updates from the review committee for pediatrics › meetings › 2016spring... · updates from the...

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.


New Review Committee Leadership

• Chair – Suzanne Woods, MD • Vice Chair – Deepak Kamat, MD


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


Geographic Distribution of the RC

• CA, CT, FL, GA, MD, MI, NJ, NY, NC, OH, TX, VT, VA


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)


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


Citations vs. Areas for Improvement (AFIs)

0

50

100

150

200

250

core programs subspecialty programs

Citations AFIs


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


AFIs/Citations – Core Programs

• Evaluations • Program uses evaluations to improve • Confidential • Timely feedback provided • Multiple assessment methods


AFIs/Citations – Subspecialty Programs

• Faculty scholarly activity • Evaluations

• Program uses evaluations to improve • Timely feedback • Multiple assessment methods • Multiple evaluators


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


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


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


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


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


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


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


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


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


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


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



• 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



• 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


Program Resources

• www.acgme.org • Website redesign

• [email protected]

• 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

http://www.acgme.org/


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.


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

mailto:[email protected]










The ACGME is Moving

• 401 N. Michigan Avenue

MILESTONES UPDATE


Value of Twice Yearly Reporting

• Valuable national snapshot that can inform the community

• Opportunities for remediation

• Will be reconsidered in Milestones 2.0


Data Use

• Milestone Evaluations are NOT used for accreditation purposes

• Completing the Milestone Evaluations is an indicator in your program’s annual review

• Research


Milestones Resources

• Milestones web page

• Milestones FAQs

• Clinical Competency Committee Guidebook

Coming Soon: National Milestone Report

Milestone Development Guidebook


Questions or Feedback can be sent to:

Milestones:

[email protected]

Laura Edgar [email protected]




Questions?

updates from the review committee for pediatrics › meetings › 2016spring... · updates from the...

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