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Transcript of 2008 SAAA Presentation, Anesthesiology RRC Update by Lois - ACGME ...
AN_AA_11_13_2008AN_AA_11_13_2008
ACGME Anesthesiology ACGME Anesthesiology RRC UpdateRRC UpdateSAAA 2008 Annual Meeting - SAAA 2008 Annual Meeting - 11/2/0811/2/08
Lois L. Bready, M.D.Lois L. Bready, M.D.Anesthesiology RRC ChairAnesthesiology RRC ChairProfessor and Vice Chair, Professor and Vice Chair, AnesthesiologyAnesthesiologyAssociate Dean for GME Associate Dean for GME UTHSC San AntonioUTHSC San Antonio
AN_AA_11_13_2008AN_AA_11_13_2008
What’s New What’s New
Anesthesiology programsAnesthesiology programs– New core PRs - effective 7/1/08New core PRs - effective 7/1/08– Electronic case log – online 7/1/09Electronic case log – online 7/1/09– Progress on phase 3Progress on phase 3– Update on Innovative ProjectsUpdate on Innovative Projects– International rotationsInternational rotations– Common citationsCommon citations– UpdatesUpdates
Fellowship programsFellowship programs
Core 130
ACT 42
Peds 45
CCA 48
PM 94
Total 359
AN_AA_11_13_2008AN_AA_11_13_2008
Executive Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
Transitional YearReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
SpecialtyReview Committee
The Complexity of Relationships withinThe Complexity of Relationships withinthe ACGMEthe ACGME
MonitoringCommittee
RequirementsCommittee
(Ad Hoc) AppealsCommittees
Institutional ReviewCommittee
Council of Review Committee Chairs
Policies and Procedures
SpecialtyReview Committee
AccreditationCouncil
(BOD)
AwardsCommittee
CommitteeOn Innovation
ByLaws
Strategic Initiatives
FinanceCommittee
AN_AA_11_13_2008AN_AA_11_13_2008
What’s NewWhat’s New
Update on Update on Core ProgramsCore Programs 7/07-6/087/07-6/08 131 programs, 5266 positions filled131 programs, 5266 positions filled
7/08-6/097/08-6/09 130 programs, 5337 positions filled130 programs, 5337 positions filled
AN_AA_11_13_2008AN_AA_11_13_2008
New Anesthesiology New Anesthesiology Requirements – 7/1/08Requirements – 7/1/08
Increased options for entry into AN Increased options for entry into AN programs:programs:
Integrated CBY (4 year program)Integrated CBY (4 year program) PGY–1 + 3-year programPGY–1 + 3-year program Transfer after 1+ years of GMETransfer after 1+ years of GME
New requirements strictly applied to:New requirements strictly applied to: 7/08 beginning 7/08 beginning PGY1PGY1 residents – residents – yesyes 7/08 beginning 7/08 beginning CA-1CA-1 residents – residents – nono
AN_AA_11_13_2008AN_AA_11_13_2008
Additional ComponentsAdditional Components
All All PGY-1 residentsPGY-1 residents must have: must have: 6 months6 months of of inpatientinpatient care including care including
internal medicine, surgery, pediatrics, internal medicine, surgery, pediatrics, surgical specialties, OB/Gyn, surgical specialties, OB/Gyn, Neurology, Family Medicine or a Neurology, Family Medicine or a combinationcombination
1 -2 months1 -2 months of emergency medicine of emergency medicine and critical care medicineand critical care medicine
May have May have up to 1 monthup to 1 month of of anesthesiologyanesthesiology
AN_AA_11_13_2008AN_AA_11_13_2008
CA-1 – CA-3 YearsCA-1 – CA-3 Years
Minimum of 2, 1-month rotations in peds, Minimum of 2, 1-month rotations in peds, cardiac, neuro, and OB anesthesiacardiac, neuro, and OB anesthesia
4 months of CCM – up to 2 months in 4 months of CCM – up to 2 months in PGY-1; take in at least one month PGY-1; take in at least one month intervalsintervals
3 months of PM – up to 1 month in PGY-1; 3 months of PM – up to 1 month in PGY-1; taken in at least one month intervalstaken in at least one month intervals
1 month of perioperative medicine; taken 1 month of perioperative medicine; taken in at least one week intervalsin at least one week intervals
AN_AA_11_13_2008AN_AA_11_13_2008
Elective ExperiencesElective Experiences
6 mo of elective time6 mo of elective time Can be used to finish all required PGY-1 Can be used to finish all required PGY-1
experiences for residents who transfer experiences for residents who transfer from other specialtiesfrom other specialties
ResearchResearch Advanced anesthesia rotationsAdvanced anesthesia rotations Other activities related broadly to Other activities related broadly to
perioperative medicineperioperative medicine
AN_AA_11_13_2008AN_AA_11_13_2008
Educational ProgramEducational Program
The program must contain:The program must contain:Overall Overall educational goalseducational goals that must be that must be
distributed to residents and faculty distributed to residents and faculty annuallyannually
Competency-based goals and objectivesCompetency-based goals and objectives for for each assignmenteach assignment at at each educational leveleach educational level
