Welcomes you to San Antonio

NEW COORDINATORS WORKSHOP

San Antonio, TexasApril 19, 2010

2009-2010 STEERING COMMITTEE

June CameronSandy DelCoglinJeannine St. Pierre

Donna GuintoLinda Shaffer

Lillian FigueroaBarb CarterKim Agretto

• SPECIAL GUESTS

• Rebecca Augustine• Dawn Fountain

REGION ACTIVITY

ARCS STEERING COMMITEE• Comprised of 9 members – 4 year term• President stays on 1 additional year as consultant• Vote 2 members on each year, Community vs University• Provide the connection between APDS and ARCS• Responsible for the planning of this meeting and much

more• Learn more about the steering committee at

Wednesday’s lecture – “What We Do and How We Do It”by Sandy DelCoglin

ARCS MEMBERSHIP• Become a member • The role of GS coordinator has evolved

into a profession. • ARCS is a professional organization• Mentoring• TAGME certification• Membership application and requirements

ARCS website• Up to date information• Newsletter• History• Forms• Presentations• Resources

• Topica• arcs@topica.com

• Contact Maggie Tarpley to join• Margaret.tarpley@vanderbilt.edu

The Simplicity of GME

WORKSHOP LINEUP

• New Coordinators Perspective - Rebecca

• Alphabet soup and residency program language - Dawn

• Timeline - Barb

• Competencies & Duty Hours - Jeannine

• Evaluations – Donna

•**Break** (PHOTO)

• Curriculum Mandatory Rules - Linda

• Op Log – Lillian

• Recruitment - Sandy

• Ask the Experts – Kim

Abington Memorial HospitalAbington Memorial Hospital’’s s General Surgery Residency General Surgery Residency

ProgramProgram

A New CoordinatorA New Coordinator’’s s PerspectivePerspective

My BackgroundMy Background

Abington Memorial Hospital Abington Memorial Hospital –– 675675--bed bed suburban community teaching hospitalsuburban community teaching hospitalwith 26 residentswith 26 residentsBegan working as a general surgery Began working as a general surgery residency coordinator for Abington residency coordinator for Abington Memorial Hospital in June, 2008Memorial Hospital in June, 2008Attended my first ARCS Conference in Attended my first ARCS Conference in April, 2009April, 2009

Know your ResourcesKnow your Resources

Familiarize yourself with the Familiarize yourself with the ““tools of the tools of the tradetrade””

Links Links UpdatesUpdatesNewslettersNewsletters

My PhilosophyMy Philosophy

Be the change you want to see in Be the change you want to see in other people.other people.

II’’d rather be a coach not a motherd rather be a coach not a motherLead by exampleLead by exampleRespect your time and the time of othersRespect your time and the time of othersCreate an action plan and follow throughCreate an action plan and follow through

Professional ImageProfessional Image

Professionalism starts with youProfessionalism starts with youOpen door policy with residentsOpen door policy with residentsKeep lines of communication openKeep lines of communication openBe visibleBe visibleFollow throughFollow through

Whenever possible Whenever possible ––Stay organizedStay organized

OrganizationOrganization

Develop a schedule and stick to itDevelop a schedule and stick to it–– Operative log monitoringOperative log monitoring–– Duty hoursDuty hours–– Office hoursOffice hours–– Simulation Lab module trackingSimulation Lab module tracking–– Other administrative responsibilities Other administrative responsibilities

(Licenses, BLS,ACLS, ATLS, procedure (Licenses, BLS,ACLS, ATLS, procedure verification)verification)

Networking Networking –– Not just for Not just for ComputersComputers

Meet other coordinatorsMeet other coordinatorsIntroduce yourselfIntroduce yourselfBuild your knowledge baseBuild your knowledge baseShare your knowledgeShare your knowledgeDonDon’’t hesitate to callt hesitate to call

The Past 2 YearsThe Past 2 Years……

New Program DirectorNew Program DirectorComplement increaseComplement increaseWebWeb--based evaluation systembased evaluation systemFundamentals of Laparoscopic SurgeryFundamentals of Laparoscopic SurgerySite VisitSite Visit

What works for meWhat works for me……

Residency Email NewsletterResidency Email NewsletterKeep track of monthly tasks and use it as Keep track of monthly tasks and use it as a blueprint for the following yeara blueprint for the following yearSemiannual meetings with residentsSemiannual meetings with residentsNever throw out checklistsNever throw out checklistsStay on top of filingStay on top of filing

Summary

Maintain a sense of humorCommunication is keyPersonal satisfaction

ItIt’’s Greek to Mes Greek to Mea.k.a.a.k.a.

