ANNUAL DME REPORT TEMPLATE
________________________MEDICAL CENTER
Due Date July 31, 2011
I. INTRODUCTION: This is a bio on the training site and program. Information such as the
number of beds or the number of patients treated in the past year, numbers of interns and
residents, etc.
II. INTERNSHIP~RESIDENCY DATA:
A.
Program
Last
Approval
Inspection
(In years)
Approved
Positions
Next
Inspection
Mid-Cycle
Review
B. Any changes in key personnel (DME, PD, Coordinator) or other significant changes during
the past year.
C. Do you support osteopathic student clerkships (rotations)? Yes □ No □
D. Do you adhere to policies and procedures in Part Two of the Basic document for Postdoctoral
Training when selecting interns and/or residents? Yes □ No □
E. Do you follow specialty college(s) policies as approved by COPT when establishing transfer
credit and/or waiver status? Yes □ No □
F. Please provide CEME with a comprehensive list (in a standard format used in Pub. Med.) of
all scholarly activity (publications, presentations, etc.) and research completed by
interns/residents during the past academic year.
G. Does your institution provide a library with a wide selection of modern textbooks and current
periodicals in either printed or digital format applicable to the osteopathic graduate medical
education training? Yes □ No □
If “Yes,” please provide CEME with a list.
How readily accessible are the resources to the patient care area, please describe?
______________________________________________________________________________
______________________________________________________________________________
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If “No,” how does your institution meet this standard? Please describe.
______________________________________________________________________________
______________________________________________________________________________
H. If you answered, “Yes” to question G, is your library under the supervision of a
professionally trained librarian? Yes □ No □ See standard H, 1.1 for reference.
Who oversees library resources at your institution? Please provide name, title and contact
information so we may connect individual library staff, if necessary.
_____________________________________________________________________________
_____________________________________________________________________________
If you answered “No,” how does your institution meet this standard? Please describe.
______________________________________________________________________________
______________________________________________________________________________
I. Do interns/residents have access to basic science and/or clinical research mentorship?
Yes □ No □
If “No,” how does your institution meet this standard? Please describe.
______________________________________________________________________________
______________________________________________________________________________
III. SUPERVISION, RESPONSIBILITIES AND EVALUATIONS:
A. SUPERVISION: A statement explaining how the supervision guidelines have
been structured.
B. RESPONSIBILITIES: A description of the responsibilities of each of the
following.
1. Director of Medical Education2. Graduate Medical Education Committee –
3. Program Directors and Faculty –
4. What system do you have in place to evaluate faculty?
5. Do interns and residents have an opportunity to submit program evaluations?
Yes □ No □
6. Teaching Physician Responsibilities 7. Resident Responsibilities -
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C. ANNUAL EVALUATION OF TRAINEES & TRAINERS:
Please attached the following(i)
(ii)
(iii)





Annual Faculty Evaluation of Residents
Annual Resident Evaluation of Program
Final Resident Assessment Form
How do you document progress towards completion of program, including assessment of
the AOA competencies?
Of residents eligible for graduation, what percentage will meet graduation requirements?
Of residents taking AOA certifying boards, what percentage passed?
Passage rates for COMLEX 3 for the preceding year?
Institutional performance on in-service examinations?
Training Level:
Intern
OGME-1
OGME-2
OGME-3
OGME-4
OGME-5
Name
(Ex.~ Smith, J.)
Advancing to
Next Level?
Yes □ No □
Yes □ No □
Yes □ No □
Yes □ No □
Yes □ No □
Yes □ No □
If no, please explain:
IV.
DUTY HOUR STANDARDS:
This section should explain the policy on how work weeks are scheduled/conducted.
It can also address any anomalies that occurred within the past year and how they
were corrected.
V.
SAFETY & QUALITY OF PATIENT CARE PROVIDED BY INTERNS AND
RESIDENTS:
Again, this is where you discuss the sites policies on how the attending physicians
will evaluate the medical students, interns and residents as they interact with patients.
This should coincide with existing institutional policies.
VI.
CEME:
This is a where you state that you belong to CEME, if you serve on any CEME
committees, and provide details of assistance received through CEME during the past
year.