Regularly scheduled Regularly scheduled didacticdidactic sessions sessionsDelineation of resident responsibilitiesDelineation of resident responsibilities for for
patient care, progressive responsibility for patient care, progressive responsibility for patient management, and supervision of patient management, and supervision of residents over the continuum of the residents over the continuum of the programprogram
AN_AA_11_13_2008AN_AA_11_13_2008
Residents’ Scholarly Residents’ Scholarly ActivitiesActivities
Curriculum must advance students’ Curriculum must advance students’ knowledge of the basic principles of knowledge of the basic principles of research, including how research is research, including how research is conducted, evaluated, and explained conducted, evaluated, and explained to patients, and applied to patient careto patients, and applied to patient care
Residents should participate in Residents should participate in scholarly activityscholarly activity
Sponsoring institution and program Sponsoring institution and program should allocate adequate educational should allocate adequate educational resources to facilitate residents resources to facilitate residents involvement in scholarly activitiesinvolvement in scholarly activities
AN_AA_11_13_2008AN_AA_11_13_2008
Resident EvaluationResident Evaluation
FormativeFormative – faculty must evaluation resident – faculty must evaluation resident performance in a timely manner during each performance in a timely manner during each rotation or similar educational assignment, and rotation or similar educational assignment, and document this evaluation at completion of each document this evaluation at completion of each assignmentassignment
Program must provide Program must provide objective assessmentsobjective assessments of of competence in patient care, medical knowledge, competence in patient care, medical knowledge, practice-based learning and improvement, practice-based learning and improvement, interpersonal and communion skills, interpersonal and communion skills, professionalism, and system-based practiceprofessionalism, and system-based practice
Use Use multiple evaluatorsmultiple evaluators Document progressive performance and Document progressive performance and
improvement appropriate to education levelimprovement appropriate to education level Document semiannual evaluation of performance Document semiannual evaluation of performance
with with feedbackfeedback
AN_AA_11_13_2008AN_AA_11_13_2008
Summative EvaluationSummative Evaluation
Program Director must provide a summative Program Director must provide a summative evaluation for each resident upon completion evaluation for each resident upon completion of the programof the program
Evaluation must become part of the Evaluation must become part of the resident’s permanent record that is resident’s permanent record that is maintained by the institution; must be maintained by the institution; must be accessible for review by the resident accessible for review by the resident
Must document the resident’s performance Must document the resident’s performance during the final period of educationduring the final period of education
Must verify that the resident has Must verify that the resident has demonstrated demonstrated sufficient competence to enter sufficient competence to enter practice without direct supervisionpractice without direct supervision
AN_AA_11_13_2008AN_AA_11_13_2008
Faculty EvaluationFaculty Evaluation
At least annually, At least annually, the programthe program must must evaluate evaluate faculty performancefaculty performance as it as it relates to the educational programrelates to the educational program
Evaluations should include a review of Evaluations should include a review of clinical teaching abilitiesclinical teaching abilities, , commitment commitment to the educational programto the educational program, , clinical clinical knowledgeknowledge, , professionalismprofessionalism, and , and scholarly activitiesscholarly activities
Must include at least annual written Must include at least annual written confidential evaluations by the confidential evaluations by the residentsresidents
AN_AA_11_13_2008AN_AA_11_13_2008
Program Evaluation & Program Evaluation & ImprovementImprovement
Program must document formal, Program must document formal, systematic evaluation of the systematic evaluation of the curriculumcurriculum annuallyannually
Program must monitor and track:Program must monitor and track:– resident performanceresident performance– faculty developmentfaculty development– graduate performance on certifying graduate performance on certifying
