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Continued Accreditation.doc.doc

  1. 1. THE RESIDENCY REVIEW COMMITTEE FOR NEUROLOGY 515 N State, Ste 2000, Chicago, IL 60654 • (312) 755-5000 • www.acgme.org FOR CONTINUED ACCREDITATION GENERAL INSTRUCTIONS REVIEW OF AN ACCREDITED PROGRAM OR RE-ACCREDIATION OF A PROGRAM: If the Program Information Form (PIF) is being completed for a currently accredited program, follow the provided instructions to create the correct form. Go to the Accreditation Data System found on the ACGME home page (www.acgme.org) under Data Collection Systems. Using your previously assigned User ID and password, proceed to the PIF Preparation section on the left hand menu and update the Common PIF data. Most data are updated through annual updates, but some information is required at the time of site visit only. Once the data entry is complete, select Generate PIF to review and print the Common PIF (PDF). Pages will be numbered consecutively in the bottom center of each page. Once the Common PIF is complete, proceed to the appropriate Residency Review Committee webpage to retrieve the Specialty Specific PIF for CONTINUED ACCREDITATION. Once the forms are complete, enter page numbers for the Continued PIF in the bottom center for each page that consecutively follows the Common PIF numbering, combine the Common PIF and the Continued Accreditation PIF and complete the Table of Contents. After completing the PIF/documents, make four copies. They must be identical and final. Draft copies are not acceptable. The forms should be submitted bound by either sturdy rubber bands or binder clips. Do not place the forms in covers such as two or three ring binders, spiral bound notebooks, or any other form of binding. Mail one set of the completed forms to the site visitor at least 14 days before the site visit. The remaining three sets should be provided to the site visitor on the day of the visit. Review the Program Requirements for Residency Education in Neurology. The Program Requirements and the Institutional Requirements may be downloaded from the ACGME website (www.acgme.org): For questions regarding: -the completion of the form (content), contact the Accreditation Administrator. -the Accreditation Data System, email WebADS@acgme.org. For a glossary of terms, use the following link – http://www.acgme.org/acWebsite/GME_info/gme_glossary.asp The program director is responsible for the accuracy of the information supplied in this form and must sign it. It must also be signed by the designated institutional official of the sponsoring institution. Neurology Continued Accreditation PIF i
  2. 2. Have the following documents available for the site visitor: References to Common Program and Institutional Requirements are in parentheses. 1. Policy for supervision of residents (addressing resident responsibilities for patient care, progressive responsibilities for patient management, and faculty responsibility for supervision) (CPR IV.A.4) 2. Program policies and procedures for residents’ duty hours and work environment (CPR II.A.j.4.; CPR VI.C.; IR II.D.4.i.; IR III.B. 3.) 3. Moonlighting policy (CPR II.A.4.j; CPR VI.F) 4. Documentation of internal review (date, participants’ titles, type of data collected, and date of review by the GMEC) 5. Overall educational goals for the program (CPR IV.A.1) 6. Competency-based goals and objectives for each assignment at each educational level (CPR IV.A.2) 7. Current Program Letters of Agreement (PLAs) (CPR I.B.1) 8. Files of current residents who have transferred into the program, if applicable (including documentation of previous experiences and summative competency-based performance evaluations) (CPR III.C.1) 9. Evaluations of residents at the completion of each assignment (CPR V.A.1.a) 10. Evaluations showing use of multiple evaluators (faculty, peers, patients, self, and other professional staff) (CPR V.A.1.b.(2)) 11. Documentation of residents’ semiannual evaluations of performance with feedback (CPR II.A.4.g; V.A.1.b.(4)) 12. Final (summative) evaluation of residents, documenting performance during the final period of education and verifying that the resident has demonstrated sufficient competence to enter practice without direct supervision (CPR V.A.2) 13. Completed annual written confidential evaluations of faculty by the residents (CPR V.B. 3) 14. Completed annual written confidential evaluations of the program by the residents (CPR V.C.1.d. (1)) 15. Completed annual written confidential evaluations of the program by the faculty (CPR V.C.1.d.