The Secret Language of Surgery The Secret Language of Surgery Residency CoordinatorsResidency Coordinators

Dawn FountainDawn FountainResidency CoordinatorResidency Coordinator

University of Kansas University of Kansas -- WichitaWichita

What is ABS?What is ABS?

American Board of SurgeonsAmerican Board of SurgeonsAmerican Board of SurgeryAmerican Board of SurgeryAdvanced Boarded SurgeonAdvanced Boarded SurgeonPC abbreviation for what some surgeons feed PC abbreviation for what some surgeons feed you everyday.you everyday.

ABSABS –– American Board of SurgeryAmerican Board of SurgeryCertifies surgeons who have met specific criteria Certifies surgeons who have met specific criteria

and fulfilled specified requirementsand fulfilled specified requirements

ABSITE (American Board of Surgery InABSITE (American Board of Surgery In--Service Service Training Exam)Training Exam)

exam given to residents last Saturday in Januaryexam given to residents last Saturday in JanuaryQE (qualifying exam) QE (qualifying exam)

written exam / first step / given in Augustwritten exam / first step / given in AugustCE (certifying exam) CE (certifying exam)

oral exam / second step / given multiple times a yearoral exam / second step / given multiple times a year

**ACLS / ATLS / FLS all required for ABS **ACLS / ATLS / FLS all required for ABS certification**certification**

ACLSACLS (Advanced Cardiac Life Support)(Advanced Cardiac Life Support)ATLSATLS (Advanced Trauma Life Support)(Advanced Trauma Life Support)FLSFLS (Fundamentals of Laparoscopic Surgery)(Fundamentals of Laparoscopic Surgery)

The Council responsible for the The Council responsible for the accreditation of residency programs accreditation of residency programs

is known as:is known as:

ACSACSARCSARCSACGMEACGMEI donI don’’t know what any of those groups of letters t know what any of those groups of letters meanmean

ACGMEACGME –– Accreditation Council for Accreditation Council for Graduate Medical EducationGraduate Medical Education

Responsible for accreditation of residency programsResponsible for accreditation of residency programs

Case Log SystemCase Log SystemResidents enter cases hereResidents enter cases hereRun reports to monitor resident case log inputRun reports to monitor resident case log input

ADS (Accreditation Data System)ADS (Accreditation Data System)Enter resident listsEnter resident listsResident SurveyResident SurveyUpdate your PIF (Program Information Form)Update your PIF (Program Information Form)

RRC (Residency Review Committee)RRC (Residency Review Committee)Conducts SITE VISIT , makes sure programs are meeting Conducts SITE VISIT , makes sure programs are meeting requirements to retain accreditationrequirements to retain accreditation

RRC (Residency Review Committee)RRC (Residency Review Committee)Conducts SITE VISIT , makes sure programs are meeting Conducts SITE VISIT , makes sure programs are meeting requirements to retain accreditationrequirements to retain accreditationThis is the committee that you create your PIF (Program This is the committee that you create your PIF (Program Information Form) forInformation Form) for……

ACS stands forACS stands for……..

