Archive for: ACGME Site Visits
ACGME gives guidance on managing emergency situations
Today, the ACGME posted Responsibilities of ACGME-accredited Programs and Institutions in Local Extreme Emergent Situations, which discusses protocols for handling emergency situations.
ACGME puts Chicago neurosurgery program on probation
The ACGME put the neurosurgery program at the University of Chicago on a two-year probation, according to a FierceHealthcare article.
Although the ACGME has not yet said that this is the reason why the program was put on probation, program leaders have an idea of what caused the adverse action.
ACGME releases RC Notable Practices
Several program directors and coordinators have told me that their ACGME site visitors have praised their evaluations, pieces of their curriculum, annual review templates, etc and asked for copies of the documents to take with them.
ACGME puts institution on probation
The ACGME put the University of Missouri’s School of Medicine on probation, and the school’s officials are still awaiting the report outlining what specific problems were detected, according to the Columbia Daily Tribune.
Although the ACGME will not give the specifics of the probation, press officer Julie Jacobs was quote in the Tribune article saying that common citations include record keeping issues or having inadequate policies.
School officials say they will immediately correct any problems as soon as they know what those issues are.
For now, not much will change for residents at University of Missouri School of Medicine unless the sponsoring institution does not fix the problems. However, the school will have to notify applicants that the institution is on probation.
Quick tips for ADS pain points
ADS is a double-edged sword. It’s a great way to easily communicate information to the ACGME, but many coordinators say it’s not the most user-friendly system.
That may be why Rebecca Miller, ACGME VP of Applications and Data Analysis gave a presentation entitled, “Accreditation Database System (ADS) 2009 Update”.
Fetal medicine fellowship loses accreditation
The American Board of Obstetrics and Gynecology stripped The University of South Florida’s fetal medicine fellowship of accreditation, according to an article in the St. Petersburg Times.
After a site visit in October, the Board ruled that there was too little supervision at some of the clinics the fellows worked in, said the article.
The fellowship program director claims that the reasons the Board cites for removing accreditation are not factual. The Board issued 10 citations, according to an article in The Oracle, USF’s newspaper. For example, the article states that one of the citations issued is because the program director did not have any published papers, but the program director publishes about one paper per month. Apparently, the Board had the wrong director listed.
According to The Oracle, GME officials says they’re confident the program will regain accreditation quickly.
What to do if residents do not report their scholarly activities
The ACGME requires programs to have evidence of residents’ scholarly activities and research. Keeping tabs on residents’ projects can be a bear of a task for coordinators.
Lessons learned from an ACGME Site Visit
We just had our site visit last week. I am sure you can all relate to that relieved feeling that washes over you once it’s all over. I would like to share with you a “pearl of wisdom” I learned from this site visit.
PIF Made Simple
I spoke with a coordinator today who had a site visit last month. It’s an understatement to say she’s happy that it’s over.
We discussed how much time, effort, and preparation goes into preparing the PIF. She lamented that program directors and coordinators do not have a lot of guidance or great resources to consult as they complete this very important document.
The good news is that we just published Program Information Form Made Simple: A Guide to Completing the ACGME PIF, by Jeri L. Whitten, C-TAGME, and Vicki Hamm.
The book offers:
- Time lines for preparation
- Heads up on some of the most common PIF traps
- Sample PIF answers regarding how you teach and assess the competencies
- Solutions for organization
I posted a sample chapter, Chapter 3: Countdown: One Year Before the Site Visit, in the Forms and Documents section. It tells readers what PIF preparation steps they should take a year prior to the site visit.
You can also find out more about the book by clicking here.
Duty hours violations puts program’s accreditation in jeopardy
On Sunday, the Boston Globe reported that the surgery program at Beth Israel Deaconess Medical Center (BIDMC) may lose its accreditation due to duty hour violations.
According to the Globe, after a review in July, the ACGME cited the program for not meeting the standards. During its review of the program, the council identified regular instances of residents working seven days straight and 90 hour weeks, the article reports.
BIDMC administration had until yesterday to fix the problems when the ACGME visited the program to check on their progress.
In the article, the head of the surgery residency program discusses what they’ve done to prevent violations. He also points out that if a resident is at the limit, and a patient walks in with an aneurysm, the resident “doesn’t have the luxury of saying ‘I’m sorry, I have to go home.’”
How does your program handle instances like the supervisor of the surgery program describes? What do you do when a resident is up against their limit, and a patient rolls in with a life-threatening injury?
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