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Review Committee for Pediatrics UpdateSusie Buchter, MD, ChairCaroline Fischer, MBA, Executive Director
DisclosureWe have no conflicts of interest to report. 2018ACGME2020 2021ACGME
2020-2021 Status DecisionsStatusCoreSubsMed-PedsInitial Accreditation1390Initial Accreditation w/Warning100Continued Accreditation w/out Outcomes00022289638Continued Accreditation w/Warning130Probation210Accreditation Withheld030Withdrawal of Accreditation000Continued Accreditation 2018ACGME2020 2021ACGME
Citations vs. Areas for Improvement (AFIs)350300250200150100500303115178158core programs73med-peds2019-2020 Citationsall subspecialty programs2019-2020 AFIs 2018ACGME2020 2021ACGME
2020-2021 Frequent CitationsPediatric Subspecialty Programs Faculty qualifications Evaluations Board pass rate 2018ACGME2020 2021ACGME
2020-2021 Frequent CitationsPediatric Subspecialty Programs Faculty qualifications Faculty lack current board certification Alternate qualifications not provided 2018ACGME2020 2021ACGME
Alternate QualificationsThe Review Committee will consider the following criteria in determining whetheralternate qualifications are acceptable: Completion of a pediatric cardiology fellowship program Scholarship within the field of pediatric cardiology; specifically, evidence of ongoingscholarship documented by contributions to the peer-reviewed literature in pediatriccardiology, and pediatric cardiology presentations at national meetings Leadership and/or participation on committees in national pediatric subspecialtyorganizations Experience in providing clinical activity in pediatric cardiology 2018ACGME2020 2021ACGME
2020-2021 Frequent CitationsPediatric Subspecialty Programs Evaluations Timely feedback Faculty members must directly observe, evaluate, and frequentlyprovide feedback on fellow performance during each rotation or similar educationalassignment. Program Evaluation Committee (PEC) Composition The PEC must be composedof at least two program faculty members, at least one of whom is a core facultymember, and at least one fellow. Verification Statement The final evaluation must verify that the fellow hasdemonstrated the knowledge, skills, and behaviors necessary to enter autonomouspractice. 2018ACGME2020 2021ACGME
2020-2021 Frequent CitationsPediatric Subspecialty Programs Board pass rate For subspecialties in which the ABMS member boardand/or AOA certifying board offer(s) a biennial written exam, in the precedingsix years, the program’s aggregate pass rate of those taking the examinationfor the first time must be higher than the bottom fifth percentile of programs inthat subspecialty. The Review Committee takes the number of takers into consideration; will not citefor small numbers 2018ACGME2020 2021ACGME
Incomplete/Inaccurate Data Faculty Roster Current certification information Participating in MOC/CC Re-certified should not be used CVs Current licensure, scholarly activities from last five years Medical centers with multiple campuses should have each campus listed as aparticipating site in the Accreditation Data System (ADS) Block Diagram Follow instructions in ADS, provide key for abbreviations, donot include individual schedules 2018ACGME2020 2021ACGME
Programs Impacted by COVID-19 The Review Committee appreciates the efforts of the pediatrics communityduring this pandemic The primary concern is for the safety and wellness of patients andresidents/fellows The Review Committee understands that disruptions in inpatient, outpatient,and procedural experiences may occur The Review Committee will consider the context of these disruptions whenreviewing programs 2018ACGME2020 2021ACGME
Programs Impacted by COVID-19 cont. Program/institutional leadership should carefully monitor the extent ofdisruptions to the standard curriculum and exercise all options necessary tominimize the disruptions Where there are deficiencies in education and training, the program shouldassess each resident's competence to ensure that each resident hassufficient experience to enter autonomous practice There must be strict adherence to work hour limitations and supervisionrequirements 2018ACGME2020 2021ACGME
Pediatric Critical Care MedicineProgram Requirements Focused Revision Approved by the ACGME Board in February 2021; effective July 1, 2021 Clarify the required minimum time spent in the pediatric intensive care unit(PICU) Clarify experiences that count toward the non-ICU experiences 2018ACGME2020 2021ACGME