(1)) 16. Documentation of program evaluation and written improvement plan (CPR V.C) 17. Documentation of resident duty hours (CPR II.A.4.j; VI.D.1-3) 18. Files of current residents and most recent program graduates Single Program Sponsors only: 1. A copy of the resident contract with the pertinent items from the institutional requirements and Master Affiliation Agreements 2. Institutional policy for recruitment, appointment, eligibility, and selection of residents (IR II.A.) 3. Institutional policy for discipline and dismissal of residents, including due process (IR II.D.4.e.; IR III.B.7.) Neurology Continued Accreditation PIF ii
  3. 3. THE RESIDENCY REVIEW COMMITTEE FOR NEUROLOGY 515 N State, Ste 2000, Chicago, IL 60654 • (312) 755-5000 • www.acgme.org 10 Digit ACGME Program I.D. #: Program Name: TABLE OF CONTENTS When you have the completed forms, number each page sequentially in the bottom center. Report this pagination in the Table of Contents and submit this cover page with the completed PIF. Common PIF1 Page(s) Accreditation Information Participating Sites Sponsoring Institution/Single or Limited Residency Institution (If applicable) Faculty/Teaching Staff Program Director Information Physician Faculty Roster Faculty Curriculum Vitae Non Physician Faculty Roster Non Physician Faculty Curriculum Vitae Resident Appointments Number of Positions Actively Enrolled Residents (if applicable) Aggregated Data on Residents Completing or Leaving the Program for the last 3 years (if applicable) Residents Completing Program in the Last 3 years (if applicable) Transferred, Withdrawn, and Dismissed Residents (if applicable) Evaluation Resident Duty Hours Specialty Specific PIF Page(s) Patient Care Clinical & Basic Science Medical Knowledge Related Services-Training Experiences Clinical Teaching-Inpatient Clinical Teaching-Outpatient Educational Program Resident Research Projects Resident Publications Practice-Based Learning & Improvement Interpersonal & Communication Skills Professionalism Systems-Based Practice Curriculum Other Non-Neurology Clinical Faculty Other Resident Information Other Neurology Trainees Neurology Continued Accreditation PIF iii
  4. 4. Specialty Specific PIF Page(s) Other Residents in Training Facilities and Resources Facilities Supporting Facilities Seminars and Conferences Evaluation Resident Evaluation Impaired Stress Resident Stress Appendix A - Goals and Objectives Neurology Continued Accreditation PIF iv
  5. 5. RESIDENCY REVIEW COMMITTEE FOR NEUROLOGY 515 N State, Ste 2000, Chicago, IL 60654 • (312) 755-5000 • www.acgme.org SPECIALTY SPECIFIC PROGRAM INFORMATION FORM I. PATIENT CARE A. Clinical and Basic Science Site # 1 2 3 4 5 6 7 8 NEUROIMAGING Months resident assigned Responsibilities of resident: NEUROPATHOLOGY Statistical data (past year) CNS surgical specimens submitted Muscle biopsies Nerve biopsies Specimens submitted from outside facilities Months Resident Assigned Responsibilities of resident: EMG Name of director(s) Number of patients per year EMG: adult/child Other Months Resident Assigned Responsibilities of resident: EEG Name of director(s) Number of studies per year EEG: adult/child Other Months Resident Assigned Responsibilities of resident: Neurology Continued Accreditation PIF 1
  6. 6. II. MEDICAL KNOWLEDGE A. Related Services- Training Experiences Number of faculty, with special expertise in this discipline, available to neurology residents Nature of interaction with Discipline on a regular basis neurology residents neuro-ophthalmology neuromuscular disease cerbrovascular disease epilepsy movement disorders critical care clinical neurophysiology behavioral neurology neuroimmunology infectious disease neuro-otology neuroimaging neuro-oncology pain management neurogenetics child neurology the neurology of aging sleep disorders psychiatry Neurology Continued Accreditation PIF 2
