Update from the RRC

1. Update from the RRC Suzanne Z. Powell, M.D. A Disclaimer: I am providing this information to you as an individual who is an RRC member, not as the official representative of the RRC or ACGME.  

2. AP/CP Requirement Changes • Shared Autopsy: 2 maximum • Eliminate “Primary Prosector” • Participate in all aspects of Autopsy • “appropriate to the case”

3. AP/CP Program Requirement Changes • Autopsy • Recognize that many programs need to have forensic cases count toward the 50 required cases for the ABP • Participation in all 7 aspects of the case will not be tightly adhered to – “participate in aspects appropriate to case” • However, residents will be expected to preview slides on their cases prior to signout

4. Autopsy Components • Review of History and Circumstances • External Exam of Body • Gross Dissection • Review of Micro & Lab Findings • Written Description of Gross & Micro • Opinion on Cause of Death • Review of Report with Faculty

5. Future Requirement Addition • Pathology Specific Competencies • (attachment circulated at PRODS meeting)

6. New Bone Marrow PIF Question If residents do not perform bone marrow aspirations and/or biopsies, how do you ensure that they become familiar with the procedures and the determination of the adequacy of specimens and preparation techniques?

7. General Competencies As of July, 2006 Goals & Objectives in all 6 Areas Teaching/Learning in all 6 Areas Evaluation in all 6 areas Use eval result to improve program

8. General Competencies As of July, 2006 RRC Citations: Constructive Recommendations GMEC Review of Program Compliance Increasing Emphasis on Performance Data

9. General Competencies Components of a Curriculum Goals & Objectives Teaching Strategies/Learning Opportunities Evaluation Methods

10. General Competencies Curriculum Materials Medical Knowledge Acquisition Analysis Application

11. General Competencies Curriculum Materials Patient Care Gathering Information Synthesis Partnering with patients/families Technical Skill

12. General Competencies Curriculum Materials Practice-based Learning and Improvement Life-long Learning Evidence-based Medicine Quality Improvement Teaching Skills

13. General Competencies Curriculum Materials Systems-based Practice Health Care Delivery System Patient Safety and Advocacy System Causes of Error

14. General Competencies Curriculum Materials Professionalism Professional Behavior Ethical Principles Cultural Competence

15. General Competencies Curriculum Materials Interpersonal & Communication Skills Communicating with Patients & Families Communicating with Team Members Scholarly Communication

16. ACGME Case Log System • Required areas for data entry: • Autopsy • Fine Needle Aspiration Biopsy • Bone Marrow Aspiration Biopsy • Since 7/1/2006, only 994 residents have made at least one entry into the case log system (there are 2330 filled resident positions currently) • Only 50% of programs entered data when examined at the last RRC meeting

17. ACGME Approved Positions • Almost no increase in AP/CP positions in the last three years • 2554 positions in 2003 • 2568 in 2005 • FILLED positions have increased from 2163 in 2001 to 2330 in 2005 • NRMP March 2007 – 513 positions offered in the match, only 47 not filled prior to “Scramble Day” • Selective Pathology Program approvals continue to rise and therefore, changes to the Selective Pathology PIF, particularly since many of these programs are for AP, in the works • 9 programs with 36 fellows in 2000 • 13 programs with 45 fellows in 2003 • 40 programs with 96 fellows in 2005 • 44 programs with 105 fellows in 2006

18. RRC Contact Information • 515 North State Street, Suite 2000 • Chicago, IL 60610 • Fax: 312.755.7498 • Steve Nestler: 312.755.5025, spn@acgme.org • Billy Hart: 312.755.5026, bhart@acgme.org • ACGME Webpage: www.acgme.org