updates from the review committee for pediatrics › meetings › 2016spring... · updates from the...
TRANSCRIPT
Updates from the Review Committee for Pediatrics
Suzanne Woods, MD, Chair, Review Committee for Pediatrics Caroline Fischer, MBA, Executive Director Laura Edgar, Executive Director, Milestones Development
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Disclosure
We have no relevant financial disclosures.
©2016 Accreditation Council for Graduate Medical Education (ACGME)
New Review Committee Leadership
• Chair – Suzanne Woods, MD • Vice Chair – Deepak Kamat, MD
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Review Committee Composition
• 4 appointing organizations • AAP, ABP, AOA, AMA
• 15 voting members • 6-year terms – except resident (2 years) • Generalists, subspecialists, 1 public member • 1 Ex-officio (non-voting) member each from
AAP, ABP, and AMA
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Geographic Distribution of the RC
• CA, CT, FL, GA, MD, MI, NJ, NY, NC, OH, TX, VT, VA
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Congratulations Awardees!
• Courage to Lead (honoring DIOs) • Mary Ottolini, MD, MPH - Children's National Medical Center
• Courage to Teach (honoring program directors) • Alex Djuricich, MD - Indiana University School of Medicine (Med-
Peds) • Eileen Klein, MD, MPH - University of Washington School of
Medicine, Seattle Children's Hospital (Pediatric Emergency Medicine)
• David C. Leach Award (honoring residents, fellows) • Adele Reeder, MD - Baylor College of Medicine (Pediatrics)
©2016 Accreditation Council for Graduate Medical Education (ACGME)
January 2016 Status Decisions
Status Core Subs Med-Peds
Initial Accreditation 0 4 0
Continued Accreditation w/o Outcomes 0 3 0
Continued Accreditation 192 737 37
Continued Accreditation w/Warning 0 1 0
Probation 0 0 0
Withholding of Accreditation 0 1 0
Withdrawal of Accreditation 0 0 0
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Citations vs. Areas for Improvement (AFIs)
0
50
100
150
200
250
core programs subspecialty programs
Citations AFIs
©2016 Accreditation Council for Graduate Medical Education (ACGME)
AFIs/Citations – Core Programs
• Duty Hours • Educational content
• Service vs. education • Appropriate balance for education • How to manage fatigue
• Resources • Process to deal with concerns • Support staff
• Board pass rate
©2016 Accreditation Council for Graduate Medical Education (ACGME)
AFIs/Citations – Core Programs
• Evaluations • Program uses evaluations to improve • Confidential • Timely feedback provided • Multiple assessment methods
©2016 Accreditation Council for Graduate Medical Education (ACGME)
AFIs/Citations – Subspecialty Programs
• Faculty scholarly activity • Evaluations
• Program uses evaluations to improve • Timely feedback • Multiple assessment methods • Multiple evaluators
©2016 Accreditation Council for Graduate Medical Education (ACGME)
AFIs/Citations – Subspecialty Programs
• Resources • Process to deal with problems and concerns • Raise concerns without fear
• Educational content • Service vs. education • Appropriate balance for education
• Fellow scholarly activity
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Provided Data About Practice Habits
• Resident Survey question intended to ascertain whether residents receive “data” about their clinical performance that allows them to analyze their performance and implement changes to improve it
• Clinical performance data can include information such as patient satisfaction surveys, the number of patients seen, the number of lab tests/imaging studies ordered
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Annual ADS Update
• Areas where inaccuracies/incomplete data are often found:
• Faculty Roster • Certification information
• Physician faculty CVs • Licensure information
• Non-physician faculty CVs • Not required for all • Complete for research mentors
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Annual ADS Update cont.
• Scholarly activity • Complete information provided for each faculty
member/resident
• Block diagram • Abbreviations, non-standard format • Identify individualized curriculum
• Response to citations • Explain how corrected, what progress has been made
toward correction, and what is the action plan • Provide data, if appropriate
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Program Requirements Revisions
• Individual Pediatric Subspecialty Requirements • ON HOLD
• General Pediatric Subspecialty Program Requirements • Currently under revision • Posted for review and comment
• Deadline for comments is May 12th • Use Review and Comment Form
• Anticipated effective date: July 1, 2017
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Common Program Requirements Revisions
• Task Force convened to review the Resident Learning and Working Environment requirements • Review of literature
• Request for organizational positions • National Congress in March
• Review and comment period
• Second Task Force will be convened to review remaining sections (I-V) of the Common Program Requirements
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Single GME Accreditation System (SAS)
• 139 applications submitted from AOA-approved programs
• 2 applications received from AOA-approved pediatrics programs • The first has achieved initial accreditation
• The second will be reviewed at the May 2016 RC meeting
©2016 Accreditation Council for Graduate Medical Education (ACGME)
SAS Dually-accredited Programs
• Dually-accredited programs do not need to submit a new program application
• They may need to ask the Review Committee for a complement increase if residents in the AOA program are not currently counted in the ACGME complement
• They may seek Osteopathic Recognition
• Osteopathic Recognition separate from accreditation of specialty program
• Osteopathic Recognition will be conferred by new Osteopathic Principles Committee
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Leaves of Absence
Q: Must every leave of absence be reported in ADS (e.g., a week of sick time)?
