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CITATION DATA BASE Council of Emergency Medicine Residency

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Slide 1 - Residency Review Committee for Emergency Medicine Report to CORD Art Sanders, MD, Chairman October 2004
Slide 2 - AMERICAN BOARD OF EMERGENCY MEDICINE Dane Chapman, M.D. Daniel Danzl, M.D., Vice-Chair Rebecca Smith-Coggins, M.D. MaryAnn Reinhart, Ph.D, Ex-officio COUNCIL ON MEDICAL EDUCATION (AMA) Louis S. Binder, M.D. Charles K. Brown, M.D. Arthur Sanders, M.D. , Chairman AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Francis Counselman, M.D. Sandra Schneider, M.D. David Overton, M.D. Marjorie Geist, Ph.D., Ex-officio EMERGENCY MEDICINE RESIDENTS ASSOCIATION Kelly Corrigan, M.D. RRC for Emergency Medicine
Slide 3 - Committee Action September 2004 2nd Review of Program Application Confirmed Withhold 01 1st Review of Program Applications Proposed Withhold 02 Provisional Accreditation 02 UMNDJ-New Jersey Medical School (Newark) University of Utah (Salt Lake City) Review of Applications (9/2004)
Slide 4 - Status Decisions Accreditation Cycle 2 Provisional - 3 year cycles 2 Full Accreditation - 3 year cycle 6 Full Accreditation - 4 years/7 years pilot 6 Full Accreditation - 5 years/8 years pilot
Slide 5 - RRC-EM Pilot Project Extend max accreditation cycle from 5 to 8 yrs Require yearly QI indicators of the program Update of citations Changes in program Procedures, resuscitations of graduating residents ED volume, faculty supervision Resident survey yearly
Slide 6 - RESIDENT SURVEY 3 year plan to survey 1/3 of residents each year for 3 years Year 1 had 85% compliance rate and over 25,000 respondents Survey programs with 5 residents or more Survey January through April Internet based – Average 9 minutes to complete
Slide 7 - RESIDENT SURVEY Used by site visitors as additional data element to augment resident interview and as early warning of non-compliance indicator 32 Questions pertaining to Duty Hours, Competencies, Evaluation, and Supervision Ability for residents to enter comments and/or connect to confidential resident complaint system
Slide 8 - RESIDENT SURVEY PDs and DIOs have access to aggregate reports if compliance is 70% or higher Plan to have every resident complete survey annually (5 or more in program) Plan to add Specialty specific questions to aid in program review
Slide 9 - RRC-EM Pilot Project It is inappropriate to claim that programs in the pilot with longer accreditation cycles are better than other programs.
Slide 10 - New Program Requirements Approved in June 2004 Effective January 2005 Competencies - Guidelines on Competencies Yearly competency assessment, 3 procedures, 3 chief complaints, 1 resuscitation, 50% off service Duty Hours New PIF
Slide 11 - Program Requirements Revision Subspecialties Toxicology Pediatric Emergency Medicine
Slide 12 - New PIF Questions on Clinical Operations ED volume and supervision ratio Time to CT scan, blood, etc. Throughput time for admitted and discharged pts. Ambulance diversion time On call consultants
Slide 13 - New PR - Clinical Operations The hospital must assure that all clinical specialty and subspecialty services are available in a timely manner…If any clinical services are not available for consultation or admission, the hospital must have a written protocol for provision of these services elsewhere. This may include written agreements for the transfer of these patients to a designated hospital that provides the needed clinical services. (PR II.E.2)
Slide 14 - Guideline - EM Faculty Qualifications All EM faculty supervising EM residents on EM rotations must be board certified by ABEM or have appropriate qualifications in EM. Examples of educational qualifications acceptable to the RRC: Certification by the AOBEM Certification by a subspecialty board of ABEM Recent residency or fellowship graduates working toward certification by the above Boards Qualifications must be relative to the pt population supervised
Slide 15 - RRC-EM Outcomes Project RWJ Grant to ACGME - Competency Project To identify patient care quality measures that are appropriate to use to assess the outcomes of GME in EM To link patient care quality measures in EM to the quality and effectiveness of GME Can accreditation decisions be outcome rather than process based?
Slide 16 - RRC Report to CORD Questions???