August 9, 2021

ACGME e-Communication - August 9, 2021

ACGME Requirements for Review and Comment
The following Program Requirements and Recognition Requirements and accompanying Impact Statements are posted for review and comment, here:

Comment Deadline: September 3, 2021
Health Care Administration, Leadership, and Management

Comment Deadline: September 1, 2021

Health Care Administration, Leadership, and Management
Radiation Oncology

Comment Deadline: August 25, 2021
Institutional Requirements
Recognition for Sponsoring Institutions with Non-Standard Training Programs for J-1 Visa Sponsorship

Comment Deadline: August 11, 2021
Neurocritical Care


Registration Closed! New Course for Institutional Coordinators 
Registration for the Introduction to Sponsoring Institutions and Clinical Learning Environments for Institutional Coordinators workshop is now closed. A waitlist is available for those interested in being notified when more spots become available. 
 
Learn more about the workshop and the waitlist here.


NEW! Meeting This Week! Join the Diversity, Equity, and Inclusion Officers Forum
The ACGME's Department of Diversity, Equity, and Inclusion hosts a monthly Officers Forum to provide a peer advisory network of new and seasoned leaders who address issues of diversity, equity, and inclusion in their Sponsoring Institutions and programs. More than 600 individuals have registered for the monthly educational sessions, in which diversity and corporate leaders from across the country share their expertise and discuss challenges faced by the GME community. The next meeting is on Wednesday, August 11 from 5:00-6:00 p.m. Central.

Email diversity@acgme.org for details.


ACGME Initiative to Increase Diversity, Equity, and Inclusion Within GME and Promote Health Equity
The ACGME is proud to announce ACGME Equity Matters™, a new initiative that supplies a framework for continuous learning and process improvement in the areas of diversity, equity, and inclusion and anti-racism practices. The initiative aims to drive change within graduate medical education by increasing physician workforce diversity, and building safe and inclusive learning environments, while promoting health equity by addressing racial disparities in health care and overall population health.

Led by the Department of Diversity, Equity, and Inclusion, ACGME Equity Matters will provide a comprehensive curriculum of ideas, models, and data to support interventions that address structural barriers to developing a diverse physician workforce to care for diverse patient populations.

Learn More

Email questions to diversity@acgme.org.


ACGME Rural Track Program Designation FAQ Guide Available
Under the accreditation framework for Medically Underserved Areas and Populations (MUA/P), the ACGME has developed an ACGME Rural Track Program designation across specialties that will facilitate the expansion of opportunities to address the health care needs of medically underserved areas. This designation aligns with current rules and regulations of the Centers for Medicare and Medicaid Services (CMS) that address separately accredited “rural tracks.” An FAQ guide for this designation is now available on the web page.

Email additional questions about this designation process to muap@acgme.org.


NEW! Review and Comment on Milestones 2.0
New drafts of the Milestones listed below are available for review and comment. The Milestones reporting data, along with other survey results and comments, informed the changes. The Work Groups also created Supplemental Guides to enhance understanding of the Milestones.

Deadline: Tuesday August 31, 2021


NEW! Milestones Webcasts Now Available
These presentations review the major differences between the original Milestones 1.0 and the revised Milestones 2.0, and cover detailed information regarding construction, content changes, and the new Supplemental Guides created to enhance understanding of the Milestones. Webcasts are currently available for the following:


NEW! Milestones Quality Assurance
The ACGME has established a quality assurance program as a part of the Milestones 2.0 implementation process and is looking for 20 volunteers in each of the following specialties and subspecialties to participate in this process: 

