National Certification for Psychiatry Program Administrators

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National Certification for Psychiatry Program
Administrators
Taking it to the Next Level-

• Annual Meeting of the American Association of
  Directors of Psychiatry Residency Training
• Coordinators Section
• March 9, 2006
• Linda J. Gacioch, C-TAGME
• Secretary, National Board for Certification
• Training Administrators of Graduate Medical
  Education

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"What we see depends mainly on what we look
for." John Lubbock
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(No Transcript)
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WHY CERTIFICATION?
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Why is this being done?

• Changes in the focus of medical education over
  the past few years
• programs have needed to review their education
  vs. service issues
• more structure and formality has been brought to
  the process of education through the development
  of a more codified curriculum
• Unintended consequences

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Why is this being done?

• Recognition of the need for Program Directors and
  Coordinators to be full time to manage the
  requirements of core competencies, accreditation
  and work hours regulations
• Need for training administrators to have and
  maintain a high level of knowledge, skills and
  abilities to manage the day-to-day activities of
  the training program
• Create a national standard

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Its a Journey

• Focus on the intrinsic vs. extrinsic rewards
• Recognition for achieving/meeting national
  standards
• Receiving national certification is
  acknowledgement of your professionalism and
  knowledge
• To be a GME Training Program Administrator is to
  have a career path. ACGME standards and
  guidelines will continually change
• Professionals Do Not Stop Learning. They stay
  abreast of the changes and maintain their skills!

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TAGME / How did it start?

• Formation of the National Board for Certification
  of Training Administrators of Graduate Medical
  Education -TAGME (www.tagme.org)
• Surgery, Diagnostic Radiology, Pediatrics,
  Orthopedic Surgery, Family Medicine, Emergency
  Medicine, Internal Medicine, Psychiatry
• In discussion Anesthesia, Preventative Medicine,
  GME Personnel

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TAGME / How did it start?

• Structure - ABMS ACGME NAMSS (teachers
  website)
• Terminology - NOCA National Organization of
  Certifying Agencies
• Administrator vs. Coordinator
• Task vs. Title

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Certification vs Credentialling

• Certification
• VOLUNTARY!
• Low Risk

• Credentialling
• Mandated, Governmental Control
• High Risk

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What are the criteria?

• National Meeting Attendance
• 1 meeting in 3 years- related to GME
• 3 years of On-the-Job Experience
• Site Visit or Internal Review Experience
• Personal Professional Development
• Meeting the Assessment Standards and Measurement
  Plan Template determined by TAGME

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How is the Process Structured?

• Application
• Application Form
• Supportive Verification Form
• Resume- using TAGME Template
• Work Effort Tools- Applied Knowledge
• Monitored, Timed Assessment
• Global Content Assessment Tool
• Clinical Specialty Content Assessment Tools

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Work Effort Tools

• Work Effort Tools Applied Knowledge
• Series of exercises that demonstrate how the
  program administrator applies their knowledge and
  skills to the day-to-day management of the
  residency training program.
• Completed prior to the monitored assessment.
  Submitted to the Proctor at the monitored
  assessment.
• Includes multiple choice scenario based/multiple
  choice true/false, yes/no short essay web
• Successful completion- 80 correct in all
  knowledge content areas

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Work Effort Tools- Knowledge Content Areas

• Duty Hours
• Competencies
• Governing Bodies/Website Navigation
• Recruitment, Recruitment Tools
• Required Annual Surveys, Web Ads
• Academic Curriculum
• Evaluations
• Case Logs

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Monitored Assessment

• Monitored, Timed Assessment- Open Book
• Criteria for the use of various assessment tools
• the underlying philosophy that the crucial
  skill of the program administrator is the
  ability to find the answer, NOT the necessity
  of having instant recall.
• Coordinators MUST bring resource guides to the
  monitored assessment
• ACGME Common Program Requirements, Institutional
  Requirements, Psychiatry Program Requirements,
  Glossary of Terms Alphabet Soup/Acronyms for
  Psychiatry Coordinators
• 2 parts- 1) Global Requirements, 2) Clinical
  Specialty Requirements

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Monitored Assessment- Part I

• Global- Content Areas
• Knowledge of ACGME documents, accreditation and
  federal regulations
• Questions will include True/False, Multiple
  Choice, Matching, will need to provide citations
  for answers
• Successful completion- 80 correct in all content
  areas

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Monitored Assessment- Part 2

• Clinical Specialty Content Areas
• Questions include multiple choice, scenario
  based/multiple choice, true/false, yes/no,
  matching
• Content Areas
• Duty Hours
• Competencies
• Governing Bodies, Websites
• Recruitment, Recruitment Tools
• Evaluations
• Governing Bodies, Navigation of Websites
• Pertinent Abbreviations and Definitions
• Case Logs
• Clinical Specialty Content Areas

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Successful Completion 80

• Certification IS an assessment of your knowledge-
  it is NOT a test.
• Successful completion is based upon 80 correct
  answers in each of the knowledge content areas
  in the Work Effort Tools and the Monitored
  Assessment
• If you do not successfully complete all content
  areas the first time, you have one year to
  complete the process without charge. After one
  year passes, you would need to begin the
  application process again, including payment of
  fees.

