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July-August 2015 Single GME Accreditation System Update

August 04, 2015

(August 4, 2015) On Friday, July 17 during the AOA’s 2015 Annual Business Meeting, Thomas Nasca, MD, CEO of ACGME, provided an update on the transition to the single GME accreditation system (SAS). Following Dr. Nasca, AOA President-elect Boyd Buser, DO delivered an update on the state of OGME and provided additional details on the transition. Both presentations are now available on AOA’s website. 

Thoracic Surgery Review Committee Acceptance of AOA-certification for Program Directors

The Thoracic Surgery Review Committee met in July and determined that they will accept AOA-certification for program directors. Therefore, an AOA-certified program director could serve without a co-program director certified by an ABMS member board. Please refer to the following table on ACGME’s single GME web page for a full list of RC decisions on program director certification requirements.

It is important to note that many RCs have other requirements for the program director position in addition to certification. Those additional requirements may be published in Program Requirements, FAQs from the RC (which can be found on the RC webpage) or both. As is currently the case, all program director appointments must be reviewed and approved by the RC.

Resolutions Related to SAS Approved at AOA’s Annual Business Meeting

Several proposed resolutions related to the transition were discussed and acted upon during the AOA’s Board of Trustees Mid-year meeting and at the House of Delegates. For more, visit AOA’s Annual Business Meeting page. Below are key resolutions related to SAS approved during the AOA Business meeting:

  • AOA Approval of OGME-1 Training This resolution sought to address the issue of licensure in some states that require an osteopathic internship year. It was approved with an amendment stating that DOs who successfully complete “an osteopathic-focused track in an ACGME accredited PGY-1 program that has received osteopathic-recognition will be deemed to have completed an AOA approved PGY-1 for the purposes of satisfying state licensure requirements.” 

Update on Application Process for Traditional Rotating Internships/Transitional Year Programs

An ACGME transitional year program must exist in an environment that includes at least two other relevant ACGME-accredited graduate medical education programs or sponsors. Traditional Rotating Internships (TRI) applying for ACGME accreditation as Transitional Year (TY) programs can now begin to apply as soon as one sponsoring program applies and achieve pre-accreditation status—instead of two.

The TY Review Committee has submitted proposed focused revisions which amend this requirement to allow one ACGME-accredited program to be in place. Following a public comment period, which ends on August 5, 2015, the focused revisions will be forwarded to the ACGME Board for approval in September 2015. Those interested are encouraged to submit comments, please visit ACGME’s Review and Comment page.

This information is now included in ACGME’s newly revised FAQs on their single GME accreditation web page and as a slide on the TY SAS webinar page.

Upcoming Webinar on ACGME Milestones Project & the Osteopathic Principles Milestones

Laura Edgar, EdD, Executive Director of Milestones Development at ACGME and Natasha Bray, DO, Chair of the Osteopathic Principles Milestones Committee will hold a webinar to provide information on the ACGME Milestones Project. The webinar, which will be held on August 20, 2015, 10-11:00am CT, will include a discussion about the osteopathic principles milestones that will be used by programs pursuing osteopathic recognition. Click here to register. 

Update on Institution and Program Application for ACGME Accreditation & Recognition Status

To date, a total of 37 institutions (8 OPTIs) have submitted applications for ACGME accreditation. At the Institutional Review Committee (IRC) meeting held in April 2015, 8 institutions were reviewed, 6 received initial accreditation and 2 received continued pre-accreditation status. The next meeting of the IRC is on August 21, 2015.

A total of 20 programs have applied for initial accreditation and are in pre-accreditation status. However, there are approximately 140 programs that have started the process of applying for ACGME accreditation. The programs that have submitted applications are in the following specialties: emergency medicine (3), surgery (5), family medicine (3), internal medicine (3), diagnostic radiology (3), ophthalmology (1), otolaryngology (1) and urology (1). A total of 4 programs have applied for osteopathic recognition—3 are dually-accredited programs and 1 program is in pre-accreditation status.

Osteopathic Accreditation

The Osteopathic Principles Committee has posted application instructions to help guide programs through the osteopathic recognition application. Programs can apply for osteopathic recognition as of July 1, 2015. The Committee is also soliciting nominees for a non-physician public member to join the Committee.

Resource for Transition Updates: ACGME’s ADS Public Site

ACGME’s Accreditation Data System (ADS) public site now includes reports tailored specifically to track progress of institutions and programs in the transition. The reports include: