Review Committee Surgery · Peds Surgery “sufficient” SCC. 10%. Vascular Surgery. 50%. Hand “sufficient” Donna\ ©2016 Accreditation Council for Graduate Medical Education

$Page 1: Review Committee Surgery · Peds Surgery “sufficient” SCC. 10%. Vascular Surgery. 50%. Hand “sufficient” Donna\ ©2016 Accreditation Council for Graduate Medical Education$
©2016 Accreditation Council for Graduate Medical Education (ACGME)

Association of Residency Coordinators Surgery

Review Committee Surgery

Donna L. Lamb, MBA, BSNExecutive Director

Plastic Surgery-Surgery-Thoracic Surgery

Boston, MA15 April 2016


Disclosures

No financial conflicts

Ex- ACGME DIO and GME administrator DO and MD programs

Ex- RN and hospital administrator

Doctoral student


Objectives

Review Committee Review Committee Areas of Focus Single Accreditation System Surgical Accreditation Team


Review Committee (RC)


RC Membership

Volunteers with 6 year terms

Physician nominees from: American Board of Surgery American College of Surgeons American Medical Association American Osteopathic Association


RC Responsibilities

Oversee accreditation for all general

surgery residencies and fellowships

Peer review of all programs

Determine accreditation status*

Interim request(s) consideration

Propose program requirements

*Authority for accreditation actions delegated by ACGME Board of Directors


RC Surgery

Steven Stain MD, ChairDanny Takanishi, MD, Vice ChairPaula Termuhlen, MD* Incoming VC

John Armstrong, MDRonald Dalman, MDGeorge Fuhrman, MDDavid Herndon, MDRon Hirschl, MDJeffrey Matthews, MDJoseph Mills, MDJohn Ricotta, MD

Joseph Stella, DORichard Thirlby, MDThomas Tracy, MDKristy Rialon, MD, ResidentMark Malangoni, MD, ABS [ex-officio]Patrice Blair, MPH, ACS [ex-officio]

Incoming – 01 July 2016:David Han, MDMaj. Gen. Ret. David Rubenstein


RC Needs

2017 appointment cycle:American Medical AssociationABSACSResident

Nominations submitted via the nominating organization

Presenter

Presentation Notes

Donna


RC Surgery *3/27/2016

Accredited Applications Approved Filled

Gen Surg 281 27* 8654 7865

CGSO 22 0 114 101Ped Surg 47 0 88 83

SCC 112 2 269 243

VS – IND 106 0 293 235

VS - INT 51 2 300 236

Hand 1 0 8 8Total Programs 620 31 9726 877123 applications are AOA programs

Presenter

Presentation Notes

Donna


RC Areas of Focus

Presenter

Presentation Notes

Donna


RC Areas of Focus: Participating Sites

Integrated Non-IntegratedContributes substantially to the educational activities of the program (> 6mo.)

Supplements resident education by providing a focused clinical experience not available at the primary site

PD appoints local PD and faculty Requires clear educational rationale

Faculty must have scholarly activity

Clinical experiences in essential content areas

Geographic proximity so residents can attend conferences

Chiefs may only be assigned to primary or integrate sites (Surgery)

Any site to which residents rotate for an assigned experience. *Surgery/VS/Ped Surg

Presenter

Presentation Notes

Donna


RC Areas of Focus: Program Director

Protected time Director or indirect salary support or relief of

clinical/productivity requirements

Surgery 20%CGSO “sufficient”Peds Surgery “sufficient”SCC 10%Vascular Surgery 50%Hand “sufficient”

Presenter

Presentation Notes

Donna



Authority and accountability for the program Faculty appointment and evaluations Oversight of educational program Assessment of technical competence Ensure residents meet all required training (i.e.

operative minimums, scholarly activity) Evaluations PEC and CCC Ultimately responsible for resident promotion,

remediation, graduation, and/or dismissal

Presenter

Presentation Notes

Donna



Data submission and responses to the ACGME

Scholarly activity Outlined in PR II.B.5 Peer-reviewed funding PMID Publication or presentation of case reports or

clinical series: local, regional, or national professional or scientific society meetings Participation in national committees or educational

organizations

Presenter

Presentation Notes

Donna


RC Areas of Focus: Core Faculty

Core faculty devote at least 15 hours per week to resident education and administration.

All physician faculty who have a significant role in the education of residents/fellows and who have documented qualifications to instruct and supervise.

