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Surgery RRC. Thomas V. Whalen, MD, Chair. RRC—Surgery Members. Thomas V. Whalen, MD, Chair J. Patrick O’Leary, MD, Vice Chair Adeline Deladisma, MD, Resident Timothy R. Billiar, MD G. Patrick Clagett, MD Peter J. Fabri, MD Linda M. Harris, MD George W. Holcomb, MD. James C. Hebert, MD - PowerPoint PPT Presentation
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Surgery RRCSurgery RRC
Thomas V. Whalen, MD, ChairThomas V. Whalen, MD, Chair
RRC—Surgery MembersRRC—Surgery Members
■ Thomas V. Whalen, MD, Chair■
■ J. Patrick O’Leary, MD, Vice Chair
■ Adeline Deladisma, MD, Resident
■ Timothy R. Billiar, MD
■ G. Patrick Clagett, MD
■ Peter J. Fabri, MD
■ Linda M. Harris, MD
■ George W. Holcomb, MD
■ Thomas V. Whalen, MD, Chair■
■ J. Patrick O’Leary, MD, Vice Chair
■ Adeline Deladisma, MD, Resident
■ Timothy R. Billiar, MD
■ G. Patrick Clagett, MD
■ Peter J. Fabri, MD
■ Linda M. Harris, MD
■ George W. Holcomb, MD
■ James C. Hebert, MD
■ Mark A. Malangoni, MD
■ Marshall Z. Schwartz, MD
■ Charles W. Van Way III, MD
■ Marc K. Wallack, MD
■ Frank Lewis, MD, Ex-Officio ABS
■ Patrice Blair, MPH, Ex-Officio ACS
■ James C. Hebert, MD
■ Mark A. Malangoni, MD
■ Marshall Z. Schwartz, MD
■ Charles W. Van Way III, MD
■ Marc K. Wallack, MD
■ Frank Lewis, MD, Ex-Officio ABS
■ Patrice Blair, MPH, Ex-Officio ACS
Surgery RRC--MembersSurgery RRC--Members
■ 3 AMA-CME nominees■ 3 ACS nominees■ 3 ABS nominees■ 1 resident■ Ex-Officio Liaisons
(ABS, ACS)
■ 3 AMA-CME nominees■ 3 ACS nominees■ 3 ABS nominees■ 1 resident■ Ex-Officio Liaisons
(ABS, ACS)
RRC—Surgery LeadershipRRC—Surgery Leadership
■ Chair■ Vice-Chair■ Chair-Elect (Chosen during Chair’s 3rd year)■ Executive Committee (Chair, VC, Chair-Elect)
– Interim Administrative Decisions• (Participating Site, Temporary Increases in Complement)
– Review and approve meeting agenda, newsletters, etc.– Meet with ED and Administrator prior to each RRC
meeting
■ Vice-Chair mentors new members
■ Chair■ Vice-Chair■ Chair-Elect (Chosen during Chair’s 3rd year)■ Executive Committee (Chair, VC, Chair-Elect)
– Interim Administrative Decisions• (Participating Site, Temporary Increases in Complement)
– Review and approve meeting agenda, newsletters, etc.– Meet with ED and Administrator prior to each RRC
meeting
■ Vice-Chair mentors new members
Surgery—Program Data 2010Surgery—Program Data 2010Total
ProgramsCont.
Accred.Initial
Accred.Other
Surgery 245 234 4 7
Pediatric Surgery 38 31 7 0
Critical Care 95 82 13 0
Vascular-Independent 100 90 9 1
Vascular-Integrated 21 2 19 0
Hand 1 1 0 0
TOTAL 500 440 52 8
Surgery—Resident Data 2010Surgery—Resident Data 2010Approved Positions
Filled Positions
% filled vs approved
Surgery 8255 7410 89.7%
Pediatric Surgery 76 72 94.7%
Critical Care 211 158 74.8%
Vascular-Independent 262 246 93.8%
Vascular-Integrated 115 40 34.8%
Hand 8 8 100%
TOTAL 8927 7934 88.9%
Site Visit Results 2008-2009Site Visit Results 2008-2009
■ 124 programs were surveyed– 110 administrative requests at meetings– 283 administrative interim decisions
■ 237 citations issued by RRC– (1.91 citations per program)
■ Average cycle length: 3.43 yrs.■ Common Citations
– Education Program – Procedural Experience– Evaluation– Residents, Faculty, Program
■ 124 programs were surveyed– 110 administrative requests at meetings– 283 administrative interim decisions
■ 237 citations issued by RRC– (1.91 citations per program)
■ Average cycle length: 3.43 yrs.■ Common Citations
– Education Program – Procedural Experience– Evaluation– Residents, Faculty, Program
2009 RRC Activity2009 RRC Activity
■ 152 programs reviewed (post site-visit)■ 3.68 year average cycle length■ 261 citations■ 3.43 citations per program review■ 72 administrative requests■ 328 interim requests (PD changes,
participating site change, temporary increases)
■ 152 programs reviewed (post site-visit)■ 3.68 year average cycle length■ 261 citations■ 3.43 citations per program review■ 72 administrative requests■ 328 interim requests (PD changes,
participating site change, temporary increases)
Surgery RRC InnovationSurgery RRC Innovation
■ Collaboration with SCORE■ Milestones■ Use of Reviewer Templates■ Use of Citation Glossary (core only)■ Adoption of Grovesite
– Program workups (excluding PIF)– Submission of Reviewer Notes
■ Collaboration with SCORE■ Milestones■ Use of Reviewer Templates■ Use of Citation Glossary (core only)■ Adoption of Grovesite
– Program workups (excluding PIF)– Submission of Reviewer Notes
RRC MeetingsRRC Meetings
■ Meet 3 times annually (1.5 days)■ Chair uses ED’s reconciliation sheet to
alert members to widely discordant recommendations prior to meeting.
