REVIEW
WORKBOOK
FOR RESIDENCY TRAINING
PROGRAMS IN RURAL PEDIATRICS
American Osteopathic Association
and the
American Osteopathic College of Pediatricians
Review Workbook for Residency Training Programs in Rural Track Pediatrics
1
This evaluative workbook is a companion document to the Basic Standards for Rural Track
Residency Training in Pediatric Medicine. The purpose of this document is to assist evaluators
and institutions to determine if institutions that are currently sponsoring rural track residency
training in Pediatric Medicine, or those seeking to sponsor a program, meet the minimum
standards of accreditation.
Following the Review of an established program, evaluators will submit this completed
workbook to the American College of Osteopathic Pediatricians (ACOP) through the
American Osteopathic Association (AOA) for review at the next scheduled meeting of the
Committee on Graduate Medical Education (CGME). Programs will be evaluated according to
the scale at the end of this document based on degree of compliance. Following the meeting,
recommendations will be submitted to the AOA program and Training Review Committee
(PTRC) which will forward the recommendations to the institution.
Section One of this document provides an overall summary of the program, including statistical
information and summaries of curriculum vitae of the program’s director, department chair, and
core faculty.
Section Two will provide programs with the current standards that must be met to determine
the approval or disapproval of the program. New programs meeting the standards on the
approval scale will be granted approval for one year with another evaluation visit scheduled
within nine months of the first resident beginning training. Established programs will be
Review Workbook for Residency Training Programs in Rural Track Pediatrics
2
granted approval based on the total score given the program and based on the scale provided
below.
Approval period is determined as follows:
 Less than thirty-three (33) points – probation
 Thirty-three (33) points to forty-two (42) points – 3 years Program Approval
 Forty-three (43) points or above – 5 years Program Approval
The following material should accompany the initial request for approval to the AOA and
ACOP as well as programs undergoing evaluation for continuation of approval. Copies of this
material should also be available on the day of the evaluation; however the Program Evaluator
may request that additional items be available to him or her at the evaluation. He or she will
notify the program in advance if additional material is required.
 Completed application (2 copies).
 Curriculum Vitae of the Program Director.
 Written program description.
 Monthly schedule for residents in the pediatrics emergency department for the last 6
months.
 List of all residency programs currently offered at the base institution.
 The program’s pass rates for all Pediatric residents as supplied by the AOBP or ABP.
On the day of the Review, the following material will also be available to the Program Evaluator.
 Completed application.
Review Workbook for Residency Training Programs in Rural Track Pediatrics
3
 All resident files, including all evaluations.
 All affiliation agreements for all rotations not completed at base institution.
 Department minutes for last 12 months.
 Conference schedule for last 12 months, including attendance records.
 Proposed conference schedule for new applications.
 Additional information requested by the Program Evaluator.
Review Workbook for Residency Training Programs in Rural Track Pediatrics
4
REVIEW WORKBOOK
FOR
RURAL TRACK RESIDENCY TRAINING PROGRAMS
IN
PEDIATRICS
SPONSORING INSTITUTION: (Name the entity, i.e., the university, hospital, health system or
foundation that has ultimate responsibility for this program. Specify if sponsor has changed since
last review)
Name of Sponsor:
Address:
Name of Chief Executive Officer: (Please type)
Affiliation with an Osteopathic Postgraduate Training Institution (OPTI):
Name of OPTI:
Department Chairman:
Name and mailing address of Program
Director:
Full Time:
Yes
No
Name:
Title:
Date of Appointment:
Address:
AOBP Certified: Yes
No
Telephone:
Email Address:
FAX:
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5
The signatures of the director of the program and the chief of the department attest to the
completeness of the information provided on these forms.
Signature of Program Director:
Name of Chief of Pediatrics/Department
Chairman:
Signature:
Date
Today’s
This form must be typed and returned to the Inspector at least one (1) week prior to the
scheduled Review.
Review Workbook for Residency Training Programs in Rural Track Pediatrics
6
PRIMARY HOSPITAL (Hospital #1)
Name:
Address:
How many months per year is the resident assigned to this site?
year:
1st year:
2nd year:
3rd
1st year:
2nd year:
3rd
Other participating institution (Hospital #2)
Name:
Address:
How many months per year is the resident assigned to this site?
year:
Does this hospital participate in any other accredited pediatrics program? Yes
No
If so, name that program:
Is the hospital used for required rotations, elective experiences or both?
Chief/Chair, Department of Pediatrics:
Full time? Yes
No
Other participating institution (Hospital #3)
Name:
Address:
How many months per year is the resident assigned to this site?
year:
1st year:
2nd year:
Does this hospital participate in any other accredited pediatrics program? Yes
If so, name that program:
Is the hospital used for required rotations, elective experiences or both?
Review Workbook for Residency Training Programs in Rural Track Pediatrics
7
No
3rd
Chief/Chair, Department of Pediatrics:
Full time? Yes
No
Other participating institution (Hospital #4)
Name:
Address:
How many months per year is the resident assigned to this site?
year:
1st year:
2nd year:
Does this hospital participate in any other accredited pediatrics program? Yes
3rd
No
If so, name that program:
Is the hospital used for required rotations, elective experiences or both?
Chief/Chair, Department of Pediatrics:
Full time? Yes
No
Other participating institution (Hospital #5)
Name:
Address:
How many months per year is the resident assigned to this site?
year:
1st year:
2nd year:
Does this hospital participate in any other accredited pediatrics program? Yes
3rd
No
If so, name that program:
Is the hospital used for required rotations, elective experiences or both?
Chief/Chair, Department of Pediatrics:
Full time? Yes
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No
If Clinical Sites, not related to institutions listed above, are used for experiences of one
or two months, provide the following information. Identify them as Site A, B, C and
provide the following information for each.
Name & address of Site A:
Distance from primary hospital: Miles:
Length of resident assignment in
months or hours:
Elective
Required
1st yr:
or both
Travel time:
2nd yr:
3rd yr:
What rotation:
Name(s) of supervisor(s)
Name & address of Site B:
Distance from primary hospital: Miles:
Length of resident assignment in
months or hours:
Elective
Required
1st yr:
or both
Travel time:
2nd yr:
3rd yr:
What rotation:
Name(s) of supervisor(s)
Name & address of Site C:
Distance from primary hospital: Miles:
Length of resident assignment in
months or hours:
Elective
1st year
Travel time:
2nd year
3rd year
_____Required _____or both _____What rotation:
Name(s) of supervisor(s)
Review Workbook for Residency Training Programs in Rural Track Pediatrics
9
RESIDENTS IN PEDIATRICS PROGRAM
This page should include all osteopathic residents currently in the program. Use
additional pages as needed.
Name
Date
began
Osteopathic
medical school and
date of graduation
Previous graduate
training (type and
duration)
First Year (those currently
enrolled in post-graduate year
1):
Second Year (those currently
enrolled in post-graduate year
2):
Third Year (those currently
enrolled in post-graduate year
3):
Medicine – Pediatrics Program:
Name those enrollees in other
combined pediatrics programs?
Name program and residents:
Are all residents candidate members of the American College of Osteopathic
Pediatricians?
Yes
No
Review Workbook for Residency Training Programs in Rural Track Pediatrics
10
RESIDENT COMPLEMENT
1.
Specify the number of resident positions funded and filled in this program as of the date of
this application.
Pediatric
Residency
PL – 1
PL – 2
PL – 3
Total in
Peds/IM
program
Total in all
Other
Combined
Training (e.g.,
Ped/EM)
Positions funded
Positions filled
2.
List the year and number of graduates from the program for the last five years:
Year
# of graduates
# who took
AOBP Cert.
Exam
# who took ABP
Cert. Exam
Total number
passed on the
first attempt
AOBP
3.
ABP
Were any transfers accepted into years two or three of training during most recent 3 years? If
so, complete the chart below.
Residents who
transferred into this
program
Previous program
Last training level in
previous program
Last calendar year in
previous program
Review Workbook for Residency Training Programs in Rural Track Pediatrics
11
RESIDENT COMPLEMENT
4.
Give the number of residents who left the program in the past three years prior to
completing three years of training. Explain the reasons for each case and state whether each
Residents who
transferred out of this
program
New program
Training level
prior to
transfer
Last calendar
year in program
Reason resident left
program
of these residents was provided with documentation of performance and completion of
experiences taken in this program.
Review Workbook for Residency Training Programs in Rural Track Pediatrics
12
TEACHING STAFF
Name any previous program directors who served in the past five years, if applicable,
and their length of service.
