Objectives: Develop resident files that optimize resident evaluation and meet ACGME requirements Construct program files that contain program-related documentation needed for quality improvement and NAS annual reporting APR-Annual Program Review AIR – Annual Institutional Review (Performance Indicators) Create a task management list that allows you to better manage program activities
Program Files - Overview Easily compile data for annual NAS/CLER reporting and self study reports Eliminate undue stress before reviews and audits Track program compliance Maintain uniform system throughout the institution
Program Files – Set up Resident Files can be either paper or electronic. Use the same tab titles for either format.
To Do List - Overview Who creates it? How long does it take to create? Who manages it? What does it mean? How is it used? Why is it useful?
To Do List – Set upHow do you start? Load in your information Use your curriculum Use the AGGME Regulations Use your current files, notes, lists and reminders Add Key NAS focus areas Add annual education committee topics
To Do List - Annual Education Committee Topics Faculty Education Committee Meetings Topics List Minutes - Review Review Reports & Data: •Last GMEC Dashboard – review evaluations, duty hours, contracts. •Program specific metrics •Review of actions on outstanding formal issues •E*Value Reports including •Remediations update •Program Director Teaching Faculty Report •Coordinator’s Report – compliance issues & concerns •Chief Resident’s Report – Issues & concerns Topics to cover: •Research scholarly activity – update on current projects •Program Improvement (from last annual report and updates through the year) •Quality Projects (from last annual report and updates through the year) •Faculty Development projects – review past & discuss future projects •Simulation Sessions: review past & discuss future projects •Procedure counts – where applicable (on target for compliance? Issues?) Annual Topics: •Curriculum review •Policy & Procedure Review •Conference – Lecture Schedule Review (lecture titles/speakers/quality) •Funding for projects (i.e. Board Review, faculty development, simulation, etc) •Time commitment review – for faculty (any barriers? issues?) •Professionalism activities – new ideas? •Faculty development Program Director Teaching: • Items learned at conferences, articles, colleagues elsewhere, for example.
To Do List - KEY Focus Areas NAS/CLER Patient Safety Quality Improvement Transitions in Care Supervision Duty Hour Oversight Professionalism
To Do List – Don’t forget… Program tasks and reminders Coordinator tasks and reminders Program Events
To Do List - Tips This is an ever changing document Updated annually Updated with new regulations NAS/CLER Updated with new online programs Every program’s list will be different Your To Do list will be very selective to your program