2. Objectives:
Develop resident files that optimize resident
evaluation and meet ACGME requirements
Construct program files that contain program-related
documentation needed for quality improvement and
NAS annual reporting
APR-Annual Program Review
AIR – Annual Institutional Review (Performance Indicators)
Create a task management list that allows you to better
manage program activities
4. Three Steps to Improving GME
Program Management
Resident Files
Program Files
“To Do” Lists
5. Resident Files - Overview
Mandated information required for each resident
Easy to locate information for compliance
Uniform throughout the institution
6. Resident Files - Set up
ACGME Regulations
Institutional Policy
State Mandates
Curriculum
Program Policies
8. Program Files - Overview
Easily compile data for annual NAS/CLER reporting
and self study reports
Eliminate undue stress before reviews and audits
Track program compliance
Maintain uniform system throughout the institution
9. Program Files – Set up
Resident Files can be either paper or electronic.
Use the same tab titles for either format.
11. To Do List - Overview
Who creates it?
How long does it take to create?
Who manages it?
What does it mean?
How is it used?
Why is it useful?
12. To Do List – Set up
How do you start?
Load in your information
Use your curriculum
Use the AGGME
Regulations
Use your current
files, notes, lists and
reminders
Add Key NAS focus areas
Add annual education
committee topics
13. To Do List - Annual Education Committee Topics
Faculty Education Committee Meetings Topics List
Minutes - Review
Review Reports & Data:
•Last GMEC Dashboard – review evaluations, duty hours, contracts.
•Program specific metrics
•Review of actions on outstanding formal issues
•E*Value Reports including
•Remediation's update
•Program Director Teaching Faculty Report
•Coordinator’s Report – compliance issues & concerns
•Chief Resident’s Report – Issues & concerns
Topics to cover:
•Research scholarly activity – update on current projects
•Program Improvement (from last annual report and updates through the year)
•Quality Projects (from last annual report and updates through the year)
•Faculty Development projects – review past & discuss future projects
•Simulation Sessions: review past & discuss future projects
•Procedure counts – where applicable (on target for compliance? Issues?)
Annual Topics:
•Curriculum review
•Policy & Procedure Review
•Conference – Lecture Schedule Review (lecture titles/speakers/quality)
•Funding for projects (i.e. Board Review, faculty development, simulation, etc)
•Time commitment review – for faculty (any barriers? issues?)
•Professionalism activities – new ideas?
•Faculty development
Program Director Teaching:
• Items learned at conferences, articles, colleagues elsewhere, for example.
14. To Do List - KEY Focus Areas NAS/CLER
Patient Safety
Quality Improvement
Transitions in Care
Supervision
Duty Hour Oversight
Professionalism
15. To Do List – Don’t forget…
Program tasks and reminders
Coordinator tasks and reminders
Program Events
16. To Do List - Tips
This is an ever changing document
Updated annually
Updated with new regulations NAS/CLER
Updated with new online programs
Every program’s list will be different
Your To Do list will be very selective to your program