List below major teaching staff who currently participate directly and regularly in this pediatric
teaching program.
1. First, list the program director and then the pediatric faculty at the primary hosptial.
2. Then list the other primary teaching faculty at the primary or integrated hospitals.
Name
Specialty/
Subspecialty
Location
Hospital
1,2,3/
Site
A,B,C
Certification
Ped.
(year)
Recert.
(year)
Specifiy
other board
& year
Recert.
(year)
Program. Director.
Attach as Appendix A the curriculum vitae of the program director and all staff members who
play a major role in the residency.
Review Workbook for Residency Training Programs in Rural Track Pediatrics
13
Other professional personnel teaching in the pediatric residency training program at the primary
hospital
Discipline/service
# who interact
with pediatric
residents
Name of primary
person who
interacts with
pediatric residents
Name and year of
board
certification
Adolescent
Medicine
Cardiac
Emergency
Medicine
Family
Medicine
General
Pediatric
Genitourinary
Gynecology
Neurosurgery
Ophthalmology
Orthopaedics
Otolaryngology
Pathology
Plastic
Psychiatry/
Psychobiology
Radiology
Sports
Medicine
Thoracic
Hospitalist
Transport
Review Workbook for Residency Training Programs in Rural Track Pediatrics
14
% of time
devoted to
pediatric patients
OUTLINE OF BLOCK ROTATIONS REQUIRED BY THE PROGRAM
1. In each block indicate the periods of time (1 month or one 4week block) that represent the program and designate inpatient
(IP), outpatient (OP), or both (IP/OP). Include vacation.
2. Identify the site in which each occurs (i.e., Hospital 1, Hospital
2, Site A, B, etc) as designated on pages 1 – 3 of this workbook.
3. Since residents may experience the rotation in different
sequence, list all similar rotations sequentially IP IP NICU
NICU RS SUB ELEC ELEC EM EM (see example)
4. If a specialty track internship is offered, submit a separate block
diagram. Indicate clearly any non-pediatric rotations that differ
from those approved as part of the pediatric residency.
5. (Asterisk the rotations that are call free. )
Use these abbreviations
GP General Pediatrics
NICU Neonatal Intensive Care
NN Newborn Nursery
SUB Subspecialty
PICU Pediatric Intensive Care
ADOL Adolescent Medicine
DB Developmental/Behavioral
EM Emergency/Acute Illness
ELEC Electives (other than
subspecialties)
VAC Vacation
PRM Perinatal Repro Medicine
S Surgery
IM Internal Medicine
HOSP Hospitalist
TRANS Transport
EXAMPLE:
Month/4
wk
Experience
or rotations
1
GP(OP)
1
GP (IP)
1
2
GP
(IP) 1
3
GP(IP)
1
4
5
NICU
(IP) 2
6
NICU
(IP) 1
7
EM
(OP) 1
8
SUB
9
DB
(OP) 1
10
ELEC
2
11
ADOL
(IP)1
(OP) B
12
VAC
13
N/A
8
9
10
11
12
13
SPECIFY TRACK INTERNSHIP
Month/4
wk
1
2
3
Experience
or rotations
Review Crosswalk - Rural Track in Pediatrics
Page 15 of 34
4
5
6
7
FIRST YEAR BLOCK DIAGRAM
Month/4
wk
1
2
3
4
5
6
7
8
9
10
11
12
13
8
9
10
11
12
13
8
9
10
11
12
13
Experience
or rotations
SECOND YEAR BLOCK DIAGRAM
Month/4
wk
1
2
3
4
5
6
7
Experience
or rotations
THIRD YEAR BLOCK DIAGRAM
Month/4
wk
1
2
3
Experience
or rotations
Review Crosswalk - Rural Track in Pediatrics
Page 16 of 34
4
5
6
7
REVIEW CROSSWALK FOR RESIDENCY TRAINING PROGRAM IN RURAL TRACK PEDIATRICS
Instructions
 Mark each standard as met, not met or met with excellence
 Use the Comments section to explain any standards that are not met or any commendations
Program:
Program Number:
Review Date:
Site Reviewer’s Name (print)
Date
Site Reviewer’s Signature
Date
Program Director’s Signature
Date
Review Crosswalk - Rural Track in Pediatrics
Page 17 of 34
5.1.2 or
5.1.3
5.2
or
 List of rotations
1
 Review ACOP yearly
evaluations both resident
and director
 Review ACOP GME
residency complete list
 Compare rotations with
Basic standards, appendix
B
1
The first postdoctoral year must be a traditional rotating internship
OGME-1 Traditional followed by, three (3) years (thirty-six months) of
general pediatric medicine. These three (3) years must be known as OGME
2, 3 and 4.