examinationexamination– resident and faculty confidential evaluationsresident and faculty confidential evaluations– use residents’ assessments and other use residents’ assessments and other
evaluations to improve the programevaluations to improve the program
AN_AA_11_13_2008AN_AA_11_13_2008
Resident Duty HoursResident Duty Hours
Program must be committed to and be Program must be committed to and be responsible for promoting patient responsible for promoting patient safety and resident well-being and to safety and resident well-being and to provide a supportive educational provide a supportive educational environmentenvironment
Program learning objectives must not Program learning objectives must not be compromised by excessive reliance be compromised by excessive reliance on resident to fulfill service obligationson resident to fulfill service obligations
Priority for didactic and clinical Priority for didactic and clinical educationeducation
AN_AA_11_13_2008AN_AA_11_13_2008
What’s New What’s New
Electronic case log – online 7/1/09Electronic case log – online 7/1/09– Developed over past year Developed over past year – Aligns with program requirementsAligns with program requirements– Piloted by __ programsPiloted by __ programs– Training resources online early 2009Training resources online early 2009– Will require entry of cases by Will require entry of cases by
residentsresidents
AN_AA_11_13_2008AN_AA_11_13_2008
What’s New What’s New
Outcome Project - Phase 3Outcome Project - Phase 3– Programs are making excellent Programs are making excellent
progressprogress
AN_AA_11_13_2008AN_AA_11_13_2008
What is “experiential What is “experiential learning?”learning?”
learning through reflection on doing, learning through reflection on doing, which is often contrasted with rote or which is often contrasted with rote or didacticdidactic learning learning
focuses on the learning process for the focuses on the learning process for the individualindividual
make discoveries and experiment with make discoveries and experiment with knowledge firsthand, instead of hearing knowledge firsthand, instead of hearing or reading about others' experiences or reading about others' experiences
““experience” – 42 times in core program experience” – 42 times in core program requirements requirements
AN_AA_11_13_2008AN_AA_11_13_2008
What is “experiential What is “experiential learning?”learning?”
IV.A.5.a).(1)(o) IV.A.5.a).(1)(o) (o) Patients who require (o) Patients who require specialized techniques for their perioperative specialized techniques for their perioperative care. There must be significant care. There must be significant experienceexperience with a broad spectrum of airway with a broad spectrum of airway management techniques (e.g., performance management techniques (e.g., performance of fiberoptic intubation and lung isolation of fiberoptic intubation and lung isolation techniques such as double lumen techniques such as double lumen endotracheal tube placement and endotracheal tube placement and endobronchial blockers).endobronchial blockers).
AN_AA_11_13_2008AN_AA_11_13_2008
Innovative ProjectsInnovative Projects
Process has evolved; now governed by ACGME Pol & Proc 6/08
AN_AA_11_13_2008AN_AA_11_13_2008
Innovative ProposalsInnovative Proposals
Proposal ContentProposal ContentThe program director submits the proposal using the ACGME form, The program director submits the proposal using the ACGME form,
“Proposal for Program Experimentation and Innovation” to the Review “Proposal for Program Experimentation and Innovation” to the Review Committee Executive Director. The institution’s and program’s Committee Executive Director. The institution’s and program’s responsibilities are to clearly demonstrate that the project will responsibilities are to clearly demonstrate that the project will improve resident educationimprove resident education and/or and/or patient carepatient care. The proposal must . The proposal must include the following:include the following:a) description of the project,a) description of the project,b) rationale for the project,b) rationale for the project,c) method of evaluation,c) method of evaluation,d) accreditation requirements from which the program/institution will d) accreditation requirements from which the program/institution will
deviate,deviate,e) description of any new, missing or variant on-line submission of e) description of any new, missing or variant on-line submission of
information through the Accreditation Data System (ADS) that information through the Accreditation Data System (ADS) that would require Review Committee approval,would require Review Committee approval,
f) approval by the institutional GME Committeef) approval by the institutional GME Committeeg) signature of the designated institutional official.g) signature of the designated institutional official.