Ex) “CEME has provided support for the integration of the core competencies into
the educational program and evaluation of the Annual DME Report and Institutional
Core Competency Plan through the CEME OGME Committee. A copy of this report
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will be sent to the Osteopathic Graduate Medical Education Committee of CEME for
review and approval. The expertise of the OMT Faculty from NSU- College of
Osteopathic Medicine (sponsoring institution) is available upon request.”
VII. ANNUAL WRITTEN PROGRESS REPORT of the Institutional Core
Competency Plan:
_______________ Medical Center supports the mission of the American Osteopathic
Association (AOA) and CEME through the integration of the AOA established core
competencies.
_____________Medical Center will provide the personnel and finances necessary to successfully
implement the Institutional Core Competency Plan. Support staff will be utilized as necessary to
meet the requirements of each core competency within the appointed timelines. Traditional
Interns will receive an adequate exposure to core competencies.
It is not expected that trainees will meet all requirements of competency in the first year of their
postdoctoral program. The following section will chart trainee activity and performance in
meeting the AOA core competencies within the postdoctoral program.
CORE COMPETENCY #1
Osteopathic Philosophy and Osteopathic Manipulative Medicine
Selection of Method
The following method(s) have been selected to monitor the effectiveness and progress of the
plan at the levels of the Director of Medical Education, Graduate Medical Education
Committee, and CEME:
Review of compliance in regard to attendance at OMM Core Competency
Lecture/Skills Lab Series
Teaching Modality
Example-OMM Core Competency Lecture/Skills Lab Series?– Interns and Residents are
required to attend 100% of the lectures and attend one of the labs. If unable to attend the
lecture, a videotape may be reviewed.
Provide opportunities for active participation for residents in hospital and ambulatory sites
for OMT training.
Evaluation Modality
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Review of in-service exams, board exams, etc. by the Graduate Medical Education
Committee.
Rotation evaluations as applicable.
Anticipated Outcomes
Increased integration of the osteopathic philosophy and manipulative medicine.
Remediation Plan
Review of the area of deficiency with the appropriate Faculty. Proctoring and tutoring will
be set up as necessary with the appropriate Faculty.
CORE COMPETENCY #2
Medical Knowledge
Selection of Method
Example-The following method(s) have been selected to monitor the effectiveness and
progress of the plan at the levels of the Director of Medical Education, Graduate Medical
Education Committee, and CEME:
Through the Annual Residency reports provided by the Program Director to the Graduate
Medical Education Committee.
Teaching Modality
Example
Formal didactic program (7:00 a.m. and 12:00 noon lectures)
Journal Clubs/Board Review/Reading Clubs as applicable
Attendance at continuing medical education courses as applicable
Evaluation Modality
Example
Rotation evaluations as applicable
Quarterly evaluations by Program Director
Interns – Performance on COMLEX Part III
Residents – Performance on in-service exams
Anticipated Outcomes
Example
Successful rotation evaluations
Interns – Successful completion of COMLEX III
Residents – Successful performance on in-service exams
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Residents – Successful performance on certification boards
Remediation Plan
Example- The Director of Medical Education and/or the Program Director will meet with the
Intern or Resident on an individual basis and review the information provided. Remediation
will be handled on an individual basis.
CORE COMPETENCY #3
Patient Care
Selection of Method
The following method(s) have been selected to monitor the effectiveness and progress of the
plan at the levels of the Director of Medical Education, Graduate Medical Education
Committee, and CEME:
Through the rotation evaluations and quarterly evaluations provided by the Program Director
to the Graduate Medical Education Committee.
Teaching Modality
Example
Formal didactic program (7:00 a.m. and 12:00 noon lectures)
Journal Clubs/Board Review/Reading Clubs as applicable
Attendance at continuing medical education courses as applicable
Evaluation Modality
Example
Rotation evaluations as applicable
Quarterly evaluations by Program Director
Anticipated Outcomes
Example
Quality patient care
Successful rotation evaluations
Interns – Successful completion of COMLEX III
Residents – Successful performance on in-service exams
Residents – Successful performance on certification boards
Remediation Plan
The Director of Medical Education and/or the Program Director will meet with the Intern or
Resident on an individual basis and review the information provided. Remediation will be
handled on an individual basis.