  • Advanced Heart Failure and Transplant Cardiology
  • Anesthesiology
  • Blood Banking/Transfusion Medicine
  • Brain Injury Medicine
  • Chemical Pathology
  • Child Neurology
  • Clinical Cardiac Electrophysiology
  • Colon and Rectal Surgery
  • Complex General Surgical Oncology
  • Critical Care Medicine
  • Cytopathology
  • Emergency Medicine
  • Endocrinology, Diabetes, and Metabolism
  • Endovascular Surgical Neuroradiology
  • Forensic Pathology
  • Gastroenterology
  • Geriatric Medicine
  • Hematopathology
  • Infectious Disease
  • Internal Medicine
  • Interventional Cardiology
  • Medical Microbiology
  • Molecular Genetic Pathology
  • Musculoskeletal Radiology
  • Nephrology
  • Neurodevelopmental Disabilities
  • Neuropathology
  • Neurology
  • Neuroradiology
  • Nuclear Radiology
  • Orthopaedic Surgery
  • Pediatric Pathology
  • Pediatric Rehabilitation Medicine
  • Pediatric Urology
  • Pediatrics
  • Physical Medicine and Rehabilitation
  • Preventive Medicine - Aerospace Medicine
  • Preventive Medicine - Occupational Medicine
  • Psychiatry
  • Pulmonary Critical Care
  • Pulmonary Disease
  • Rheumatology
  • Selective Pathology
  • Spinal Cord Injury Medicine
  • Surgical Critical Care
  • Thoracic Surgery – Independent
  • Thoracic Surgery – Integrated
  • Transplant Hepatology
  • Vascular Neurology
  • Vascular Surgery 

Volunteers should be actively involved in program leadership or a member of their program's Clinical Competency Committee. Over the next few years, the ACGME will collect feedback about the new Milestones through a combination of focus groups and surveys. Focus groups will be held at annual program director meetings, and surveys will be completed electronically or by phone. Surveys will be brief and should take less than five minutes to complete.

Fill Out the Volunteer Form

Email questions to milestones@acgme.org.


 

NEW! JGME Articles for the Week

Milestone Level Changes From Residency to Fellowship: A Multicenter Cohort Study
Taylor Sawyer, DO, MEd; Megan Gray, MD; Shilpi Chabra, MD; Lindsay C. Johnston, MD, MEd; Melissa M. Carbajal, MD; Maria Gillam-Krakauer, MD, MEd; Jennifer M. Brady, MD; Heather French, MD, MSEd 

The authors sought to compare the last assigned Milestone levels upon graduation from general pediatrics residency to the first assigned Milestone levels as first-year neonatal-perinatal medicine fellows. They found that average first fellowship Milestone levels were significantly lower than the last residency Milestone levels, and differences in Milestone levels were seen in both context-dependent subcompetencies (patient care and medical knowledge) and context-independent subcompetencies (professionalism). The results suggest Milestone levels are reset during the transition from general pediatric residency to neonatal-perinatal medicine fellowship and do not create a logical trajectory of professional development in essential elements of competence. 

 
A Novel Blended Curriculum for Commnunication of Informed Consent With Surgical Interns
Tiffany N. Anderson, MD, MHPE; Aboubacar Kaba, BS; Eniola Gros, BA;  Ingrid S. Schmiederer, MD; Robert Shi, MS; Lauren R. Aalami, BS; Dana T. Lin, MD; James N. Lau, MD, MHPE, FACS 

The authors developed a curriculum and assessment program with the intent to standardize the training process for informed consent discussions. Remote asynchronous and group skills teaching for new general surgical interns improved their confidence in conducting procedural informed consent discussions. A patient-simulation verification process appeared feasible with preliminary evidence of retest and internal consistency.


IRC Seeks New Member
The IRC seeks one new member for a six-year term beginning July 1, 2022. A nominee must have current or previous experience with graduate medical education at the institutional level as a designated institutional official (DIO). Self-nominations are permitted.

Review the Institutional Review Committee Member Nomination Form and Institutional Review Committee Member Nomination Request documents here.

Email nomination materials and questions to irc@acgme.org by September 6, 2021.


