1. NEW ACGME PATIENT DOCUMENTATION REQUIREMENTS CHRISTIAN SONNIER MD 6/30/14

2. NEW REQUIREMENTS FOR INTERNS STARTING IN 2014-PRESENT Starting July 1 2014 new requirements will be implemented for documentation of patient totals: -Sick adult hospital visits: 750 over 3 years -Sick child hospital visits: 250 over 3 years -Sick adult ER visits: 75 over 3 years -sick child ER visits: 75 over 3 years

3. PROCEDURES There is no acgme requirement for procedures There is a program in place at our residency for “certification on procedures” -once a resident has logged 5 of the following procedures he or she can sit for an exam and be “certified” to perform this procedure -central line -LP -endotracheal intubation -paracentesis -thoracentesis -arthocentesis -there are others but these are the most common

4. HOW TO LOG PATIENT/PROCEDURE The program provides you with access to www.Myevaluations.com www.Myevaluations.com This is where for acgme requirements you should log each patient and procedure towards the totals listed below -Sick adult hospital visits: 750 over 3 years -Sick child hospital visits: 250 over 3 years -Sick adult ER visits: 75 over 3 years -sick child ER visits: 75 over 3 years

5. SAMPLE PATIENT TT 6/18/31 things to log ACLS Intubation CVC patient visit

6. LETS PRACTICE www.Myevaluations.com

7. OPTIONAL PATIENT LOGS The need to keep track of your patients goes further than just acgme requirements This information can be very important for future employers -earlier this year I spoke to physician recruiters as well as a representative of a hospitalist group and ER group -I was informed that these groups like to see patient totals as a means of assessing a candidates experience level when hiring I would recommend that you develop some method (pen and paper, stickers, excel spread sheet ect…) to keep track of these numbers separately. LOG EVERYTHING! Just as in a patient’s chart… if its not written down… you didn’t do it.

9. SUMMARY Log everything: to show you have meet your goals per ACGME as well as a record for future employers ACGME Goals: -Sick adult hospital visits: 750 over 3 years -Sick child hospital visits: 250 over 3 years -Sick adult ER visits: 75 over 3 years -sick child ER visits: 75 over 3 years Don’t stress!!! Per our past residents: you should have no problem meeting these goals

10. QUESTIONS?