What it Means to be a
Program Director
Rita M Patel MD
Professor of Anesthesiology & Vice-Chair, Education
Department of Anesthesiology
Associate Dean for Graduate Medical Education
University of Pittsburgh School of Medicine
ACGME/NRMP Designated Institutional Official
UPMC Medical Education
Disclosure
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Former Program Director Anes Residency UPMC
Vice-Chair, Education
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UPMC ACGME/NRMP DIO
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Oversight of all edu programs, inc med student,
residency, fellowships and CME
Oversight of 110+ residency/fellowship programs
Member of Anes RRC
OPINIONS EXPRESSED ARE MY OWN and
NOT ON BEHALF OF THE RRC, ACGME
OR UPMC
Timeline
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RRC meets Oct 27 & 28 2011
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Following the ASA
PIF is produced by a separate area of the
ACGME & must be reviewed by the RRC
Program Requirements, PIF, FAQs typically
posted at same time
Plan is PIF availability for potential January
submission of program applications for
consideration at April meeting
Anesthesiology & Subs
2010-2011
Program
# Programs # Residents
Anesthesiology
131
5678
Adult CT Anes
52
151
Critical Care Anes
48
94
Pain Medicine
93
318
Peds Anes
46
191
8893
114,058
All Programs
Multiple Impacts on GME
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Organizations – AAMC, AHME, FSMB,
AHME, AHA, ABMS
ABMS American Board of Medical Specialties
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FSMB Federation of State Medical Boards
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American Board of Anesthesiology
Licensing Board of Medicine for State
Local Sponsoring Institution
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May be medical school or hospital system
More Info – www.ACGME.org
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Residency Review Committee – Anesthesiology
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RRC Members & Staff (Pat Surdyk & Billy Hart)
Common Program Requirements – 7/2011
 Program Director Guide to the CPRs
 Anes & Subs PRs*
 FAQs – Frequently Asked Questions
 PIFs – Program Information Form*
 Responsibilities of Residency & Fellowship
Program Directors
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Rita M Patel MD - Dec 2010
Responsibilities of Residency &
Fellowship Program Directors
RRC 2007
 Accreditation
Issues
 Educational Program
 Administration
 Institutional Role
TIME – Practical Suggestions
DEVELOP existing teachers
HELP from institutional sponsor
USE SEA, ASA, SOAP, AMA, SI
EXPAND existing structures
SHARE information
PRODUCE new material
MONITOR implementation
DISCARD things that don’t work
Rita M. Patel, MD
Accreditation Issues
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Demonstrate “Substantial Compliance” with
Program Requirements
Comply with Institutional Process – Int Review
Prepare accurate & complete PIF+
Ensure DIO reviews & Co-signs PIF+
Maintain program & trainee files
Develop Policies & Procedures
Work with Residency PD & other Fellowship
PDs + Dept Chair
Rita M. Patel, MD
Documentation – Practical Suggestions
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Make it EASY
Web-Based/Electronic
 Evaluation System
 Duty-Hours Monitoring
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Post Important items on Website
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Give AWARDS & RECOGNITION
Rita M. Patel, MD
Educational Program Elements
Recruitment and Selection
 Clinical and Didactic
Curriculum
 Evaluation and Competence
 Administration and Review
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Recruitment & Selection
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Faculty of 3 is a committee
Ensure that only eligible individuals are enrolled
All applicants at time of interview must be
provided with terms & conditions of
employment, benefits, & contract
Program-Specific Selection Policy
Must review NRMP history of applicant for
match violations PRIOR to contact
Think of the physician you want
to take care of your mother,
father or child
RELIABLE
EXPLAIN WHAT’S GOING ON
UNDERSTANDING
KIND
SMART
HONEST
RESPECTFUL
What characteristics does
that doctor possess?
EASY TO TALK TO
GOOD HANDS
KNOW WHAT TO DO
ETHICAL
KEEP THINGS PRIVATE
UP-TO-DATE
ACGME General Competencies
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Medical Knowledge
Patient Care
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
Clinical & Didactic Curriculum
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Write Competency-Based Goals & Objectives
for each rotation & overall program
Describe how they will be taught
Clinical Experience – specific rotations, types and
volume of cases & appropriate faculty
 Didactic – lectures, workshops, simulation &
appropriate faculty
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Share curriculum with faculty & fellows at least
annually
Evaluation & Competence
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Fellow - Evaluation of achievement in all
competencies
Multi-Source is not the same as 360
Obtain confidential written evaluations
of the faculty by the fellows
 of the program by the fellows
 of the program by the faculty
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Conduct Annual Program Evaluation
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Formal, documented, minutes kept
Administration & Review
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Program-Specific Policies
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Selection, Evaluation, Promotion, Dismissal, Duty
Hours, Moonlighting
Manage clinical scheduling – on call, rotation &
ensure supervision & backup systems available
Implement & follow institutional policies ie. for
grievance & due process
Know what requires DIO, GMEC & RC
approval
What to do Now
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Go to the ACGME website
Begin learning terminology -the language of the
ACGME: G& Behavioral O, Multi-Source Eval
Meet with your Faculty, Chair, Div Chief & the
Core PD - FUNDING
Establish timeline for GMEC & DIO review
Read Common Program Requirements
Keep them on your desktop
 Refer to them frequently
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Look at the PD Guide to the CPR
After PR & PIF becomes available…
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Accurate & Complete PIF
Answer the Question being asked.
PD & Faculty Qualifications ABA-certified, CV
briefs demonstrate qualifications in PRs
Rotation Schedule/Didactic Schedule/Goals &
Objectives/Evaluation Forms
Description of Rotations &/or Experiences
Provide correct data
Pay Attention!
Avoid risky behaviors
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DUTY HOURS
SUPERVISION & RESPONSIBILITY
ACGME COMPETENCIES
 Teaching
 Evaluating
 OUTCOMES
POLICIES/PROCEDURES
 Contracts
 Grievance & Appeals
UPMC Programs to Develop
the GME Community
Formation of GMEC subcommittees
GME Leadership Conferences
Team Approach to Institutional Review
Coordinator Development Programs
Continuous Site Visit Preparation
GME Business and Politics Conferences
Orientation Programs for new Program
Directors, Coordinators, Residents/Fellows
Thank You
rpatel@pitt.edu
patelrm@upmc.edu