Association of Collegiate SurgeonsAssociation of Collegiate SurgeonsAccreditation Council for SurgeryAccreditation Council for SurgeryAmerican College of SurgeonsAmerican College of Surgeons

ACSACS –– American College of SurgeonsAmerican College of Surgeons

Educational association for surgeonsEducational association for surgeons

Clinical Congress Clinical Congress Annual Educational MeetingAnnual Educational Meeting

FACS (Fellow, American College of Surgeons) FACS (Fellow, American College of Surgeons) members of the ACSmembers of the ACS

SESAP (Surgical Education and Self Evaluation SESAP (Surgical Education and Self Evaluation Program)Program)

Self study program / often used to prepare for ABSITE Self study program / often used to prepare for ABSITE or ABS certification examsor ABS certification exams

ERAS ERAS (Electronic Residency Application Service)(Electronic Residency Application Service)Service through which all medical school graduates apply for Service through which all medical school graduates apply for residencyresidency

NRMPNRMP (National Residency Matching Program)(National Residency Matching Program)Enter match list here (list of who you want to have train in Enter match list here (list of who you want to have train in your program)your program)

More GreekMore Greek……

ARCS ARCS (Association of Residency Coordinators in Surgery)(Association of Residency Coordinators in Surgery)US US

PGY PGY (Post Graduate Year)(Post Graduate Year)year in post graduate program / PGY 1year in post graduate program / PGY 1--55

GMEGME (Graduate Medical Education)(Graduate Medical Education)medical education obtained AFTER graduation from medical education obtained AFTER graduation from medical school / residency / fellowshipmedical school / residency / fellowship

CVCV (Curriculum Vitae)(Curriculum Vitae)aka resumeaka resume

M&MM&M (Morbidity & Mortality)(Morbidity & Mortality)conference held to discuss complications and errorsconference held to discuss complications and errors

USMLE (U.S. Medical Licensing Examination)USMLE (U.S. Medical Licensing Examination)Administered to students / residents to assess mastery of basic Administered to students / residents to assess mastery of basic scientific and clinical principles and applicationscientific and clinical principles and application

Step I Step I –– mastery of basic science principlesmastery of basic science principlesStep II Step II –– mastery of basic clinical science and skillsmastery of basic clinical science and skillsStep III Step III –– application of medical knowledge and skills / taken application of medical knowledge and skills / taken during PGY 1during PGY 1

IMG (International Medical Graduates)IMG (International Medical Graduates)Graduates of nonGraduates of non--American medical schoolsAmerican medical schools

ECFMG (Education Commission for Foreign Medical Graduates)ECFMG (Education Commission for Foreign Medical Graduates)Assesses and reports the readiness of Assesses and reports the readiness of IMGIMG’’ss for American for American residency programsresidency programs

Barbara Carter, C-TAGMEResidency Program CoordinatorDivision of General SurgerySouthern Illinois University School of Medicine

► Set-up evaluation sessions for the academic year (New Innovations*)► ACGME SOL – Add new residents, move up present resident PGY levels, distribute

log on password and instructions to new residents► Complete ACS resident candidate applications for new residents► Set up new interns with SCORE, EBRS, or any other website used at your institution

for resident education► Assign Faculty Advisor for all residents► Schedule first resident quarterly meeting of the academic year► Set-up resident vacation calendar for the academic year► Update resident, faculty, staff, and appropriate hospital personal group e-mail

addresses► Send out the new academic year pager list, photo to all appropriate faculty and staff ► Prepare and send out August call, clinic, and monthly conference schedules► Send new academic year conference schedule (Grand Rounds-Core-Journal Club)► AMA/FREIDA update opens► Surgical Operative Log due to the ACGME by August 1st

► Download and install ERAS software► Schedule first Governance Committee meeting► Remind residents of vacation request deadline► Update your institution website for present academic year► Send reminder to faculty presenter’s for educational conference for the

month of September► Start entering ADS update (residents, faculty, rotations, program

information)► Prepare and distribute September call, clinic, and monthly conference

schedules►Review resident work hour entries from July►Schedule PAME / Mock Orals and reserve lab for the spring►Send residents (PGY-III, PGY-IV, PGY-V) notice of mandatory PAME/Mock

Oral exam date and time.