At least twenty-four (24) months of the required thirty-six (36) months
must be served in the same program unless an exemption is granted by the
 Affiliation agreements
ACOP.
1
5.3.1
The general educational content of the residency training program must
include the neuromuscular component of disease and the osteopathic
concept of evaluating and treating the whole patient in inpatient care and
ambulatory care settings.
 Review POMT
certificates
 Reviews ACOP OMT inservice scores
 Interview one resident
from each year
1
5.3.2
The general educational content of the residency training program must
include the development of basic cognitive skills and knowledge pertaining
to normal physiology and pathophysiology of the body systems and the
correlating clinical applications of medical diagnosis and management.
 Review schedule of
lectures, conferences and
grand rounds
1
Review Crosswalk - Rural Track in Pediatrics
Page 18 of 34
Met
Met
Not Met
STANDARD
SECTION V – PROGRAM REQUIREMENTS AND CONTENT
The Rural Track Residency Training Program in Pediatrics must be three
5.1.1
(3) years (thirty-six) 36 months) in general pediatric medicine.
The first postdoctoral year must be the first year of residency. This
position must be known as osteopathic graduate medical education
(OGME-1) Resident. Subsequent years will be known as OGME 2, 3.
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.3.3
Required:


























Developmental screening,
Tympanometry,
Intradermal subcutaneous and intramuscular injections,
Lumbar puncture,
Intravenous access,
Endotracheal intubation,
Umbilical artery lines,
Umbilical venous lines,
Circumcision
Foreign body removal from ears and nose
Frenotomy
Arterial blood gas sampling,
Suturing of lacerations,
Bladder catheterization,
Suprapubic bladder taps,
NG tube placement,
Phlebotomy,
Newborn resuscitation,
Intraosseous access,
Chest tube insertion,
Fracture care,
Basic pediatric ultrasound,
Procedural sedation
Pelvic examinations,
Basic Life Support (BLS), Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation
Program (NRP).
Stabilization and transport of both newborn and pediatric patients of all ages including victims of
trauma.
Program Director Comments (REQUIRED):
Review Crosswalk - Rural Track in Pediatrics
Page 19 of 34
 Review Procedure logs
1
Met
Not Met
STANDARD
The general educational content of the residency training program must
include experience and training in the following procedures and
development of respective interpretation skills. Verification by the program
director of experience and competency in required procedures is necessary.
Met
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.3.4
5.3.5
5.3.6
The general educational content of the residency training program must
include bio-psychosocial knowledge and skills must be taught in both
formal and informal settings throughout the residency. These must include
such factors as medical sociology, doctor/patient/parent/guardian/family
communication, crisis recognition and intervention, the effects of
psychological components of health states, interviewing skills, recognition
and management of uncomplicated behavioral disorders, substance abuse
care, and death and dying.
All elective training must be approved by the program director.
The general educational content of the residency training program must
include ambulatory care: To include the traditional care of the well child
and also the child with acute illness, trauma, poisoning and chronic
disorders. Training must enable the resident to develop skills in counseling
and guidance, developmental appraisal, referral, consultation, health
maintenance assessment and the management of a practice as well as to
prepare the resident to assist in the continuing care of the developmentally
disabled child. Participation in the activities of the outpatient department
and the emergency medicine department are important, as they pertain to
the pediatric patient including child abuse evaluations, treatment and
reporting.
Review Crosswalk - Rural Track in Pediatrics
Page 20 of 34
 Review schedule of
lectures, conferences and
grand rounds
 Review rotation schedule
 Review approval
documentation for
electives
1
1
 Continuity clinic
schedule
 average continuity
schedule for residents
 ER schedule and number
of patients seen per year.
 Interview residents
concerning continuity
clinic/ER
1
Met
Not Met
STANDARD
Site Review Comments (describe not met and or commendations):
Met
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.3.11
Residents must attend at least one ACOP meeting prior to completing their
residency.
