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Research ArticleFamily Medicine UpdatesF

RESIDENCY EDUCATION—COMPETENCY AND INNOVATION

Gregory Blake, Ann Skelton, Jeffrey Borkan, Steve Spann, Tyson Ideka, Mack Worthington and Alan David
The Annals of Family Medicine September 2008, 6 (5) 473-474; DOI: https://doi.org/10.1370/afm.893
Gregory Blake
MD
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Ann Skelton
MD
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Jeffrey Borkan
MD, PhD
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Steve Spann
MD
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Tyson Ideka
MD
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Mack Worthington
MD
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Alan David
MD
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  • Innovation and the ACGME
    Richard A. Neill
    Published on: 19 September 2008
  • Published on: (19 September 2008)
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    Innovation and the ACGME
    • Richard A. Neill, Philadelphia, USA

    The authors are to be commended for their push for more flexibility from the ACGME with regards to innovation and experimentation. Although I speak for myself and not for the FM-RC in my role as a current member I can assure you that I share the sentiments expressed in your editorial and hope to see more proposals for innovation in residency education from accredited programs.

    Contrary to the authors assertio...

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    The authors are to be commended for their push for more flexibility from the ACGME with regards to innovation and experimentation. Although I speak for myself and not for the FM-RC in my role as a current member I can assure you that I share the sentiments expressed in your editorial and hope to see more proposals for innovation in residency education from accredited programs.

    Contrary to the authors assertion that "... innovation can only be implemented if all existing requirements are met", I feel duty bound to point out that the ACGME has a mechanism in place to waive requirements, with instructions listed on the ACGME FM-RC website (http://www.acgme.org/acWebsite/navpages/nav_program_experimentation. asp) and elsewhere (page 103 of the ACGME policies and procedures http://www.acgme.org/acWebsite/about/ab_ACGMEPoliciesProcedures.pdf)

    This mechanism allows exactly what the authors call for; namely a waiver of common, program or institutional requirements in the implementation of experimental educational settings. Among other things it requires a clear rationale for the variation or exception to requirements, along with a monitoring process that informs the outcome of the experiment.

    In addition, programs may choose to innovate without requesting a waiver of requirements if they are willing to take a few citations but remain in substantial compliance with the minimum requirements. Indeed, many residencies without experimental programs maintain their accreditation despite persistent, if minor, deficiencies that accrue from design rather than default.

    Competing interests:   None declared

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    Competing Interests: None declared.
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The Annals of Family Medicine: 6 (5)
The Annals of Family Medicine: 6 (5)
Vol. 6, Issue 5
1 Sep 2008
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RESIDENCY EDUCATION—COMPETENCY AND INNOVATION
Gregory Blake, Ann Skelton, Jeffrey Borkan, Steve Spann, Tyson Ideka, Mack Worthington, Alan David
The Annals of Family Medicine Sep 2008, 6 (5) 473-474; DOI: 10.1370/afm.893

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RESIDENCY EDUCATION—COMPETENCY AND INNOVATION
Gregory Blake, Ann Skelton, Jeffrey Borkan, Steve Spann, Tyson Ideka, Mack Worthington, Alan David
The Annals of Family Medicine Sep 2008, 6 (5) 473-474; DOI: 10.1370/afm.893
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