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Understanding the Role of ACGME in Graduate Medical Education Accreditation

The ACGME (Accreditation Council for Graduate Medical Education) oversees the accreditation of around 7,800 residency programs in the U.S. This includes institutional and program accreditation processes, with site visits occurring every 3.7 years. Key requirements include qualified faculty, structured curriculum, and resident evaluations. The Thoracic Surgery Residency Program highlights the standards for training, emphasizing duty hours and prohibiting moonlighting. New innovations in residency management software are also discussed to improve communication and compliance in training programs.

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Understanding the Role of ACGME in Graduate Medical Education Accreditation

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  1. VUMC Content Manager Sponsor Dr. Doris Quinn Advisor Dr. Andrew Dozier

  2. The Role of the ACGMEThe Accreditation Council for Graduate Medical Education (ACGME) is a private professional organization responsible for the accreditation of nearly 7,800 residency education programs. The Accreditation ProcessTo gain and maintain accreditation, 1- Institutional Accreditation 2- Program Accreditation On average, each accredited residency program is site visited every 3.7 years.

  3. Vanderbilt University Medical Center • Last Site Review Date: November 18, 2003 • Next Site Review Date (approximate): April 1, 2009 • Ownership or Control Type: Other Non-profit • Type of Institution: Teaching Hospital • Requirements: • Institutional Responsibilities • Institutional Responsibilities for Residents • Internal Review • Graduate Medical Education Committee Responsibilities • Duty Hours Evaluation

  4. Institution Requirements • Sponsoring Institution: Responsibility for the program • Participating Institutions: • Faculty with specified responsibilities for teaching supervision and formal evaluation of residents. • The duration and the content of the educational experience • The policies and procedures governing the resident education • Program Personnel and Resources • Qualified and Certified Program Director • Sufficient number of qualified faculty members to instruct and supervise • Specialized physicians • Additional staff members • Adequate resources and funding

  5. Institution Requirements Continued.. • Eligible Residents • Curriculum • Resident Duty Hours (80 hours per week) and Environment • Evaluation of the Residents • Experimentation and Clinical Component (an average of 125 major operations per year) • Certification

  6. Thoracic Surgery Residency Program Original Accreditation Date: January 27, 1956Accreditation Status: Probationary AccreditationAccreditation Effective Date: January 16, 2004Accredited Program Length: 3 years Last Site Review Date: April 15, 2003Next Site Review Date (approximate): January 1, 2005

  7. Resident Education Program in Thoracic Surgery • No moonlighting is allowed • (moonlighting: the circumstance of working as a physician outside of one's authorized training program is called "moonlighting".) • Duty hours: 80hours/week • Maximum continuous onsite duty: 24 consecutive hoursOut of the hospital and free: 1day/week (no beeper call, no in-house call) • Maximum duty period: 30hours • Minimum rest period between duty period: 10hour • Each resident need to take the American Board of Surgery In-Service Training Examination (ABSITE) in January. • Evaluations

  8. Ways Programs Have Adapted • Stretch Model • Night-Float Model • Apprentice Model • Mastery Model

  9. Ways to Monitor Hours • Electronic Evaluation System • Weekly Progress Reports

  10. Continuing Research • Mentioned Last Time • New Innovations • Offers the Residency Management Suite • Used in ¼ of all ACGME Programs • Akcia Incorporated • Offers several specific programs • Gives Institution ability to customize their software package • Research of these products is still continuing along with some new products

  11. New Software Products • MedHub • A secure, encrypted web-based application • Uses a stakeholder method, promotes communication • Each stakeholder is able to manage their own data and the system validates the inputs • Seems to have a very good scheduling system along with all the other requirement tracking elements (such as duty hours, evaluations, etc.) • Emphasis Security on the Site • Pride themselves on the System being rather intuitive

  12. New Software Products • VerinformRM • Also a Web-based system • Does everything that is known to be needed • Nothing to really distinguish it from the others, yet • More research to be done, future plans include • Acquiring product demos and more specific information (cost, hardware needed, etc… )

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