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CORE COMPETENCY #4
Professionalism
Selection of Method
The following method(s) have been selected to monitor the effectiveness and progress of the
plan at the levels of the Director of Medical Education, Graduate Medical Education
Committee, and CEME:
Through the rotation evaluations and quarterly evaluations provided by the Program Director
to the Graduate Medical Education Committee.
Teaching Modality
Example
Formal didactic program (7:00 a.m. and 12:00 noon lectures)
Faculty Development seminars as applicable
Evaluation Modality
Example
Rotation evaluations as applicable
Quarterly evaluations by Program Director
Interns – Performance on COMLEX Part III
Residents – Performance on in-service exams
Anticipated Outcomes
Example
Successful rotation evaluations
Interns – Successful completion of COMLEX III
Residents – Successful performance on in-service exams
Residents – Successful performance on certification boards
Remediation Plan
The Director of Medical Education and/or the Program Director will meet with the Intern or
Resident on an individual basis and review the information provided. Remediation will be
handled on an individual basis.
CORE COMPETENCY #5
Interpersonal and Communication Skills
Selection of Method
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The following method(s) have been selected to monitor the effectiveness and progress of the
plan at the levels of the Director of Medical Education, Graduate Medical Education
Committee, and CEME:
Through the rotation evaluations and quarterly evaluations provided by the Program Director
to the Graduate Medical Education Committee.
Teaching Modality
Example
Formal didactic program (7:00 a.m. and 12:00 noon lectures)
Faculty Development seminars as applicable
Evaluation Modality
Example
Rotation evaluations as applicable
Quarterly evaluations by Program Director
Anticipated Outcomes
Example
Successful rotation evaluations
Successful interaction with patients, peers, nursing staff, ancillary staff, etc.
Remediation Plan
The Director of Medical Education and/or the Program Director will meet with the Intern or
Resident on an individual basis and review the information provided. Remediation will be
handled on an individual basis.
CORE COMPETENCY #6
Practice – Based Learning and Improvement
Selection of Method
The following method(s) have been selected to monitor the effectiveness and progress of the
plan at the levels of the Director of Medical Education, Graduate Medical Education
Committee, and CEME:
Review of resident portfolios
Review of annual residency report
Review of AOA and ACOFP site inspection reports
Teaching Modality
Example
Formal didactic program
Wednesday core conference 12:30-3:30
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Friday noon lecture / Practice management curriculum
Daily noon conference (inpatient service only)
Journal club / Patient chart review
Evidence-based medicine research project and presentation
Practice management workshop (2nd year)
Clinical Assessment Program
Evaluation Modality
Example
Review of resident portfolios
Review of rotation evaluations
Review of 360 degree evaluations
Review of patient charts
Review of mentor meeting / quarterly evaluation
Evidence-based medicine research project and presentation
Direct clinical supervision and observation
Anticipated Outcomes
Quality patient care
Improved patient satisfaction
Improved practice management
Remediation Plan
The Director of Medical Education and/or the Program Director will meet with the Intern or
Resident on an individual basis and review the information provided. Remediation will be
handled on an individual basis.
CORE COMPETENCY #7
System - Based Practice
Selection of Method
The following method(s) have been selected to monitor the effectiveness and progress of the
plan at the levels of the Director of Medical Education, Graduate Medical Education
Committee, and CEME:
Review of resident portfolios
Review of annual residency report
Review of AOA and ACOFP site inspection reports
Teaching Modality
Example
Formal didactic program
Wednesday core conference 12:30-3:30
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Friday noon lecture / Practice management curriculum
Daily noon conference (inpatient service only)
Journal club / Patient chart review
Practice management workshop (2nd year)
Clinical Assessment Program
Evaluation Modality
Example
Review of resident portfolios
Review of rotation evaluations
Review of 360 degree evaluations
Review of patient charts
Review of mentor meeting / quarterly evaluation
Utilization review
Clinical productivity report
Direct clinical supervision and observation
Anticipated Outcomes
Example
Quality patient care
Improved patient satisfaction
Improved practice management
Remediation Plan
The Director of Medical Education and/or the Program Director will meet with the Intern or
Resident on an individual basis and review the information provided. Remediation will be
handled on an individual basis.
VIII Annual Summary of Hospital GME Committee Minutes
Please attach
IX
COMLEX 3 Failures Documented and Shared with CEME
Yes-------------
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No---------------