► ERAS post office opens; start downloading applications daily► Complete ADS update► Update ABS roster (will receive notice from Board)► Discuss upcoming interview season with your Program Director (set

interview dates, criteria for granting interviews, interview agenda, ----)► Prepare operative procedure list for program director evaluation (if done

quarterly) ► Set up faculty schedule for conducting interviews of resident candidates► Send reminder to faculty presenter’s for educational conference for the

month of October► Prepare and distribute October call, clinic, and monthly conference

schedules► Review resident work hour entries from August► Review application on ERAS for criteria that meet your initial guidelines to

grant interviews

► Continue downloading ERAS applications and initial review of applications► Schedule Governance Committee Meeting► Schedule Resident Quarterly Meeting► Send out interview invitations to all candidates from your own institution

and any other candidates that meet your criteria at this point.► Book conference room for interview orientation and luncheon ► Order ABSITE exams before November deadline► Send residents memo on ABSITE date/time► Schedule room for ABSITE exam► Send reminder to faculty presenter’s for educational conference for the

month of November► Prepare and distribute November call, clinic, and monthly conference

schedules► Review resident work hour entries from September► Schedule Mid-Year Resident Evaluation Session and notify faculty► Set-up Ranking Meeting for late January and notify all appropriate faculty

► ASAP - download Dean’s letters from ERAS► Continue downloading and reviewing ERAS applications► Send out interview invitations to all applicants that meet the criteria of your

institution► Remind faculty and residents of interview dates► Make sure you meet the December payment deadline for ABSITE exams ► Send ABSITE reminder to residents► Prepare agenda’s for candidates interviewing in December► Send reminder to faculty presenter’s for educational conferences for the

month of December► Prepare and distribute December call, clinic, and monthly conference

schedules► Review resident work hour entries from October► Send out interview confirmation e-mails► Send reminder to Faculty Advisor’s for their documentation of resident

meeting► Make restaurant reservations for the December resident/candidate dinner► Order catering for the December interview luncheons► Send out e-mail reminder to resident candidates interviewing in December

► Schedule Governance Committee Meeting► Schedule Resident Quarterly Meeting► Order catering for ABSITE morning► Continue downloading and reviewing ERAS material► Payment deadline for ABSITE exams ► Prepare agenda’s for candidates interviewing in January► Confirm NRMP quota► Prepare all evaluation material for Mid-Year Resident Evaluation Session► Send reminder to faculty presenter’s for educational conferences for the month of

January► Prepare and distribute January call, clinic, and monthly conference schedules► Review resident work hour entries from November► Make restaurant reservations for the January resident/candidate dinner► Order catering for the January interview luncheons► Send out e-mail reminder to resident candidates interviewing in January

► Send ABSITE reminder to residents, call centers, and faculty► Receive ABSITE shipment, check over contents► Prepare ABSITE seating chart► Send reminder of Ranking Meeting and prepare candidate

interview reports ► Send reminder to faculty presenter’s for educational

conference for the month of February► Prepare and distribute February call, clinic, and monthly

conference schedules►Review resident work hour entries from December►Submit travel request for the APDS/ARCS/ASE spring meeting►ABSITE on last Saturday of this month

► Enter and CONFIRM Rank list with the NRMP website► Discuss how any unfilled positions would be filled if necessary► Follow up with residents who need to pass their USMLE Step lll► Send residents reminder of the PAME/Mock Oral exam► Send memo to faculty requesting their participation as an examiner

with the PAME/Mock Oral exams► ABSITE results received via e-mail► Send reminder to faculty presenter’s for educational conference for the

month of March► Prepare and distribute March call, clinic, and monthly conference

schedules► Review resident work hour entries from January► Register, make hotel and travel reservations for the APDS/ARCS/ASE

spring meeting►Schedule Annual Resident Evaluation Session and notify all

participating faculty

► ERAS registration due► Match Day and Scramble --if necessary ► Send out announcement to faculty and residents the names of new interns► Register, make hotel and travel reservations for the APDS/ARCS/ASE

spring meeting if not already done – early registration saves money► Chief residents receive their ABS application► Review the chief residents case op log in the ACGME-SOL web site for any

deficiencies and give each chief a copy of their own op log► Send out welcome letter to new interns along with all pertinent information ► Send reminder to faculty presenter’s for educational conference for the

month of April► Prepare and distribute April call, clinic, and monthly conference schedules► Review resident work hour entries from February► Start working on contracts for present residents and incoming residents

