0800-0820 RRC Update(MAC) · 2+16 3*< folqlfdo urwdwlrqv vkrxog eh dw ohdvw zhhnv dqg pxvw eh dw...
Transcript of 0800-0820 RRC Update(MAC) · 2+16 3*< folqlfdo urwdwlrqv vkrxog eh dw ohdvw zhhnv dqg pxvw eh dw...
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Review Committee UpdateAlan Micco MD, Review Committee Vice ChairPamela Derstine PhD, MHPE, Review Committee Executive Director
Otolaryngology-Head and Neck Surgery Program Director Annual MeetingNovember 22, 2019Chicago Illinois
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DisclosureNo conflicts of interest to report
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REVIEW COMMITTEE MEMBERS ANDSTAFF
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Review Committee Membership: CurrentLiana Puscas, MD, Chair
Alan G Micco, MD, Vice Chair
Howard W Francis, MD
C Gaelyn Garrett, MD, MMHC
M Boyd Gillespie, MD
Marci M Lesperance, MD
Anna H Messner, MD
Vishad Nabili, MD
Wayne K Robbins, DO
Michael G Stewart, MD, MPH
Tyler Bertroche, MD, Resident Member
Thomas S Worsley, MPA, Public Member
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Jenny X Chen MD (resident member)
Massachusetts Eye & Ear/Harvard
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ACGME Review Committee Staff
Samantha Alvarado ADS
Pamela L. Derstine, PhD, MHPE
• Executive Director
Susan E. Mansker
• Associate Executive Director
Citlali Meza, MPA
• Accreditation Administrator
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ACCREDITATION AND PROGRAMSTATISTICS
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Accreditation Statistics: Current
Total Current Accredited Programs# Core 125
# Fellowships 54
Pending Applications# Core Allopathic 0
# Core osteopathic 1
# Fellowships 1
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Accreditation Statistics: CurrentProgram Accreditation Status: Core
Status # Programs
Continued Accreditation 105Continued Accreditation w/o Outcomes 1Continued Accreditation w/ Warning 1Initial Accreditation 18Continued Pre-Accreditation 1
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Accreditation Statistics: CurrentProgram Accreditation Status: Neurotology
Status # Programs
Continued Accreditation 19Continued Accreditation w/o Outcomes 1Initial Accreditation 4
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Accreditation Statistics: CurrentProgram Accreditation Status: Pediatric
Status # Programs
Continued Accreditation 22Initial Accreditation 7Application (pending) 1
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Other Meeting Decisions (Jan-Aug 2019)Requests
Complement Increase Permanent# Requested /# Approved 8/7
Complement Increase Temporary# Requested /# Approved 9/6
Progress Report 3Site Visit None
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As of 11/18/2019
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Citation Statistics: AY 2018-19
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Citation Statistics: AY 2018-19
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Citation Statistics: AY 2018-19
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ANNUAL ACCREDITATION UPDATE
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Upcoming Review Committee Meetings
• January 10-11, 2020 Agenda closed
• April 3-4, 2020 Agenda close: February 21, 2020
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Board Scores: new CPR• First-time takers only during the most recent
three years reported by ABOHNS to Data Dept.• Bottom 5th percentile nationally for the
specialty AND• Subject to citation if
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2018-19 Annual Program Review: 2020 RC Meeting
Board Pass Rate Annual
Data
Written 5thpercentile =
83.3%
# program failures = 2
Oral 5thpercentile =
100%
# program failures = 1
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2018-19 Annual Program Review: 2020 RC Meeting
2018-2019 Case Log Report# Programs # Graduates # Min Fail
Core 105 300 0
Neurotology 14 16 0
Pediatric 23 34 5
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2018-19 Annual Program Review: 2020 RC Meeting
Resident and Faculty Surveys from Spring 2019 (no change)
NOTE: Survey items will change for the 2019-2020 surveys, consistent with new CPRs (reviewed January 2021)
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2018-19 Annual Program Review: 2020 RC Meeting
Resident and Faculty Scholarly
Activity reported Fall 2018
Scholarly Activity Completed 2017-
2018
No Change from Current
Scholarly Activity reported in fall 2019
Annual Update revised (CPRs)
Reviewed January 2021
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PROGRAM REQUIREMENTS UPDATE
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Implementation of CPRs
The following are effective 7/1/2020I.D.2.c) Lactation facilities
I.D.2.e) Accommodation for resident disabilities
II.A.4.a).(2) Design and conduct program consistent with community needs, mission
II.B.2.g) (1-4) Faculty development specificsAll other CPRs, including ALL CPRs in section VI, are effective 7/1/2019
See https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRResidencyImplementationTable.pdf
© 2019 ACGME
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Specialty-Specific Requirements
Current requirements updated for new CPRs
• Deleted, renumbered, and edited PRs shown with track changes
• Effective 7/1/2019
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Specialty-Specific Requirements Focused Revisions
• II.B.4.b) minimum number of core faculty and/or core faculty-resident ratio
RCs must further specify the following:
OHNS: 5 core faculty
Neurotology: PD and one other core (no change from current)
Peds Oto: 3 core faculty (may include PD)
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Specialty-Specific Requirements Focused Revisions
• IV.B.1.b).(1) compassionate, appropriate, effective patient care for treatment of health problems and promotion of health
RCs must further specify the following:
Care that is culturally sensitive, situationally sensitive, specific to patient/family needs
Care that is accurate in diagnosis and treatment care options, and based on best practice and standards of practice
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Specialty-Specific Requirements Focused Revisions
• IV.C.1 The curriculum must be structured to optimize resident/fellow educational experiences, the length of these experiences, and supervisory continuity.
RCs must further specify the following:
OHNS: PGY2-5 clinical rotations should be at least 6 weeks and must be at least 4 weeks in length
Neurotology/Peds: clinical rotations must be at least 4 weeks in length
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Specialty-Specific Requirements Focused Revisions (Fellowships)
RCs must further specify the following:
II.A.2: Program director support
• Neurotology and Peds Oto: minimum of 5% protected time
IV.E.1: option for programs to assign fellows to engage in independent practice of their core specialty during their fellowship program (must not exceed 20% time per week or 10 weeks each academic year)
• Neurotology and Peds Oto: RC will retain this CPR
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Specialty-Specific Requirements Focused Revisions
Other minor focused revisions proposed
Public comment period ends 12/18/2019 (neurotology and pediatric otolaryngology)
Public comment period ends 12/26/2019 (otolaryngology-head and neck surgery)
Effective date: 7/1/2020
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OHNS CASE LOG REVISION
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Summary of ChangesReorganized to be anatomically based
• Progressive complexity
All CPT codes appear only once except for OCR
codes; no bundled CPT codes
CPT codes assigned to particular category to capture operative experiences (e.g. 60252 assigned to central
compartment neck dissection and not thyroidectomy)
Added CPT codes for office
procedures (e.g., Epley)
Expanded equipment list
No change to KIP minimum numbers
View remapping by generating the Tracked
Codes Report