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IHWC, October 2011 IHWC, October 2011 Office of Academic Affiliations, VHACO Office of Academic Affiliations, VHACO
Barbara K. Chang, MD, MA
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New U.S. Accreditation New U.S. Accreditation Standards for Standards for
Duty Hours Increase Need for Duty Hours Increase Need for Additional Healthcare WorkersAdditional Healthcare Workers
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Scope of Training in VA ~30% of US residents train annually in VA 2,200+ ACGME-accredited programs in
79 specialties & subspecialties AY 2011-12, 10,300 (~9% US) positions FY 11 trainee budget: $773M direct
Health Profession Trainees
Total
Physician Residents 36,745Medical Students 20,516Nursing 32,662Physician Assistants 1,453All other 23,924
Total 115,300
New ACGME Common Program Requirements – 7/1/2011
Standards pertaining to:•Duty hours & max on-duty•Supervision•Professionalism (quality & patient safety)
•Transitions of care•Alertness/Fatigue management
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VA Study of Facility ‘Readiness’ to Meet New
ACGME Standards
Survey in Feb. 2011; 118/125 (94%) teaching facilities responded
Results:•72 facilities (61%) projected
increased workforce needs (73% of respondents with >10 resident positions)
•>85% had engaged in planning, most with affiliated university involvement 4
Estimates of Staff & Resources to Meet ACGME
Standards
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Comparison with ACGME Study of Resource Impacts
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Summary/Conclusions
Workforce costs & recruitment will present challenges
Our estimates are >2x those of ACGME’s study (which was based upon theoretical assumptions)
Resources will have to be diverted from other clinical operations
Academic healthcare will be further strained by these requirements
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Questions?
barbara.chang@va.gov
http://www.va.gov/oaa
Co-authors: Judy L. Brannen, MD, MBA
Karen M. Sanders, MD
Malcolm Cox, MD
Veterans Health AdministrationEducation Mission
To educate for VA and for the To educate for VA and for the NationNation
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