Neurological Nuclear Medicine Department of Nuclear Medicine Renji Hospital.
Nuclear Medicine Review Committee Update SNMMI Winter 2016
-
Upload
jayson-tucker -
Category
Documents
-
view
215 -
download
1
description
Transcript of Nuclear Medicine Review Committee Update SNMMI Winter 2016
![Page 1: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/1.jpg)
Accreditation Council for Graduate Medical Education
Nuclear MedicineReview Committee Update
SNMMI Winter 2016
Jon Baldwin, DOChairReview Committee for Nuclear Medicine
![Page 2: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/2.jpg)
Disclosures
• None
![Page 3: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/3.jpg)
• RC structure• NM program stats• Eligibility• NAS Updates • Milestones/CCC• Questions
Session Overview
![Page 4: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/4.jpg)
Current Committee Membership
• Jon Baldwin, DO (AMA) – Chair• David Lewis, MD (AMA) – Vice Chair• Helena Balon, MD (SNM)• Frederick Grant, MD (SNM)• Barry Shulkin, MD (ABNM)• Kirk Frey, MD (ABNM)• Mary Beth Farrell, MS (Public)• Adonteng Kwakye, MD(Resident)
![Page 5: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/5.jpg)
RC Meetings• 2 meetings per year
• Check RC website for agenda closing dates & meeting dates• Upcoming: April 8, 2016 (agenda closing date: March 7, 2016)
• Meeting Length: 1 – 1 ½ days
• Program reviews & other Review Committee business
![Page 6: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/6.jpg)
• 43 accredited programs
• 84/157 (54%) filled vs approved resident positions
Nuclear Medicine 2015-2016
![Page 7: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/7.jpg)
Nuclear Medicine 10-year StatsAcademic Year Programs
Residents On duty
2005-2006 61 161
2006-2007 61 160
2007-2008 57 161
2008-2009 56 149
2009-2010 56 166
2010-2011 54 155
2011-2012 54 136
2012-2013 50 120
2013-2014 47 111
2014-2015 43 93
2015-2016 43 84
![Page 8: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/8.jpg)
Nuclear Medicine Programs2005-2015
2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-20160
20
40
60
80
100
120
140
160
180
Nuclear Medicine 10-year Trend
Programs On duty
![Page 9: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/9.jpg)
Eligibility
![Page 10: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/10.jpg)
2016 NM Eligibility FAQ• As AOA-approved programs transition to
ACGME accreditation, are there any considerations for nuclear medicine programs considering applicants who have previously completed AOA-approved training?
• [Program Requirement: III.A.1.c)]
![Page 11: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/11.jpg)
2016 NM Eligibility FAQ• Answer: The Review Committee understands that
during the transition to a single accreditation system, nuclear medicine programs may wish to consider NM1 applicants who have completed one year of graduate medical education in an AOA-approved program. Nuclear medicine programs will not jeopardize their accreditation status if they accept these individuals. All programs should check with the American Board of Nuclear Medicine (ABNM) and/or the American Osteopathic Board of Nuclear Medicine (AOBNM) regarding certification eligibility.
![Page 12: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/12.jpg)
NAS Review Discussions
![Page 13: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/13.jpg)
NAS Summary40% programs Compliant, no feedback
37% programs Minor issues in 1-2 areas, feedback in the form of AFIs
20% programs Concerns, feedback either as citations and/or AFIs
3% programs Site visits requested for more information
Area for Improvement (AFI) Citations• Areas noted by the Committee for
program improvement before it gets worse, “Heads Up”
• Does not require program response
• Areas of non-compliance with the requirements
• Requires full program response for Committee review
![Page 14: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/14.jpg)
NAS Most Common Flagged Items
• Clinical Experience (Case Logs)• Many data entry discrepancies still occurring
• Board Pass Rate• Reminder that the new pass rate is 75% for first time takers for 5yr
period• Pgms below 75% can anticipate feedback from the Review Committee
• Resident Survey• Flagged programs with less than 4 residents can anticipate
feedback on the multi-year aggregate survey results.