Deadline Today! Calls for Resident Members
The following Review/Recognition Committees are seeking their next resident member for a July 1, 2022-June 30, 2024 term. Resident members provide the learner perspective, foster accountability to the needs of residents and fellows, and enrich the work of the committee. Selected nominees will be presented to the ACGME Board of Directors for approval.

OBSTETRICS AND GYNECOLOGY - Deadline Today!
Details: 
Read the full solicitation on the Documents and Resources page in the Obstetrics and Gynecology section of the ACGME website.
Contact: Tina Espina
Deadline: August 9, 2021

COLON AND RECTAL SURGERY
Details: Additional information is available on the Documents and Resources page of the Colon and Rectal Surgery section of the ACGME website.
Contact: Jennifer Luna
Deadline: August 27, 2021

FAMILY MEDICINE
Details:
The resident member must be currently enrolled at the PGY-2 level in a three-year ACGME-accredited family medicine program as of July 1, 2022. Details and nomination instructions are available in the Family Medicine section of the ACGME website.
Contact: Sandra Benitez
Deadline: August 20, 2021

OPHTHALMOLOGY
Details: Read the full solicitation on the Documents and Resources page in the Ophthalmology section of the ACGME website.
Contact: Tina Espina
Deadline: October 15, 2021
 
OSTEOPATHIC RECOGNITION
Details: The resident member must be enrolled in an ACGME-accredited program with Osteopathic Recognition, in a designated position, on July 1, 2022, and may not serve more than one year beyond completion of the residency program. Details and nomination instructions are available upon request.
Contact: Ariel Viera
Deadline: September 8, 2021
 
OSTEOPATHIC NEUROMUSCULOSKELETAL MEDICINE
Details: The resident member must be enrolled in an ACGME-accredited osteopathic neuromusculoskeletal medicine residency program on or prior to the start of his or her term on Review Committee and may not serve more than one year beyond completion of the residency program. Details and nomination instructions are available upon request.
Contact: Ariel Viera
Deadline: September 10, 2021

OTOLARYNGOLOGY - HEAD AND NECK SURGERY
Details: Additional information is available on the Documents and Resources page of the Otolaryngology - Head and Neck Surgery section of the ACGME website.
Contact: Jennifer Luna
Deadline: August 27, 2021


Calls for Public Members
The following Review Committees are seeking their next public member for six-year terms beginning July 1, 2022. These members share the perspective of the public, foster public accountability, enrich the work of the Committee through outside expertise, and create transparency. While nominees cannot be physicians, other health care professionals are permitted if they are not employed by an organization with ACGME-accredited residency or fellowship programs.

FAMILY MEDICINE
Details: Details and nomination instructions are available in the Family Medicine section of the ACGME website.
Contact: Sandra Benitez
Deadline: September 1, 2021

ORTHOPAEDIC SURGERY
Details: Details and nomination instructions are available in the Orthopaedic Surgery section of the ACGME website.
Contact: Jennifer Luna
Deadline: September 1, 2021

OSTEOPATHIC NEUROMUSCULOSKELETAL MEDICINE 
Details:
Additional information and nomination form available upon request.
Contact: Ariel Viera
Deadline: September 10, 2021


NEW! Approved Clinical Year Programs for Radiology
A listing of approved clinical year programs in both diagnostic and interventional radiology is now available on the Documents and Resources page of the Radiology section of the ACGME website.

The document will be updated after each Review Committee meeting at which clinical year requests are considered.


Review Committee News / Notices: Ophthalmology
Programs that have established an integrated ophthalmology format or joint preliminary year/ophthalmology format are reminded that the PGY-1 year must be included in the block diagram uploaded into the ADS during the Annual Update. Ophthalmology-specific block diagram instructions are now available on the Documents and Resources page of the Ophthalmology section of the ACGME website.

Programs are also reminded that the Documents and Resources page includes a 2020 memo to the community which addresses common questions about the Ophthalmology Program Requirements effective July 1, 2021.


Career Opportunities
The ACGME currently has the following open positions:

Click on the position linked above for details and to complete an application.