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Successfully Preparing for an ACMGE Site Visit: A Program Coordinator’s Approach. Tabitha Fineberg Education Coordinator firstname.lastname@example.org (617) 636-5846. 7 Steps to Success. Notifying & Communicating Information Preparation Gathering Necessary Documentation
Everything electronic should be printed
Competency based goals and objectives
The ABIM printouts will need to be added to your binder
It is acceptable to have separate binders for evaluations, conference attendance, etc.
Gathering Necessary Paperwork
It’s their job, don’t get defensive! Just state the facts.
Program policies and procedures for fellows’ duty hours and work environment
Overall educational goals for the program
A sample of competency-based goals and objectives for one assignment at each educational level
All Program Letters of Agreement
A blank copy of the forms that is used to evaluate fellows at the completion of each assignment
Copies of tools the program uses to provide objective assessments of competence in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice
A blank copy of the form that documents the semiannual evaluation of the fellows with feedbackSite Visitor Document Checklist (Appendix A)
A blank copy of the form that fellows use to evaluate the program
A blank copy of the form that faculty use to evaluate the program.
A blank copy of the form that multiple evaluators (faculty, peers, patients, self, and other professional staff) use to evaluate fellows.
A blank copy of the final (summative) evaluation of fellows, documenting performance during the final period of education and verifying that the fellow has demonstrated sufficient competence to enter practice without direct supervision
For each site, a description of the lines of responsibility among fellows at various stages in training, and attending physicians, on each type of teaching service.
Documentation of a program evaluation and written improvement plan.
Documentation of fellow duty hours
Documentation (one-page, print screen from ABIM website) of Program Director, Associate Program Director (if applicable) and Key Clinical Faculty (minimum required) current ABIM-certification.Site Visitor Document Checklist (Appendix A cont)
Current and past contracts to your institution
Current state license card and application
Employee Health clearance forms
Verification of completion of residency (either diploma, ABIM printout, or final evaluation from residency program)
Other necessary paperwork e.g. visa applications, mandatory hospital training, etc
Confidential area for notes regarding praises, reprimands, etc
Interview documents and letters of letters of recommendationFellows Folders
Each fellow should have a folder containing;
New Innovations is a great tool to help you monitor the day to day training of your fellows. It can monitor;Most site visit auditors know how to use this program and once you log them in can and will actually look up everything that they need.
Everything needs to be competency-based – including curriculum; this is extremely important for site reviews
The ACGME has established six general competencies for residency / fellow education. These competencies are the guiding principles for all graduate medical education (and lifelong learning). They include:
Medical Knowledge:learn about established and evolving biomedical, clinical, and cognate sciences and the application of this knowledge to patient care.
Patient Care:provide compassionate, appropriate, and effective patient care for the treatment of health problems and the promotion of health.
Practice Based Learning and Improvement:investigate and evaluate patient care practices, appraise and assimilate scientific evidence, and improve patient care practices.
Systems Based Practice:demonstrate an awareness of and responsiveness to the larger context and system of health care and effectively call on system resources to provide care that is of optimal value.
Professionalism:show a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
Interpersonal and Communication Skills:demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, families, and professional associates.