Accreditation learning from each other
Download
1 / 36

accreditation learning from each other - PowerPoint PPT Presentation


  • 194 Views
  • Updated On :

Accreditation – Learning from Each Other. Jane C.K. Fitch, MD John L. Plewes Professor & Chair University of Oklahoma. Summary. ACGME/RRC info Data from ACGME website and Grogono’s 13 th annual anesthesiology NRMP report Survey info Example Discussion/ discussion / discussion. ACGME.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'accreditation learning from each other' - jaden


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Accreditation learning from each other l.jpg

Accreditation – Learning from Each Other

Jane C.K. Fitch, MD

John L. Plewes Professor & Chair

University of Oklahoma


Summary l.jpg
Summary

  • ACGME/RRC info

    • Data from ACGME website and Grogono’s 13th annual anesthesiology NRMP report

  • Survey info

  • Example

  • Discussion/discussion/discussion


Acgme l.jpg
ACGME

  • 7,800 GME programs

  • 118 specialty programs

  • 27 RRCs

  • RRCs include AMA (CME), ABMS (ABA), and academic specialty organization (ASA)


Acgme4 l.jpg
ACGME

  • 3 basic functions of accreditation:

    • Establishment and periodic revision of publicly available accreditation standards

    • Measure compliance by program with accreditation standards

    • Notify the general public of a program’s accreditation status


Accreditation actions l.jpg
Accreditation Actions

  • Withheld Accreditation**

  • Initial Accreditation

  • Continued Accreditation

  • Probationary Accreditation**

  • Withdrawal of Accreditation**

    (** indicates adverse actions)


Anesthesiology notification letter l.jpg
Anesthesiology Notification Letter

  • Accreditation Status

  • Length of Training

  • Maximum Number of Residents

  • Notification Letter

  • Effective Date

  • Next Site Visit

  • Program Listing


Acgme rrc anesthesiolgy staff l.jpg
ACGME RRCAnesthesiolgy Staff

  • Judith Armbruster, PhD, Executive Director

  • Linda Thorsen, MA, Associate Executive Director

  • Norma R. DeYagcier, Accreditation Administrator

  • Denise Braun, Accreditation Assistant


Rrc anesthesiology committee members l.jpg
RRC Anesthesiology Committee Members

  • J. Jeffrey Andrews, M.D. ASA

  • Audree A. Bendo, M.D. ASA

  • Philip D. Lumb, MB, BS ASA

  • Lois L. Bready, M.D. CME

  • David L. Brown, M.D. CME

  • Jeffrey R. Kirsch, M.D. CME

  • Steven C. Hall, M.D. ABA

  • Mark A. Rockoff, M.D. ABA

  • Mark A. Warner, M.D. ABA

  • Corey E. Collins, D.O Resident


Anesthesiology rrc l.jpg
Anesthesiology RRC

  • Average accreditation length is 3.7 years (range of 1 to 5 years)

  • Longer accreditation (4 or 5 years) indicates the ACGME and RRCs are more confident about a program’s ability to provide quality education.


Acgme11 l.jpg
ACGME

  • Field staff (FS) vs Specialist Site Visitor (SSV)

    • FS if cycle is 4 or 5 years

    • SSV if cycle is 1 to 3 years




Slide14 l.jpg
Withdrawn Programs by Academic Year (Voluntary Withdrawal, Accreditation Withdrawn, or Administrative Withdrawal)



Positions matched by state l.jpg
Positions Matched by State

  • 1999 - 2005

    • NY, CA, MA, PA, TX, IL

  • 24 % top 2 states

  • 44 % top 5 states

  • 64 % top 10 states


Positions matched per million population l.jpg
Positions Matched per Million Population

  • Avg 30 matched per 6.6 million

    • 4.37 matched/million

  • Range 1.1 – 20.98 matched/million


2005 nrmp l.jpg
2005 NRMP

  • 2.5 % incr recruitment (1200 to 1230)

  • 0.5 % decr positions offered (1289 to 1283)

  • 83 % programs filled (89 to 53)