ACGME Pol & Proc 6/08, pp. 103-5
AN_AA_11_13_2008AN_AA_11_13_2008
Innovative ProposalsInnovative Proposals
Approval ProcessApproval Process Institutional (DIO)Institutional (DIO) RRC – Executive Director reviews RRC – Executive Director reviews
– screen for variance to CPRs/Instit Reqs; ACGME judges whether the screen for variance to CPRs/Instit Reqs; ACGME judges whether the proposal justifies granting a variance to the common program and/or proposal justifies granting a variance to the common program and/or institutional requirements.institutional requirements.
– ADS issues? Addressed prior to RRC reviewADS issues? Addressed prior to RRC review RRC reviewRRC review
– Formal review at regular meetings; documentation in program’s Formal review at regular meetings; documentation in program’s historyhistory
– Determine whether request justifies granting approval of the project; Determine whether request justifies granting approval of the project; – stipulate the duration of the approval, which will be no longer than stipulate the duration of the approval, which will be no longer than
the next review;the next review;– inform the program and/or institution of the form of monitoring by inform the program and/or institution of the form of monitoring by
the Review Committee;the Review Committee;– enter information regarding the approved Innovative Projects in the enter information regarding the approved Innovative Projects in the
Accreditation Data System.Accreditation Data System.
ACGME Pol & Proc 6/08, pp. 103-5
AN_AA_11_13_2008AN_AA_11_13_2008
Innovative ProposalsInnovative Proposals
Status Status – 14 proposals received by RRC14 proposals received by RRC
3 denied (design; program/institution status)3 denied (design; program/institution status) 1 currently undergoing ABA review1 currently undergoing ABA review 10 underway 10 underway
Themes to dateThemes to date– Supervisory ratio/transition to practiceSupervisory ratio/transition to practice– eICUeICU– Specialty tracks/combined fellowshipSpecialty tracks/combined fellowship
AN_AA_11_13_2008AN_AA_11_13_2008
What’s New What’s New
International rotationsInternational rotations
ABA and RRC support programs ABA and RRC support programs integrating international rotations integrating international rotations as as standing electivesstanding electives and seek RRC and seek RRC approval rather than seeking ABA approval rather than seeking ABA approval on a case-by-case basis.approval on a case-by-case basis.
AN_AA_11_13_2008AN_AA_11_13_2008
Common CitationsCommon Citations
Core ProgramsCore Programs 7/05-9/08 7/05-9/08 Institutional supportInstitutional support
– Sponsoring Inst’n, PD support, space, call rooms, etc.Sponsoring Inst’n, PD support, space, call rooms, etc. Resident appointment issuesResident appointment issues Program personnel & resourcesProgram personnel & resources
– Qual/responsibilities of PD; of facultyQual/responsibilities of PD; of faculty The Education ProgramThe Education Program
– G&O, curriculum, procedural experience, G&O, curriculum, procedural experience, competencies, progressive responsibility, competencies, progressive responsibility, service/education, scholarly activity, supervision, service/education, scholarly activity, supervision, duty hoursduty hours
Evaluation Evaluation – residents, faculty, program, board scoresresidents, faculty, program, board scores
AN_AA_11_13_2008AN_AA_11_13_2008
Program DirectorProgram Director
Increasing quantity and quality of Increasing quantity and quality of responsibilitiesresponsibilities
RRC expects protected time for PD*RRC expects protected time for PD*– 1 day/week for fellowships, small programs1 day/week for fellowships, small programs– 2 days/week for core programs2 days/week for core programs
RRC discourages Department Chairs RRC discourages Department Chairs from serving simultaneously as Program from serving simultaneously as Program Director for the core anesthesiology Director for the core anesthesiology programprogram
*Anesthesiology RRC website - FAQs
AN_AA_11_13_2008AN_AA_11_13_2008
Other ACGME InformationOther ACGME Information
ACGME Resident SurveyACGME Resident Survey – Any report of duty hours violations Any report of duty hours violations
will be taken VERY seriouslywill be taken VERY seriously
AN_AA_11_13_2008AN_AA_11_13_2008
AN_AA_11_13_2008AN_AA_11_13_2008
AN_AA_11_13_2008AN_AA_11_13_2008
What’s New What’s New
Fellowship programsFellowship programs– Adult CardiothoracicAdult Cardiothoracic– Pediatric AnesthesiologyPediatric Anesthesiology– Pain MedicinePain Medicine– Critical CareCritical Care
