The ACGME's Common Program Requirements Phase 2 Task Force has released the proposed revisions to Sections I-V of the Common Program Requirements for Review and Comment. The biggest change is that the Task Force decided to create a separate set of Common Program Requirements for fellowships.
Most notable however to training program administrators, might be the addition of language regarding minimum program coordinator time/support:
Requirement #: II.C.-II.C.2. Program Coordinator -There must be a program coordinator. -At a minimum, the program coordinator must be supported at 50% FTE (at least 20 hours per week) for administrative time. [The Review Committee may further specify]
The impact statement reads:
1. Describe the Task Force’s rationale for this revision: The Task Force believes that a program coordinator is essential to the effective administration of the program. The program coordinator provides the program director with assistance in managing the administrative components of the program, and, in many cases, has additional responsibilities not related to program administration. This new requirement is intended to ensure that coordinators are provided with sufficient time to support the program. 2. How will the proposed requirement or revision improve resident/fellow education, patient safety, and/or patient care quality? The support provided by the program coordinator is essential to ensuring that the administrative aspects of the program are managed effectively and, therefore, the program coordinator contributes significantly to resident education. 3. How will the proposed requirement or revision impact continuity of patient care? No impact is anticipated. 4. Will the proposed requirement or revision necessitate additional institutional resources (e.g., facilities, organization of other services, addition of faculty members, financial support; volume and variety of patients), if so, how? Programs that do not currently have a program coordinator or whose coordinator devotes less than 50 percent of their time to the program will be required to provide additional support to comply with the new requirement. It is noted that coordinators may support more than one program and/or have additional responsibilities beyond the program, provided that the minimum 50 percent time commitment to the program is met. 5. How will the proposed revision impact other accredited programs? N/A
The review and comment period for the proposed revisions ends March 22. If approved by the ACGME Board of Directors, the targeted implementation date for the new requirements is July 1, 2019.
Revisions include a focus on recruitment and retention of a diverse workforce, resident well-being, program director duties, and increased resident education on compassionate communication with patients.
Major changes are being proposed in the follow specialties:
Addiction Medicine (new specialty!)
Common Program Requirements
Undersea and Hyperbaric Medicine