Ask the expert: What does the internal review process entail?

Residency Program Insider, September 21, 2010

Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!

The ACGME requires all institutions/GMECs to perform internal reviews of each program at the midpoint of their accreditation cycles. The following is an outline of the steps the GME office (or whomever oversees these reviews) can take to carry out internal reviews:

  1. Create an internal review policy that in accordance with the ACGME standards and approved by the GMEC.
  2. Appoint the internal review committee and a chair. Assign roles to the members of the committee.
  3. Notify program director of the internal review, and send out survey instruments to residents and/or faculty
  4. Collect departmental documentation, including program letters of agreement, policies, sample evaluation forms, previous internal review reports, annual program assessments, ACGME notification letters, and ACGME resident surveys. Analyze survey results.
  5. Conduct interviews with the residents, key teaching faculty members, and the program director.
  6. The internal review committee conducts a wrap-up meeting and drafts the internal review report.
  7. Prepare internal review report and send it to the program director.
  8. Send the internal review report to the GMEC for approval.

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

Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!

    Disruptive Residents:
  • Disruptive Residents:

    This training video teaches how to prevent costly lawsuits and workplace tension while illustrating the importance of...

  • Residency Program Insider

    Residency Program Connection is devoted to bringing residency directors and coordinators expert advice, best practice...

  • ACGME Core Competencies:

    Teaching, evaluating and assessing the 6 core competencies is no easy task. ACGME Core Competencies: A Training Tool for...

  • Insider's Guide to the ACGME Site Visit: Second Edition

    Authored by an expert GME consultant and an experienced GME director, this book and CD-ROM set focuses on the steps you...

  • Residency Program Alert

    Residency program managers in all specialties are challenged to effectively manage their programs as accrediting agencies...

Most Popular