AN_AA_11_13_2008AN_AA_11_13_2008
Adult Cardiothoracic Adult Cardiothoracic AnesthesiologyAnesthesiology
Program Program requirements requirements approved approved 2/14/062/14/06
7/07-6/087/07-6/08 – – 33 programs33 programs88 positions filled88 positions filled
7/08-6/097/08-6/09 – – 42 programs42 programs99 positions filled99 positions filled
0
20
40
60
80
100
7/07-6/08
7/08-6/09
# progs
# fellows
AN_AA_11_13_2008AN_AA_11_13_2008
Adult Cardiothoracic Adult Cardiothoracic AnesthesiologyAnesthesiology
Clinical CurriculumClinical Curriculum– 1 mo noncardiac thoracic1 mo noncardiac thoracic
Thoracic stents under anesthesiaThoracic stents under anesthesia count (but count (but can’t be all the thoracic cases)can’t be all the thoracic cases)
– 1 mo ICU - adult CT surgery/non-surg1 mo ICU - adult CT surgery/non-surg– 2 mos electives (2 mos electives (min 2 wksmin 2 wks) or 1-2 mos ) or 1-2 mos
research research – Experience with Experience with pediatricpediatric cardiothoracic cardiothoracic
anesthesia is encouragedanesthesia is encouraged– 300 complete perioperative echo exams300 complete perioperative echo exams
at least 150 comprehensive intraoperative TEE at least 150 comprehensive intraoperative TEE examinations performed, interpreted, and examinations performed, interpreted, and reported by the fellowreported by the fellow
AN_AA_11_13_2008AN_AA_11_13_2008
Common CitationsCommon Citations
Adult Cardiothoracic AnesthesiaAdult Cardiothoracic Anesthesia 7/05-9/08 7/05-9/08 Institutional supportInstitutional support
– Sponsoring Inst’n, PD support, space, call rooms, etc.Sponsoring Inst’n, PD support, space, call rooms, etc. Resident appointment issuesResident appointment issues Program personnel & resourcesProgram personnel & resources
– Qual/responsibilities of PD; of facultyQual/responsibilities of PD; of faculty The Education ProgramThe Education Program
– G&O, curriculum, procedural experience, G&O, curriculum, procedural experience, competencies, progressive responsibility, competencies, progressive responsibility, service/education, scholarly activity, supervision, service/education, scholarly activity, supervision, duty hoursduty hours
Evaluation Evaluation – residents, faculty, programresidents, faculty, program
AN_AA_11_13_2008AN_AA_11_13_2008
Pediatric AnesthesiologyPediatric Anesthesiology
7/07-6/087/07-6/08 – –
45 programs45 programs
162 positions filled162 positions filled
7/08-6/097/08-6/09 – –
45 programs45 programs
171 positions filled171 positions filled
0
50
100
150
200
7/07-6/08
7/08-6/09
# progs
# fellows
AN_AA_11_13_2008AN_AA_11_13_2008
Common CitationsCommon Citations
Pediatric AnesthesiaPediatric Anesthesia 7/05-9/08 7/05-9/08 Institutional supportInstitutional support
– Sponsoring Inst’n, PD support, space, call rooms, etc.Sponsoring Inst’n, PD support, space, call rooms, etc. Resident appointment issuesResident appointment issues Program personnel & resourcesProgram personnel & resources
– Responsibilities of PD; of facultyResponsibilities of PD; of faculty The Education ProgramThe Education Program
– G&O, curriculum, procedural experience, G&O, curriculum, procedural experience, competencies, progressive responsibility, competencies, progressive responsibility, service/education, scholarly activity, supervision, service/education, scholarly activity, supervision, duty hoursduty hours
Evaluation Evaluation – residents, faculty, program, board scoresresidents, faculty, program, board scores
AN_AA_11_13_2008AN_AA_11_13_2008
Critical Care AnesthesiologyCritical Care Anesthesiology
7/07-6/087/07-6/08 – –
50 programs50 programs
82 positions filled82 positions filled
7/08-6/097/08-6/09 – –
48 programs48 programs
88 positions filled88 positions filled
0
20
40
60
80
100
7/07-6/08
7/08-6/09
# progs
# fellows
AN_AA_11_13_2008AN_AA_11_13_2008
Critical Care AnesthesiologyCritical Care Anesthesiology
Proposed new program requirementsProposed new program requirements Proposed revision 2007-8Proposed revision 2007-8 Undergoing review by ACGME Undergoing review by ACGME
Requirements Development CommitteeRequirements Development Committee Then, to be Then, to be posted for formal commentposted for formal comment Final approval expected 6/09Final approval expected 6/09 Formal rotations in pediatrics are not Formal rotations in pediatrics are not
required, but there should be education required, but there should be education about differences in approach to the about differences in approach to the critically ill adult vs. pediatric patient.critically ill adult vs. pediatric patient.
