Update from the RRC

Suzanne Z. Powell, M.D.

A Disclaimer: I am providing this information to you as an individual who is an RRC member, not as the official

representative of the RRC or ACGME.  

AP/CP Requirement Changes

Shared Autopsy: 2 maximum

Eliminate “Primary Prosector”

Participate in all aspects of Autopsy

“appropriate to the case”

AP/CP Program Requirement Changes

Autopsy

• Recognize that many programs need to have forensic cases count toward the 50 required cases for the ABP

• Participation in all 7 aspects of the case will not be tightly adhered to – “participate in aspects appropriate to case”

• However, residents will be expected to preview slides on their cases prior to signout

Autopsy ComponentsReview of History and Circumstances

External Exam of Body

Gross Dissection

Review of Micro & Lab Findings

Written Description of Gross & Micro

Opinion on Cause of Death

Review of Report with Faculty

Future Requirement Addition

Pathology Specific Competencies

(attachment circulated at PRODS meeting)

New Bone Marrow PIF Question

If residents do not perform bone marrow aspirations and/or biopsies, how do you

ensure that they become familiar with the procedures and the determination of the adequacy of specimens and preparation

techniques?

General Competencies

As of July, 2006

Goals & Objectives in all 6 Areas

Teaching/Learning in all 6 Areas

Evaluation in all 6 areas

Use eval result to improve program

General Competencies

As of July, 2006

RRC Citations:

Constructive Recommendations

GMEC Review of Program Compliance

Increasing Emphasis on Performance Data

General Competencies

Components of a Curriculum

Goals & Objectives

Teaching Strategies/Learning Opportunities

Evaluation Methods

General Competencies

Curriculum Materials

Medical Knowledge

Acquisition

Analysis

Application

General Competencies

Curriculum Materials

Patient Care

Gathering Information

Synthesis

Partnering with patients/families

Technical Skill

General Competencies

Curriculum Materials

Practice-based Learning and Improvement

Life-long Learning

Evidence-based Medicine

Quality Improvement

Teaching Skills

General Competencies

Curriculum Materials

Systems-based Practice

Health Care Delivery System

Patient Safety and Advocacy

System Causes of Error

General Competencies

Curriculum Materials

Professionalism

Professional Behavior

Ethical Principles

Cultural Competence

General Competencies

Curriculum Materials

Interpersonal & Communication Skills

Communicating with Patients & Families

Communicating with Team Members

Scholarly Communication

ACGME Case Log System

Required areas for data entry:

Autopsy

Fine Needle Aspiration Biopsy

Bone Marrow Aspiration Biopsy

Since 7/1/2006, only 994 residents have made at least one entry into the case log system (there are 2330 filled resident positions currently)

Only 50% of programs entered data when examined at the last RRC meeting

ACGME Approved PositionsAlmost no increase in AP/CP positions in the last three years• 2554 positions in 2003• 2568 in 2005• FILLED positions have increased from 2163 in 2001 to 2330 in 2005• NRMP March 2007 – 513 positions offered in the match, only 47 not

filled prior to “Scramble Day”

Selective Pathology Program approvals continue to rise and therefore, changes to the Selective Pathology PIF, particularly since many of these programs are for AP, in the works• 9 programs with 36 fellows in 2000• 13 programs with 45 fellows in 2003• 40 programs with 96 fellows in 2005 • 44 programs with 105 fellows in 2006

RRC Contact Information

515 North State Street, Suite 2000Chicago, IL 60610Fax: 312.755.7498

Steve Nestler: 312.755.5025, spn@acgme.orgBilly Hart: 312.755.5026, bhart@acgme.org

ACGME Webpage: www.acgme.org