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Session 21 Specialty Update: Emergency Medicine ACGME 2011 Annual Education Conference updated 2

What we hope to accomplish . . .. Brief Overview of the Accreditation ProcessSpecialty and Subspecialty InformationThings to Know. Accreditation. Probation and revocation are very unusual events. Citations are not the issue; accreditation is. There are recurrent citations that can be address

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Session 21 Specialty Update: Emergency Medicine ACGME 2011 Annual Education Conference updated 2

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    1. Session 21 Specialty Update: Emergency Medicine ACGME 2011 Annual Education Conference updated 2/18/11 Wallace Carter, MD Lynne Meyer, PhD, MPH

    2. What we hope to accomplish . . . Brief Overview of the Accreditation Process Specialty and Subspecialty Information Things to Know

    3. Accreditation Probation and revocation are very unusual events. Citations are not the issue; accreditation is. There are recurrent citations that can be addressed easily. Strength of program determines length of cycle.

    4. The Review Process Completion of program information forms (PIF) Site Visit ACGME Field Staff or Specialist Site Visitor (SSV)

    5. Program Letters of Agreement Identify faculty with supervisory responsibilities Specify responsibilities for teaching / evaluation Specify duration and content of experience State policies that govern resident education http://www.acgme.org/acWebsite/about/ab_FAQAgreement.pdf

    6. Site Visit & PIF Preparation You will receive notice of your site visit 90-120 days in advance, start your PIF before you receive your site visit notice Read the Program Requirements. Prepare and share the PIF. Review the PIF. Review the PIF.

    7. Site Visit & PIF Preparation Review your Internal Review. Special attention to Prior Citations. Emphasize your strengths. Hear the problems before the visit.

    8. The Site Visit The role of the site visitor (SV) is to verify and clarify the contents of the PIF. The SV meets with residents and faculty and prepares a lengthy report for the RRC. The SV does not take part in RRC discussions. The SV cannot tell you how you did.

    9. Accreditation Decisions Are Based Upon Program History Site Visit Report Resident Survey Program Information Form (PIF) Program Requirements Program/Committee correspondence Institutional History

    10. Navigating the Process Staff Communications Newsletters Email Phone Inquiries ACGME Website http://www.acgme.org/acWebsite/navPages/nav_110.asp

    11. What Happens After the Letter of Notification? If you are granted accreditation? If you have an adverse action? Proposed Adverse Actions Response Ongoing activities to meet the requirements Planned activities Provide documentation

    12. SPECIALTY AND SUBSPECIALTY INFORMATION

    13. For Core Emergency Medicine Programs in AY 09/10, there were. 155 accredited programs Specialty Length = 3 years* (124) or 4 years (32) -- *Note 4 programs are PGY 2-4 format 5217/5715 filled resident positions Average Program Cycle Length = 4.03 Pilot Programs Cycle Lengths were 7 or 8 years 138 programs with continuing accreditation 16 programs with initial accreditation 1 program with probation

    14. For Medical Toxicology Programs in AY 09/10, there were. 24 accredited programs Specialty Length = 2 years 47/88 filled resident positions Average Program Cycle Length = 4.13 20 programs with continuing accreditation 4 programs with initial accreditation

    15. For Pediatric Emergency Medicine Programs in AY 09/10, there were. 21 accredited programs Specialty Length = 2 years 65/75 filled resident positions Average Program Cycle Length = 3.90 15 programs with continuing accreditation 6 programs with initial accreditation

    16. For Sports Medicine Programs in AY 09/10, there were. 5 accredited programs Specialty Length = 1 year 7/8 filled resident positions Average Program Cycle Length = 4.40 4 programs with continuing accreditation 1 programs with initial accreditation

    17. For Undersea and Hyperbaric Medicine Programs in AY 09/10, there were. 6 accredited programs Specialty Length = 1 year 8/12 filled resident positions Average Program Cycle Length = 3.17 3 programs with continuing accreditation 3 programs with initial accreditation

