Preparing for

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• Preparing for
• TAGME Certification
• Terminology, Work Effort Tool, Monitored
  Assessment
• Presentation at the 2009 AADPRT Annual Meeting
• Thursday, March 12, 2006

Linda Gacioch, C-TAGME University of Michigan
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Pathway to Professional Development

• Professional development is a personal journey
  the milestones you reach are up to you.

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Have you been waiting for a opportunity to be
recognized for what you do?
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What does certification accomplish?

• Sets national standard for GME knowledge base
• Nudges you to get out of your comfort zone.
• Personal commitment to growth and change.
• A platform for further personal development.
• Can facilitate career advancement and movement

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Benefits of pursuing certification

• Expands your knowledge of GME!
• Demonstrates your commitment to exceeding
  performance expectations and assuming greater
  levels of responsibility.
• Acknowledgement of your expertise
• Creates personal accountability to stay on top of
  the ever changing arena of graduate medical
  education.
• Broadens your visibility!

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Certification

• ..is Voluntary.

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Eligibility Requirements

• 3 years experience as residency coordinator
• Attendance at a national meeting within the past
  3 years whose focus is GME
• Participation in a site visit or internal review
  within the past 3 years
• Personal professional development within the past
  3 years (e.g., presentations at national, state,
  institutional or departmental level poster
  presentations, publications)

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First Step

• Eligibility
• Review eligibility requirements
• Take steps to meet the professional development
  requirements, e.g.
• Orientation presentations
• Membership on program/GME committees

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Challenges

• How to prepare for certification

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The Simplicity of GME
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Knowledge Content Areas

• Certification is an assessment of your GME
  knowledge
• Two distinct parts to certification assessment
  materials
• Work Effort Tool applied knowledge
• Monitored Assessment timed, proctored, open-book

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Study Guides? Textbooks?

• Not!
• On the job experience
• ACGME Requirements get to know them
• Program Requirements
• Common Program Requirements
• Institutional Requirements
• ACGME Policies Procedures (Section II)
• Acronyms, Terms, Definitions

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Work Effort Tool

• Assesses how you apply your knowledge and skills
  to the day-to-day management of the residency
  program
• Sent via email
• 3 months for completion
• Multiple choice, short text essay, true/false
• Success is 80 overall score

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Appearance Counts!

• Dont short change your efforts!
• Appearance of work effort tool reflects YOUR
  professionalism
• Answer concisely use full sentences (and spell
  checker)

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Knowledge Content Areas

• Duty Hours
• Competencies
• Governing Bodies, Website Navigation
• Recruitment and Recruitment Tools
• Required Surveys GME Track/WEB ADS
• Evaluations
• Academic Curriculum
• Case Logs
• ACGME Policies Procedures (Section II)
• ECGME (Tutorial)

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Duty Hours patient safety, resident well-being,
supportive educational environment

• Know the basics-
• 80 hours/week, averaged over 4-week period,
  includes all in-house call activities
• 1 day in 7 off , averaged over 4-week period
• 10-hour time period between all daily duty
  periods and after in-house call

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On-call

• In-house call, no more than every 3rd night,
  averaged over 4-week period
• Continuous on-site duty (includes in-house call)
  must not exceed 24 consecutive hours. Residents
  can stay on duty up to 6 additional hours for
  didactics, transfer of care, continuity of
  medical and surgical care
• No new patients after 24 hours of continuous duty

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At-home Call

• At-home call not subject to every 3rd night, or
  24/6 limitation. Frequency cannot interfere
  with rest/personal time for residents
• 1 day in 7 free of education and clinical
  responsibilities STILL applies
• If called into the hospital hours count toward
  the 80-hour limit

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Moonlighting

• Internal moonlighting counts toward the 80 hour
  limit
• Cant interfere with participation in the
  educational program

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Duty Hours Exceptions

• Did you know-
• RC may grant exceptions for up to 10 or max of
  88 hours if there is sound rationale for doing so
• Requires approval of GMEC and DIO before
  submitting a request to RC

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Competencies understand them

• Patient Care
• Medical Knowledge
• Interpersonal Skills and Communication
• Professionalism
• Systems-based Practice
• Practice-based learning and Improvement

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Patient Care

• Global assessment of patient care
• Interviewing skills
• Diagnostic formulation
• Treatment planning
• Ability to function as independent clinician

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Medical Knowledge

• Knowledge of psychiatry and general medicine
• Self-education, use of supervision, use of
  literature
• Ability to integrate and use information

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Interpersonal Skills and Communication

• Global assessment of interpersonal skills
• Physician/patient relationship
• Cooperation and ability to work with others
• Teaching skills
• Ability to understand and speak English

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Professionalism

• Global assessment of professionalism
• Punctuality, independence, recognition of limits
  of competence, maintenance of treatment
  boundaries, acceptance of feedback and direction,
  sensitivity to gender and cultural diversity
• Sense of responsibility
• Ethical conduct

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Systems-based Practice

• Ability to function within treatment settings,
  conformity to unit expectations, attention to
  unit policies and procedures
• Medical record keeping quality and timeliness of
  documentation

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Practice-based Learning and Improvement

• Improvement with experience, ability to learn
  from clinical cases, improvement with practice,
  ability to generalize experience to new
  situations.