Pediatric Hospital MedicineProgram Requirements Focused Revision Clarify the expectations of the community site experience Clarify the expectations of the individualized curriculum Grace period for program director and faculty members to achieve certification inpediatric hospital medicine extended to 2025. Prior to 2025, the program director and faculty members must hold currentcertification by the American Board of Pediatrics (ABP) and are expected to takethe pediatric hospital medicine certifying examination by 2024. The Review Committee will review the comments received before finalizing theRequirements for review and approval by the ACGME Board in September 2021 Effective date is anticipated to be July 1, 2022 2018ACGME2020 2021ACGME
Accreditation Site Visits March 2020 Suspension of in-person site visits June 2020 Remote site visits started Site visits will be conducted remotely through June 2021 Site visits have primarily been focused on new applications, data-promptedvisits, and complaints Currently 10-Year Accreditation Site Visits will only be scheduled if requestedby the Review Committee An update regarding future timing of the program 10-Year Accreditation SiteVisits will be made via the weekly e-Communication in the coming months 2018ACGME2020 2021ACGME
Self-Study/10-Year Compliance Site Visit The ACGME has decided to de-link the program Self-Study and 10Year Accreditation Site Visit A process for reviewing and providing feedback for program SelfStudies that have already been completed is being developed. No programs will be scheduled to begin their Self-Study for 15months (through July 2022). This deferral period will allow programs to recover from the impactof COVID-19 and allow the ACGME to develop a sustainable modelfor improvement and assurance for its nearly 13,000 accreditedprograms. 2018ACGME2020 2021ACGME
Distance LearningLearn at ACGME offers: Interactive CoursesVideo PresentationsDiscussion ForumsOn-Demand WebcastsToolkits and AssessmentsTopics include: Best Practices for the ADS Annual UpdateDiversity, Equity, and InclusionEvaluation and AssessmentFaculty DevelopmentPhysician Well-BeingMany more www.acgme.org/distancelearning 2018ACGME2020 2021ACGME
Program Resourceswww.acgme.orgAccreditation Data System ADS Public SiteJournal of Graduate Medical EducationACGME Policies and ProceduresProgram Requirements and Application Forms Accessvia specialty pagesClinical Competency Committee (CCC) GuidebookMilestones Guidebook Milestones FAQsHow to Complete an ApplicationInstitutional RequirementsSample Program Letter of Agreement (PLA)FAQs for New ProgramsCommon Resources (e.g., Program Directors’ Guide tothe Common Program Requirements, ACGME Glossaryof Terms, Common Program Requirements FAQs, Key toStandard LON) Access via specialty pagesSite Visit Information (e.g., types of visits, Site Visit FAQ,remote site visit FAQs, listing of accreditation fieldrepresentatives)Weekly e-Communication Sent via email 2018ACGME2020 2021ACGME
ACGME ContactsTechnical questions related to:- ADSADS TeamLauren Criste [Pediatrics] 312.755.7449 lcriste@acgme.orgADS General ADS@acgme.org 2018ACGME2020 2021ACGME
ACGME ContactsQuestions related to:- Site visits- Self-StudiesField ActivitiesLinda Andrews, MD landrews@acgme.orgAndrea Chow achow@acgme.orgPenny Iverson-Lawrence pil@acgme.org 2018ACGME2020 2021ACGME
ACGME ContactsGeneral gme.orgQuestions related to:- Requirements- LONsReview Committee TeamCaroline Fischercfischer@acgme.orgDenise Braun-Hartdbraun@acgme.orgElizabeth Prendergasteprendergast@acgme.org 2018ACGME2020 2021ACGME
Upcoming Review Committee Meeting DatesMeeting Dates:Agenda Closes:April 19-20, 2021February 19, 2021September 30-October 1, 2021July 30, 2021January 24-26, 2022November 23, 2021April 11-12, 2022February 11, 2022September 12-13, 2022July 12, 2022 2018ACGME2020 2021ACGME
Questions? 2018ACGME2020 2021ACGME
certification by the American Board of Pediatrics (ABP) and are expected to take the pediatric hospital medicine certifying examination by 2024. The Review Committee will review the comments received before finalizing the Requirements for review and approval by the ACGME Board in September 2021 Effective date is anticipated to be July 1, 2022