Review Crosswalk - Rural Track in Pediatrics
Page 21 of 34
 Rotation schedule
 Interview residents
concerning inpatient care
experience
 Rotation schedule
 Number of deliveries and
NICU census
 Procedure logs during
Nursery/NICU rotation
 Interview resident
concerning delivery
experience
 Lecture, grand rounds,
journal club schedule
 documentation of board
review
 interview residents
concerning board review
 letter from ACOP
documenting attendance
1
1
1
1
1
Met
Met
Not Met
STANDARD
The general educational content of the residency training program must
include inpatient care: To include the management and understanding of
functional and organic diseases of newborns, infants, children and
5.3.7
adolescents. Training must enable the resident to appraise and react to the
rapidly changing clinical status of the patient as well as to handle multiple or
conflicting consultations and coordinate services for individual patients
requiring multidisciplinary care.
The general educational content of the residency training program must
include experience in the delivery room with newborn care and
resuscitation, enabling the resident to become skilled in the process of
5.3.8
infant stabilization when specialized facilities are not available prior to
transfer. The resident must be capable of stabilizing the seriously ill
newborn.
The general educational content of the residency training program must
include experience in the newborn nursery to enable the resident to become
proficient in the management of such conditions as asphyxia, hypoglycemia,
5.3.9
jaundice, respiratory distress syndrome, sepsis and other conditions
inherent in the management of a neonate. The resident must demonstrate
knowledge of the normal growth and development of the fetus and the
effects of drugs, infection and malnutrition.
The general educational content of the residency training program must
make available pediatric board review opportunities to each resident, either
in the form of weekly programs (such as Nelson's Club or Journal Club), or
5.3.10
by sponsoring the resident's attendance at a pediatric board review course.
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
The general educational content of the residency training program must
include provide training in the assessment development, and mobilization
5.3.14
of community resources for the benefit of both individual pediatric patient
and community health.
Program Director Comments (REQUIRED):
 Interview resident
 Review lecture, grand
rounds and conference
list
 Interview resident
 Review lecture, grand
rounds and conference
list
1
1
1
Site Review Comments (describe not met and or commendations):
5.5
In order to preserve important pediatric training experience, and also
accommodate the specialty services actually available in a rural community,
at least twenty-four (24) months of training must include actual clinical
pediatric patient responsibility, and no more than nine (9) months of the
thirty-six (36) months of training can be assigned in non-pediatric services.
Review Crosswalk - Rural Track in Pediatrics
Page 22 of 34
 Review resident rotation
schedule
 Review basic standards
appendix B.
1
Met
Met
Not Met
STANDARD
The general educational content of the residency training program must
include training in both the inpatient and ambulatory practice of pediatrics
5.3.12
shall be provided to enable the resident to do complete histories and
physicals, plan comprehensive care and mobilize available community
resources in the holistic care of the patient.
The general educational content of the residency training program must
include provide training to make sound medical judgments with an
5.3.13
understanding of ethical and legal considerations as well as cultural
diversities and the care of the patient.
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.7
5.8.1
Each resident must participate in scholarly activity as determined by the
program director. Options for meeting this requirement shall be
determined by the program director.
CRITICAL
The curriculum must include at least six (6) months in general ambulatory
settings (at least two (2) of which must be rural), including general pediatric
clinic, acute illness clinic, emergency department, private practice settings,
adolescent clinics and behavioral-developmental clinics, in addition to the
required time spent in the continuity clinic.
The following requirements pertain to ambulatory general pediatric care:
Review Crosswalk - Rural Track in Pediatrics
Page 23 of 34
1
 Resident’s research topic,
abstract, poster, oral
presentation, manuscript.
 Both program director
and residents yearly
ACOP evaluation
1
 Continuity clinic
schedule and number of
patients per year seen by
resident.
 Resident rotation
schedule
1
Met
Met
Not Met
STANDARD
The program must provide adequate exposure to medical research/review
skills and methods of presentation including:
 How to read and understand the medical literature,
 Research types, methodology and statistics,
 Library facilities
 Evidence based medicine,
 Resident research project
5.6
 Quality, performance improvement and patient safety initiatives,  Review lectures, grand
 Health services research, policies, administration (i.e., access of
rounds and conferences
population groups to healthcare, compliance issues, public
policies, managed care, etc.).