A: No, but should be reported when: • duration of training is extended • completion of Resident Survey/Milestones is affected
©2016 Accreditation Council for Graduate Medical Education (ACGME)
New Initiatives
• Addiction medicine • The American Board of Medical Specialties (ABMS)
recognized addiction medicine as a subspecialty • The American Board of Preventive Medicine (ABPM)
sponsored the application to allow physicians certified by any of the 24 ABMS member boards to apply for the new certificate
• Petition to accredit programs submitted to the ACGME
• Dependent subspecialty of family medicine, internal medicine, pediatrics or psychiatry
©2016 Accreditation Council for Graduate Medical Education (ACGME)
New Initiatives cont.
• ACGME Coordinator Advisory Group • To serve as a consultative group to the ACGME
administration on matters related to improving medical education and the coordinator role
• Program and institutional coordinators • Minimum of 5 years in their position • Must be identified in ADS as a program coordinator • Nominations due April 15, 2016
©2016 Accreditation Council for Graduate Medical Education (ACGME)
New Initiatives cont.
• Advancing Innovation in Residency Education (AIRE) • Enable novel approaches and pathways in GME • Enhance the attainment of outcomes through innovative
structure and processes in residency/fellowship education • Limited number of proposals will be accepted • Cross-institutional rather than single program • Extensive evaluation component/theory and empirical
driven • Reviewed by the ACGME Innovation Pilot Research
Committee • Details will be forthcoming in late spring
©2016 Accreditation Council for Graduate Medical Education (ACGME)
New Initiatives cont.
• Pursuing Excellence in Clinical Learning Environments • 4-year initiative • Leaders of hospitals/medical centers with leaders in GME • Generate ideas, test innovative approaches to implement
learning and patient care, and share challenges and successes • Lead to measurable improvement in both patient care and
learner experience • Eight sponsoring institutions • Innovation Collaborative
• Accomplishments of the smaller groups will be shared with increasingly larger networks
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Program Resources
• www.acgme.org • Website redesign
• ACGME Policies and Procedures • Milestones and Clinical Competency Committee Guidebook • List of accredited programs • ADS • FAQ documents (e.g., specialty, Milestones, duty hours) • General information on site visit process and your site visitor • Faculty development slide decks
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Program Resources cont.
• Pediatrics web page • Resident complement increase policy • Program Requirements and program application forms • Pediatric FAQ documents • Presentations • Milestones
• Crosswalk of Pediatrics Reporting Milestones
• Weekly e-Communication • Contains general GME information, accreditation-related
updates, announcements regarding Program Requirements, updates from the Review Committee on ACGME issues/initiatives, etc.
©2016 Accreditation Council for Graduate Medical Education (ACGME)
ACGME Contacts
• ADS: [email protected]
• Heidi Sowl ([email protected]) 312.755.7443
• Site Visit: • Ingrid Philibert ([email protected]) 312.755.5003 • Jim Cichon ([email protected]) 312.755.5015 • Penny Iverson-Lawrence ([email protected]) 312.755.5014
• Requirements, Forms, or Notification Letter: • Caroline Fischer ([email protected]) 312.755.5046 • Denise Braun-Hart ([email protected]) 312.755.7478 • Kim Rucker ([email protected]) 312.755.7054 • Luz Barrera ([email protected]) 312.755.5077
©2016 Accreditation Council for Graduate Medical Education (ACGME)
The ACGME is Moving
• 401 N. Michigan Avenue
MILESTONES UPDATE
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Value of Twice Yearly Reporting
• Valuable national snapshot that can inform the community
• Opportunities for remediation
• Will be reconsidered in Milestones 2.0
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Data Use
• Milestone Evaluations are NOT used for accreditation purposes
• Completing the Milestone Evaluations is an indicator in your program’s annual review
• Research
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Milestones Resources
• Milestones web page
• Milestones FAQs
• Clinical Competency Committee Guidebook
Coming Soon: National Milestone Report
Milestone Development Guidebook
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Questions or Feedback can be sent to:
Milestones:
Laura Edgar [email protected]
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Questions?