Reasons for Data-Prompted Site Visits: Field Staff Findings and Review Committee Decisions

ABSTRACT Background A major component of the ACGME's Next Accreditation System (NAS) is the annual review of key performance indicators by each review committee (RC) for all programs under its oversight. The RC may request a site visit that is data-prompted for either a full review of all common and specialty-specific program requirements or a focused review of specific concerns for programs identified as underperforming. Objective The aims of this study were to: (1) identify the reasons that RCs requested data-prompted site visits; (2) describe the findings by accreditation field representatives as reflected in their site visit reports; and (3) summarize the accreditation decisions of RCs that followed the data-prompted site visits (DPSVs). Methods RC letters to programs informing them of a DPSV, site visit reports, and RC letters with accreditation decisions were reviewed for all programs having DPSVs from 2015 to 2020. Results DPSVs were performed in 312 programs, including 59 hospital-based, 122 medical-based, and 131 surgery-based programs; 214 programs had a single DPSV, and 98 programs had repeat DPSV. The most frequent reason that RCs requested a DPSV was noncompliance on the annual ACGME Resident/Fellow Survey. Notification of a DPSV prompted a change in program director in 7% of programs in the single DPSVs group and 57% of programs in the repeat DPSVs group. Surgery-based programs in the single and repeat DPSVs groups were more likely to receive an unfavorable accreditation status. The majority of programs in the single DPSVs group (78%) and repeat DPSVs group (70%) had a status of continued accreditation as of March 2020. Conclusions Noncompliance on the Resident/Fellow survey was the most frequent reason that RCs requested a DPSV. The majority of programs in the single and repeat DPSV groups achieved a favorable accreditation status.

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Testing a Site Visit Approach for the Next Accreditation System

Journal of Graduate Medical Education ◽

10.4300/jgme-05-03-43 ◽

2013 ◽

Vol 5 (2) ◽

pp. 349-351 ◽

Cited By ~ 2

Author(s):

John Coyle ◽

Serge Martinez ◽

William W. Robertson ◽

Ingrid Philibert

Keyword(s):

Site Visit ◽

Accreditation System ◽

Next Accreditation System ◽

A Site

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Understanding ACGME Scholarly Activity Requirements for General Surgery Programs in the Era of Single Accreditation and the Next Accreditation System

The American Surgeon ◽

10.1177/000313481808400201 ◽

2018 ◽

Vol 84 (2) ◽

pp. 40-43 ◽

Cited By ~ 3

Author(s):

Joseph J. Stella ◽

Donna L. Lamb ◽

Steven C. Stain ◽

Paula M. Termuhlen

Keyword(s):

Medical Education ◽

Graduate Medical Education ◽

General Surgery ◽

Scholarly Activity ◽

Accreditation System ◽

Graduate Medical ◽

Show Evidence ◽

Next Accreditation System ◽

Training Of Surgeons ◽

To Receive

Becoming compliant with the Accreditation Council for Graduate Medical Education (ACGME) requirements for scholarly activity and remaining compliant over time requires time and attention to the development of an environment of inquiry, which is reflected in detailed documentation submitted in program applications and annual updates. Since the beginning of the next accreditation system, all ACGME programs have been required to submit evidence of scholarly activity of both residents and faculty on an annual basis. Since 2014, American Osteopathic Association–accredited programs have been able to apply for ACGME accreditation under the Single Graduate Medical Education Accreditation initiative. The Residency Program Director, Chair, Designated Institutional Official, Faculty, and coordinator need to work cohesively to ensure compliance with all program requirements, including scholarly activity in order for American Osteopathic Association–accredited programs to receive Initial ACGME Accreditation and for current ACGME-accredited programs to maintain accreditation. Fortunately, there are many ways to show the type of scholarly activity that is required for the training of surgeons. In this article, we will review the ACGME General Surgery Program Requirements and definitions of scholarly activity. We will also offer suggestions for how programs may show evidence of scholarly activity.

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Brigatinib (BRG) in patients (pts) with crizotinib (CRZ)-refractory ALK+ non-small cell lung cancer (NSCLC) and brain metastases in the pivotal randomized phase 2 ALTA trial.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.15_suppl.e20502 ◽

2017 ◽

Vol 35 (15_suppl) ◽

pp. e20502-e20502 ◽

Cited By ~ 1

Author(s):

Sai-Hong Ignatius Ou ◽

Marcello Tiseo ◽

D. Ross Camidge ◽

Myung-Ju Ahn ◽

Rudolf M. Huber ◽

...

