentoring and career development program, leads the culture change initiative and the Faculty Affairs subcommittee on the Dean’s Diversity Council. She is the co-sponsor of the LEAD Program for mid-career faculty. Dr. St. Onge, Immediate Past-chair, AAMC Group on Resident Affairs, also serves on the AAMC MSPE Task Force and is involved in the AAMC CLASS Project, reviewing clinical skills required for independent practice. She is the co-chair of the GME Taskforce of the Council of Florida Medical School Deans and former co-chair of the Florida Physician Workforce Advisory Committee, appointed by the governor. Dr. St. Onge, a member of AOA Honor Society and ACP Fellow, has received numerous teaching awards.