Update from the RRC

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Update from the RRC

• Suzanne Z. Powell, M.D.
• A Disclaimer I am providing this information to
  you as an individual who is an RRC member, not as
  the official representative of the RRC or ACGME.  

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AP/CP Requirement Changes

• Shared Autopsy 2 maximum
• Eliminate Primary Prosector
• Participate in all aspects of Autopsy
• appropriate to the case

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AP/CP Program Requirement Changes

• Autopsy
• Recognize that many programs need to have
  forensic cases count toward the 50 required cases
  for the ABP
• Participation in all 7 aspects of the case will
  not be tightly adhered to participate in
  aspects appropriate to case
• However, residents will be expected to preview
  slides on their cases prior to signout

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Autopsy Components

• Review of History and Circumstances
• External Exam of Body
• Gross Dissection
• Review of Micro Lab Findings
• Written Description of Gross Micro
• Opinion on Cause of Death
• Review of Report with Faculty

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Future Requirement Addition

• Pathology Specific Competencies
• (attachment circulated at PRODS meeting)

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New Bone Marrow PIF Question
If residents do not perform bone marrow
aspirations and/or biopsies, how do you ensure
that they become familiar with the procedures and
the determination of the adequacy of specimens
and preparation techniques?
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General Competencies
As of July, 2006 Goals Objectives in all 6
Areas Teaching/Learning in all 6 Areas Evaluation
in all 6 areas Use eval result to improve program
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General Competencies
As of July, 2006 RRC Citations Constructive
Recommendations GMEC Review of Program
Compliance Increasing Emphasis on Performance Data
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General Competencies
Components of a Curriculum Goals
Objectives Teaching Strategies/Learning
Opportunities Evaluation Methods
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General Competencies
Curriculum Materials Medical Knowledge Acquisition
Analysis Application
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General Competencies
Curriculum Materials Patient Care Gathering
Information Synthesis Partnering with
patients/families Technical Skill
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General Competencies
Curriculum Materials Practice-based Learning and
Improvement Life-long Learning Evidence-based
Medicine Quality Improvement Teaching Skills
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General Competencies
Curriculum Materials Systems-based
Practice Health Care Delivery System Patient
Safety and Advocacy System Causes of Error
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General Competencies
Curriculum Materials Professionalism Professional
Behavior Ethical Principles Cultural Competence
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General Competencies
Curriculum Materials Interpersonal
Communication Skills Communicating with Patients
Families Communicating with Team
Members Scholarly Communication
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ACGME Case Log System

• Required areas for data entry
• Autopsy
• Fine Needle Aspiration Biopsy
• Bone Marrow Aspiration Biopsy
• Since 7/1/2006, only 994 residents have made at
  least one entry into the case log system (there
  are 2330 filled resident positions currently)
• Only 50 of programs entered data when examined
  at the last RRC meeting

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ACGME Approved Positions

• Almost no increase in AP/CP positions in the last
  three years
• 2554 positions in 2003
• 2568 in 2005
• FILLED positions have increased from 2163 in 2001
  to 2330 in 2005
• NRMP March 2007 513 positions offered in the
  match, only 47 not filled prior to Scramble Day
• Selective Pathology Program approvals continue to
  rise and therefore, changes to the Selective
  Pathology PIF, particularly since many of these
  programs are for AP, in the works
• 9 programs with 36 fellows in 2000
• 13 programs with 45 fellows in 2003
• 40 programs with 96 fellows in 2005
• 44 programs with 105 fellows in 2006

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RRC Contact Information

• 515 North State Street, Suite 2000
• Chicago, IL 60610
• Fax [phone]
• Steve Nestler 312.755.5025, spn_at_acgme.org
• Billy Hart 312.755.5026, bhart_at_acgme.org
• ACGME Webpage www.acgme.org