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Sponsoring Institution 2025

Executive Summary

Sponsoring Institution 2025 (SI2025)  is an 18-month project that will develop a future vision for accredited institutional sponsors of graduate medical education (GME) programs. Led by representatives from a diverse range of learning and working environments, this project will culminate in a report to be published in 2017. The ACGME will use the report to guide the evolution of institutional accreditation, and will encourage Sponsoring Institutions to incorporate project findings into their future planning.

The ACGME-accredited Sponsoring Institution is a relatively recent development in the history of GME in the United States. In 1982, the ACGME recognized that residency and fellowship programs would benefit from a larger organizational structure. At that time, in its “Essentials of Accredited Residencies,” the first section of the General Requirements included a brief section on the responsibility of institutions. In 1995, the ACGME Board of Directors chartered an Institutional Review Committee for the purpose of recognizing the Sponsoring Institution through formal review. In 2005, the Board of Directors delegated authority to the Institutional Review Committee to accredit institutions that sponsored multiple programs. Over time, the Sponsoring Institution has become an entity that oversees and supports its accredited programs. In 2011, a revision of the ACGME Bylaws included a new ACGME function: to review and revise the criteria by which Sponsoring Institutions, and their educational outcomes, are evaluated. Today’s GME community recognizes the Sponsoring Institution as a formal organizing structure responsible for managing common interests and needs of residencies and fellowships.

The context for GME training continues to evolve rapidly. Sponsoring Institutions are challenged to adapt to rapid transformations in the health care system and changes along the continuum of medical education. In addition, many Sponsoring Institutions are forging clinical and non-clinical partnerships to ensure the success of their GME efforts. Forces both internal and external to the learning and working environment will require the GME community to redefine the role of the Sponsoring Institution.

With this imperative in mind, the SI2025 Task Force is exploring the role and performance of the future ACGME-accredited Sponsoring Institution, including its structures, functions, and outcomes. Several possible future roles have emerged from preliminary discussions, including:

  • Linking GME accreditation with other accreditation and certification activities
  • Coordinating efforts to improve patient care in residents’ and fellows’ clinical learning environments
  • Facilitating transitions from undergraduate medical education (UME) into GME, and GME into post-GME clinical practice
  • Setting expectations for skill acquisition, professional behaviors, and lifelong learning
  • Advancing interdisciplinary learning
  • Advancing interprofessional team-based education
  • Championing resident, fellow, and faculty member involvement with patient safety and quality improvement strategies around systems-based practice
  • Coordinating and/or overseeing simulation-based learning, including activities related to inter-professional team-based practice
  • Overseeing and supporting resident/fellow assessment
  • Promoting resident, fellow, and faculty member well-being
  • Supporting faculty development
  • Facilitating scholarly work in the GME environment, including clinical and education research

In the first phase of SI2025, the Task Force is soliciting input from a broad group of stakeholders interested in the future potential of Sponsoring Institutions to advance GME, and thereby improve the quality of patient care. Examples of stakeholders groups include: designated institutional officials (DIOs), residency program leadership and staff, residents and fellows, hospital and medical school leadership, health care professionals, medical students, partner organizations, government leaders, regulatory entities, and the public. Prior to making final recommendations, the Task Force will seek additional feedback on a draft of its report during a public comment period.

SI2025 Information Gathering

To achieve its goal, the Task Force is using several methods to gather information. These include regional Listening Sessions, surveys, and interviews with stakeholder groups

Listening Sessions: The Task Force is hosting five listening sessions, each including three activities:

  1. Learning Visit:
    Each Listening Session includes five-hour learning visits to two or three ACGME-accredited Sponsoring Institutions. During these visits, teams comprised of SI2025 Task Force and ACGME staff members conduct structured interviews of the Sponsoring Institutions’ senior leaders, DIOs, GME staff members, program directors, residents, fellows, interprofessional team members, and medical students (if applicable). The interviews explore the future role of Sponsoring Institutions in a variety of focus areas related to education, health care, and the clinical learning environment.

  2. Focus Group:
    SI2025 Task Force and ACGME staff members meet with representatives of a specific role (e.g., DIOs, residents, senior leaders) to discuss the future Sponsoring Institution through the lens of a single stakeholder group. Focus groups are drawn from a variety of settings, including ACGME-accredited Sponsoring Institutions.

  3. Open Forum:
    SI2025 Task Force and ACGME staff members meet with individuals who wish to provide insight into the future challenges and opportunities that will face the GME community. Open forum attendees deliver brief remarks on how Sponsoring Institutions may address these future concerns, and these remarks form the basis for group discussions.
Listening Session Dates: Chicago May 11-12, 2016
Washington, DC June 15-16, 2016
Houston July 7-8, 2016
Los Angeles August 4-5, 2016
New York September 14-15, 2016

SI2025 Results

The ACGME will use the Task Force’s final report as a planning document. The work of SI2025 will inform future ACGME requirements and activities, and will not be used in the current review process.

  • John Duval, MBA
    Chief Executive Officer, Virginia Commonwealth University Hospitals (Chair)

  • Lawrence M. Opas, MD
    Associate Dean for Graduate Medical Education and Designated Institutional Official
    Keck School of Medicine, University of Southern California (Chair)

  • Thomas J. Nasca, MD, MACP
    Chief Executive Officer
    Accreditation Council for Graduate Medical Education (Vice Chair)

  • Linda B. Andrews, MD
    Senior Associate Dean for Graduate Medical Education and Designated Institutional Official
    Baylor College of Medicine

  • Donald Wayne Brady, MD
    Associate Dean for Graduate Medical Education and Designated Institutional Official
    Vanderbilt University

  • Michael G. Glenn, MD
    Chief Medical Officer
    Virginia Mason Medical Center

  • Linda Hunt
    Chief Executive Officer
    Dignity Health

  • Charles M. Kilo, MD, MPH
    Vice President and Chief Medical Officer
    Oregon Health and Science University Healthcare

  • Victoria Konold, MD
    PGY-2 Resident, Pediatrics
    Advocate Lutheran General Hospital

  • Richard D. Krugman, MD
    Distinguished Professor
    University of Colorado School of Medicine

  • William A. McDade, MD, PhD
    Ochsner Health System

  • Mary G. Nash, PhD, RN
    Chief Nurse Executive and Associate Vice President for Health Sciences
    The Ohio State University Wexner Medical Center

  • Carmen Hooker Odom
    Public Member

  • Kristy Rialon, MD
    PGY-5 Resident, Surgery
    Duke University Hospital

  • Karen Sanders, MD
    Deputy Chief Academic Affiliations Officer
    Veterans Health Administration (Ex Officio)

  • Howard M. Shulman, DO, FACP
    Associate Dean for Postdoctoral Education and Designated Institutional Official
    Midwestern University Osteopathic Postdoctoral Training Institution

  • George Thibault, MD
    Josiah Macy, Jr. Foundation

  • Keith Watson, DO
    Pacific Northwest University of Health Sciences

  • Paulette Wehner, MD
    Senior Associate Dean for Graduate Medical Education and Designated Institutional Official
    Marshall University School of Medicine

  • Rowen Zetterman, MD
    Director of Faculty Mentorship Programs
    University of Nebraska Medical Center

Contact Us:
Senior Vice President, Institutional Accreditation
Kevin B. Weiss, MD, MPH
Executive Director, Institutional Review Committee
Paul Foster Johnson , MFA
Accreditation Administrator, Institutional Accreditation
Cassie Pritchard
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