ACGME UPDATE 33 r d ANNUAL SPRING FLING - PowerPoint Presentation

1. ACGME UPDATE33rd ANNUAL SPRING FLINGMAY 10, 2019GARY L. SLICK, D.O.

2. DisclosureI have no relevant financial relationships or affiliations with commercial interests to disclose.

3. TIME LINE OF THE SINGLE ACCREDITATION SYSTEMAPPLICATIONS FOR PROGRAMS BEGAN JULY 2015AOA ACCREDITATION CEASES JUNE 30, 2020**Residents in AOA non-accredited ACGME programs will be able to “Train Out” under AOA approved training

4. WHAT THE SAS IS (AND WHAT IT IS NOT) CHANGED GME ACCREDITATIONUNCHANGED BOARD CERTIFICATION CME PREDOCTORAL EDUCATION LICENSURE EXAMS (COMLEX, USMLE)

5. SINGLE ACCREDITATION ACTIVITY 79% OF AOA PROGRAMS HAVE EITHER SUBMITTED APPLICATION OR ARE ALREADY ACGME ACCREDITED*20% OF PROGRAMS HAVE APPLIED FOR OSTEOPATHIC RECOGNITION<14% OF AOA PROGRAMS PREVIOUSLY NOT DUALLY ACCREDITED SUBMITTING APPLICATIONS FOR ACGME ACCREDITATION HAVE APPLIED FOR OSTEOPATHIC RECOGNITION** SOME OF THE 1200 AOA PROGRAMS WILL NOT APPLY FOR ACGME ACCREDITATION AND SOME HAVE NOT HAD RESIDENTS OR FELLOWS IN THEIR PROGRAMS FOR A FEW YEARS OR MORE  

6. ACGME ACCREDITATION TERMINOLOGY PRE-ACCREDITATION – GRANTED TO ALL OSTEOPATHIC SPONSORING INSTITUTIONS OR PROGRAMS SUBMITTING A COMPLETED APPLICATION FOR ACCREDITATIONCONTINUED PRE-ACCREDITATION – GRANTED TO APPLICANTS THAT ARE NOT SUBSTANTIALLY COMPLIANT WITH ALL ACGME REQUIREMENTSINITIAL ACCREDITATION – GRANTED TO APPLICANTS THAT ARE SUBSTANTIALLY COMPLIANT WITH ALL ACGME REQUIREMENTS

7. ACGME ACCREDITATION TERMINOLOGYCONTINUED ACCREDITATION – GRANTED TO PROGRAMS THAT HAVE UNDERGONE A FULL SITE VISIT TWO YEARS AFTER INITIAL ACCREDITATION AND DEEMED TO BE IN SUBSTANTIAL COMPLIANCE WITH THE COMMON AND SPECIALTY PROGRAM REQUIREMENTS

8. CURRENT STATUS OF INSTITUTIONAL APPLICATION SUBMISSION AND ACCREDITATION COMPLETED APPLICATIONS – 107* INITIAL ACCREDITATION – 48 INITIAL ACCREDITATION WITH WARNING – 11 PRE-ACCREDITATION – 0 CONTINUED PRE-ACCREDITATION – 3 CONTINUED ACCREDITATION – 34 PROBATION - 1 WITHDRAWAL OF APPLICATION – 10** *106 ONE YEAR AGO**5 ONE YEAR AGO

9. PROGRAM APPLICATIONS IN SASTOTAL SAS PROGRAM POOL – 1072APPLICATION NOT YET INITIATED – 16%APPLICATION INITIATED – 84%SUBMITTED – 76%NOT YET SUBMITTED – 6%

10. APPLICATIONS SUBMITTED (722)PRE-ACCREDITATION – 5%INITIAL ACCREDITATION – 68%CONTINUED PRE-ACCREDITATION – 12%CONTINUED ACCREDITATION – 13%WITHDRAWALS – 2%

11. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATIONCOMPLETED APPLICATIONS – 722INITIAL/CONTINUED ACCREDITATION (RESIDENCY)– 483 (81%) 8 ANESTHESIOLOGY (83%)23 DERMATOLOGY (77%)45 EMERGENCY MEDICINE (83%)104 FAMILY MEDICINE (67%)95 INTERNAL MEDICINE (86%)4 NEUROLOGICAL SURGERY (50%)9 NEUROLOGY (75%)25 OB/GYN (81%)5 OPHTHALMOLOGY (56%)22 ORTHOPEDIC SURGERY (52%)15 ONMM (38%)11 OTOLARYNGOLOGY (65%)7 PEDIATRICS (88%)

12. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATIONINITIAL/CONTINUED ACCREDITATION (RESIDENCY-CONTINUED)3 PHYSICAL MEDICINE AND REHAB (75%)3 PLASTIC SURGERY (50%)15 PSYCHIATRY (71%)8 RADIOLOGY (66%)41 SURGERY (73%)31 TRANSITIONAL YEAR (38%)9 UROLOGY (82%)INITIAL/CONTINUED ACCREDITATION (FELLOWSHIP) – 127 (80%) 26 CARDIOLOGY (87%) 5 CRITICAL CARE (71%) 1 ENDOCRINOLOGY (17%) 21 GASTROENTEROLOGY (91%) 2 HEMATOLOGY/ONCOLOGY (75%) 1 INFECTIOUS DISEASE (25%) 9 INTERVENTIONAL CARDIOLOGY (70%)

13. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATIONINITIAL/CONTINUED ACCREDITATION (FELLOWSHIP-CONT.)2 NEPHROLOGY (40%)4 PULMONARY/CRITICAL CARE (93%)2 RHEUMATOLOGY (50%)3 HEMATOLOGY/ONCOLOGY (60%)3 GYNECOLOGICAL ONCOLOGY (75%)2 MATERNAL & FETAL MEDICINE (50%)2 CRITICAL CARE SURGERY (66%)1 GENERAL VASCULAR SURGERY (20%)2 HOSPICE AND PALLIATIVE CARE (18%)2 MOHS (66%)0 GERIATRIC MEDICINE-FM (0%)3 SPORTS MEDICINE (23%)0 CHILD & ADOLESCENT PSYCHIATRY (0%)17 OTHERS (6%)

14. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION (CONT.)PRE-ACCREDITATION – 321 ALLERGY0 DERMATOLOGY1 EMERGENCY MEDICINE1 FAMILY MEDICINE0 INTERNAL MEDICINE0 NEUROLOGY0 OB/GYN5 ONMM0 OTOLARYNGOLOGY0 PEDIATRICS0 PSYCHIATRY0 GENERAL SURGERY6 TRANSITIONAL YEAR18 FELLOWSHIPS

15. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATIONCONTINUED PRE-ACCREDITATION – 861 ANESTHESIOLOGY0 CARDIOLOGY3 DERMATOLOGY1 MOHS3 EMERGENCY MEDICINE1 ENDOCRINOLOGY23 FAMILY MEDICINE4 GASTROENTEROLOGY1 HEMATOLOGY/ONCOLOGY3 HOSPICE AND PALLIATIVE MEDICINE2 INTERNAL MEDICINE3 NEUROLOGICAL SURGERY0 NEUROLOGY

16. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATIONCONTINUED PRE-ACCREDITATION (CONT.)2 OBSTETRICS/GYNECOLOGY3 OB/GYN FELLOWSHIPS3 OPTHALMOLOGY19 ORTHOPEDIC SURGERY3 ONMM3 OTOLARYNGOLOGY1 PHYSICAL MEDICINE AND REHAB0 PLASTIC SURGERY3 PSYCHIATRY1 RADIOLOGY1 RHEUMATOLOGY10 GENERAL SURGERY2 UROLOGY

17. PERCENTAGE OF REVIEWED APPLICATIONS RECEIVING CONTINUED-PREACCREDITATIONPRIMARY CARE 11%FAMILY MEDICINE 18%INTERNAL MEDICINE 2%PEDIATRICS 0%SURGICAL PROGRAMS 25%ENT 27%ORTHOPEDIC SURGERY 46%GENERAL SURGERY 20%

18. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION (CONT.)OSTEOPATHIC RECOGNITION – 210INITIAL ACCREDITATION – 142CONTINUED ACCREDITATION – 50APPLICATION PENDING – 15RECOGNITION WITHHELD – 10PENDING REVIEW – 15