![Page 15: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/15.jpg)
Block Diagram in ADS
• Many programs providing inadequate block diagrams
• Not representative of a 3-year curriculum
• NM is a three-year specialty. This should be reflected on the block diagram.• Even programs with recruiting practices that only
consider NM2 or NM3 residents
![Page 16: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/16.jpg)
Block Diagram in ADS
• Block diagram should be free of individual resident names or identifiers
• If abbreviations are used for rotations or site names, a Key must be provided
• Block diagram guide posted on Committee’s webpage
![Page 17: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/17.jpg)
![Page 18: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/18.jpg)
Block Diagram Example
![Page 19: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/19.jpg)
Clinical Experience - Case Logs • All programs are required to use the ACGME
Case Log System
• Residents must enter all specified procedures performed during their residency education into the ACGME case log system regardless of stated minimums.
• Inaccurate data will impede the Committee’s ability to set accurate and realistic future benchmarks for the specialty.
![Page 20: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/20.jpg)
Clinical Experience - Case Logs
• Among the graduates of 2015, the minimum number of procedures reported for all procedural categories was “0”
• The highest procedural category reported was for parenteral therapies at 283
![Page 21: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/21.jpg)
![Page 22: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/22.jpg)
Omission of Data• 5% of programs flagged for not providing
data• Faculty Scholarly Activity• No Core Faculty designation
• Program Director: • Must provide complete and accurate
information (II.A.4.h).(1)• Review all information before “hitting” the
submit button
![Page 23: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/23.jpg)
Milestones
![Page 24: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/24.jpg)
NM Milestones Reporting• Data appears skewed for resident
competency progression
• Most likely linked to inaccurate resident reporting in ADS
• Several residents reported in ADS with inaccurate “Year in Program” compared to their NM year
![Page 25: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/25.jpg)
NM Year Consideration
< 12 months of training remaining
= NM3 (or year in program 3)
Between 24 and 12 months of training remaining
= NM2 (or year in program 2)
Between 36 and 24 months of training remaining
= NM1 (or year in program 1)
![Page 26: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/26.jpg)
Resident length of training was 1yr, Year In Program should be 3
EXAMPLE
![Page 27: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/27.jpg)
Milestones• Milestones designed to help residencies/fellowships
produce highly competent physicians to meet the health and healthcare needs of the public
• Guide curriculum development
• Provide developmental framework for Clinical Competency Committee (CCC)
• Residents do not have to achieve level 4 to graduate from the program• The determination of an individual’s readiness for
graduation is at the discretion of the program director
![Page 28: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/28.jpg)
Milestones/ Clinical Competency Committee
• CCC should help analyze and synthesize resident assessments
• Using milestones, CCC should reach consensus judgement regarding resident performance
• CCC provides conclusions to program director• Program director has ultimate authority to
determine residents’ milestone developmental level at least twice yearly
Journal of Graduate Medical Education, September 2015
![Page 29: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/29.jpg)
Clinical Competency Committee
• For CCC composition, programs should consider including a physicist or other faculty member who assesses NRC/AU requirements
• A Clinical Competency Committee (CCC) Guidebook is posted on the Milestones webpage
![Page 30: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/30.jpg)
![Page 31: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/31.jpg)
ACGME Staff Contact ListExecutive DirectorFelicia Davis, MHA 312-755-5006 [email protected]
Associate Executive DirectorKate Hatlak, MSEd 312-755-7416 [email protected]
Senior Accreditation AdministratorSara Thomas 312-755-5044
Case Log questions [email protected]
![Page 32: Nuclear Medicine Review Committee Update SNMMI Winter 2016](https://reader035.fdocuments.us/reader035/viewer/2022081521/5a4d1bae7f8b9ab0599cbc10/html5/thumbnails/32.jpg)
Questions?
Thank you
Our Answers