■ Meet 3 times annually (1.5 days)■ Chair uses ED’s reconciliation sheet to
alert members to widely discordant recommendations prior to meeting.
RRC Meetings (cont.)RRC Meetings (cont.)
■ Order of program review– Adverse action rebuttal responses– Consent Agenda (PRs, permanent
increases) • Items recommended by RRC team, members
are asked to pull any items they would like discussed.
– Full Program Reviews– Duty Hour Reports
■ Order of program review– Adverse action rebuttal responses– Consent Agenda (PRs, permanent
increases) • Items recommended by RRC team, members
are asked to pull any items they would like discussed.
– Full Program Reviews– Duty Hour Reports
CommunicationCommunication
■ Stakeholders– ACGME Education Conference—Chair/ED– APDS (2x/yr)—Chair/ED– APDVS (1x/yr)—Member/ED – Pediatric Surgery PDs (1x/yr—Chair or ED– Surgical Critical Care PDs—Member– Coordinator Groups (1x/yr)—ED, OpLog
Staff
■ Stakeholders– ACGME Education Conference—Chair/ED– APDS (2x/yr)—Chair/ED– APDVS (1x/yr)—Member/ED – Pediatric Surgery PDs (1x/yr—Chair or ED– Surgical Critical Care PDs—Member– Coordinator Groups (1x/yr)—ED, OpLog
Staff
Communication (cont.)Communication (cont.)
■ Attendance at RRC meetings– 3 attended in 2009-10– Use of Evaluations
■ Newsletters– 3 times per year (after each RRC meeting)
■ Attendance at RRC meetings– 3 attended in 2009-10– Use of Evaluations
■ Newsletters– 3 times per year (after each RRC meeting)
Committee QICommittee QI
■ Member Evaluation■ Program Reviews■ New Member mentoring■ Process monitoring at conclusion of
each meeting
■ Member Evaluation■ Program Reviews■ New Member mentoring■ Process monitoring at conclusion of
each meeting
Strategic Planning ProcessStrategic Planning Process■ Retreats
– February 2007 Retreat• Topics
– Communication with stakeholders– Process improvements– Consistency among Core and sub PRs
– Next Retreat ???????????
■ Use of Subcommittees– PR revisions– Op Log Revisions
■ Retreats– February 2007 Retreat
• Topics– Communication with stakeholders– Process improvements– Consistency among Core and sub PRs
– Next Retreat ???????????
■ Use of Subcommittees– PR revisions– Op Log Revisions
RequirementsRequirements
■ ECA Experience at Integrated Sites■ PD Appointment■ NDP and DP Residents■ Formal Transplant Rotation■ Definition of Resident as “Surgeon”
– Operative minimums to be reset
■ “New Patient” definition■ No 88 hour exemptions
■ ECA Experience at Integrated Sites■ PD Appointment■ NDP and DP Residents■ Formal Transplant Rotation■ Definition of Resident as “Surgeon”
– Operative minimums to be reset
■ “New Patient” definition■ No 88 hour exemptions
Future OpportunitiesFuture Opportunities
■ Development of new sub-specialty– Advanced Surgical Oncology
■ Additional RRC member– Number of total programs has grown from
457 in 2003 to 500 in 2009 (9%)
■ International Rotations■ Residency Training Restructuring
Committee
■ Development of new sub-specialty– Advanced Surgical Oncology
■ Additional RRC member– Number of total programs has grown from
457 in 2003 to 500 in 2009 (9%)
■ International Rotations■ Residency Training Restructuring
Committee