2006 AOA Meeting: Program Directors Session

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2006 AOA MeetingProgram Directors Session

• ACGME RRC Report
• June 22, 2006
• Steven P. Nestler, PhD
• Executive Director, Residency Review Committee

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Presentation Outline

• Residency Requirements
• July 1, 2006 Expectations
• Frequent Citations
• Fellowship Requirement Revisions
• Potential Pilot Projects

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ACGME Competencies

• Medical Knowledge (MK)
• Patient Care (PC)
• Practice-based Learning Improvement (PB)
• Systems-based Practice (SB)
• Interpersonal Communication Skills (IC)
• Professionalism (P)

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ACGME Competencies

• As of July 1, 2006
• Goals Objectives in all 6 areas
• Teaching/Learning in all 6 areas
• Eval in all 6 areas (aligned with objectives)
• Use eval results to improve program

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ACGME Competencies

• As of July 1, 2006
• RRC Citations
• Constructive Recommendations
• GMEC Review of Program Compliance
• Increasing Emphasis on Performance Data

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Progress to Date

• Goals Objectives
• Many/Most Programs Reasonable
• Better on Goals
• Objectives not always measurable
• Need for all required rotations

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Progress to Date

• Teaching/Learning in all 6 areas
• Area of best compliance
• Most programs prepare good grads
• Best in Patient Care Knowledge
• Uncertainty about SB PB

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Progress to Date

• Evaluation in all 6 areas
• Some programs are doing well
• Most programs need to improve
• Area of most resistance
• Continued preference for Global Evaluations

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Progress to Date

• Evaluation of Program
• Good compliance with internal reviews
• Better annual review of program effectiveness
• Better utilization of Goals Objectives
• Better utilization of evaluation data

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Frequent Citations

• Residencies
• Expand Specific Educational Component
• Didactics
• Scholarly Activity
• Continuity of Care

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Frequent Citations

• Expand Specific Educational Component
• Sports Medicine/Arthroscopy
• Rehabilitation
• Pediatrics
• Foot Ankle

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Frequent Citations

• Didactics
• Faculty Involvement
• Basic Science
• All Residents Able to Attend
• Journal Club/Research Conference

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Frequent Citations

• Scholarly Activity
• Faculty Publications
• Resident Publications/Presentations
• Resident Education in Research Methods
• Environment of Inquiry

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Frequent Citations

• Continuity of Care
• Pre-op Evaluation
• Post-op Follow-up
• More Pre through Post w/ Same Patient
• More non-operative patients

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Fellowship Requirements

• Proposed Revisions
• Hand Major Update
• All Diversity Patient Safety
• Comments Due July 24, 2006

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Potential Pilot Projects

• For small, one-year Fellowships
• Reduce Requirements by 60
• Shorter PIF
• Visit Intervals of 2, 3, 5, or 8 years
• Decision Later in 2006
• Possible Trial in 2007

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Potential Pilot Projects

• For Residencies
• Visit Intervals of 2, 3, 5, or 8 years
• Decision Later in 2006
• Possible Trial in 2007

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ACGME/RRC Report

• QUESTIONS