  7. 7. B. Clinical Teaching – Inpatient 1. Inpatient Data Site # 1 2 3 4 5 6 7 8 BED CAPACITY Neurology beds Adults Children ADMISSION DATA (past year) Total admissions to hospital To neurology services Adults Children Percent male Percent female Average daily neurology census Average length of stay TYPICAL INPATIENT TEAM Faculty Neurology residents Rotating Residents Other trainees Students Nurse clinicians 2. Teaching Rounds and Inpatient Service a) Describe the frequency that teaching rounds are held each week for patients on the neurology service. Describe the complement of the team making attending rounds. Describe the duties of the neurology residents and of residents rotating from other services. b) If there are separate teaching rounds whose purpose is distinct from patient care, e.g., Professor’s rounds, describe their nature and frequency. c) What is the role of the adult neurology resident in the management of child neurology patients? Note the location of the inpatient child neurology rotation. d) Describe how neurology residents participate in the education of other residents, medical students, nurses, and other health care personnel on the inpatient service. Neurology Continued Accreditation PIF 3
  8. 8. e) Describe how therapeutic and diagnostic options including the cost of diagnostic tests, procedures and therapies and their results of the diagnostic tests are discussed on teaching rounds. 3. Specify how the neurology resident directly manages neurology inpatients. a) Describe how the teaching service is organized, e.g., one senior attending, one PG-2, PG-4, one from internal medicine, one from family medicine. b) Describe the structure for supervision of patient care in relation to resident participation, responsibility for decision making and teaching, including how residents are afforded progressive responsibility. c) Who writes orders on inpatients? d) Does a neurology resident write notes on all or only some of the patients? Note differences that may relate to (a) economic status of patient; (b) status of the responsible physician, either full- or part-time, and whether or not hospital-based; (c) exclusion of residents from responsibility in management of any patients. e) Are all patients of the teaching staff available for resident education? f) How is continuity of care ensured? E.g. does the neurology resident maintain care throughout the hospitalization; does the neurology resident see their patients on weekends, and if not how is the continuity of care maintained; does the resident see patients admitted to them in clinic follow- up? 4. Emergency Room a) Describe resident responsibility, frequency of service, and type of supervision in the emergency room, indicating how the resident participates in the management of patients with acute neurological disorders in the emergency department. Neurology Continued Accreditation PIF 4
  9. 9. b) Number of ER patients per year seen in consultation by neurology at each site and the percentage seen by neurology residents. Site # 1 2 3 4 5 6 7 8 # ER Patients Seen in Consultation % of Patients Seen by Residents 5. List the intensive care units (neurology and non-neurology) at each site where adult neurology residents participate in the management of patients with the weekly number of neurology patients admitted to the ICU and the weekly number evaluated by neurology residents. Site # ICU Name 1 2 3 4 5 6 7 8 6. Inpatient Statistics Provide the number of inpatients in each of the following diagnostic categories that were available in the program for the past year. Each patient should be listed only once in the most appropriate category. Site # 1 2 3 4 5 6 7 8 Diagnostic Category Disorders of cranial nerves Disorders of cord, nerve root and plexus Muscle disease Autoimmune and vasculitic disorders Infections Epilepsy Sleep disorders Syncope and other alterations of consciousness Stroke and related disorders Neoplastic disease Movement disorder Disorders of cognitive function Other degenerative diseases Multiple Sclerosis Metabolic diseases Endocrine disorders Trauma Drugs and other toxic disorders Psychiatric disorders Neurology Continued Accreditation PIF 5