Keyword(s):

Brain Metastases ◽

Review Committee ◽

Small Cell Lung ◽

Best Response ◽

Independent Review ◽

Grade 3 ◽

A Site ◽

To Receive ◽

Clinical Trial Information

e20502 Background: The CNS is often a site of first disease progression in CRZ-treated ALK+ NSCLC. The ALTA trial is assessing BRG, an investigational next-generation ALK inhibitor, in pts with CRZ-refractory advanced ALK+ NSCLC, including pts with baseline brain metastases. Methods: In ALTA (NCT02094573), pts were stratified by presence of baseline brain metastases and best response to prior CRZ and randomized 1:1 to receive BRG at 90 mg qd (arm A) or 180 mg qd with a 7-d lead-in at 90 mg (arm B). Here, we show data for pts with baseline brain metastases. An independent review committee (IRC) assessed intracranial efficacy. Results: Of 222 pts (112 in arm A; 110 in arm B), 80 (71%)/74 (67%) in A/B had baseline brain metastases per investigators, with median age 49/55 y; 74%/76% had received chemotherapy. As of May 31, 2016, 51%/59% of these pts continued to receive BRG in A/B; median follow-up was 9.6/11.4 mo. Intracranial efficacy is shown in the table. Among these pts, most common treatment-emergent adverse events were: nausea 35%/46% (A/B), headache 30%/31%, vomiting 29%/31%, diarrhea 21%/38%, cough 25%/32%; grade ≥3: increased blood CPK 1%/12%, hypertension 4%/7%, increased lipase 4%/3%. Conclusions: BRG yielded substantial intracranial responses with robust iPFS and acceptable safety in ALK+ NSCLC pts with baseline brain metastases in ALTA. 180 mg (with lead-in) showed consistently improved intracranial efficacy compared with 90 mg. Clinical trial information: NCT02094573. [Table: see text]

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A Prospective Multicenter Study Evaluating Endoscopy Competence Among Gastroenterology Trainees in the Era of the Next Accreditation System

Academic Medicine ◽

10.1097/acm.0000000000002885 ◽

2020 ◽

Vol 95 (2) ◽

pp. 283-292 ◽

Cited By ~ 1

Author(s):

Samuel Han ◽

Joshua C. Obuch ◽

Anna M. Duloy ◽

Rajesh N. Keswani ◽

Matt Hall ◽

...

Keyword(s):

Multicenter Study ◽

Accreditation System ◽

Prospective Multicenter Study ◽

Next Accreditation System

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Strategies for Writing a Department Self-Study and Preparing for a Site Visit

The Department Chair ◽

10.1002/dch.30219 ◽

2018 ◽

Vol 29 (2) ◽

pp. 15-16

Author(s):

Margaret Thomas-Evans ◽

Carrie Longley ◽

M. Michaux Parker

Keyword(s):

Site Visit ◽

Self Study ◽

A Site

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Organising a site visit

Working with Venues for Events ◽

10.4324/9781315671826-6 ◽

2017 ◽

pp. 94-115

Author(s):

Emma Nolan

Keyword(s):

Site Visit ◽

A Site

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The Accreditation Process: A Site Visit Encounter

The Journal of Continuing Education in Nursing ◽

10.3928/00220124-20070501-07 ◽

2007 ◽

Vol 38 (3) ◽

pp. 101-102

Author(s):

Lynore D. DeSilets

Keyword(s):

Accreditation Process ◽

Site Visit ◽

A Site

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IMIA Accreditation of Health Informatics Programs

Yearbook of Medical Informatics ◽

10.1055/s-0038-1639445 ◽

2012 ◽

Vol 21 (01) ◽

pp. 139-143 ◽

Cited By ~ 2

Author(s):

A. Hasman

Keyword(s):

Health Informatics ◽

One Health ◽

The Self ◽

Site Visit ◽

Self Assessment ◽

Assessment Report ◽

First Impression ◽

A Site

SummaryTo develop a procedure for accrediting health informatics programs.Development of a procedure for accreditation. Test of the accreditation procedure via a trial including four or five health informatics programs. A site visit committee consisting of three members evaluates the program based on a self-assessment report written by the program and the experiences and observations of the site visit committee during the site visit.A procedure for accreditation has been developed. The instructions for health informatics programs have been written and a checklist for the site visit committee members is available. In total six subjects are considered, each one consisting of one or more facets. Each facet is judged using its corresponding criterion. Five health informatics programs volunteered. One health informatics program in Finland has already been visited and a report has been produced by the site visit committee. The next site visits are in June and July 2012. The site visit in Finland showed that English summaries of master theses are not enough to get a first impression of the methods used in the thesis. A table of contents is also needed. This information then can be used to select theses written in a language other than English for discussion.The accreditation procedure document with instructions about writing the self-assessment report was very well structured and the instructions were clear according to the Finnish program. The site visit team could work well with the checklist. Self-assessment report model was very well structured and the instructions were clear.

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Development, delivery and evaluation of interactive technology training – a case study

Water Science & Technology ◽

10.2166/wst.1996.0330 ◽

1996 ◽

Vol 34 (12) ◽

pp. 173-181

Author(s):

R. Glynn Skerratt

Keyword(s):

Technology Training ◽

Interactive Technology ◽

Site Visit ◽

Key Factors ◽

Process Technology ◽

Training Experience ◽

Training Courses ◽

A Site

A case study is described which seeks to explain some of the key factors in the rationale, development, delivery and evaluation of a series of in-company process/technology training courses. The main points to emerge are the benefit to the training experience associated with interactive delivery and the advantages that are associated with developing group exercises which are coordinated with, and embedded within a site visit, and which are reviewed and discussed during a post-visit debriefing session. Guidance is given on ways of including these activities into training courses together with methods for evaluating their effectiveness.

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