Provide oversight of rotations at participating sites

Residency Program Insider, October 23, 2020

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Editor’s Note: The following is an excerpt from The Complete Guide to Continuous GME Accreditation. For more information about this book, click here.

Participating sites are used in situations in which the sponsoring institution cannot provide certain experiences that are required by the program. For example, the institution may need to send its residents out to complete trauma rotations if it is not a trauma center. Required rotations are done by every resident at the same post-graduate level of training. As part of the graduate medical education committee’s responsibilities, it must ensure each participating site maintains a safe educational environment that contributes to patient safety and facilitates learning while residents obtain educational experience.

In order to monitor the sites to ensure the residents are provided a safe learning environment, the graduate medical education committee should establish a policy that outlines ACGME and institutional requirements for participating sites. The policy should include how the sites will be monitored by the program director, responsibilities of the site director, and physical site requirements, such as adequate call rooms and workspaces. The policy should also include how the sponsoring institution will monitor participating institutions, perhaps when it conducts its annual review of the program, or at the time of the ADS update. Each site must also maintain accreditation and demonstrate compliance with all GME policies and ACGME requirements. By having a policy with clear expectations and communications between the program and sponsoring institution, it provides assurance that the participating sites are being monitored properly.

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