New Application: Surgery of the Spine
Review Committee for Orthopaedic Surgery
ACGME
515 North State Street, Suite 2000, Chicago, Illinois 60654  312.755.5000  www.acgme.org
FELLOWS AND OTHER POSTGRADUATE TRAINEES
1. Enter the number of any type of residents and/or fellows assigned to each site for any type of
orthopaedic surgery training each year. Add rows as necessary.
Type of
Orthopaedic
Training
Clinical
Research
Other
Site #1
Present
Total/
at any
Year
one time
Site #2
Present
Total/
at any
Year
one time
Site #3
Present
Total/
at any
Year
one time
Site #4
Present
Total/
at any
Year
one time
2. Provide the following information regarding orthopaedic surgery residents who are assigned to each
site for training in orthopaedic surgery of the spine each year. Add rows as necessary.
Name of
Program
Site #1
Present
Total/
at any
Year
one time
Site #2
Present
Total/
at any
Year
one time
Site #3
Present
Total/
at any
Year
one time
Site #4
Present
Total/
at any
Year
one time
NARRATIVE SUMMARY OF COMPLIANCE WITH ACCREDITATION REQUIREMENTS
The questions which follow provide programs with an opportunity to systematically describe the manner
in which they comply with accreditation requirements. Responses should be concise and focused.
During the site visit, fellows, faculty, and others will be asked for comment on the information provided.
As a result, those who will be interviewed should read the application prior to their meeting with
the site visitor.
Responsibilities of the Program Director
1. How will the program director select, supervise, and evaluate the teaching staff and other program
personnel at each site participating in the program? How will the director monitor resident
supervision at each site?
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2. How will the program monitor resident stress, including mental or emotional conditions inhibiting
performance or learning? What arrangements does the program have for the provision of
counseling and psychological support services for residents?
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Surgery of the Spine
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 1 of 6
3. How many months of night float will residents be assigned in each year of the program? [PR
VI.G.6.a)] ....................................................................................................................................... (#)
Resources
1. Summarize fellow access to (a) a major medical library, including orthopaedic references, (b)
electronic retrieval of information and medical databases, and (c) an on-site collection of texts and
journals at each program site. [PR II.D.2.-3.]
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2. Describe the facilities available to support fellow education. [PR II.D.1.]
Outpatient
Inpatient
Imaging
Laboratory
Rehabilitation
Research
Operating Rooms
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3. Describe the contribution of each site to the fellowship program. Include reference to personnel,
facilities, administrative services, and financial support.
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Fellow Appointment
What will your program do to comply with the requirement to be committed to promoting the inclusion of
qualified women and under-represented minorities in the profession through its recruiting? [PR III.A.2.]
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Educational Program
1. Provide a concise description of the manner on which the program will ensure that fellows are
provided with adequate instruction in each of the following areas:
a) The ability to assess clinically the neurologic function of the spinal cord and nerve roots. [PR
IV.A.2.a).(1).(a)]
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b) Prudent use of diagnostic laboratory tests (including electrophysiologic monitoring). [PR
IV.A.2.a).(1).(b).(i)]
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c) Indications for and interpretation of imaging studies of the spine, including an appreciation of the
risk and information expected of the procedures. [PR IV.A.2.a).(1).(b).(ii)]
Surgery of the Spine
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 2 of 6
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d) Development of a treatment plan to manage patients with traumatic, congenital, developmental,
infectious, metabolic, degenerative, and rheumatologic disorders of the spine. [PR
IV.A.2.a).(1).(b).(iii)]
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e) Recognition and management of complications of treatment (including appropriate consultations
with subspecialists). [PR IV.A.2.a).(1).(b).(iv)]
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f)
Assessment of the effectiveness of diagnostic and treatment methods, including outcome
studies. [PR IV.A.2.a).(1).(b).(v)]
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g) Development of operative skills for the management of patients with orthopaedic disorders of
the spine. [PR IV.A.2.a).(2).(b)]
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h) The indications, risks, and limitations of the commonly performed procedures in the
subspecialty. [PR IV.A.2.b).(1)]
