GME Internal Review Basics Heather A. Nichols Accreditation Manager Office of Graduate Medical Education.

Slides:

Advertisements

Similar presentations

Evaluation Team Chair Training

Advertisements

BY RAYMOND GREENLAW ARMSTRONG ATLANTIC STATE UNIVERSITY ABET-Accreditation Timeline.

Substantive Change Requesting Commission Approval of Substantive Changes at Institutions MSCHE Annual Meeting December 2009.

The Commissions Expectations on Reporting Middle States Commission on Higher Education.

Accreditation Liaison Officers (ALOs) MSCHE annual conference 2010 Mary Ellen Petrisko, Vice President.

1 Responding to Extreme Changes between Self-Study and the Evaluation Visit Dr. Andrew Thompson, Provost Dr. Richard Resch, Provost (Retired) The American.

Starting Planning for the 2010 Policy Key Issues Notes for the TAC Executive Committee April 8, 2009 Phil Hattis, AIAA VP for Public Policy.

IMPLEMENTING EABS MODERNIZATION Patrick J. Sweeney School Administration Consultant Educational Approval Board November 15, 2007.

Ready, Set, GO! Power Prep for the ACGME Site Survey!

Orientation for New Site Visitors Site Visitor Responsibilities, Expenses, and Training.

Planning for Academic Program Review Site Visits

ACCREDITATION Community Day February 1, Significance of Accreditation Accreditation – Accreditation – Allows the students at KC to apply for Federal.

The New ACGME Resident Survey

1 E*Value Module 2 GME E*Value Training, May 19-21, 2008 Office of Graduate Medical Education Evaluations Management Duty Hours Management.

2010 SACS-COC Annual Meeting December 6, 2010 CS-69 Administrative Program Review Assuring Quality in Administrative and Academic Support Units.

Support Services Review Support Services Review (SSR) is a representative, responsive form of assessment and self-evaluation to ensure continuous quality.

Clinical Competency Committees (CCC): 3 different perspectives Sharon Dabrow: Pediatrics PD Cuc Mai: Internal Medicine PD Todd Kumm: Radiology PD.

©2013 Accreditation Council for Graduate Medical Education (ACGME) Information Current as of December 2, 2013 The Program Evaluation Committee and the.

ACGME Next Accreditation System AAMC Contacts: Carol Aschenbrener, M.D., Sunny Yoder

Program Evaluation Committees (PEC), Annual Evaluations, and the 10 year Self Study and Visit in the Next Accreditation System Cuc Mai MD FACP August.

Annual Register Verification Training Presented By: OFFICE OF AUDITOR GENERAL New York City Department of Education.

PROCEDURES TO USE TO ESTABLISH STANDARDS DEVELOPMENT COMMITTEES TO REPLACE COMMON CORE'S STANDARDS 1.

What it Means to be a Program Director Rita M Patel MD Professor of Anesthesiology & Vice-Chair, Education Department of Anesthesiology Associate Dean.

LCME Self Study Kick Off. What is the LCME? Accrediting agency for programs leading to the M.D. degree in the U.S. and Canada Jointly sponsored by the.

Rejected! Rebounding From and Moving Forward Following a Monitoring Report Requirement.

Program Director Best Practices: Initial Survey Results University of Utah GME Annual Program Director Retreat Susan Stroud, MD Sonja Van Hala, MD, MPH,

Accreditation Council for Graduate Medical Education Residency Review Committee Update APDVS and Residency Coordinators Meeting Chicago, IL April 16, 2010.

Conducting Your Program’s Annual Review Esther Tucci, CTAGME Pinnacle Health Harrisburg, PA.

PRESENTED BY: Michael T. Flannery, M.D., F.A.C.P. Professor of Medicine GME Internal Review Director.

©2013 Accreditation Council for Graduate Medical Education (ACGME) Information current as of December 2, 2013 Recent Changes in ACGME Policy.

Orientation for Academic Program Reviews

The GME Committee Lois L. Bready, M.D. Associate Dean for GME and DIO Chair, GME Committee, UTHSC San Antonio John D. Rybock, M.D. Assistant Dean and Compliance.

Preliminary Feedback from ACGME CLER Site Visit August 19-21, 2014

Kristen Morda, MA Graduate Medical Education Librarian September 27, 2011.

Department of Graduate Medical Education (GME) ACGME Upcoming Site Visit Background Information.

CASE LOGS & CLINICAL PROCEDURE TRACKING M. Njoku, MD UMMC DIO, Chair GMEC GMEC Meeting June 25, 2015.

ANC Bylaws Amendments July 22, Article III Membership B Membership Criteria, p. 2 “Neighborhood Group” shall mean a Homeowners Association or.

Medical School Preparation for LCME Accreditation The University Toledo College of Medicine August 24, 2011 Barbara Barzansky, PhD, MHPE LCME Secretary,

For everything, there is a season Neurosurgery Timeline Lois Hengenius University Hospitals Case Medical Center Cleveland, OH May 19, 2011.

