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APPD 2019 Annual Meeting March 26-29 New Orleans Marriott New Orleans, LA Thursday Plenary Session

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Page 1: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

APPD 2019Annual Meeting

March 26-29New Orleans

MarriottNew Orleans, LA

Thursday Plenary Session

Page 2: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

Javier Gonzalez del Rey, MD, MEdAPPD President

Welcome!

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2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

Franklin Trimm, MDImmediate Past President

APPDBerkowitz Award

Page 4: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

“This award is to honor a Program Coordinator for a Lifetime of Advocacy and Leadership in Pediatric Medical Education.”

Carol Berkowitz Award for Advocacy and Leadership in Pediatric Medical Education

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2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

2018 Scott Olson, BA2017 Jaime Bruse, C-TAGME 2016 Patricia Jacobi2015 Elizabeth Payne, MAEd, C-TAGME2014 Amelia Maeda2013 Jean Ashley, MSBC, C-TAGME2012 Cindy Colpitts

Carol Berkowitz Award for Lifetime of Advocacy and Leadership inPediatric Medical EducationPrevious Recipients

2011 Cynthia Gibson, C-TAGME2010 Rosemary Munson, C-TAGME2009 Melodie Allison, C-TAGME 2008 Mary Gallagher, C-TAGME2007 June Dailey, C-TAGME2006 Aida Velez, MEd2005 Jeri Whitten, C-TAGME

Page 6: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

Congratulations to the2019 Berkowitz Award

Recipient:

Savanna Carson, PhDUCLA Medical Center

Carol Berkowitz Award for Lifetime of Advocacy and Leadership inPediatric Medical Education

Page 7: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

Su-Ting Li, MD, MPHAPPD LEAD Council Chair

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LEAD Council• Su-Ting Li, MD, MPH (Chair)• Marsha Anderson, MD• Hilary Haftel, MD, MHPE• Rich Mink, MD, MACM• Richard Shugerman, MD• Rebecca Swan, MD• Bob Vinci, MD• Linda Waggoner-Fountain, MD, MEd

Page 9: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

Structure• 10 month program

o 3 educational conferences

• 3-day stand-alone meeting• 2 days at Fall APPD meeting• 1½ days at Spring APPD

meetingo Peer group activities and

supporto Mentored educational

projecto Certificate of completion

Page 10: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

Curriculum• Organizational Leadership• Competency-based

Curriculum Development• Faculty Development• Residency & Fellowship

Program Administration• Scholarship and Career

Development

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APPD LEAD Cohort 7

Page 12: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

Deborah Alliston, MD, MEdUniversity of Kansas - Wichita

Outcomes of a Local Global Health Day

LEAD Mentor: Robert Vinci, MD

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Chevon Brooks, MDMorehouse School of Medicine

Communication between Residents and Residency Program

Administration

LEAD Mentor: Marsha Anderson, MD

Page 14: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

Rebecca Chasnovitz, MDKaiser Permanente Northern California

Training Residents to Communicate with Patients through Electronic

Secure Message

LEAD Mentor: Hilary Haftel, MD, MHPE

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Claudia Halaby, MD, FCCPNYU Winthrop Hospital

Comparison Between Lecture-Based Learning and Problem-

Based Learning for Teaching Core Curriculum in Pediatric Residency

LEAD Mentor: Richard Mink, MD, MACM

Page 16: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

Kevin Kuo, MD, MHPEStanford University

Are Pediatric Fellows Financially Literate?

LEAD Mentor: Richard Mink, MD, MACM

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Joanna Lewis, MDAdvocate Children’s Hospital – Park Ridge

Evaluation of a Certificate Program in Medical Education for Trainees

LEAD Mentor: Rebecca Swan, MD

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Karen Mangold, MD, MEdFeinberg School of Medicine, Northwestern

University

Evaluation of a Certificate Program in Medical Education for Trainees

LEAD Mentor: Marsha Anderson, MD

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David Mills, MDMedical University of South Carolina

PRIME Time: Can Narrative Evaluations Be Reliably Mapped to the Milestones?

