Residency

Ask the expert: Who should we involve in program improvement teams?

Residency Program Insider, January 13, 2009

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After an annual program evaluation, program directors and faculty typically have a list of program improvements that need to be made. It’s up to program directors to create action plans and decide who will be accountable for implementing these plans.

Each program’s RRC requirements spell out who needs to be present during these meetings, typically including key faculty and residents. However, do not limit the team to only ACGME-required personnel. Gather a group who has information and insight into quality as it related to your residents and the level of patient care they provide. Consider inviting the following individuals to participate in your program improvement efforts:

  • Faculty from an external site you use for training
  • Administrative personnel who have contact with residents
  • Representative from the institution’s performance improvement group
  • Representative from the institution’s patient satisfaction group
  • Representative from the institution’s quality department
  • Program graduate
  • Faculty member who participated in you last internal review performed by you GMEC
  • Program director or key faculty from your same specialty but at another residency program
  • Program director or key faculty member from another residency program at your institution
  • Educator from an affiliated school of medicine
  • At least the specified number of residents or more


Today’s question and answer are from Insider’s Guide to the ACGME Site Visit, Second Edition, by Kathryn Andolsek, MD, MPH, and Shepard Cohen.



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