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VUMC Content Manager. Sponsor Dr. Doris Quinn Advisor Dr. Andrew Dozier. The Role of the ACGME The Accreditation Council for Graduate Medical Education (ACGME) is a private professional organization responsible for the accreditation of nearly 7,800 residency education programs.
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VUMC Content Manager Sponsor Dr. Doris Quinn Advisor Dr. Andrew Dozier
The Role of the ACGMEThe Accreditation Council for Graduate Medical Education (ACGME) is a private professional organization responsible for the accreditation of nearly 7,800 residency education programs. The Accreditation ProcessTo gain and maintain accreditation, 1- Institutional Accreditation 2- Program Accreditation On average, each accredited residency program is site visited every 3.7 years.
Vanderbilt University Medical Center • Last Site Review Date: November 18, 2003 • Next Site Review Date (approximate): April 1, 2009 • Ownership or Control Type: Other Non-profit • Type of Institution: Teaching Hospital • Requirements: • Institutional Responsibilities • Institutional Responsibilities for Residents • Internal Review • Graduate Medical Education Committee Responsibilities • Duty Hours Evaluation
Institution Requirements • Sponsoring Institution: Responsibility for the program • Participating Institutions: • Faculty with specified responsibilities for teaching supervision and formal evaluation of residents. • The duration and the content of the educational experience • The policies and procedures governing the resident education • Program Personnel and Resources • Qualified and Certified Program Director • Sufficient number of qualified faculty members to instruct and supervise • Specialized physicians • Additional staff members • Adequate resources and funding
Institution Requirements Continued.. • Eligible Residents • Curriculum • Resident Duty Hours (80 hours per week) and Environment • Evaluation of the Residents • Experimentation and Clinical Component (an average of 125 major operations per year) • Certification
Thoracic Surgery Residency Program Original Accreditation Date: January 27, 1956Accreditation Status: Probationary AccreditationAccreditation Effective Date: January 16, 2004Accredited Program Length: 3 years Last Site Review Date: April 15, 2003Next Site Review Date (approximate): January 1, 2005
Resident Education Program in Thoracic Surgery • No moonlighting is allowed • (moonlighting: the circumstance of working as a physician outside of one's authorized training program is called "moonlighting".) • Duty hours: 80hours/week • Maximum continuous onsite duty: 24 consecutive hoursOut of the hospital and free: 1day/week (no beeper call, no in-house call) • Maximum duty period: 30hours • Minimum rest period between duty period: 10hour • Each resident need to take the American Board of Surgery In-Service Training Examination (ABSITE) in January. • Evaluations
Ways Programs Have Adapted • Stretch Model • Night-Float Model • Apprentice Model • Mastery Model
Ways to Monitor Hours • Electronic Evaluation System • Weekly Progress Reports
Continuing Research • Mentioned Last Time • New Innovations • Offers the Residency Management Suite • Used in ¼ of all ACGME Programs • Akcia Incorporated • Offers several specific programs • Gives Institution ability to customize their software package • Research of these products is still continuing along with some new products
New Software Products • MedHub • A secure, encrypted web-based application • Uses a stakeholder method, promotes communication • Each stakeholder is able to manage their own data and the system validates the inputs • Seems to have a very good scheduling system along with all the other requirement tracking elements (such as duty hours, evaluations, etc.) • Emphasis Security on the Site • Pride themselves on the System being rather intuitive
New Software Products • VerinformRM • Also a Web-based system • Does everything that is known to be needed • Nothing to really distinguish it from the others, yet • More research to be done, future plans include • Acquiring product demos and more specific information (cost, hardware needed, etc… )