 Scholarly practice, including participation in practice-based
research networks.
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
Office electives or assignments must not exceed more six (6) months
during the pediatric residency. Assignments must be solid blocks of time
or must run concurrently with other assignments on a part-time basis.
Preceptors using this educational method must submit to the Program
Director descriptions of the content of these educational experiences each
5.8.1.2
time the program is reviewed. Verification of all patients seen must be
kept by residents. Residents must be involved in decision-making
processes and not function merely as observers. Curricular content must
include small business principles, practice, and finance and delivery
models. In addition, the curriculum shall include one (1) month or 200
hours of OPP/OMM.
CRITICAL
Program Director Comments (REQUIRED):
Site Review Comments (describe not met and or commendations):
Review Crosswalk - Rural Track in Pediatrics
Page 24 of 34
 Continuity clinic
schedule and number of
patients per year seen by
resident.
 Resident rotation
schedule
1
 Review resident
rotational schedule
 Interview with resident
and director.
 Review affiliation
agreements of office
assignments.
1
Met
Met
Not Met
STANDARD
Continuing care of a group of patients in a rural community throughout the
three (3) years of training is required. Residents must have an assignment of
5.8.1.1
at least one half-day per week in a continuity clinic throughout the training
program. This assignment must receive priority over other duties.
CRITICAL
Rural office-based assignments
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.8.1.3
5.8.1.4
In addition to their experience in the continuity clinics, residents must have
at least three (3) months of experience managing pediatric patients with
acute problems, including respiratory infections, dehydration, coma,
seizures, poisoning, trauma, lacerations, burns, shock and status
asthmaticus. At least one of these months must be a block rotation in an
emergency department that serves as the receiving point for EMS transport
and ambulance traffic and which is the access point for seriously ill and
acutely ill pediatric patients. The residents must have the opportunity to
function as the physician of first contact for pediatric patients with the
problems mentioned above.
Transport experience
Residents must have at least one (1) month or 200 hours of experience in
the transport of newborns and other pediatric patients via both ground and
air.
CRITICAL
Review Crosswalk - Rural Track in Pediatrics
Page 25 of 34
 ER and PICU blocks.
 Continuity clinic
 Office based electives
 Interview resident and
director
1
 Review resident rotation
1
Met
Not Met
STANDARD
Emergency and acute illness experiences
Met
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
Adolescent Medicine
5.8.1.5
There must be a structured experience in adolescent medicine involving
didactic and clinical components and ambulatory experience. It must be
under the direction of a teaching staff member with expertise in adolescent
medicine. Residents must have one (1) month patient care experiences in
the following: health maintenance examinations, family planning, sexually
transmitted diseases and gynecology.
 Schedule for adolescent
medicine.
 Interview resident
1
 Review rotational
schedule
 Interview resident.
 Review: diagnosis and
patient list of the
program.
 Review procedure log
 Review intern/ resident
patient logs
 Review list of academic
pediatric faculty
1
Experiences in chemical dependency, sports medicine, health needs of
incarcerated youth, and college health issues are strongly recommended. A
separate clinic for adolescent patients is desirable. Also recommended is
experience with healthcare for adolescents provided in schools, group
homes, family planning clinics, and inpatient psychiatric facilities.
Behavioral Developmental Pediatrics
5.8.1.6
Residents must participate in a structured experience in normal and
abnormal behavior and development involving didactic and clinical
components. Experience must include the care of patients from newborn
through young adulthood.
Residents must learn how to serve as care managers for patients with
chronic diseases and multiple problems. Subspecialty consultants and
ancillary personnel must be available to the residents as they care for these
patients.
Review Crosswalk - Rural Track in Pediatrics
Page 26 of 34
Met
Not Met
STANDARD
Met
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.8.3
CRITICAL
There must be the equivalent of at least two (2) months that include care of
newborns in the routine nursery setting. This experience must include
routine physical examination of the newborns (at least 50 normal newborn
examines), attendance at routine, high risk deliveries and C-sections, and
counseling of the parents on the care, and comprehensive issues of the
neonatal period. This requirement may be combined or included with other
rotations that have a normal newborn service.
Review Crosswalk - Rural Track in Pediatrics
Page 27 of 34
 Review rotational
schedule
 Interview resident.
 diagnosis and patient list
of the program.