19. PROGRAM DIRECTOR CREDENTIALS FOR SAS PROGRAMSPROGRAM DIRECTOR DEGREES D.O. – 69% M.D. – 31%PROGRAM DIRECTOR CERTIFICATION AOA – 55% ABMS – 40% AOA AND ABMS – 5%

20. OSU-CHS APPLICATION STATUS FOR OSUMC CONTINUED ACCREDITATION INTERNAL MEDICINE PEDIATRICSINITIAL ACCREDITATION ANESTHESIOLOGY CARDIOLOGY GASTROENTEROLOGY EMERGENCY MEDICINE FAMILY MEDICINE (OSUMC) INTERVENTIONAL CARDIOLOGY OB/GYN OMM PSYCHIATRY RADIOLOGY SURGERY

21. OSU-CHS APPLICATION STATUS FOR OSUMC (Cont.)CONTINUED PREACCREDITATION ORTHOPEDIC SURGERY OTOLARYNGOLOGY

22. OSU-CHS APPLICATION STATUS FOR NON-OSUMC PROGRAMSINITIAL ACCREDITATIONEMERGENCY MEDICINE – LAWTONEMERGENCY MEDICINE – NORMAN FAMILY MEDICINE – ADAFAMILY MEDICINE – DURANT FAMILY MEDICINE – LAWTONFAMILY MEDICINE – McALESTERFAMILY MEDICINE – TAHLEQUAHONCOLOGY – CTCA

23. STATUS OF TEACHING HEALTH CENTER PROGRAMS INITIAL ACCREDITATION FAMILY MEDICINE – TALIHINA FAMILY MEDICINE – TULSA INTERNAL MEDICINE – TAHLEQUAH OB/GYN – TULSACONTINUED ACCREDITATION PEDIATRICS – TULSA

24. STATUS OF OSTEOPATHIC RECOGNITION APPLICATIONSINITIAL RECOGNITIONANESTHESIOLOGYCARDIOLOGYEMERGENCY MEDICINE – OSUMC AND LAWTONFAMILY MEDICINE – OSUMC AND TULSA THCFAMILY MEDICINE – LAWTON, McALESTER, TALIHINAINTERNAL MEDICINE –OSUMC AND TAHLEQUAHOB/GYN – OSUMC AND TULSA THC PEDIATRICS – OSUMC AND TULSA THCPSYCHIATRYRADIOLOGYSURGERY

25. 2020 MATCH IMPLICATIONSALL AOA TRAINING PROGRAMS NOT ACHIEVING ACGME INITIAL ACCREDITATION BY SEPTEMBER OF 2019 WILL NOT BE ABLE TO PARTICIPATE IN THE MATCH FOR 2020 AND WILL NOT BE ABLE TO MATRICULATE NEW APPLICANTS.

26. UNANSWERED QUESTIONSWILL THE SAS ADD MORE SLOTS FOR DOsWILL THE SAS OPEN MORE SURGICAL SLOTS FOR DOsWILL OSTEOPATHIC IDENTITY BE MAINTAINEDWILL THE NEXT STEP BE SINGLE UNDERGRADUATE ACCREDITATION AND SINGLE PATHWAY TO LICENSUREWILL AOA CERTIFIED DOs CONTINUE TO BE PROGRAM DIRECTORSWILL INITIAL CERTIFICATION BY THE AOA CONTINUE

27. ACGME REQUIREMENT CHANGESNEW “LEARNING AND WORKING ENVIRONMENT” (FORMERLY “DUTY HOURS”) REQUIREMENTS WERE IMPLEMENTED JULY 1, 2018 (REQUIREMENT VI)REQUIREMENTS I-V WILL BE IMPLEMENTED ON JULY 1, 2019NEW REQUIREMENTS FOR I-V ARE FAVORABLE FOR OSTEOPATHIC AND RURAL PROGRAMS WITH MORE OPTIONS FOR CURRICULUM DESIGN, SCHOLARLY ACTIVITY AND ACCEPTANCE OF AOA RESIDENCY TRAINING FOR ENTRY INTO FELLOWSHIP PROGRAMS

28. QUESTIONS?