  10. 10. Site # 1 2 3 4 5 6 7 8 Nutritional deficiency Disorders of intracranial pressure Pain Total 7. Clinical Teaching – Inpatient Consultations a) Inpatient Teaching Consultations Site # 1 2 3 4 5 6 7 8 Number of inpatient consultations per year Adult Children Percent seen by neurology residents Adult Children Average monthly consultation team size Faculty Neurology residents Rotating residents Other trainees Students Nurse clinicians b) Consultation Diagnostic Categories 1) Provide the number of consults in each of the following diagnostic categories that were available in the program for the past year. Each patient should be listed only once in the most appropriate category. Site # 1 2 3 4 5 6 7 8 DIAGNOSTIC CATEGORY Disorders of cranial nerves Disorders of cord, nerve root and plexus Muscle disease Autoimmune and vasculitic disorders Infections Epilepsy Sleep disorders Syncope and other alterations of consciousness Stroke and related disorders Neoplastic disease Movement disorder Disorders of cognitive function Other degenerative diseases Multiple Sclerosis Metabolic diseases Neurology Continued Accreditation PIF 6
  11. 11. Site # 1 2 3 4 5 6 7 8 Endocrine disorders Trauma Drugs and other toxic disorders Psychiatric disorders Nutritional deficiency Disorders of intracranial pressure Pain Total 2) If there are separate consultations services, describe the frequency that teaching rounds are held each week for patients on the consult service. Describe the complement of the team making attending rounds. Describe the duties of the neurology residents and of residents rotating from other services Neurology Continued Accreditation PIF 7
  12. 12. C. Clinical Teaching—Outpatient 1. Neurology resident outpatient experience can include block time and longitudinal time in the outpatient clinics described under curriculum and the continuity clinic described below (add boxes for other specialty clinics). Site # 1 2 3 4 5 6 7 8 GENERAL NEUROLOGY CLINIC SPECIALTY CLINICS CLINIC NAME: Number of clinics per month Average number of visits per clinic Percent visits seen by neurology residents CLINIC NAME: Number of clinics per month Average number of visits per clinic Percent visits seen by neurology residents CLINIC NAME: Number of clinics per month Average number of visits per clinic Percent visits seen by neurology residents CLINIC NAME: Number of clinics per month Average number of visits per clinic Percent visits seen by neurology residents 2. Outpatient Clinics a) For block and non-continuity longitudinal clinics, list the following as averages per resident per clinic half-day: # follow-up patients # new patients seen seen Staff/resident ratio PG-2 year PG-3 year PG-4 year b) What is the role of the resident in the management of adult neurology outpatients? c) What is the role of the resident in the management of child neurology outpatients? d) For the continuity longitudinal clinic, list the following as averages per resident per clinic half-day: Neurology Continued Accreditation PIF 8
  13. 13. # follow-up patients # new patients seen seen Staff/resident ratio PG-2 year PG-3 year PG-4 year e) List each block of time when the resident does not see patients in his/her continuity clinic f) What is the number of continuity clinic patients followed for two years or more, by individual residents? g) How do you assure that patients with a wide variety of chronic neurological disease are followed long term by the residents? 3. Outpatient Diagnostic Categories Provide the number of outpatients in each of the following diagnostic categories that were available in the program for the past year. Each patient should be listed only once in the most appropriate category. Site # 1 2 3 4 5 6 7 8 DIAGNOSTIC CATEGORY Disorders of cranial nerves Disorders of cord, nerve root and plexus Muscle disease Autoimmune and vasculitic disorders Infections Epilepsy Sleep disorders Syncope and other alterations of consciousness Stroke and related disorders Neoplastic disease Movement disorder Disorders of cognitive function Other degenerative diseases Multiple Sclerosis Metabolic diseases Endocrine disorders Trauma Drugs and other toxic disorders Psychiatric disorders Neurology Continued Accreditation PIF 9
  14. 14. Site # 1 2 3 4 5 6 7 8 Nutritional deficiency Disorders of intracranial pressure Pain Total D. Educational Program 1. What teaching responsibilities do neurology residents have? 2. Outline resident responsibility and frequency on night call at each site. 3. What provision is there to assure increasing patient responsibility and professional maturation of residents? E. Resident Research Projects Describe the research projects, supervisors and their specialties, and the nature of resident involvement in departmental research during the past five years. List by name those residents who participated in such research, the duration of their assignment, and whether full-time or part-time. Resident Name Duration of the Assignment Full-time or Part-time F. Resident Publications List the publications of residents from the section/division during the past 3 years (not manuscripts submitted or in preparation). Neurology Continued Accreditation PIF 10