 Review procedure log
 Review intern/ resident
patient logs
 Review list of academic
pediatric faculty
1
 Resident rotational
schedule
 Review basic standards,
appendix B
 Review number of
deliveries per year.
 Review intern/resident
patient logs
1
Met
Met
Not Met
STANDARD
General hospitalist inpatient pediatric rotations must be a minimum of five
(5) months. The list of diagnoses and patient data requested in the program
information forms must show evidence of a sufficient number and variety
of complex and diverse pathologic conditions to ensure that the residents
have experience with patients who have acute and chronic illnesses as well
as those with life-threatening conditions in the pediatric age groups.
Residents at more than one level of training must interact in the care of
inpatients.
A first-year resident must be responsible for a sufficient number of
5.8.2
patients, depending on the average length of stay and the nature and
severity of illness.
Second-and third-year residents must be involved in the care of more
patients than first-year residents.
General pediatric faculty with broad experience in the practice of inpatient
pediatric medicine must actively participate in the education of residents in
the inpatient settings through inpatient rounds.
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.8.4.1
There must be a rotation in neonatal critical care (Levels II and III) for a
minimum of three (3) months, exclusive of experience with the normal
newborn. At least two (2) of the three (30 months must occur in a setting
where residents have the opportunity to regularly participate in the
resuscitation of newborns in the delivery room.
There must be a rotation in the pediatric intensive care unit for a minimum
of one (1) months.
CRITICAL
The maximum number of required rotations in both critical care areas
5.8.4.3
combined must not exceed six months.
Hospital Procedures
There must be one (1) month rotation dedicated to intravenous access,
5.8.4.4
intubation and other hospital procedures.
CRITICAL
The total amount of time committed to all subspecialty elective rotations
5.9.1
must be no more than eight (8) months. No more than six (6) months may
be spent on any one subspecialty during the three (3)-year residency.
Program Director Comments (REQUIRED):
 NICU accreditation, bed
number, percent
occupancy.
 Resident schedule
 Review Residents
procedure logs.
 Interview resident
5.8.4.2
Site Review Comments (describe not met and or commendations):
Review Crosswalk - Rural Track in Pediatrics
Page 28 of 34
1
1
1
 Review resident rotation
schedule
1
1
Met
Not Met
STANDARD
Met
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.9.3
Subspecialty experience must be supervised by pediatricians who have been
certified in their pediatric subspecialty areas by the appropriate sub-boards
of the American Osteopathic Board of Pediatrics (AOBP) or by another
specialty board or who possess suitable equivalent qualifications. The
acceptability of equivalent qualifications shall be determined by the
program director. These individuals must be directly involved in the
supervision of residents during their training in the subspecialties.
All subspecialty rotations must have an adequate number and variety of
patients to provide each resident with an appropriately broad experience in
the subspecialty. These experiences also must include attending
subspecialty conferences, appropriate reading assignments, and acquainting
the residents with techniques used by subspecialists.
5.9.4
Each resident must have patient care responsibilities as a supervised
consultant on the inpatient and outpatient services in each of his or her
subspecialty experiences. As a supervised consultant the resident must have
the opportunity to evaluate and to formulate management plans for
subspecialty patients. Instances in which a resident functions solely as an
observer shall not fulfill this requirement.
Review Crosswalk - Rural Track in Pediatrics
Page 29 of 34
 Resident patient logs
 Diagnosis and patient list
of the program.
 Lectures, grand rounds
and conferences
 Interview resident
1
 Review list of academic
pediatric faculty
1
 Resident patient logs
 Diagnosis and patient list
of the program.
 Lectures, grand rounds
and conferences
 Interview resident
1
Met
Met
Not Met
STANDARD
Subspecialty rotations shall include any of the following:
allergy/immunology, cardiology, child psychiatry, critical care, dermatology,
endocrinology/metabolism, gastroenterology, genetics,
hematology/oncology, infectious disease, nephrology, neurology, pediatric
5.9.2
radiology, pediatric rheumatology, pediatric surgery, pulmonology, school
health and international health, anesthesia, ophthalmology, orthopedics,
sports medicine, otolaryngology, physical medicine & rehab.
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
5.10
In addition to meeting all of the above requirements the program must
include four (4) months in a rural setting including a rural public and
community health experience.