Program Administrator Certification

Continuing Accreditation The Higher Learning Commission provides institutional accreditation through the evaluation of the entire university organization.

Department of Orthopaedics Focused Site Visit

McGaw’s Overview of the Next Accreditation System (NAS)

Preparing for Internal Reviews and Site Visits Robert J. Nolan, MD.

GMEOC Internal Review Refresher for Review Participants on Process & Roles August 19, 2009.

E. Ryan - ARCS Presentation May 8, 2003 Preparing For A Site Visit: Supervising the Collection of Data Association of Residency Coordinators in Surgery.

Proposal Development by Faculty in an Academic Unit College, School, Department, or Program Proposal Preparation Office of Academic Programs, Assessment,

Proposal Development by Faculty in an Academic Unit College, School, Department, or Program Proposal Preparation Office of Academic Programs, Assessment,

Next Accreditation System (NAS) Primer Cuc Mai IM Residency Program Director Annual PD Workshop 2015.

Accreditation Council for Graduate Medical Education Radiology Review Committee Update.

Clinical Learning Environment Review GMEC January 8, 2013

New Program Proposal Workflow Chart

Refresher for Review Participants on Process & Roles August 19, 2009

How do we carry out the election process last year?

ASSISTANCE DOGS INTERNATIONAL ACCREDITATION PROCEDURES 2018

SOAP Obstetric Anesthesiology Fellowship Companion Document

Oversight of Underperforming Programs Through Special Reviews

Substantive Change Full Category I Proposal Workflow

Terminate an Academic Unit

Residency Coordinator & GME Office Collaboration

Establish a New Academic Unit

Suspend a Degree or Certificate Program

Rename an Academic Program (Degree or Certificate) or Academic Unit

Completing your Program Review

Are you ready? Preparing for your ACGME Site visit

The Program Evaluation Committee and the Annual Program Evaluation

An Introduction to the ACGME

How to Survive a Self-Study!!

Presentation transcript:

GME Internal Review Basics Heather A. Nichols Accreditation Manager Office of Graduate Medical Education

2 Internal Review Basics What is an Internal Review (IR)? Why are IRs conducted? When are IRs held? How do you prepare? Where are IRs held? Who must attend? What occurs during a review? What occurs after a review?

3 What is an Internal Review (IR)? Assessment of a programs compliance with ACGME requirements Method to address program challenges Method to share best practices Two hour meeting with prep and follow up

4 Why are IRs conducted? Valuable preparation for a Site Visit ACGME Institutional Requirement Valuable preparation for a Site Visit ACGME Institutional Requirement Valuable preparation for a Site Visit ACGME Institutional Requirement Valuable preparation for a Site Visit ACGME Institutional Requirement Valuable preparation for a Site Visit ACGME Institutional Requirement

5 When are IRs held? ACGME Institutional Requirements: Internal reviews must be in process and documented in the GMEC minutes by approximately the midpoint of the accreditation cycle. The accreditation cycle is calculated from the date of the meeting at which the final accreditation action was taken to the time of the next site visit. (IV.A.2)

6 DIO View of Internal Review Schedule in ADS

7 Where are IRs held?

8 How do you prepare? Select a date Complete Self Study document Read your Program Requirements Gather documents Submit materials Distribute binders

9 Who must attend? YOU Program director Key program faculty Department chair (optional) Peer selected residents from each PGY Internal Review Committee

10 Who serves on the Internal Review Committee? Associate Dean for GME, Robert Baron, MD Chair, Internal Review Committee, Claire Brett, MD GME Accreditation Manager, Heather Nichols GME Director, Amy Day Outside faculty member Outside resident/clinical fellow

11 What occurs during the review? Open discussion Review documents in binder Best practices Final 30 minutes of review is spent with the residents/clinical fellows

12 What occurs after the review? 1.Internal Review Committee writes report 2.Report sent to program with request for response 3.Report presented to GME Executive Committee and GME Committee 4.Programs response to report presented to GME Executive Committee and GME Committee 5.*NEW* progress report 6.ACGME/RRC reviews report and response at Institutional Review

13 Dates to Know and Remember Your mid cycle date Your approximate site visit date Institutional Review: October 2010 ACGME ADS Annual Update: August 2009

14 Im here to help you with… Anything ACGME related Site Visit and PIF preparation OGME PD Annual Report: September 2009 Program Letter of Agreement (PLA) AND Internal Reviews

15 Additional Accreditation Resources ACGME e-Communication ACGME ADS Video Tutorials ACGME program requirements Program Coordinators Claire Brett, MD, Vice Chair, Internal Review Committee ACGME Annual Conference, Nashville, TN: March 4-7, 2010

16 Heather Nichols Accreditation Manager Office of GME Contact: