Updates from the Review Committee for Pediatrics

Suzanne Woods, MD, Chair, Review Committee for Pediatrics Caroline Fischer, MBA, Executive Director Laura Edgar, Executive Director, Milestones Development

Disclosure

We have no relevant financial disclosures.

New Review Committee Leadership

• Chair – Suzanne Woods, MD • Vice Chair – Deepak Kamat, MD

Review Committee Composition

• 4 appointing organizations • AAP, ABP, AOA, AMA

• 15 voting members • 6-year terms – except resident (2 years) • Generalists, subspecialists, 1 public member • 1 Ex-officio (non-voting) member each from

AAP, ABP, and AMA

Geographic Distribution of the RC

• CA, CT, FL, GA, MD, MI, NJ, NY, NC, OH, TX, VT, VA

Congratulations Awardees!

• Courage to Lead (honoring DIOs) • Mary Ottolini, MD, MPH - Children's National Medical Center

• Courage to Teach (honoring program directors) • Alex Djuricich, MD - Indiana University School of Medicine (Med-

Peds) • Eileen Klein, MD, MPH - University of Washington School of

Medicine, Seattle Children's Hospital (Pediatric Emergency Medicine)

• David C. Leach Award (honoring residents, fellows) • Adele Reeder, MD - Baylor College of Medicine (Pediatrics)

January 2016 Status Decisions

Status Core Subs Med-Peds

Initial Accreditation 0 4 0

Continued Accreditation w/o Outcomes 0 3 0

Continued Accreditation 192 737 37

Continued Accreditation w/Warning 0 1 0

Probation 0 0 0

Withholding of Accreditation 0 1 0

Withdrawal of Accreditation 0 0 0

Citations vs. Areas for Improvement (AFIs)

core programs subspecialty programs

Citations AFIs

AFIs/Citations – Core Programs

• Duty Hours • Educational content

• Service vs. education • Appropriate balance for education • How to manage fatigue

• Resources • Process to deal with concerns • Support staff

• Board pass rate

AFIs/Citations – Core Programs

• Evaluations • Program uses evaluations to improve • Confidential • Timely feedback provided • Multiple assessment methods

AFIs/Citations – Subspecialty Programs

• Faculty scholarly activity • Evaluations

• Program uses evaluations to improve • Timely feedback • Multiple assessment methods • Multiple evaluators

AFIs/Citations – Subspecialty Programs

• Resources • Process to deal with problems and concerns • Raise concerns without fear

• Educational content • Service vs. education • Appropriate balance for education

• Fellow scholarly activity

Provided Data About Practice Habits

• Resident Survey question intended to ascertain whether residents receive “data” about their clinical performance that allows them to analyze their performance and implement changes to improve it

• Clinical performance data can include information such as patient satisfaction surveys, the number of patients seen, the number of lab tests/imaging studies ordered

Annual ADS Update

• Areas where inaccuracies/incomplete data are often found:

• Faculty Roster • Certification information

• Physician faculty CVs • Licensure information

• Non-physician faculty CVs • Not required for all • Complete for research mentors

Annual ADS Update cont.

• Scholarly activity • Complete information provided for each faculty

member/resident

• Block diagram • Abbreviations, non-standard format • Identify individualized curriculum

• Response to citations • Explain how corrected, what progress has been made

toward correction, and what is the action plan • Provide data, if appropriate

Program Requirements Revisions

• Individual Pediatric Subspecialty Requirements • ON HOLD

• General Pediatric Subspecialty Program Requirements • Currently under revision • Posted for review and comment

• Deadline for comments is May 12th • Use Review and Comment Form

• Anticipated effective date: July 1, 2017

Common Program Requirements Revisions

• Task Force convened to review the Resident Learning and Working Environment requirements • Review of literature

• Request for organizational positions • National Congress in March

• Review and comment period

• Second Task Force will be convened to review remaining sections (I-V) of the Common Program Requirements

Single GME Accreditation System (SAS)

• 139 applications submitted from AOA-approved programs

• 2 applications received from AOA-approved pediatrics programs • The first has achieved initial accreditation

• The second will be reviewed at the May 2016 RC meeting

SAS Dually-accredited Programs

• Dually-accredited programs do not need to submit a new program application

• They may need to ask the Review Committee for a complement increase if residents in the AOA program are not currently counted in the ACGME complement

• They may seek Osteopathic Recognition

• Osteopathic Recognition separate from accreditation of specialty program

• Osteopathic Recognition will be conferred by new Osteopathic Principles Committee

Leaves of Absence

Q: Must every leave of absence be reported in ADS (e.g., a week of sick time)?

