Accreditation Council for Graduate Medical Education Residency Review Committee for Internal Medicine (RRC-IM) Update APDIM Fall Meeting October, 2013 Jerry Vasilias, PhD, Executive Director James A. Arrighi, MD, Chair Program Director, Cardiology, Brown University © 2013 Accreditation Council for Graduate Medical Education (ACGME) APDIM Apr 2013 Oct 2013 “Doubt is an uneasy state from which we struggle to free ourselves and pass into the state of belief.” Charles Sanders Pierce © 2013 Accreditation Council for Graduate Medical Education (ACGME) Since we last met (Apr 2013)… • NAS is here • Experience with ADS • First milestones reporting due May-Jun 2014 • ABIM & AAIM working feverishly in sub milestones • ~ 50 CLER visits done • Changes to RC membership and eligibility rules • ACGME and AOA broke their engagement • RRC • Old business (new apps, short cycle programs) • NAS prep: data, citations, site visits © 2013 Accreditation Council for Graduate Medical Education (ACGME) The Building Blocks or Components of The “Next” Accreditation System (NAS) 10 year Self-Study Visit 10 year Self-Study prn Site Visits (Program or Institution) Continuous RRC and IRC Oversight and Accreditation Clinical Learning Environment Review CLER Visits ©© 22001132 AAccccrreeddiittaattiioonn CCoouunncciill ffoorr GGrraadduuaattee MMeeddiiccaall EEdduuccaattiioonn ((AACCGGMMEE)) NAS ADS © 2013 Accreditation Council for Graduate Medical Education (ACGME) Annual Data Review Elements The following are the “primary” annual data elements: 1) Program Attrition 2) Program Changes ADS 3) Scholarly Activity 4) Board Pass Rate 5) Clinical Experience Data 6) Resident Survey 7) Faculty Survey 8) Milestones © 2012 Accreditation Council for Graduate Medical Education (ACGME) Annual Data Review Element #3: Scholarly Activity: Faculty (Core) Between 7/1/2011 and 6/30/2012, held responsibility Had an active for seminars, conference Number of Number of other leadership role series, or course coordination Number of abstracts, presentations given (such as serving (such as arrangement of grants for posters, and (grand rounds, invited Number of on committees or presentations and speakers, which faculty Pub Med Ids (assigned presentations professorships), chapters or governing boards) organization of materials, member had by PubMed) for articles given at materials developed textbooks in national medical assessment of participants' a leadership published between international, (such as computer- published organizations or performance) for any didactic role (PI, Co- 7/1/2011 and national, or based modules), or between served as reviewer training within the sponsoring PI, or site 6/30/2012. regional work presented in 7/1/2011 or editorial board institution or program. This director) List up to 4. meetings non-peer review and member for a includes training modules for between between publications between 6/30/2012 peer-reviewed medical students, residents, 7/1/2011 and 7/1/2011 and 7/1/2011 and journal between fellows and other health 6/30/2012 6/30/2012 6/30/2012 7/1/2011 and professionals. This does not 6/30/2012 include single presentations such as individual lectures or conferences. Faculty PMID PMID PMID PMID Conference Chapters / Grant Leadership or Peer- Other Presentations Teaching Formal Courses Member 1 2 3 4 Presentations Textbooks Leadership Review Role John Smith 12433 32411 3 1 1 3 Y N RC-IM Expectation/Threshold: Within the last academic year, at least 50% of the program’s “core” faculty need to have done at least one type of scholarly activity from the list of possible activities in the table above. © 2013 Accreditation Council for Graduate Medical Education (ACGME) Annual Data Review Element #3: Scholarly Activity: Residents Number of abstracts, Lecture, or presentation (such Participated in funded or Pub Med Ids (assigned by posters, and Number of chapters as grand rounds or case non-funded basic PubMed) for articles presentations given at or textbooks presentations) of at least 30 science or clinical published between international, national, published between minute duration within the outcomes research 7/1/2011 and 6/30/2012. or regional meetings 7/1/2011 and sponsoring institution or project between List up to 3. between 7/1/2011 and 6/30/2012 program between 7/1/2011 7/1/2011 and 6/30/2012 6/30/2012 and 6/30/2012 PMID Conference Chapters / Resident PMID 1 PMID 2 Participated in research Teaching / Presentations 3 Presentations Textbooks June Smith 12433 1 0 N Y RC-IM Expectation/Threshold: At least 50% of the program’s recent graduates need to have done at least one type of scholarly activity from the list of possible activities in the table above. Although the form itself indicates that data entry is for only a single year, IM was granted an exception to allow entry of scholarship data once upon completion of training, reflecting scholarship performed for the entirety of training. © 2013 Accreditation Council for Graduate Medical Education (ACGME) Annual Data Review Element #3: Scholarly Activity: Residents • Communicated through AAIM/APDIM • Special instructions (IM only) were outlined on ADS Although the form itself indicates that data entry is for only a single year, IM was granted an exception to allow entry of scholarship data once upon completion of training, reflecting scholarship performed for the entirety of training. © 2013 Accreditation Council for Graduate Medical Education (ACGME) Milestones © 2013 Accreditation Council for Graduate Medical Education (ACGME)