AN_AA_11_13_2008AN_AA_11_13_2008
Common CitationsCommon Citations
Critical Care Critical Care 7/05-9/087/05-9/08 Institutional supportInstitutional support
– Sponsoring Inst’n, PD support, spaceSponsoring Inst’n, PD support, space Resident appointment issuesResident appointment issues Program personnel & resourcesProgram personnel & resources
– Responsibilities of PD; of faculty, resourcesResponsibilities of PD; of faculty, resources The Education ProgramThe Education Program
– G&O, curriculum, procedural experience, G&O, curriculum, procedural experience, competencies, progressive responsibility, scholarly competencies, progressive responsibility, scholarly activity, supervision, duty hoursactivity, supervision, duty hours
Evaluation Evaluation – residents, faculty, program, board scoresresidents, faculty, program, board scores
AN_AA_11_13_2008AN_AA_11_13_2008
Pain MedicinePain Medicine
Multidisciplinary PRs in Multidisciplinary PRs in effect effect 7/1/077/1/07
7/07-6/087/07-6/08 – – 92 programs92 programs314 positions filled314 positions filled
7/08-6/097/08-6/09 – – 94 programs94 programs316 positions filled316 positions filled
0
100
200
300
400
7/07-6/08
7/08-6/09
# progs
# fellows
AN_AA_11_13_2008AN_AA_11_13_2008
Initial Experience - Initial Experience - New Pain Program New Pain Program Requirements Requirements
Multidisciplinary Program Requirements Multidisciplinary Program Requirements 7/1/077/1/07
Anesth, Neurology, PM&R, Psychiatry Anesth, Neurology, PM&R, Psychiatry Significant challenge to incorporate all Significant challenge to incorporate all
required experiences in 12 month programrequired experiences in 12 month program Pain Advisory Committee – conducts Pain Advisory Committee – conducts
prescreenprescreen Reviews to date = significant challenges for Reviews to date = significant challenges for
some programssome programs
AN_AA_11_13_2008AN_AA_11_13_2008
Common CitationsCommon Citations
Pain Medicine Pain Medicine 7/05-9/087/05-9/08 Institutional supportInstitutional support
– Sponsoring Inst’n, PD support, participating inst’n, Sponsoring Inst’n, PD support, participating inst’n, spacespace
Resident appointment issuesResident appointment issues Program personnel & resourcesProgram personnel & resources
– Responsibilities of PD; of faculty, resourcesResponsibilities of PD; of faculty, resources The Education ProgramThe Education Program
– G&O, curriculum, procedural experience, G&O, curriculum, procedural experience, competencies, progressive responsibility, competencies, progressive responsibility, service/education, scholarly activity, supervision, service/education, scholarly activity, supervision, duty hoursduty hours
Evaluation Evaluation – residents, faculty, program, board scoresresidents, faculty, program, board scores
AN_AA_11_13_2008AN_AA_11_13_2008
Recommendations to avoid Recommendations to avoid citations citations
Low hanging fruit (Low hanging fruit (avoiding common avoiding common citationscitations))
Conduct annual program review & create Conduct annual program review & create written action planwritten action plan
Evaluations - residents (360*), faculty, programEvaluations - residents (360*), faculty, program Internal review - midpoint of accreditation cycleInternal review - midpoint of accreditation cycle Program letters of agreementProgram letters of agreement G&O and outcome measures – by rotation and G&O and outcome measures – by rotation and
by training levelby training level Competency-based languageCompetency-based language Education – sleep and fatigue – faculty, too!Education – sleep and fatigue – faculty, too!