LEAD Mentor: Linda Waggoner-Fountain, MD, MEd

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H. Alex Nagle, MDAlbany Medical Center

Bringing Pediatric Point of Care Ultrasound from the Classroom to the Bedside in the Pediatric ICU

LEAD Mentor: Robert Vinci, MD

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Elizabeth Nelsen, MDSUNY Upstate Medical University

Professional Fulfillment in Pediatric Residents

LEAD Mentor: Hilary Haftel, MD, MHPE

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S. Soumya Panchanathan, MD, MSPhoenix Children’s Hospital

Improving Resident Goal-Setting through Presentation of Objective Data about Clinical Experiences

LEAD Mentor: Hilary Haftel, MD, MHPE

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Anisha D. Patel, DOYale University School of Medicine

Resident Education for Trans* Health Care

LEAD Mentor: Richard Mink, MD, MHPE

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Lina Patel, MDChildren’s Mercy Hospital

Development of an End-of-Shift Assessment Tool for PEM Fellows

LEAD Mentor: Richard Shugerman, MD

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Mammen Puliyel, MDMetroHealth Medical Center

Team Based Learning in Graduate Medical Education: Assessment of

Feasibility and Outcomes

LEAD Mentor: Richard Mink, MD, MHPE

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Suzanne Reed, MDNationwide Children’s Hospital

Who’s Talking: A Survey of Pediatric Program Directors on

Communication Skills Educational Practices in

Pediatric Residency Programs

LEAD Mentor: Robert Vinci, MD

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Melissa Roy, MDOur Lady of the Lake

Interprofessional Collaboration on Family Centered Rounds

LEAD Mentor: Marsha Anderson, MD

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Chelsey Sandlin, MDLSU Health Sciences Center – New Orleans

Business of Medicine Training in Pediatric Residents – A Graduate

Needs Assessment Survey

LEAD Mentor: Richard Shugerman, MD

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Lisa Sieczkowski, MDUniversity of Nebraska Medical Center

Responding to Inpatient Pediatric Resident Burnout Scores

LEAD Mentor: Linda Waggoner-Fountain, MD, MEd

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LEAD NewsWelcome incoming LEAD Council Members:

Bruce Herman, MD Ingrid Walker-Descartes,MD, MPH, MBA

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LEAD NewsIncoming LEAD Council Chair

Rebecca Swan, MD

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How to Apply• Member of APPD• ≥3 years of educational leadership experience

(PD, FD, APD, Clerkship Director)• LEAD year can not overlap with 1st year in new

role• Department support• Commitment to attend all meetings and

complete assignments and project• Application deadline: April 19, 2019• Applicants notified of status: May 6, 2019

www.appd.org/leadapp

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2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

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2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

Update from the Accreditation Council of Graduate Medical Education (ACGME) with Q&A

Susie Buchter, MD, Chair, Review Committee for Pediatrics and Caroline Fischer, MBA, Executive

Director, Review Committee for Pediatrics

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Updates from the Review Committee for PediatricsSusie Buchter, MD, Review Committee ChairCaroline Fischer, MBA, Executive Director

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©2019 ACGME

#ACGME2019

We have no conflicts of interest to report.

Disclosure

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©2019 ACGME

#ACGME2019

4 appointing organizations AAP, ABP, AOA, AMA

15 voting members 6-year terms – except resident (2 years)Generalists, subspecialists, 1 public member1 ex-officio (non-voting) member each from each appointing organization

Review Committee Composition

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©2019 ACGME

#ACGME2019

Geographic Distribution of the Review Committee

Current members: CA, CO, CT, FL, GA, MA, NJ, NY, NC, OH, OK, PA, UT, VT, and VA

Incoming members: MN, MO, SC, and VA

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©2019 ACGME

#ACGME2019

Dona S. Buchter, MD (Chair)Ann E. Burke, MDDalya L. Chefitz, MDStephanie B. Dewar, MDShawna Seagraves Duncan, DOAlan H. Friedman, MDLynn Garfunkel, MDRani Gereige, MD, MPH, FAAP (Vice Chair)

Bruce Herman, MDJennifer Kesselheim, MDRichard B. Mink, MD, MACMVictoria F. Norwood, MDJudy-April Oparaji, MD, RD (Resident)Adam Rosenberg, MDJudith S. Shaw, EdD, MPH, RN, FAAP (Public Member)

Review Committee Composition

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©2019 ACGME

#ACGME2019

New Review Committee members Shawna Seagraves Duncan, DO

Adam Rosenberg, MD

Jason Homme, MD (Beginning 7/1/2019)

Michelle Montalvo Macias, MD (Beginning 7/1/2019)

Nefertari Terrill-Jones, MD (Beginning 7/1/2019)

Linda Ann Waggoner-Fountain, MD, MAMEd, FAAP (Beginning 7/1/2019)

Congratulations!

