1. Department of Graduate Medical Education (GME) ACGME Upcoming Site Visit Background Information

2. Department of Graduate Medical Education (GME) Allergy & Immunology ACGME Site Visit  When?  Who will be coming?  What is the site visitor’s role?  A fact-finder for the RRC  What generally happens during the on-site visit day?  The site visitor will at a minimum interview the program director, assistant director, faculty, residents/fellows, and the DIO

3. Department of Graduate Medical Education (GME) Requirements for Program Accreditation  Institutional Requirements  Common Program Requirements  Specialty-Specific Program Requirements

4. Department of Graduate Medical Education (GME) ACGME Survey Data  ACGME General Survey  Common Program Requirements Questions  Specialty-Specific Survey  HPM Specialty Specific Program Requirements Questions

5. Department of Graduate Medical Education (GME) ACGME Resident/Fellow Survey  Content from ACGME common requirements and Specialty Requirements  Administered annually - January to May  Program Directors receive aggregate data only if response rate > 70% and n>4  The site visitor will use the aggregate data to focus the questions during the site visit and to verify and clarify the information from them.

6. Department of Graduate Medical Education (GME) ACGME Surveys http://www.acgme.org/acWebsite/resident_sur vey/general.pdf http://www.acgme.org/acWebsite/resident_sur vey/020_surveyquestions.pdf http://www.acgme.org/acWebsite/resident_sur vey/SampleGeneralSurveyReport2010.pdf

7. Department of Graduate Medical Education (GME) ACGME Resident Survey  The data from the survey are intended as a diagnostic tool to focus the Site Visitor’s questions during the on-site visit.  The site visitor will probe and clarify any areas of concern and pay particular attention to the duty hour items and to items with a substantial number of non-compliant responses.  If the site visitor’s interview with the residents shows that past problem areas suggested in the survey data have been corrected, he will document this in his report to the RRC.  The site visitor will also indicate in the report any survey questions or phrases that were misunderstood by the residents/fellows.

8. Department of Graduate Medical Education (GME) The fellows’ interview with the Site Visitor  As you are a small program, Dr Kraybill will want to meet with all of you in a group interview ( not a randomly selected representative from each PGY level)

9. Department of Graduate Medical Education (GME) What happens during the fellows’ interview?  The resident/fellow interview is an important component of the site visit and generally opens with a brief overview of the accreditation process and the purpose of the site visit.  Residents/Fellows may be asked what instructions were provided about the resident interview.  The residents/fellows are informed that if an adverse action results the site visit report may be shared with the program.

10. Department of Graduate Medical Education (GME) What happens during the fellows’ interview?  Then the site visitor asks questions based on the information in the program’s Program Information Form (PIF) and concludes with questions about the program's strengths and weaknesses.  For the site visit report, answers have to reach consensus level to be reported, or are reported as “a single resident stated” or “the first-year residents as a group indicated.”  Individual residents are not identified in the report.

11. Department of Graduate Medical Education (GME) What happens during the fellows’ interview?  You need to be:  on-time (on-time = 15 minutes early)  made available for the entire interview period  with coverage pre-arranged, and  pagers and cell phones turned off.  How can I prepare in advance?

12. Department of Graduate Medical Education (GME) How Can I prepare?  Residents/fellows – Review with your Program Director in advance:  Program requirements and how you are meeting them-The “PIF” – Program Information Form  Previous citations and what has happened to remedy them  Program Policies - Duty Hour Requirements  The ACGME Core Competencies  Overall Program Objectives and the Specific Core Competency-based Objectives for each assignment/rotation  The Evaluation Process  Last Internal Review/Annual Program Review Meeting  Where do go if you have a issue or problem  Fatigue Education

13. Department of Graduate Medical Education (GME) Know the ACGME Core Competencies and How They are Taught

14. Department of Graduate Medical Education (GME) Questions?