  15. 15. III. PRACTICE-BASED LEARNING AND IMPROVEMENT Examples of Learning Activities: didactic lecture, assigned reading, seminar, self-directed learning module, conference, small group discussion, workshop, online module, journal club, project, case discussion, one-on-one mentoring, or other examples of learning activities. 1. Describe one learning activity in which residents engage to identify strengths, deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set learning and improvement goals; identify and perform appropriate learning activities to achieve self-identified goals (life-long learning). Limit your response to 400 words. 2. Describe one example of a learning activity in which residents engage to develop the skills needed to use information technology to locate, appraise, and assimilate evidence from scientific studies and apply it to their patients’ health problems. The description should include: a) locating information b) using information technology c) appraising information d) assimilating evidence information (from scientific studies) e) applying information to patient care Limit your response to 400 words. 3. Give one example and the outcome of a planned quality improvement activity or project in which at least one resident participated in the past year that required the resident to demonstrate an ability to analyze, improve and change practice or patient care. Describe planning, implementation, evaluation and provisions of faculty support and supervision that guided this process. Limit your response to 400 words. 4. Describe how residents: a) develop teaching skills necessary to educate patients, families, students, and other residents; b) teach patients, families, and others; and c) receive and incorporate formative evaluation feedback into daily practice. (If a specific tool is used to evaluate these skills have it available for review by the site visitor.) Limit your response to 400 words. Neurology Continued Accreditation PIF 11
  16. 16. IV. INTERPERSONAL AND COMMUNICATION SKILLS 1. Describe one learning activity in which residents develop competence in communicating effectively with patients and families across a broad range of socioeconomic and cultural backgrounds, and with physicians, other health professionals, and health related agencies. Limit your response to 400 words. 2. Describe one learning activity in which residents develop their skills and habits to work effectively as a member or leader of a health care team or other professional group. In the example, identify the members of the team, responsibilities of the team members, and how team members communicate to accomplish responsibilities. Limit your response to 400 words. 3. Explain (a) how the completion of comprehensive, timely and legible medical records is monitored and evaluated, and (b) the mechanism for providing residents feedback on their ability to competently maintain medical records. Limit your response to 400 words. Neurology Continued Accreditation PIF 12
  17. 17. V. PROFESSIONALISM 1. Describe at least one learning activity, other than lecture, by which residents develop a commitment to carrying out professional responsibilities and an adherence to ethical principles. Limit your response to 400 words. 2. How does the program promote professional behavior by the residents and faculty? Limit your response to 400 words. 3. How are lapses in these behaviors addressed? Limit your response to 400 words. Neurology Continued Accreditation PIF 13
  18. 18. VI. SYSTEMS-BASED PRACTICE 1. Describe the learning activity(ies) through which residents achieve competence in the elements of systems-based practice: work effectively in various health care delivery settings and systems, coordinate patient care within the health care system; incorporate considerations of cost- containment and risk-benefit analysis in patient care; advocate for quality patient care and optimal patient care systems; and work in interprofessional teams to enhance patient safety and care quality. Limit your response to 400 words. 2. Describe an activity that fulfills the requirement for experiential learning in identifying system errors. Limit your response to 400 words. Neurology Continued Accreditation PIF 14