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Recruitment and Recruitment Tools

• Knowledge of NRMP and ERAS guidelines

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Governing Bodies, Website Navigation

• Your knowledge of global and specialty governing
  bodies and websites that are key to GME

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Evaluations

• Assessment methods and educational activities
• Your understanding of the assessment methodshow
  are they used for program improvement

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Required Surveys

• GME Track (resident survey)
• WEB ADS annual update

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Academic Curriculum

• Your knowledge and understanding of the clinical
  and non-clinical aspects of the training program
  curriculum
• Methods for teaching, tracking documentation
• e.g. sexual harrassment, fatigue, end of life
  issues, etc.

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Case Logs

• Method for tracking
• How are the data used?

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ECFMG

• Basic information that coordinators should be
  aware of
• Tutorial provided on ECFMG website

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ACGME Policies Procedures

• Section II is applicable

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The Monitored Assessment

• Not a test, but rather an assessment of
  knowledge.
• It is a monitored, open book assessment.
• It is timed 5 hours.
• Success is 80 or higher overall score
• 2-parts
• Global Assessment 120 points
• Common Program Requirements (30 questions)
• Institution Requirements (30 questions)
• Psychiatry/Child and Adolescent Psychiatry
  Assessment (120 points)
• Program requirements and core component (90
  questions)
• Questions with citations are worth 2 points
  remaining questions worth 1 point

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Knowledge Content Areas

• Program requirements
• Competencies
• Governing Bodies
• Evaluations
• Acronyms
• Definition of Terms
• Case Logs

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Monitored Assessment Sites

• Approved sites include
• Annual AADPRT Meeting
• Fall Open Assessment Sites (regional sites across
  US)

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Putting it all together

• Complete and submit
• Application Form
• Supportive Verification Form
• Curriculum Vitae following TAGME template
• Check payable to TAGME 250

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• Your application will be reviewed for
  completeness and to assure you meet the
  eligibility criteria.
• You will be notified via e-mail of acceptance or
  reasons for ineligibility
• Work Effort Tool will be sent to you via email

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Preparing for the Assessment

• Prepare and review dont assume that you know
  it all because you have been doing this for so
  long!
• Provide citations to the 4th level
• Common Program Requirements Assessment Tool do
  not use the Specialty/Common requirements
  combined version for citations use the version
  that speaks solely to the Common.

T I P Relax5 hours is enough time to complete
the monitored assessment
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More Tips Preparing for the Assessment

• Multi-part questions
• 1 point for correct answer
• 1 point for correct citation

T I P Timed assessment keep working through the
assessment. Go back to citations or questions
that you are unsure of later.
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• Complete the Work Effort Tool document and submit
  as instructed.
• Begin studying for the assessment
• READ the ACGME documentation own those
  requirements

T I P The Work Effort Tool is excellent
preparation for the Monitored Assessment. Begin
working on it as soon as you receive it.
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Resource Study Guides

• Acronyms Alphabet Soup for Psychiatry
  Coordinators
• ACGME Glossary of Terms
• ACGME Psychiatry/Child and Adolescent Psychiatry
  Program Requirements
• ACGME Common Program Requirements
• ACGME Institutional Requirements
• ACGME Policies and Procedures
• ECFMG Tutorial

T I P Do not leave at home! Bring these study
guides with you to use during Assessment!
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What happens after you take the assessment?

• The PTAC Review Committee will meet to review and
  score both the monitored assessments and work
  effort tools.
• The assessment materials will be sent to a TAGME
  outside reviewer who score them as well
• The names of candidates recommended for
  certification will be forwarded to TAGME
  President for certification at their next board
  meeting.

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What if I dont pass the 1st time around?

• You will have one year to retake the assessment
  at no additional cost.

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Once you receive your certification.

• You become a C-TAGME!
• Good for 5 years

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Maintenance of Certification

• Renew Every 5 years
• Application with documentation to verify
  continuation of criteria
• Maintenance of Certification Tool (similar to
  Work Effort Tool completed at your desk)

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Maintenance of CertificationCriteria for
continued certification
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One Measurement of Success
KNOWLEDGE
ASSESSMENT
SKILLS
TAGME CERTIFICATION
ETHICS
PROFESSIONAL DEVELOPMENT
COMMUNICATION
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Thank you!