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©2019 ACGME

#ACGME2019

ACGME Courage to Teach Award (honoring program directors) Sandra A. Moutsios, MD; Vanderbilt University Medical Center;

Nashville, TN (Med-Peds)

Brett W. Robbins, MD; University of Rochester; Rochester, NY (Med-Peds)

David C. Leach Award (honoring residents or fellows) Eric J. Chow, MD, MPH; Brown University/Rhode Island Hospital –

Lifespan; Providence, RI (Med-Peds)

Laura C. Page, MD; Duke University Medical Center; Durham, NC (Pediatric Endocrinology)

Congratulations!

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©2019 ACGME

#ACGME2019

2019 Status DecisionsStatus Core Subs Med-Peds

Initial Accreditation 0 4 0

Continued Accreditation w/Warning 0 0 0

Continued Accreditation w/o Outcomes 0 3 0

Continued Accreditation 191 800 36

Continued Accreditation w/Warning 0 0 0

Probation 0 0 0

Accreditation Withheld 0 0 0

Withdrawal of Accreditation 0 0 0

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©2019 ACGME

#ACGME2019

Citations vs. Areas for Improvement (AFIs)

94 90

142

271

0

50

100

150

200

250

300

core programs subspecialty programs

2017-2018 Citations 2017-2018 AFIs

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©2019 ACGME

#ACGME2019

Letter to the Community dated January 9th from Dr. Nasca Compliance with 80-hour requirement will be

strictly monitored Programs will receive citations where violations

are identified

80-Hour Requirement Citations

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©2019 ACGME

#ACGME2019

Faculty qualificationsBoard pass rateFaculty responsibilities (time, interest)Curricular development Service to education imbalance

2017-2018 Frequent Citations Categorical Pediatrics Programs

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©2019 ACGME

#ACGME2019

Procedural experience Evaluations Educational contentAppropriate balance for

educationEducation compromised

by service

Learning and working environment Faculty supervision

and teaching

2017-2018 Frequent AFIsCategorical Pediatrics Programs

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©2019 ACGME

#ACGME2019

Qualifications of the faculty Curricular development (structured didactics) Patient care experience (inadequate number /

variety) Qualifications of the program director (lack of

scholarly activity)

2017-2018 Frequent CitationsSubspecialty Programs

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©2019 ACGME

#ACGME2019

Evaluations Timeliness of feedback

Faculty supervision and teaching

Resources Fellows can raise concerns

without fear Satisfied with process to deal

with problems/concerns

Educational content Appropriate balance for

education Education compromised by

service

Inaccurate/incomplete information

2017-2018 Frequent AFIs Subspecialty Programs

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©2019 ACGME

#ACGME2019

Faculty Roster – current certification information Participating in Maintenance of Certification - M

CVs – current licensure, scholarly activities from last 5 years

Block Diagram – provide key for abbreviations, do not include individual schedules

Incomplete/Inaccurate Data

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©2019 ACGME

#ACGME2019

Instructional videos on the ACGME Distance Learning website Responding to Citations

Entering Scholarly Activity into ADS

Creating an Effective Block Schedule

Avoiding Common Errors in ADS

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©2019 ACGME

#ACGME2019

Avoiding Common Errors in ADS

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©2019 ACGME

#ACGME2019

Written response to AFIs not required, but encouraged

Programs may address improvements and/or innovations implemented to address AFIs in the “Major Changes and Other Updates” section of ADS

AFIs

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©2019 ACGME

#ACGME2019

Effective date is July 1, 2019All specialty-specific requirement

documents will be updated to include the new Common Program Requirements and will be posted by July 1st

