Standards, accreditation and compliance
This organization accredits residency and fellowship programs in the United States.
This organization accredits residency and fellowship programs in the United States.
A training program does not have ACGME program accreditation. Does that automatically mean it has no institutional requirements or oversight?
What is no? It is still be subject to institutional, regulatory, funding, or other applicable requirements?
In the ACGME context, these three words are abbreviated NST.
What is Non-Standard Training?
This major annual event requires coordinating incoming trainees, onboarding documentation, schedules, and orientation.
What is trainee onboarding and orientation?
A trainee has not completed a required evaluation. What is your first step?
What is send a timely reminder, check the tracking record, and escalate persistent issues according to program policy?
This person is responsible for the institutional oversight of ACGME-accredited GME programs and works with the GMEC.
Who is the Designated Institutional Official (DIO)?
This document or set of rules should be reviewed first to understand how a locally managed training program operates.
What are the institution's policies and the program's governing requirements?
NST programs provide advanced subspecialty clinical training for this group of physicians.
Who are foreign national physicians?
This recruitment platform is commonly associated with applications for residency and fellowship positions.
What is ERAS (Electronic Residency Application Service)?
A program director asks you to change an accreditation record, but you are unsure whether the information is accurate. What do you do?
What is verify the information with the responsible person and follow the institution's approval and submission process?
This online system is used for ACGME accreditation applications and annual program updates.
What is the Accreditation Data System (ADS)?
Before a new trainee begins, a coordinator should confirm these essentials, including authorization to train, appointment details, and required onboarding.
What are the applicable eligibility, appointment, credentialing, and onboarding requirements?
NST programs are intended for advanced subspecialty training for which this form of accreditation or certification is unavailable.
What is ACGME program accreditation or American Board of Medical Specialties member-board certification?
These recurring meetings review trainee progress and program performance, and often require preparation of evaluations, data, and minutes.
What are CCC and PEC meetings? (Clinical Competency Committee and Program Evaluation Committee.)
A faculty member begins supervising trainees at a new participating site. What should you verify?
What are the applicable faculty appointment, site approval, supervision, affiliation, and documentation requirements?
These two types of requirements supplement the common requirements to establish standards for a specific specialty or subspecialty.
What are specialty- and subspecialty-specific Program Requirements?
A department says its non-accredited fellowship does not need evaluations because it is not ACGME-accredited. What should the coordinator do?
What is verify the institution's and program's evaluation policies rather than assume evaluations are unnecessary?
Under the ACGME NST framework, recognition is conferred on this entity, rather than on each individual NST program.
What is the Sponsoring Institution?
A program's annual evaluation identifies an area for improvement. This document or process records goals, actions, and follow-up.
What is a program improvement plan or action plan, as applicable to institutional policy?
A non-accredited program asks to use the same processes as an ACGME-accredited residency. What should you do?
What is identify which processes are required institutionally, which are program-specific, and which ACGME requirements do not apply automatically?
A coordinator discovers that a faculty roster is outdated before an accreditation-related submission. Name two appropriate actions.
What are verify the information with program leadership, update the appropriate records, and follow institutional review and submission procedures?
A department wants to call its program an ACGME Non-Standard Training program solely because it lacks accreditation. Why is that incorrect?
What is NST is a specific ACGME recognition framework with defined eligibility and requirements, not a label for every non-accredited program?
An institution wants NST recognition. Name one important institutional eligibility condition under the ACGME framework.
What is maintaining ACGME institutional accreditation without an adverse accreditation status?
A coordinator has recruitment interviews, annual reporting, evaluations, and incoming-trainee onboarding due in the same month. What is the best first step?
What is map the deadlines, identify dependencies and risks, confirm priorities with leadership, and delegate or request support where needed?
A program's deadlines repeatedly conflict with routine coordinator responsibilities. What is the strongest long-term solution?
What is build a shared annual calendar, clarify ownership, standardize workflows, identify peak workload, and advocate for appropriate resources?