  • 6.22 % NRMP students match into anesthesiology




Accreditation decisions in 2004 05 for all core anesthesiology programs l.jpg
Accreditation Decisions in 2004-05 for All Core Anesthesiology Programs

  • 132 Total programs

  • 33 Reviewed

  • 28 Cited

  • 1 Full Accreditation

  • 27 Continued Full Accreditation


Frequent anesthesiology citations l.jpg
Frequent Anesthesiology Citations Anesthesiology Programs

  • Evaluations

    • None by resident, faculty

  • Scholarly Activity

    • Few pubs, little or no ADs

  • PACU

    • Little organized teaching, other duties, not contiguous

  • Critical Care

    • No anesthesiology involvement

  • Resident Complement

    • Exceeded without approval


Frequent anesthesiology citations con t l.jpg
Frequent Anesthesiology Citations (con’t) Anesthesiology Programs

  • Clinical Experience (logs)

    • Uneven distribution, lack minimum requirement, not regularly monitored by PD

  • Goals and Objectives

    • Not detailed, not developed for all rotations, not distributed

  • Affiliation Agreements

    • Not signed, not updated, not all with PIF, integrated agreements not specify PD to make all appointments

  • Competencies

    • Not incorporated into curriculum, not familiar with Outcomes initiative


Frequent anesthesiology citations con t24 l.jpg
Frequent Anesthesiology Citations (con’t) * Anesthesiology Programs

  • Poor board scores

  • Continual faculty turnover

  • Inadequate supervision

  • Excess number of residents

  • Inadequate scholarly activity

  • Inadequate institutional support

    * JSA



States with no anesthesiology residency programs l.jpg

AK – West Anesthesiology Programs

HI - West

ID - West

MT – West

NV - West

WY - West

DE – NE

RI – NE

ND - Central

SD - Central

States with No Anesthesiology Residency Programs


States with only one anesthesiology residency program l.jpg

AL - South Anesthesiology Programs

AR – South

MS – South

OK – South

SC – South

WV – South

AZ - West

CO – West

NM - West

OR - West

UT - West

IN - Central

IA – Central

NE – Central

NH - NE

VT – NE

ME - NE

States with Only One Anesthesiology Residency Program


Slide30 l.jpg
OU Anesthesiology Programs

  • Nov 2000 “The Scarlet P”, 11 citations

  • Nov 2001

  • Site visit 3/02

    • See you in 2 years!

  • Site visit 5/04

    • 4 year review cycle, no citations


Slide31 l.jpg
OU Anesthesiology Programs

  • 3 areas:

    • ICU

    • Board scores

    • Scholarly activity


Slide32 l.jpg
OU Anesthesiology Programs

  • 3 areas:

    • ICU

      • Then

        • Pulm/med ICU & PICU

        • No anesthesiology intensivists

      • Now

        • NICU, PICU, Surgery/trauma

        • 3 intensivists

      • Future

        • Multidisciplinary fellowship


Slide33 l.jpg
OU Anesthesiology Programs

  • 3 areas:

    • Board scores

      • Then

        • 1 year curriculum, 6 AM lectures, ITE, AKT pre, no mock orals, no review course program, 65 %

      • Now

        • 3 yr curriculum, WEB 3 – 5 PM, ITE, AKT pre/post/6/18, mock orals, $ and time for one review course/yr/resident, 83 %

      • Future

        • 100 % pass rate


Slide34 l.jpg
OU Anesthesiology Programs

  • 3 areas:

    • Scholarly activity

      • Then

        • No clinical or basic research, no infrastructure, no ADs

      • Now

        • Both clinical and basic research, infrastructure, CST last 2 years, ADs

      • Future

        • PhD, peer reviewed funding


Slide35 l.jpg
OU Anesthesiology Programs

  • Support (aka $$$)

    • Dean, COM

    • CEO, Hospital (HCA)

  • OK Board of Health

    • Conrad 30 plan

    • HPSA, MUA, MUP


Summary36 l.jpg
Summary Anesthesiology Programs

  • ACGME/RRC info

    • Data from ACGME website and Grogono’s 13th annual anesthesiology NRMP report

  • Survey info

  • Example

  • Discussion/discussion/discussion


ad