 Review resident rotation
schedule
CRITICAL
Program Director Comments (REQUIRED):
Site Reviewer Comments (describe not met or commendations):
Total Points for Section V ____________ out of 38
Review Crosswalk - Rural Track in Pediatrics
Page 30 of 34
1
Met
Not Met
STANDARD
Rural requirements
Met
Not Met
Pre-Site Visit
Current
(Program
Review
SUGGESTED
Director Self (Site Reviewer)
DOCUMENTATION Value
Study)
/ INTERVIEWS FOR 0-1
VERIFYING
points
COMPLIANCE
SECTION VI – PROGRAM DIRECTOR / FACULTY
The program director of a residency program must be certified and
6.1.1
maintain certification in pediatrics by the AOA through the AOBP.
CRITICAL
The program director of a residency program must have practiced in
6.1.2
pediatrics or a pediatric subspecialty for a minimum of three (3) years;
The program director of a residency program must be a practicing specialist
6.1.3
in pediatrics or a pediatric subspecialty;
The program director of a residency program must be a member in good
6.1.4
standing of the ACOP.
CRITICAL
The program director of a residency program must attend an ACOP
6.1.5
chairman’s/program directors’ meeting at least once every three years.
CRITICAL
The program director must provide the ACOP with yearly electronic
evaluation reports of the residents in the training program within thirty (30)
6.2.1
Days of completion of the contract year at www.acopeds.org.
CRITICAL
The program director must require the resident to apply for Candidate-in6.2.2
Training status with the ACOP during the training program.
Program Director Comments (REQUIRED):
 Program’s director CV,
documentation of
certification.
 Review director’s
academic appointment.
1
 Letter from ACOP
acknowledging
membership in good
standing and attendance.
1
1
1
 ACOP yearly Resident
directors report.
1
 ACOP documentation.
1
Site Reviewer Comments (describe not met or commendations):
Total Points for Section VI ____________ out of 7
Review Crosswalk - Rural Track in Pediatrics
Page 31 of 34
1
SECTION VII – RESIDENT REQUIREMENTS
Applicants for residency training in pediatrics must be and remain members
7.1.2
of both the AOA and the ACOP during residency training.
CRITICAL
During the training program the resident must electronically submit
Residents Annual Report to the ACOP within thirty (30) days of
7.2.1
completion of each contract year at www. acopeds.org.
CRITICAL
During the training program the resident must perform scientific research
and scholarly writing with the oversight and approval of the program
7.2.2
director.
CRITICAL
Attend all meetings as directed by the program director, including the
7.2.3
educational portion of the department/division of pediatric medicine, and
participate in major committee meetings;
Complete a comprehensive reading program as assigned by the program
7.2.4
director, including participation in a journal club;
Maintain a record of educational and postgraduate work completed outside
7.2.5
the training institution, listing dates, locations, subjects and speakers.
During the training program the resident must attend at least one ACOP
7.2.5.1
CME meeting during thirty-six (36) months of pediatrics residency.
Program Director Comments (REQUIRED):
 Letter from AOA and
ACOP documenting
membership.
1
 Review ACOP resident
annual report
1
 Resident’s abstract,
poster, oral presentation,
manuscript.
1
 Interview with resident
and director.
1
 Schedule for journal club
1
 List of educational
events.
1
 Letter from ACOP
documenting attendance.
1
Site Reviewer Comments (describe not met or commendations):
Total Points for Section VII ____________ out of 7
Review Crosswalk - Rural Track in Pediatrics
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SECTION VIII – EVALUATIONS
The program director shall complete an evaluation of each resident, each
A
year. The evaluation form is located on the ACOP website
(www.acopeds.org).
The resident shall be required to complete a resident report each year. The
evaluation form is located on the ACOP website (www.acopeds.org). The
B
resident shall also be required to complete a 360 degree evaluation,
quarterly evaluation as supplied by the training institution.
Program Director Comments (REQUIRED):

1

1
Site Reviewer Comments (describe not met or commendations):
Total Points for Section VIII ____________ out of 2
<37 Points  1 year probation
37 Points or higher  5 year approval
Review Crosswalk - Rural Track in Pediatrics
Page 33 of 34
Section Number
V.
VI.
VII.
VIII.
Total
Additional Comments:
Review Crosswalk - Rural Track in Pediatrics
Page 34 of 34
Total Met
Site Reviewer Grid
Total Not Met
Total Possible Met
38
7
7
2
54