New Application: Medical Biochemical Genetics Review Committee for Medical Genetics and Genomics ACGME 515 North State Street, Suite 2000, Chicago, Illinois 60654 312.755.5000 www.acgme.org SPONSORING INSTITUTION Will the sponsoring institution also sponsor ACGME-accredited residencies in the following specialties? [PR.I.A.1.] a) Medical genetics ..................................................................................................... ☐ YES ☐ NO b) Pediatrics ................................................................................................................ ☐ YES ☐ NO c) Internal medicine ..................................................................................................... ☐ YES ☐ NO Explain any NO responses. Click here to enter text. PROGRAM PERSONNEL AND RESOURCES Program Director Provide a list of the clinical conferences, seminars, journals clubs, rounds, and other didactic sessions that will be provided. Comment on the planned levels of teaching staff participation and fellow attendance at these sessions. Provide a list of topics and speakers as appropriate. [PR II.A.3.e).(3)] Click here to enter text. Other Program Personnel 1. Concisely summarize the technical, clerical, and other non-physician personnel who will provide support for the administrative and educational conduct of the program. Is the support of the program in this area satisfactory at all program sites? [PR II.C.] Click here to enter text. 2. Working with Other Health Care Professionals Summarize the opportunities fellows will have to work with genetic counselors, genetics residents, psychologists, and other health care professionals who are involved in the provision of medical biochemical genetics services. [PR II.C.1.; IV.A.2.d).(2)-(3), IV.A.2.f).(9)] Click here to enter text. Resources 1. Provide the data requested below, including the number of analyses and the analytic method, for each biochemical genetics laboratory that will contribute significantly to the education of fellows. Duplicate table as needed. [PR II.D.1.] 12-Month Period Covered by Statistics From: Click here to enter a date. Medical Biochemical Genetics ©2015 Accreditation Council for Graduate Medical Education (ACGME) To: Click here to enter a date. Updated 4/2015 Page 1 of 4 Name of Laboratory: Address: Name of Laboratory Director: Test Newborn Screening Amino Acid Analysis Organic Acid Analysis Acylcarnitine profile Mucopolysaccharide Screening Enzyme analyses 1. 2. 3. Other small molecule analyses 1. 2. 3. Prenatal Diagnosis: Disorders 1. 2. 3. List Other: Number of Analyses Analytic Method 2. Concisely describe the meeting rooms, classrooms, office space, research space, and facilities for record storage and retrieval utilized by the program. [PR II.D.3.a)] Click here to enter text. 3. Concisely describe the office and laboratory space provided for fellows for both patient care work and participation in scholarly activities. [PR II.D.3.b)] Click here to enter text. 4. Provide the patient visit or consult numbers below for each site/clinic based upon the prior academic or calendar year. Note: A single patient may be counted only up to 3 times, irrespective of the number of visits/encounters; for inpatients, each admission is a single encounter (i.e., each daily visit during a single admission is NOT counted). (Copy table as necessary.) [PR II.D.2.; II.D.4.] 12-Month Period Covered by Statistics Site/Clinic Name Types of New Patients Hyperammonemic crisis Metabolic or lactic acidosis Newborn screen Total From: Click here to enter a date. 0-5 5-10 10-20 Medical Biochemical Genetics ©2015 Accreditation Council for Graduate Medical Education (ACGME) To: Click here to enter a date. 20-30 > 30 Total Updated 4/2015 Page 2 of 4 Site/Clinic Name Types of Established Patients Fatty acid oxidation disorders Galactosemia Glycogen storage diseases Lysosomal storage disease Mitochondrial/energy metabolism disorders Organic acidemias PKU Urea cycle disorders Total 0-5 5-10 10-20 20-30 > 30 Total EDUCATIONAL PROGRAM Medical Knowledge 1. Describe how (including specific role), and in what settings, fellows learn about the acute management of IEMs. [PR IV.A.2.b).(1).(d).(i)] Click here to enter text. 2. Describe how (including specific role), and in what settings, fellows learn about the chronic management of IEMs. [PR IV.A.2.b).(1).(d).(ii) Click here to enter text. 3. Describe how (including specific role), and in what settings, fellows learn about enzyme replacement therapies and organ transplant. [PR IV.A.2.b).(1).(d).(iii) Click here to enter text. 4. Describe how (including specific role), and in what settings, fellows learn about newborn screening programs and confirmatory testing. [PR IV.A.2.b).(1).(e)] Click here to enter text. Curriculum Organization and Resident Experiences 1. Will fellows have the opportunity to develop the abilities to diagnose IEM, counsel patients, and manage the broad range of clinical problems that are encompassed by biochemical genetics? [PR IV.A.3.b)] ............................................................................................................... ☐ YES ☐ NO 2. Describe the role of the fellow and settings for learning about care of adults with IEMs. [PR IV.A.3.b)] Medical Biochemical Genetics ©2015 Accreditation Council for Graduate Medical Education (ACGME) Updated 4/2015 Page 3 of 4 Click here to enter text. 3. Briefly describe how fellows will be provided with structured education, including formal coursework, in the basic sciences and clinical areas pertinent to biochemical genetics, including population and newborn screening, disorders of amino acid metabolism, disorders of fatty acid oxidation, mitochondrial disorders, galactosemia, glycogen storage diseases, lysosomal storage diseases and lipidoses, peroxisomal disorders and other IEM, acute management of IEM, enzyme replacement therapy, long-term nutritional management, and molecular diagnosis. (An introductory medical genetics course for clinical genetics specialists alone does not satisfy this requirement.) [PR IV.A.3.c).(1)] Click here to enter text. 4. Will fellows be provided with mentored clinical education in the practice of biochemical genetics in both outpatient and inpatient settings? [PR IV.A.3.c).(2)] ............................................. ☐ YES ☐ NO 5. Will fellows be provided with advanced instruction in the interpretation of biochemical laboratory test results? [PR IV.A.3.c).(3)] ............................................................................................ ☐ YES ☐ NO 6. Will fellows be provided with basic instruction in medical biochemical genetic laboratory testing? [PR IV.A.3.c).(4)] .......................................................................................................... ☐ YES ☐ NO 7. What is the planned nature and extent of fellow experience during their assignments to the biochemical laboratory? Describe planned fellow participation in the working conferences of these laboratories and the ongoing discussions of laboratory data during other clinical conferences. [PR IV.A.3.d)] Click here to enter text. 8. Provide a list of the planned lectures and other didactic sessions which meet the requirement for a course in biochemical genetics. (Such a course must be more advanced than the genetics course given to medical students.) [PR IV.A.3.e)] Click here to enter text. Fellows’ Scholarly Activities Summarize program research activity and list the staff member(s) who will provide support and supervision of clinical or laboratory research activity by fellows and identify their particular area(s) of expertise. [PR IV.B.1.] Click here to enter text. Medical Biochemical Genetics ©2015 Accreditation Council for Graduate Medical Education (ACGME) Updated 4/2015 Page 4 of 4