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History of TAGME and Psychiatry

• 2004 AADPRT Coordinators Section Meeting, New
  Orleans, Louisiana
• Rumblings about certification for coordinators-
  something about a TAGME organization?
• Coordinators were polled for interest level-
  should the AADPRT Coordinators Section look into
  TAGME? YES!

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Next Steps

• Appointed a representative to TAGME on behalf of
  AADPRT
• The representative would serve as a fact finder
  and report back to the AADPRT Coordinators
  Section at the 2005 Annual Meeting

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2005 AADPRT Meeting TUCSON, AZ

• TAGME Progress Report Presentation to AADPRT
  Coordinators Section
• Polled for interest level in moving forward with
  certification. YES!
• Convene a certification task force

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Psychiatry Coordinators Assessment Task Force
(PCAT)

• Linda Gacioch, C-TAGME
• Chair, PCAT Task Force
• TAGME Board Representative
• University of Michigan
• Ann Arbor, Michigan
• Mia Collins, C-TAGME
• Northwestern University
• Chicago, Illinois
• Maria Kacic, C-TAGME
• TAGME Board Representative
• University of Arizona
• Tucson, Arizona

• Maggie Petre, C-TAGME
• TAGME Board Representative
• Advocate Lutheran General Hospital
• Chicago, Illinois
• Tracy Riley, B.S., C-TAGME
• University of California-San Diego

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Task Force Charge

• Develop TOOLS (questions) for Work Effort
  Products and for the Monitored Assessment using
  TAGMEs Standard Templates
• Summer of 2005, PCAT met regularly via conference
  call and email
• GOAL- successfully submit the tools for
  approval to the TAGME Board Directors for the
  November 3-5, 2006 Fall Meeting.

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SUCCESS!
Psychiatrys certification tools received
unanimous approval from TAGME!!
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GME E-letter, 1/06 Residency Coordinators
Information Page e-mail story print story
TAGME Update(posted 12/29/05) Another 17
coordinators from pediatrics and general surgery
were recommended and approved for certification
at the Fall board meeting of the National Board
of Certification for Training Administrators of
Graduate Medical Education Programs (TAGME). In
addition, psychiatry has been approved for
permanent membership on the TAGME Board of
Directors, with assessment tools approved and
certification now available to psychiatry program
coordinators.  The following specialties have
developed task forces and have been approved to
develop their assessment tools  Diagnostic
Radiology Thoracic Surgery Vascular
Surgery Neurology Physical Medicine and
Rehabilitation Obstetrics-Gynecology As interest
in coordinator certification continues to grow,
TAGME Board members have been invited to make
numerous presentations at national meetings.
Questions? Please contact Ruth H. Nawotniak.
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Of note

• Psychiatry is the 3rd clinical specialty to have
  tools approved for certification.
• Psychiatry is the 1st clinical specialty to
  receive approval following successful pilots
  conducted by Surgery and Pediatrics.
• PRETTY COOL!

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Tools In the Works

• Vascular Surgery and Thoracic Surgery
  successfully submitted their tools in February.
  They plan to offer the certification assessment
  at their respective Spring meetings
• Diagnostic Radiology plans to submit their tools
  at the Spring TAGME Board of Directors Meeting
• Neurology, OB-GYN, and Physical Medicine and
  Rehabilitation, have submitted formal requests
  and are in the process of developing tools

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Making History at AADPRT!

• March 10, 2006, the FIRST TAGME certification
  assessment will be offered for Psychiatry General
  Residency Program Administrators
• 10 training administrators have registered to
  take the assessment

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What is in the TAGME Future?

• Re-certification every three years. Criteria
• Updated Resume (using TAGME Template)
• Personal Professional Growth - Continuation
  of initial criteria - SkillSoft CEUs- free
  upon receiving certification
• Assessment tools as needed as accreditation and
  federal regulations and requirements change
• Creation of the Journal for the Management of
  Physician Training Programs

SkillSoft
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Future Efforts - AADPRT

• Initiate an annual workshop series focusing on
  Preparing for Certification
• The inaugural workshop is this afternoon,
  authored by Maggie Petre
• Poll AADPRT subspecialty training administrators
  for interest in creating task force (s) to
  develop certification tools for psychiatry
  subspecialties
• Poll forms are in the back of the room. Please
  indicate if you would be interested in serving on
  a task force

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• If you have questions regarding TAGME or
  certification, please feel free to contact one of
  the TAGMEs Psychiatry Board Representatives.
• Linda Gacioch, C-TAGME
• Email gacioch_at_umich.edu
• Maria Kacic, C-TAGME
• Email mkacic_at_email.arizona.edu
• Maggie Petre, C-TAGME
• maggiepetre_at_advocatehealth.com

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Thank you!