Table 1

ACGME Program Requirements That Affect Program Directors

1.C.Recruitment and retention of a diverse and inclusive workforce of residents, faculty, and others—policies and procedures must be in place related to minorities underrepresented in medicine and medical leadership; the annual program evaluation must include an assessment of the program’s efforts to recruit and retain a diverse workforce (also see V.C.1.c).(5).(c).
1.D.2.Healthy and safe learning and working environments that promote resident well-being; provide for access to food while on duty; access to refrigeration where food may be stored; safe, quiet, clean and private sleep/rest facilities available and accessible for residents with proximity appropriate for safe patient care (even when overnight call is not required); and clean and private facilities for lactation that have refrigeration capabilities, with proximity appropriate for safe patient care.
II.A.4.Program director responsibilities—have the authority to remove program faculty members from participation in the residency program education; document verification of program completion for all graduating residents, and an individual resident’s completion upon the resident’s request, within 30 days.
II.B.2Faculty regularly participate in organized clinical discussions, rounds, journal clubs, and conferences (has changed from a detailed to a core requirement).
II.C.At a minimum the program coordinator must be supported at 50% FTE (at least 20 hours per week) for administrative time (RC-FM may further specify).
IV.B.Identified additional areas to teach and assess—resident communication related to care goals, including when appropriate, end-of-life goals, social determinants of health, health care finances, and its impact on individual patients’ health decisions, pain management and signs of addiction.
IV.D.Faculty scholarship may now be defined by 1 of 2 domains; the RC-FM will choose 1 of these domains.
V.A.Block rotations and longitudinal experiences (such as continuity clinic) greater than 3 months in duration must be evaluated at least every 3 months and at completion.
V.A.2.The language has changed for the final evaluation. It must now verify that the “resident has demonstrated the knowledge, skills, and behaviors necessary to enter autonomous practice.”
V.C.1.The annual program evaluation must now include a SWOT analysis (strengths, challenges, opportunities, and threats) as related to the program’s mission and aims. The elements needed in the annual program evaluation have expanded (to include workforce diversity).
VI.A.An emphasis is placed on reporting of patient safety events and training residents how to disclose adverse events to patients and families.
VI.C.Areas of resident well-being have been better defined and enhanced.
VI.E.Patient care and education through multidisciplinary teams are emphasized.
VI.F.Terms “clinical experience and education,” “clinical and educational work,” and “clinical and educational work hours” replace the terms “duty hours,” “duty periods,” and “duty.” Work from home is better defined.
  • FTE = full-time equivalent; RC-FM = Review Committee-Family Medicine.