-ACGME Glossary of Terms 2013

Presenter

Presentation Notes

Donna



All core faculty: Work closely with and support the PD Assist in developing and implementing

evaluation systems Teach and advise residents Evaluate the competency domains of

residents Complete the faculty survey

Presenter

Presentation Notes

Donna



Some core faculty should: Have scholarly activity Mentor residents in scholarly activities Participate CCC

Presenter

Presentation Notes

Donna


RC Areas of Focus: Resources

Simulation and skills laboratories Must have a competency-based method of

evaluation


RC Areas of Focus: Resources

Operative experience

https://www.acgme.org/Specialties/Case-Log-Information/pfcatid/24/Surgery


RC Areas of Focus: Educational Program

Competency-based goals and objectives Residents and Faculty should have access to

them and review before, during, and after eachassignment

Regular didactic sessions Residents must attend 75% of sessions Core faculty is expected to participate

Weekly M&M Synthesize learning about outcomes into clinical

care



Clinical program > 75% assignments in essential content must

have ½ day/week OP experience Burn physiology and initial management is

required Formal transplant experience is required < 6 mo for research or non-surgical

discipline < 12 mo devoted to the non-principle

components of surgery



Chief assignments Must be at primary or integrated site only Must not share primary clinical responsibility

with a fellow or other chief resident

Flexible rotations must be requested in advance


RC Areas of Focus: Resident Scholarship

Curriculum must advance residents’ knowledge of basic principles of research

Residents should participate in scholarly activity

Peer-reviewed funding; PMID Publication or presentation of case reports or

clinical series: local, regional, or national professional or scientific society meetings Participation in national committees or educational

organizations

Clinical or laboratory research is encouraged


RC Areas of Focus: Evaluations

Formative evaluation during and following each clinical assignment Objective assessment of competency Multiple evaluators

Comprehensive semiannual evaluation with feedback Must be accessible to the resident Must include review of operative experience Should use a formal exam to monitor

knowledge (i.e. ABSITE)



Summative Evaluation Completion of program for all residents Must incorporate Milestones Must document resident’s performance Must be part of resident’s permanent record Must verify that “resident has demonstrated

sufficient competence to enter practice without direct supervision”



Clinical Competency Committee (CCC) Semi-annual resident evaluation Incorporate ALL formative evaluations

Milestones assessments Advise PD regarding resident progress,

remediation, and dismissal No residents or fellows


RC Areas of Focus: Evaluations Program Evaluation Committee Planning, developing, implementing, and

evaluating program Annual review of curriculum/G&O Annual program evaluation Resident performance Faculty development Graduate performance (i.e. 1st time board pass rate) Program quality (resident and faculty assessments) Progress on prior year’s action plan

Action plan Must include confidential faculty evaluations by

residents


RC Areas of Focus: Environment Duty hours Transitions of care Clinical assignments should minimize Structured processes Competency in communicating hand-offs

Fatigue management Faculty and resident education in recognition Process to ensure continuity Sleep or transportation options

Supervision Program-specific policy Faculty, resident, and staff education


Single Accreditation System (SAS)


Single Accreditation System: Timeline

Institutions began applying 1 April 2015

Programs began applying 1 July 2015

Application window closes 30 June 2020

AOA ceases accreditation of GME 30 June 2020


Single Accreditation System (SAS)

Allows graduates of allopathic and osteopathic medical schools in the U.S. to …demonstrate achievement of common Milestones and competencies


SAS: Eligibility

Once “Initial Accreditation” received graduates will have “Completed” an ACGME-

accredited program

i.e.: If program is accredited on 01 April 2016, subsequent graduates on June 30, 2016 will have “completed” an ACGME-accredited residency program.


RC Surgery: Surgical Fellowship Eligibility

Specialty Eligibility

Complex Gen Surg Oncology

Completed ACGME-accredited program Be ABS eligible or ABS certified

Pediatric Surgery Completed ACGME-accredited program

Surgical Critical Care

> 3 years training in ACGME-accredited specialty

Vascular Surgery Completed ACGME accredited program


SAS: Accreditation Status’

Pre-accreditation Continued• Not in substantial compliance• No change in eligibility for fellowships or ABS

exams Initial Accreditation Contingent

• Program substantially compliant, but sponsor not accredited

• No change in eligibility for fellowships or ABS exams

Initial Accreditation• Substantially compliant• Eligibility period begins• Site visit within 2 years for all programs


Surgical Accreditation Team

Donna Lamb (Executive Director)312-755-5499 [email protected]

Cathy Ruiz (Assoc. Exec. Director)312-755-5495 [email protected]

Olivia Orndorff (Accreditation Administrator)312-755-7491 [email protected]

www.acgme.org

http://www.acgme.org/


Thank you!

Questions?

Documents

Review Committee Surgery · Peds Surgery “sufficient” SCC. 10%. Vascular Surgery. 50%. Hand “sufficient” Donna\ ©2016 Accreditation Council for Graduate Medical Education