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i)
The basic sciences as they relate to orthopaedic surgery of the spine. [PR IV.A.2.b).(2)]
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j)
The natural history of spinal degeneration. [PR IV.A.2.b).(3)]
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k) Sufficient familiarity with current research methods to enable the fellow to critically analyze
research reports and to design and implement clinical or basic research in the field of
orthopaedic surgery of the spine. [PR IV.A.2.b).(4)]
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l)
Acquisition of teaching skills in evaluation and care of spinal problems. [PR IV.A.2.d).(1)]
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2. Describe the program conference schedule, including comment on the planned levels of teaching
staff participation and fellow attendance. Describe related educational activities such as journal
clubs. [PR IV.A.3.c)]
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Surgery of the Spine
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 3 of 6
3. Concisely describe opportunities for fellows to provide consultation with faculty supervision. In
addition, describe fellow educational responsibilities for residents, medical students, and allied
health personnel. [PR IV.A.4.a)]
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4. How will the program ensure that fellows are provided with adequate opportunities to observe and
to manage patients with a variety of problems involving orthopaedic surgery of the spine on both an
inpatient and outpatient basis? How will the program ensure that the breadth of patient experience
includes the evaluation and care of individuals through a wide range of ages, of both sexes, and
who have acute, subacute, and chronic conditions? [PR IV.A.4.b)]
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5. Describe the manner in which the program will ensure that fellows are provided with adequate
opportunities to assume a major role in the continuing care of patients and have progressive
responsibility for inpatient assessment, preoperative evaluation, operative experience, and
postoperative management and rehabilitation. [PR IV.A.4.d)]
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6. Describe the responsibilities of the fellows for inpatients, emergency rooms, outpatient clinics,
operating rooms, and private offices. How will supervision be provided in each area?
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Scholarly Activity
Summarize program activity in research and other scholarly activity:
1. List the staff who will provide stimulation and supervision of clinical or laboratory research activity
by fellows and identify their particular area(s) of expertise.
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2. Describe the manner in which the program is designed to promote resident ability to evaluate
medical literature and research. How will instruction in experimental design, hypothesis testing and
research methods be provided? [PR IV.B.1.-2.]
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3. Describe the facilities and resources (including space, equipment, support personnel, funding) that
are utilized to support resident research. [PR IV.B.3.]
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4. Describe the time free of clinical duties that will be provided for resident participation in clinical or
laboratory research. [PR IV.B.3.]
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Surgery of the Spine
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 4 of 6
INSTITUTIONAL OPERATIVE DATA
Report the number of procedures performed at each site listed in ADS that participates in the program
during a recent 12-month period. Duplicate table as necessary.
Spine Procedures for Site #
Cervical Thoracic
Lumbo- Multiple
sacral Regions
Totals
Anterior
Decompression Posterior
Combined
Spine Trauma
Anterior
Fusion without
Posterior
(acute or
Instrumentation
subacute seen
Combined
within 3 months of
Anterior
Fusion with
injury)
Posterior
Instrumentation
Combined
Other Trauma
Anterior
Decompression Posterior
Combined
Anterior
Fusion without
Posterior
Reconstruction/ Instrumentation
Combined
Degenerative
Anterior
Fusion with
Posterior
Instrumentation
Combined
Other
Reconstruction/Degenerative
Osteotomy or
Anterior
Release (List
Posterior
separately even
when done with
instrumentation Combined
Reconstruction/ and fusion)
Deformity
Anterior
Instrumentation
Posterior
and Fusion
Combined
Other
Reconstruction/Deformity
Surgery of the Spine
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 5 of 6
AFFILIATION WITH AN ORTHOPAEDIC RESIDENCY
Attach a copy of the agreement signed by the directors of the fellowship and the residency
describing:
a) The manner in which the fellowship and residency programs will interact;
b) The roles of the residency and fellowship directors in determining the educational program of
the residents and fellows;
c) The roles of residents and fellows in patient care; and
d) The ways in which the fellowship is expected to enhance the education of residents.
Surgery of the Spine
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 6 of 6