Dr. Joshua D. Lenchus Wins Award for Innovative Procedure Service

Joshua D. Lenchus, D.O., received a $10,000 award for an innovative medical education program leading to improved patient care and outcomes at the Drexel University College of Nursing and Health Professions’ annual BAYADA Awards ceremony held on May 5.

Lenchus received the award for a training program he developed, known as The Procedure Service, which combines simulation-based invasive bedside procedural instruction with an experiential component for internal medicine residents.

“The Procedure Service team has trained thousands of individuals, from medical students to nurse practitioners, house staff to attendings, here on campus and across the country,” said Lenchus, associate professor of clinical medicine and anesthesiology, who also serves as Associate Program Director for the Internal Medicine Residency and Associate Director of the University of Miami-Jackson Memorial Hospital Center for Patient Safety. “In fact, the program’s curriculum, one of the most comprehensive in the nation, has served as a template for other training programs from more than 80 different facilities in 31 states, the District of Columbia, and 13 other countries.”

The Procedure Service began in 2007, when Lenchus developed and implemented a novel paradigm of invasive bedside procedural education at Jackson Memorial Hospital for its internal medicine residency. Incorporating feedback from graduating house staff, the formal simulation-based curriculum was developed and offered to medical students and residents. The initiative sought to address the shortcomings in the historical apprenticeship method of learning, better known as “see one, do one, teach one.” Procedures include those most commonly performed by house staff, namely, paracentesis, lumbar puncture, thoracentesis, central venous catheter insertion, and temporary hemodialysis catheter placement. Ultrasound is used consistently in their performance and participants undergo an introduction to ultrasound briefing.

Since its implementation, the rotation has consistently ranked among the highest points of the residency program, garnering universally positive feedback. The demand for the team-based experience has transcended internal medicine, and it now fields requests from a variety of training programs and departments, both internally and externally.

“As of April of 2016, we have trained nearly 2,000 people, within and outside of our home institution, in a variety of fields,” said Lenchus. “In the true, ‘if you build it, they will come’ mantra, the team has been consulted by some 50+ services. Our high record of success and low complication rates best most national data reported.”

David J. Birnbach, M.D., M.P.H., Director of the University of Miami-Jackson Memorial Hospital Center for Patient Safety, said, “Dr. Lenchus is making very significant contributions to the quality and safety of health care in the U.S. through his innovative simulation-based educational program. Because of his dedication and passion for teaching and patient safety, The Procedure Service has resulted in improved patient outcomes not only here but also at many hospitals around the country.”

The Procedure Service is about to complete its 10,000th consult.

“Our data demonstrate the provision of safer patient care, and that participants in this program will pay it forward as they teach others proper procedural technique,” said Lenchus. “To have our work recognized by another institution is a real testament to what we are accomplishing. I feel fortunate and humbled by the honor, but know that many people made such an award possible, and I am grateful.”

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