Common Program Requirements:Sections I-V

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©2019 ACGME

#ACGME2019

Minimum number of core faculty or core faculty/resident ratio Faculty scholarly activity dissemination – whether

to require peer-reviewed publications Frequent rotational transitions, length of

educational experiences and supervisory continuity

Common Program Requirements:Specialty-Specific Changes

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©2019 ACGME

#ACGME2019

Focused revisions to align with the aforementioned changes will be made to the pediatrics requirements Should be posted for public Review and Comment

in late spring/early summer

Common Program Requirements:Specialty-Specific Changes

Page 58: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

©2019 ACGME

#ACGME2019

Revisions to Program Requirements approved by the ACGME Board of Directors in February 2019

Effective date: July 1, 2019

Pediatric Subspecialty Program Requirement Revisions

Page 59: March 26-29 New Orleans Marriott Annual New Orleans, LA ... · 2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ . 2018 Scott Olson, BA. 2017 Jaime Bruse, C-TAGME

©2019 ACGME

#ACGME2019

Development of Program Requirements began last year

Posted for review and comment: Comments due April 10th

Requirements should be approved in September 2019

Application form will be available once requirements are finalized

RC will probably begin to review applications in January 2020

Pediatric Hospital Medicine

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©2019 ACGME

#ACGME2019

Align the data collected with the Common Program Requirements going into effect July 1, 2019 Changes will go live after ADS Rollover June 24,

2019 Programs applying and re-applying will be

required to respond to new/updated ADS elements

Accredited programs will be required to respond to new/updated questions in the Annual Update

Upcoming Changes in ADS

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©2019 ACGME

#ACGME2019

ADS Change:Site Director Identification

Edit Participating Sites

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©2019 ACGME

#ACGME2019

ADS Change: Designation of Core Faculty

Designate faculty as “Core” on the Faculty RosterII.B.4. Core faculty members must have a significant role in the education and supervision of residents and must devote a significant portion of their entire effort to resident education and/or administration, and must, as a component of their activities, teach, evaluate, and provide formative feedback to residents. (Core)

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©2019 ACGME

#ACGME2019

ADS Change: Faculty Certification

After the ADS Rollover, all programs will enter the expiration date of their faculty members’ certification, if available. Exceptions:

Some specialties/subs (e.g., Peds) don’t have an expiration date for MOC, so it will not be required

Faculty members with AOA certification with a status of “OCC” will not be required to enter an expiration date

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©2019 ACGME

#ACGME2019

ADS Change: Faculty Scholarly Activity

Residency programs will complete a table for allphysician faculty members and a separate table for non-physician faculty members

Residency programs will no longer report scholarly activity by individual faculty member

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©2019 ACGME

#ACGME2019

IV.D.2.a) Among their scholarly activity, programs must demonstrate accomplishments in at least three of the following domains (Core)

ADS Change: Faculty Scholarly Activity

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©2019 ACGME

#ACGME2019

ADS Change: Faculty Scholarly Activity (Fellowship Programs)

Programs will continue to report scholarly activity by individual faculty member

Programs will also report domains (e.g., research, QI, grants, professional committees, creation of educational materials, innovations in education) of scholarly activity for all faculty in the program

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©2019 ACGME

#ACGME2019

Application(Non-Single GME)

Pre-Accreditation &Continued Pre-Accreditation

Initial Accreditation Statuses

Continued Accreditation Statuses & Probation

Common Application & Annual Update Questions X X X X

ADS Changes: Questions

There will be multiple changes to the questions in ADS

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©2019 ACGME

#ACGME2019

ADS ChangesPrograms to provide the program’s mission statementThe mission statement is a written statement of a program’s core purpose. This statement should clarify the focus of the educational program (e.g. academic/research focus, community care focus, etc.), what community the program will serve and how that will be accomplished, and how the program’s mission aligns with the larger mission of the Sponsoring Institution.

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©2019 ACGME

#ACGME2019

ADS ChangesProvide the program aims that are guided by the program’s mission statement.The program’s aims (i.e. goals, objectives) should describe what the program has the intention of achieving in accordance with the Common Program Requirements. The program aims should be consistent with the overall mission of its Sponsoring Institution, the needs of the community it serves and that its graduates serve, and the distinctive capabilities of its graduates (e.g. leadership, research, public health).

