Residency

Ask the expert: Which documents should we examine during an ACGME internal review?

Residency Program Insider, May 19, 2009

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The internal review committee should examine the following policies and documents:

  • Goals and objectives
  • Selection policies
  • Advancement and dismissal policies
  • Duty hour policy
  • Previous internal review reports
  • Annual program assessment
  • Supervision policy
  • Correspondence from the ACGME, including notification letters
  • Progress reports the program director presented at GMEC meetings
  • Current program letters of agreement
  • Sample evaluation forms, including those of residents by faculty, final summary evaluations of residents, faculty evaluations by the residents, and program evaluations by residents and faculty


It is helpful if you provide the program coordinator with a list of documents and policies that the internal review committee wants to look at prior to the review. Request that he or she put them all in one binder for the committee’s review.

This week’s question and answer are from The Graduate Medical Education Committee Handbook, by Vicki Hamm.



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