ACGME Program Requirements That Affect Program Directors
| Section | Requirement |
|---|---|
| 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.2 | Faculty 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.