A: No, but should be reported when: • duration of training is extended • completion of Resident Survey/Milestones is affected

New Initiatives

• Addiction medicine • The American Board of Medical Specialties (ABMS)

recognized addiction medicine as a subspecialty • The American Board of Preventive Medicine (ABPM)

sponsored the application to allow physicians certified by any of the 24 ABMS member boards to apply for the new certificate

• Petition to accredit programs submitted to the ACGME

• Dependent subspecialty of family medicine, internal medicine, pediatrics or psychiatry

New Initiatives cont.

• ACGME Coordinator Advisory Group • To serve as a consultative group to the ACGME

administration on matters related to improving medical education and the coordinator role

• Program and institutional coordinators • Minimum of 5 years in their position • Must be identified in ADS as a program coordinator • Nominations due April 15, 2016

• Advancing Innovation in Residency Education (AIRE) • Enable novel approaches and pathways in GME • Enhance the attainment of outcomes through innovative

structure and processes in residency/fellowship education • Limited number of proposals will be accepted • Cross-institutional rather than single program • Extensive evaluation component/theory and empirical

driven • Reviewed by the ACGME Innovation Pilot Research

Committee • Details will be forthcoming in late spring

• Pursuing Excellence in Clinical Learning Environments • 4-year initiative • Leaders of hospitals/medical centers with leaders in GME • Generate ideas, test innovative approaches to implement

learning and patient care, and share challenges and successes • Lead to measurable improvement in both patient care and

learner experience • Eight sponsoring institutions • Innovation Collaborative

• Accomplishments of the smaller groups will be shared with increasingly larger networks

Program Resources

• www.acgme.org • Website redesign

• webfeedback@acgme.org

• ACGME Policies and Procedures • Milestones and Clinical Competency Committee Guidebook • List of accredited programs • ADS • FAQ documents (e.g., specialty, Milestones, duty hours) • General information on site visit process and your site visitor • Faculty development slide decks

Program Resources cont.

• Pediatrics web page • Resident complement increase policy • Program Requirements and program application forms • Pediatric FAQ documents • Presentations • Milestones

• Crosswalk of Pediatrics Reporting Milestones

• Weekly e-Communication • Contains general GME information, accreditation-related

updates, announcements regarding Program Requirements, updates from the Review Committee on ACGME issues/initiatives, etc.

ACGME Contacts

• ADS: ads@acgme.org

• Heidi Sowl (hsowl@acgme.org) 312.755.7443

• Site Visit: • Ingrid Philibert (iphilibert@acgme.org) 312.755.5003 • Jim Cichon (jcichon@acgme.org) 312.755.5015 • Penny Iverson-Lawrence (pil@acgme.org) 312.755.5014

• Requirements, Forms, or Notification Letter: • Caroline Fischer (cfischer@acgme.org) 312.755.5046 • Denise Braun-Hart (dbraun@acgme.org) 312.755.7478 • Kim Rucker (krucker@acgme.org) 312.755.7054 • Luz Barrera (lbarrera@acgme.org) 312.755.5077

The ACGME is Moving

• 401 N. Michigan Avenue

MILESTONES UPDATE

Value of Twice Yearly Reporting

• Valuable national snapshot that can inform the community

• Opportunities for remediation

• Will be reconsidered in Milestones 2.0

Data Use

• Milestone Evaluations are NOT used for accreditation purposes

• Completing the Milestone Evaluations is an indicator in your program’s annual review

• Research

Milestones Resources

• Milestones web page

• Milestones FAQs

• Clinical Competency Committee Guidebook

Coming Soon: National Milestone Report

Milestone Development Guidebook

Questions or Feedback can be sent to:

Milestones:

milestones@acgme.org

Laura Edgar ledgar@acgme.org

Questions?

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