0800-0820 rrc update(mac) · 2+16 3*< folqlfdo urwdwlrqv vkrxog eh dw ohdvw zhhnv dqg pxvw eh dw...

Review Committee UpdateAlan Micco MD, Review Committee Vice ChairPamela Derstine PhD, MHPE, Review Committee Executive Director

Otolaryngology-Head and Neck Surgery Program Director Annual MeetingNovember 22, 2019Chicago Illinois

DisclosureNo conflicts of interest to report

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REVIEW COMMITTEE MEMBERS ANDSTAFF

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Review Committee Membership: CurrentLiana Puscas, MD, Chair

Alan G Micco, MD, Vice Chair

Howard W Francis, MD

C Gaelyn Garrett, MD, MMHC

M Boyd Gillespie, MD

Marci M Lesperance, MD

Anna H Messner, MD

Vishad Nabili, MD

Wayne K Robbins, DO

Michael G Stewart, MD, MPH

Tyler Bertroche, MD, Resident Member

Thomas S Worsley, MPA, Public Member

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Jenny X Chen MD (resident member)

Massachusetts Eye & Ear/Harvard

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ACGME Review Committee Staff

Samantha Alvarado ADS

Pamela L. Derstine, PhD, MHPE

• Executive Director

Susan E. Mansker

• Associate Executive Director

Citlali Meza, MPA

• Accreditation Administrator

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ACCREDITATION AND PROGRAMSTATISTICS

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Accreditation Statistics: Current

Total Current Accredited Programs# Core 125

# Fellowships 54

Pending Applications# Core Allopathic 0

# Core osteopathic 1

# Fellowships 1

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Accreditation Statistics: CurrentProgram Accreditation Status: Core

Status # Programs

Continued Accreditation 105Continued Accreditation w/o Outcomes 1Continued Accreditation w/ Warning 1Initial Accreditation 18Continued Pre-Accreditation 1

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Accreditation Statistics: CurrentProgram Accreditation Status: Neurotology

Status # Programs

Continued Accreditation 19Continued Accreditation w/o Outcomes 1Initial Accreditation 4

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Accreditation Statistics: CurrentProgram Accreditation Status: Pediatric

Status # Programs

Continued Accreditation 22Initial Accreditation 7Application (pending) 1

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Other Meeting Decisions (Jan-Aug 2019)Requests

Complement Increase Permanent# Requested /# Approved 8/7

Complement Increase Temporary# Requested /# Approved 9/6

Progress Report 3Site Visit None

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As of 11/18/2019

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Citation Statistics: AY 2018-19

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ANNUAL ACCREDITATION UPDATE

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Upcoming Review Committee Meetings

• January 10-11, 2020 Agenda closed

• April 3-4, 2020 Agenda close: February 21, 2020

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Board Scores: new CPR• First-time takers only during the most recent

three years reported by ABOHNS to Data Dept.• Bottom 5th percentile nationally for the

specialty AND• Subject to citation if

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2018-19 Annual Program Review: 2020 RC Meeting

Board Pass Rate Annual

Data

Written 5thpercentile =

83.3%

# program failures = 2

Oral 5thpercentile =

100%

# program failures = 1

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2018-2019 Case Log Report# Programs # Graduates # Min Fail

Core 105 300 0

Neurotology 14 16 0

Pediatric 23 34 5

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Resident and Faculty Surveys from Spring 2019 (no change)

NOTE: Survey items will change for the 2019-2020 surveys, consistent with new CPRs (reviewed January 2021)

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Resident and Faculty Scholarly

Activity reported Fall 2018

Scholarly Activity Completed 2017-

2018

No Change from Current

Scholarly Activity reported in fall 2019

Annual Update revised (CPRs)

Reviewed January 2021

Implementation of CPRs

The following are effective 7/1/2020I.D.2.c) Lactation facilities

I.D.2.e) Accommodation for resident disabilities

II.A.4.a).(2) Design and conduct program consistent with community needs, mission

II.B.2.g) (1-4) Faculty development specificsAll other CPRs, including ALL CPRs in section VI, are effective 7/1/2019

See https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRResidencyImplementationTable.pdf

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Specialty-Specific Requirements

Current requirements updated for new CPRs

• Deleted, renumbered, and edited PRs shown with track changes

• Effective 7/1/2019

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Specialty-Specific Requirements Focused Revisions

• II.B.4.b) minimum number of core faculty and/or core faculty-resident ratio

RCs must further specify the following:

OHNS: 5 core faculty

Neurotology: PD and one other core (no change from current)

Peds Oto: 3 core faculty (may include PD)

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• IV.B.1.b).(1) compassionate, appropriate, effective patient care for treatment of health problems and promotion of health


Care that is culturally sensitive, situationally sensitive, specific to patient/family needs

Care that is accurate in diagnosis and treatment care options, and based on best practice and standards of practice

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• IV.C.1 The curriculum must be structured to optimize resident/fellow educational experiences, the length of these experiences, and supervisory continuity.


OHNS: PGY2-5 clinical rotations should be at least 6 weeks and must be at least 4 weeks in length

Neurotology/Peds: clinical rotations must be at least 4 weeks in length

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Specialty-Specific Requirements Focused Revisions (Fellowships)


II.A.2: Program director support

• Neurotology and Peds Oto: minimum of 5% protected time

IV.E.1: option for programs to assign fellows to engage in independent practice of their core specialty during their fellowship program (must not exceed 20% time per week or 10 weeks each academic year)

• Neurotology and Peds Oto: RC will retain this CPR

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Other minor focused revisions proposed

Public comment period ends 12/18/2019 (neurotology and pediatric otolaryngology)

Public comment period ends 12/26/2019 (otolaryngology-head and neck surgery)

Effective date: 7/1/2020

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Summary of ChangesReorganized to be anatomically based

• Progressive complexity

All CPT codes appear only once except for OCR

codes; no bundled CPT codes

CPT codes assigned to particular category to capture operative experiences (e.g. 60252 assigned to central

compartment neck dissection and not thyroidectomy)

Added CPT codes for office

procedures (e.g., Epley)

Expanded equipment list

No change to KIP minimum numbers

View remapping by generating the Tracked

Codes Report

0800-0820 rrc update(mac) · 2+16 3*< folqlfdo urwdwlrqv vkrxog eh dw ohdvw zhhnv dqg pxvw eh dw...

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