RED
QI
Quality Improvement
Cycle used to improve patient care, processes, and systems. We use the Model for Improvement or PDSA
PEC
Program Evaluation Committee
Committee that meets once a year to evaluate the program's previous academic year and identify areas for improvement. Attendance must include faculty at each site, APDs, PD, Chair, PC, and at least one resident from each PGY level.
PDSA
QI model that creates a plan to implement a quality improvement plan.
Name ONE current QI project being worked on in the program.
- Patient Discharge
- Tufts IR stroke teamwork
- Resident Sign Out in Soarian
- Family updates NCCU
- Contrast Allergy Soarian protocol
- Tufts ED Stroke Flow
- CSF Panel in Soarian
- Tufts Radiology Stroke
- Preventing UTI in Stroke Patients in NCCU
How do you provide resident regular feedback as a faculty?
- bedside teaching
- rounds
- continuity clinic teaching / mentorship
- individual feedback at the end of rotation / service week
DIO
Designated Institutional Officer
Person responsible for all ACGME accredited programs at the institutional level
PD
Program Director
The sole person responsible for a training program within that specialty or sub-specialty.
AFI
Area for Improvement
This is an item on the ACGME accreditation that a program may not be in compliance with that they need to improve upon by the next accreditation period. Note, if an AFI is not satisfactorily addressed in that time it can turn into a citation.
Do you have opportunity to evaluate program - confidentially and in writing at least annually?
Yes.
- Annual Program Survey done via New Innovations.
- ACGME faculty survey, which is less specific.
What is the point of Continuity Clinic?
To give the resident opportunity to treat patients longitudinally over the course of their training.
APE
Annual Program Evaluation
Document that reflects all the outcomes of the previous academic year accreditation measures. This document is developed reviewed from year to year to identify self improvement through the PEC.
RRC
Residency Review Committee
The ACGME Committee in each specialty that meets twice a year and decides upon all program accreditation status, policy, etc.
G&O
Goals and Objectives
List of intended outcomes for each educational experience. This document must be shared with the resident before the rotation, and will be used to grade their successful completion of the rotation.
Do you receive feedback regarding trainee from your program director?
Yes, although:
- the chair shares this during annual individual evaluation with faculty
- this has not been consistent at all sites, but has been improving
How much of the faculty should be actively involved in Scholarly Activity?
51% of faculty members
SV
Site Visit
Event where a representative from the ACGME will come to review the program for accreditation. There are several types of SV's, the most common is the 10 year Self Study Site Visit.
ACGME
Accreditation Council for Graduate Medical Education
The accrediting body that regulates all medical residency programs, and most fellowship programs.
CCC
Clinical Competency Committee
Evaluation committee that meets twice a year to assess each trainee's progress within the program. During this meeting milestones are determined, and any areas of concern and how they will be addressed are discussed.
Have you seen program improvement within the past five years?
Answer your opinion honestly
What is considered "scholarly activity"?
- discovery, as evidenced by peer-reviews or research through peer reviewed publication
- dissemination, as evidenced by review articles or chapters in textbooks
- application, as evidenced by the publication or presentation of case reports, clinical services, didactic lectures at local, regional or national professional and scientific society meetings
DH
Duty Hours
Resident and Fellow working hours.
RCA
Root Cause Analysis
A event that occurs to analyze a particularly negative patient outcome that is more severe. This is not routine, but is a great M&M style way to look at the occurrence for improvement. This is a QI related initiative.
SAR
Semi Annual Review
Individualized 1:1 meetings between the resident and the program director (or associate program director) to discuss progress and concerns of the the resident and the program.
What would you do if you notice a resident to be overly fatigued?
Answer honestly. There is a supervision policy that addresses this.
What is considered regular participation in organized clinical discussion with trainees?
Faculty members should participate in a manner that:
- promotes spirit of inquiry and scholarship (e.g., the offering of guidance and technical support for residents involved in research, such as research design and statistical analysis);
- provision of support for residents’ participation, as appropriate, in scholarly activities.