Residency

RRC requirements for annual program review

Residency Program Insider, July 4, 2006

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RRC requirements for annual program review

The residency review committee (RRC) requirements stipulate which individual, namely key faculty and significant resident representatives, must be present at meetings at which action improvement plans are discussed. Typically the RRC requires "representative program personnel" to take part in the annual program review, but keep in mind that RRCs interpret that phrase differently. The majority take it to mean the program director and key faculty. Understand how it is interpreted in your specialty to ensure that you have the right individuals at your meeting.

While most RRCs expect that at least one resident will take part in program review, many RRCs allow you to include other key personnel beyond those specifically required by your RRC. For example, you may opt to include nurses, administrators, or faculty from other clinical departments who interact with and educate the residents.

You may also include representatives from other department residencies that interact with your program, such as neurology, psychiatry, or internal medicine program. Certainly representatives from major affiliates external to your program might be invited to attend as well.

Some programs include an individual from the graduate medical education office, the institution's graduate medical education committee (GMEC), or even a faculty member from a program in the specialty who practices at another institution.

Consider inviting the following personnel to attend meetings at which the improvements identified through the annual program review are discussed:

  • Faculty from an external site that you use for training
  • Administrative personnel who have contact with residents
  • A representative from the institution's performance improvement group
  • A representative from the institution's patient satisfaction group
  • A representative from the institution's quality department
  • A program graduate
  • A faculty member who participated in the last "internal review" performed by your GMEC
  • A program director or key faculty member from another residency program at your institution
  • A program director or key faculty in the same specialty but from another residency program
  • An educator from an affiliated school of medicine

    In short, gather a group that has information and insight into quality as it relates to your residents and the level of patient care they provide.

    All the best,


    Kathryn Andolsek, MD, MPH,

    Associate director for graduate medical education
    Duke University Medical Center
    Durham, NC



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