AN_AA_11_13_2008AN_AA_11_13_2008
Learning Portfolio ProgramLearning Portfolio Program
Individual learning plans, self-reflection, Individual learning plans, self-reflection, tracking tracking
ACGME pilot programACGME pilot program Electronic portfoliosElectronic portfolios Hardcopy portfoliosHardcopy portfolios
AN_AA_11_13_2008AN_AA_11_13_2008
Further SuggestionsFurther Suggestions
Bookmark Anesthesiology RRC site (Bookmark Anesthesiology RRC site (www.acgme.orgwww.acgme.org))
Update and save on your desktop:Update and save on your desktop:– Program requirementsProgram requirements– Program information form (PIF)Program information form (PIF)– Other items useful to your programOther items useful to your program
Contacts for questions/suggestionsContacts for questions/suggestions– Core programs - Missy Fleming PhD (Core programs - Missy Fleming PhD (
[email protected]@acgme.org) ) – Subspecialties - Linda Thorsen (Subspecialties - Linda Thorsen (
[email protected]@acgme.org))
AN_AA_11_13_2008AN_AA_11_13_2008
What else?What else?
Your questions …Your questions …
Thank you!Thank you!
AN_AA_11_13_2008AN_AA_11_13_2008
Theoretical Competency Report Card Theoretical Competency Report Card Summary, Program XSummary, Program XAll Residents, All LevelsAll Residents, All Levels
0
10
20
30
40
50
60
70
80
90
100P-1
P-2P-3
P-4
P-5
P-6
PTC-1
PTC-2
PTC-3
PTC-4
PTC-5
PTC-6
C-1
C-2
C-3
C-4C-5
C-6MK-1
MK-2MK-3
MK-4
MK-5
MK-6
PBLI-1
PBLI-2
PBLI-3
PBLI-4
PBLI-5
PBLI-6
SBP-1
SBP-2
SBP-3
SBP-4SBP-5
SBP-6
National % at orabove milestone
ProfessionalismProfessionalism
Patient CarePatient Care
CommunicationsCommunicationsMedical Medical KnowledgeKnowledge
Systems BasedSystems BasedPracticePractice
PracticePracticeBasedBasedLearningLearningAnd And ImprovementImprovement
AN_AA_11_13_2008AN_AA_11_13_2008
Theoretical Competency Report Card Theoretical Competency Report Card Summary, Program XSummary, Program XAll Residents, All LevelsAll Residents, All Levels
0
10
20
30
40
50
60
70
80
90
100P-1
P-2P-3
P-4
P-5
P-6
PTC-1
PTC-2
PTC-3
PTC-4
PTC-5
PTC-6
C-1
C-2
C-3
C-4C-5
C-6MK-1
MK-2MK-3
MK-4
MK-5
MK-6
PBLI-1
PBLI-2
PBLI-3
PBLI-4
PBLI-5
PBLI-6
SBP-1
SBP-2
SBP-3
SBP-4SBP-5
SBP-6
National % at orabove milestone
2 SD or more belowNational Mean %
ProfessionalismProfessionalism
Patient CarePatient Care
CommunicationsCommunicationsMedical Medical KnowledgeKnowledge
Systems BasedSystems BasedPracticePractice
PracticePracticeBasedBasedLearningLearningAnd And ImprovementImprovement
AN_AA_11_13_2008AN_AA_11_13_2008
Theoretical Competency Report Card Theoretical Competency Report Card Summary, Program XSummary, Program XAll Residents, All LevelsAll Residents, All Levels
0
10
20
30
40
50
60
70
80
90
100P-1
P-2P-3
P-4
P-5
P-6
PTC-1
PTC-2
PTC-3
PTC-4
PTC-5
PTC-6
C-1
C-2
C-3
C-4C-5
C-6MK-1
MK-2MK-3
MK-4
MK-5
MK-6
PBLI-1
PBLI-2
PBLI-3
PBLI-4
PBLI-5
PBLI-6
SBP-1
SBP-2
SBP-3
SBP-4SBP-5
SBP-6
Program % at orabove milestone
National % at orabove milestone2 SD or more belowNational Mean %
ProfessionalismProfessionalism
Patient CarePatient Care
CommunicationsCommunicationsMedical Medical KnowledgeKnowledge
Systems BasedSystems BasedPracticePractice
PracticePracticeBasedBasedLearningLearningAnd And ImprovementImprovement
AN_AA_11_13_2008AN_AA_11_13_2008