  19. 19. VII. CURRICULUM Describe in block form the typical curriculum for residents by months, not weeks, including the site (#1,2,3,4) and the experience on each rotation during the PG-3 through PG-5 years. Exclude mention of vacation time. Curricular components may be offered in blocks or longitudinally. An example of the latter is a regularly scheduled clinic attended over a period of time while assigned to other rotations. Those components offered in block assignments each year should be recorded in the block template. Those offered longitudinally should be recorded separately in the longitudinal templates by year. Both block and longitudinal components can be applied toward FTE minimums described in the Program Requirements. For example, one half-day per week for ten months of a longitudinal clinic would count for one month. Three months of the six-month outpatient rotation requirement are met by two and one-half years (30 months) of weekly continuity clinic attendance during hospital or other non- outpatient services. Three months of outpatient clinic that include a weekly continuity clinic would meet another three months of the six-month requirement. SAMPLE BLOCK ROTATIONS - PG-2 Septemb Novembe Decembe July August October January February March April May June er r r Adult Adult Adult Adult Adult Adult Adult Adult Adult Adult Clinical Clinical Neurolog Neurolog Neurolog Neurolog Neurolog Neurolog Neurolog Neurolog Neurolog Neurolog Neurophy Neurophy y Unit 1 y Unit 1 y Unit 1 y Unit 2 y Unit 2 y Unit 2 y Clinic 1 y Clinic 1 y Clinic 1 y Clinic 1 s-iology2 s-iology2 SAMPLE LONGITUDINAL EXPERIENCES - PG-2 Amount of Time Type Of Experience* Weekly Structured Number Of Weeks (FTE) Adult Continuity Clinic 1/2 day each week 52 weeks 23 days Movement disorder clinic 1/2 day each week 52 weeks 4 days EEG reading 1/2 day each week 8 weeks 4 days BLOCK ROTATIONS – PG-1 YEAR IF THE PROGRAM IS A 4-YEAR PROGRAM July August September October November December January February March April May June LONGITUDINAL EXPERIENCES - PG-1 Amount of Time Type Of Experience* Weekly Structured Number Of Weeks (FTE) BLOCK ROTATIONS - PG-2 July August September October November December January February March April May June LONGITUDINAL EXPERIENCES – PG-2 Amount of Time Type Of Experience* Weekly Structured Number Of Weeks (FTE) Neurology Continued Accreditation PIF 15
  20. 20. BLOCK ROTATIONS - PG-3 July August September October November December January February March April May June LONGITUDINAL EXPERIENCES - PG-3 Amount of Time Type Of Experience* Weekly Structured Number Of Weeks (FTE) BLOCK ROTATIONS - PG-4 July August September October November December January February March April May June LONGITUDINAL EXPERIENCES - PG-4 Amount of Time Type Of Experience* Weekly Structured Number Of Weeks (FTE) Neurology Continued Accreditation PIF 16
  21. 21. VII. OTHER NON-NEUROLOGY CLINICAL FACULTY Are faculty available to interact with the neurology residents? (Y/N) Discipline/service Site 1 Site 2 Site 3 Site 4 Medicine Cardiology Critical Care Medicine Endocrinology Gastroenterology Genetics Hematology Infectious Diseases Nephrology Pulmonary Oncology Rheumatology/Immunology Other (specify) Neuropathology Neuroradiology Neurorehabilitation Ophthamology Psychiatry Psychology Surgical: Neurosurgery Otolaryngology Neurology Continued Accreditation PIF 17
  22. 22. VIII. OTHER RESIDENT INFORMATION A. Other Neurology Trainees 1. List those trainees who do not meet the American Board of Psychiatry and Neurology preliminary training requirements before beginning in the program’s Neurology Residency. Indicate trainees who are training in Child neurology with an asterisk Yr. of Years Specialty of Medical Program Expected Year in of Prior Prior Medical School Start Completion Name Program GME Training School Graduation Date Date 2. Have each of these trainees been told in writing that they are ineligible to take the ABPN board examination for certification in Neurology? .......................................................( ) YES ( ) NO If the answer is no explain below. B. Other Residents in Training List the graduate medical education (GME) residents (fellows) from other ACGME-accredited programs who rotated through neurology during the last academic year. Specialty & Years Number of Months Each Neurology of GME (e.g. PGY 2 these Residents Resident in Assignment (ward, Medicine) in the Last year Neurology clinic, other) Site Child NeurologyPG- MedicinePG- NeurosurgeryPG- Physical Medicine & RehabilitationPG- PsychiatryPG- Family PracticePG- TransitionalPG- OtherPG- Neurology Continued Accreditation PIF 18
