Carrie Saviano, C-TAGMEGME Innovations©

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

Medical Education Coordinators… who are we?

Three Steps to Improving GME Program Management

Resident Files

Program Files

“To Do” Lists

Resident Files - Overview

Mandated information required for each resident

Easy to locate information for compliance

Uniform throughout the institution

Resident Files - Set up

ACGME Regulations

Institutional Policy

State Mandates

Curriculum

Program Policies

Resident Files - Tabs

Application

Credentials

Time Off Requests

Letters

Review

Expectations

Evaluation

Procedure Log

Duty Hours

In-Service

Visa

Misc

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

Resident Files can be either paper or electronic.

Use the same tab titles for either format.

Program Files – Set up

Program Files - Tabs Evaluations Faculty Board Certifications Faculty Development GME Policy’s – Institutional In-Service Exam Insurance - Malpractice Key Faculty CV’s Key Faculty Scholarly Activity NRMP Orientation Policy’s and Procedures- Program Procedure Log Publications Radiation Badges Site Review Schedules National Survey Teaching –Program Director

Organization society files ACGME ACGME Resident& Faculty Survey Agreements Amion Contract Annual Report Data Attending Rounds Schedule Budget Chart Review Committee – Education Competency Assessment Grid Conferences/lectures Contracts Listserve Curriculum Dashboards Compliance Reports (Quality/Safety) E*Value

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?

To Do List – Set upHow 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

To Do List - Annual Education Committee TopicsFaculty 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.

To Do List - KEY Focus Areas NAS/CLER

Patient Safety

Quality Improvement

Transitions in Care

Supervision

Duty Hour Oversight

Professionalism

Program tasks and reminders

Coordinator tasks and reminders

Program Events

To Do List – Don’t forget…

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

Thank you for sharing your time with me…