    18. MOST COMMON CITATIONS AY 2009/2010 Program Personnel & Resources: Resources (e.g., throughput times, patient care space, office space, lab & dx imaging results on timely basis) Scholarly Activities (e.g. faculty and residents) Program Personnel & Resources: Qualifications of Faculty (e.g. faculty staffing levels, faculty to resident ratio; board certification)

    19. MOST COMMON CITATIONS AY 2009/2010 contd Program Personnel & Resources: Responsibilities of Program Director (e.g., complete/accurate PIF, resident complement, transferring resident verification, environment where residents free to raise issues, ensuring residents relieved of duties to attend conferences, ensuring resident maintain documentation of procedures )

    20. Review Committee Meeting Activities and Actions for February and September 2010

    21. Review Committee Meeting Activities and Actions for February 2011

    22. Welcome to our New Core Programs! Dartmouth-Hitchcock Medical Center Program (September 2010) Program Director - Kevin M. Curtis, MD Carilion Clinic-Virginia Tech Carilion School of Medicine Program (September 2010) Program Director - Jennifer J. Casaletto, MD University of Washington Program (February 2011) Program Director - Fiona Gallahue,MD

    23. Welcome to our New Subspecialty Programs! Medical Toxicology: SUNY Upstate Medical University Program (September 2010) Program Director - Michael Hodgemen, MD Virginia Commonwealth University Health System Program (September 2010) Program Director - Brandon K. Wills, DO

    24. Welcome to our New Subspecialty Programs! Medical Toxicology: University of Arizona/UPHK Graduate Medical Education Consortium Program (February 2011) Program Director - Farshad Mazda Shirazi,MD,PhD Ohio State University Hospital Program(February 2011) Program Director - Heath A.Jolliff,DO

    25. Welcome to our New Subspecialty Programs! Pediatrics Emergency Medicine: Health Partners Institute for Medical Education Program (September 2010) Program Director - Manu Madhok, MD

    26. THINGS TO KNOW

    27. Duty Hours New Common Program Requirements, including Duty Hours are effective July 1, 2011. Please see the following ACGME website for Duty Hour FAQs: http://acgme-2010standards.org/pdf/dh-FAQs2011.pdf EM Specialty Specific Requirements and FAQs related to the new duty hours will be available soon.

    28. Resident Survey The 2011 Resident Survey has undergone some changes and a template for this can be found at the following website: http://www.acgme.org/acWebsite/Resident_Survey/res_Index.asp The RRC monitors results of the resident survey on an annual basis. The RRC recommends that each program investigates non-compliant areas indicated on the resident survey, and if indicated, implement an action plan where improvement can be demonstrated.

    29. Revised Program Requirements Sports Medicine New program requirements effective 7/1/2011 FAQs posted online New PIF will be available online in March, 2011 Any site visits occurring 7/1/11 or later will be reviewed by the FM RRC The Emergency Medicine RRC will still have input into the Program Requirements, FAQs and PIF

    30. New Program Requirements EMS Fall 2011: Post for Comments June 2012: Reviewed by Committee on Requirements (CoR) Tentative Effective Date of July 2013

    31. Program Requirement Revisions Medical Toxicology March/April 2011: Post for Comments June 2012: Reviewed by Committee on Requirements (CoR) Tentative Effective Date of July 2013 Core Emergency Medicine Winter 2011: Post for Comments September 2012: Reviewed by Committee on Requirements (CoR) Tentative Effective Date of July 2013

    32. Emergency Medicine RRC Newsletter The Emergency Medicine RRC newsletters can be found on the ACGME site. In this you will find things such as: RRC decision summaries Frequent citations summary Future RRC Meeting and Agenda Closing Dates RRC Staff Contact Information Updates Informational Items (e.g. -- ADS) http://www.acgme.org/acWebsite/navPages/nav_110.asp

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