  23. 23. IX. FACILITIES AND RESOURCES A. Facilities 1. Briefly describe the physical facilities at each site for the inpatient and outpatient examination and care of neurology patients. 2. Facilities and resources for training. Are the following office space and resources available? Site # Site # Site # Site # Site # a) Faculty Offices and Facilities Neurology Faculty Offices Secretary Office space for Neurology b) Resident Offices and Resources Does each resident have his/her own office? Are the offices for groups of residents? Do the offices have computers and Computer internet search capabilities? Do the residents have secretarial support? Does the resident have a designated telephone number for patients to call? Does the resident have access to other offices equipment such as copiers, slide projectors, equipment or services to make slides, illustration services? 3. Briefly describe clinical laboratory facilities at each site, including mechanisms for reporting of test results. 4. Briefly describe conference facilities at each site. 5. Briefly describe the space provided for neurology faculty and resident research at each site. 6. For each site briefly describe how the charts or medical records are made available for inpatients, outpatients, and consultation use. B. Supporting Facilities Neurology Continued Accreditation PIF 19
  24. 24. Indicate whether the facilities and resources listed below are ‘AVAILABLE’ for each participating site. Diagnostic Resources Site # Site # Site # Site # Site # a) Electrodiagnosis: EEG Ambulatory EEGs Video-EEG Monitoring Intraoperative Monitoring Evoked Potentials- visual, auditory, somatosensory EMG/NCV Single Fiber Studies b) Diagnostic Radiological services MRI and MRA MRS SPECT PET c) Cytogenetics and Genetic testing Related Diagnostic and Therapeutic Services Site # Site # Site # Site # Site # a) Psychiatric Services b) Genetic Counseling Service c) Interventional Neuroradiology d) occupational therapy e) Pain management f) Rehabilitation medicine g) Physical therapy h) Radiation Oncology service and facilities i) Psychology Services j) Social Services k) Speech Neurology Continued Accreditation PIF 20
  25. 25. C. Seminars and Conferences 1. Basic science lecture schedule. 2. Since clinical and technical lectures in elective rotations such as EEG, EMG, neuroradiology, etc. do not meet the basic science didactic requirements; identify specific basic science lectures during such rotations. Indicate which are lectures are mandatory for neurology residents. 3. List clinical conferences for neurology residents in each site. Name the faculty member assigned to the conference. Indicate which conferences are mandatory for neurology residents. 4. List of the courses, conferences and/or lectures given in each of the subspecialties of neurology, including neuropathology, neuro-ophthalmology, neuroradiology, EEG, EMG, rehabilitation, psychiatry/psychology. Indicate for each if neurology resident attendance is mandatory. 5. Is there a journal club? Specify attendance by resident and faculty, the frequency of meeting, and the organization of the club. If there is no journal club, what substitutes for it? Neurology Continued Accreditation PIF 21
  26. 26. X. EVALUATION A. Resident Evaluation Does the program perform a formal, observed clinical evaluation exercise (CEX) on residents at least once during the first two years of their training? ......................................................( ) YES ( ) NO B. Impaired Residents How does the program deal with impaired residents? C. Resident Stress How does the does the program monitor resident stress, provide counseling and support services to residents? Neurology Continued Accreditation PIF 22
  27. 27. APPENDIX A - GOALS AND OBJECTIVES Attach a sample of the goals and objectives for one assignment Neurology Continued Accreditation PIF 23

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