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ADS Change:Document Uploads

Reorganized for clarity Some documents may be separated (e.g.,

evaluation documents) Descriptions of documents to be updated for clarity Additional documents may be required (e.g., policy

for well-being) Documents will be retained after Initial

Accreditation

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ADS Changes

Multiple revisions to specialty-specific documents likely to occur between July 2019 and July 2021Watch for the e-Communication emails

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Pediatric Dermatology (RC for Dermatology) Multidisciplinary Neurocritical Care Medicine

(RCs for Anesthesiology, Emergency Medicine, Neurological Surgery, Neurology)

New Subspecialties Approved

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Complex Family Planning (RC for Obstetrics and Gynecology)

Wound Care (Multidisciplinary)

New Subspecialty Applications

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• Programs scheduled with a self-study date prior to April 2019 will likely have their 10-year site visit more than 24 months after the self-study date listed in ADS

• Programs with self-study dates of May 2019 and beyond will have their self-study dates pushed forward into the future (exact time-frame under review)

• More information about the date changes are forthcoming

Self-Study and 10-Year Site Visit Dates

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Updated FAQs for site visits on the ACGME website, with more information about the Self-Study and 10-Year Site Visit

Webinar, August 2, 2019: Maximizing the Value of the ACGME Self-Study

Process for Your Program: No Need to be Afraid!

Self-Study Resources

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A working group will convene in August 2019 for its first of typically three meetings

Draft will be posted for review and comment

A Supplemental Guide (SG) will be developed to provide insight into the intent of the subcompetencies with examples for each level, sample assessment methods, and other available resources

The guide will be available as a Word document so that your CCC can personalize it to your program

Milestones 2.0

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Tell us what you need and how we can help [email protected]

Milestones Resources

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Milestones Research

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Common Program Requirements CLER JGME Back to Bedside National Academy of Medicine Collaborative

Physician Well-Being

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National Academy of Medicine Collaborative goals: Raise the visibility of clinician anxiety, burnout,

depression, stress, and suicide

Improve baseline understanding of challenges to clinician well-being

Advance evidence-based, multidisciplinary solutions to improve patient care by caring for the caregiver.

A comprehensive resource repository – The Clinician Well-Being Knowledge Hub

Physician Well-Being

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National Academy of Medicine Collaborative Resources:A comprehensive resource repository – The Clinician Well-Being Knowledge Hub

Physician Well-Being

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www.acgme.org ACGME Policies and Procedures Milestones and Clinical Competency Committee Guidebooks List of accredited programs Accreditation Data System (ADS) FAQ documents (e.g., Milestones, Common Program

Requirements) General information on site visit process and your site visitor Videos: Avoiding Common Errors in the ADS Annual Update

Program Resources

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Pediatrics web pages Complement increase

policy Program Requirements,

FAQ documents, and application forms Milestones Presentations

Weekly e-Communication Contains general GME

information, accreditation-related updates, announcements regarding Program Requirements, updates from the Review Committee on ACGME issues/initiatives, etc.

Program Resources cont.

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ADS: [email protected] Tessa Banks ([email protected])

312.755.7449

Site Visit: Linda Andrews, MD

([email protected])

Andrea Chow ([email protected]) 312.755.5009

Penny Iverson-Lawrence ([email protected]) 312.755.5014

Requirements, Forms, or Notification Letters: Caroline Fischer

([email protected]) 312.755.5046

Denise Braun-Hart ([email protected]) 312.755.7478

Elizabeth Prendergast ([email protected]) 312.755.7054

ACGME Contacts

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@ACGME WWW.ACGME.ORG

Thank you!

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2019 Annual Spring Meeting ~ March 26-29 ~ New Orleans, Louisiana ~ www.appd.org

Adam Rosenberg, MD2019 Program Chair

Orientation to the Day

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Thursday, March 28

• Table-to-Able session 10:15-11:45• Regional Lunch meetings 12:00-1:15• MPPDA Business Meeting• Learning Community Meetings 1:30-3:00• MPPDA: RRC/ABIM/ABP Panel Discussion• Enhanced Learning Sessions III 3:15-4:45• Poster Session 5:00-6:00

(posters will be on display beginning at 12 noon)

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APPD 2019Annual Meeting

March 26-29New Orleans

MarriottNew Orleans, LA

Enjoy Table to Able!