► Schedule Intern Orientation and Picnic► Follow-up on incoming residents paperwork (licensure application, ACLS

certification ATLS certification, lab coat size, orientation dates confirmed)► Remind next year chief’s to complete the preliminary rotation schedule for the

upcoming academic year► Schedule Governance Committee Meeting► Schedule Resident Quarterly Meeting► Send reminder to Faculty Advisor’s and resident to have spring meeting► Review goals and objectives for next academic year► Review and update resident manual for the upcoming academic year► Review and update department policies and procedures ► Send the GME office graduation certificate information if you don’t prepare them► Schedule graduation dinner/program date► Order departing chief residents gift► Send reminder to faculty presenter’s for educational conferences for the month of

May► Prepare and distribute May call, clinic, and monthly conference schedules► Review resident work hour entries from March► Work on visas (if applicable)

► Send out invitations for chief resident dinner/program► ABS application and payment deadline May 1► Remind chiefs to make sure all operative procedures have been entered► Remind chiefs of ABS application deadline► Chiefs to submit their Board application to program director for review and signature► Firm up orientation agenda and send out reminders► Follow up on licensure for new incoming residents and present resident renewals► Order lab coats and have monogrammed► Finalize rotation schedule for new academic year► Set-up residents for new academic year (interns download from ERAS to New

Innovations) – also create hard copy personal file on each resident.► Prepare to close out ERAS► Finalize educational conference schedule for new academic year► Send reminder to faculty presenter’s for educational conferences for the month of

June► Prepare and distribute June call, clinic, and monthly conference schedules► Review resident work hour entries from April

►Follow-up on resident contracts and licensing for new academic►Print out case logs for all present residents, review and notify residents of any delinquent entries► ABS application deadline with late fee June 1► Chief resident dinner/program► New intern orientation and picnic► Request forwarding addresses of graduating residents ► Schedule final chief evaluation meeting with program director and obtain “summative evaluation” on graduating chief for documentation► Remind program director to review faculty and rotation evaluations for the year► Print out final case operative logs for chief residents and preliminary resident for signatures and submission to ACGME► Send out pager list and photo sheet for the new academic year to all appropriate faculty, residents, clinics and staff► Send the new 2011-2012 resident rotation schedule to all faculty, residents, clinic and staff► Review your evaluation completion records for the academic year and follow-up if necessary with appropriate faculty/residents► Prepare and distribute July call, clinic, and monthly conference schedules► Review resident work hour entries from May

What month are the results of the NRMP surgery match posted?  

A B C D

24%

26%

24%

26%

A. FebruaryB. MarchC. AprilD. May

What month does the ERAS post office open?

A B C D

25%

25%

25%

25%

A. JulyB. AugustC. SeptemberD. October

Jeannine St. PierreUniversity of Massachusetts

Worcester, MA

Refers to educational outcomes not clinical –“evidence showing the degree to which program purposes and objectives are or are not being attained, including achievement of appropriate skills and competencies by students”

Patient CareMedical KnowledgePractice-Based LearningInterpersonal and Communication SkillsProfessionalismSystems-based Practice

Sabiston Textbook of Surgery

Greenfield

Schwart z

ABSITE

Essentials of Surgery

Mock Orals

NursingMedicare and MedicaidUse of correct abbreviationsProper documentation

IntroductionTimelineThink TankFAQGlossary

Common Program RequirementsReferences

Key ConsiderationsToolboxTable of MethodsExample ToolsExamples from the FieldReferences

RSVPInstructional ToolboxEducation ResourcePoster Winners

Faculty Development ToolsRelated Links

For more information please go to www.acgme.org/outcome

QUESTIONS?

HOW MANY ACGME CORE COMPETENCIES ARE THERE AS OF APRIL 2010

6 8 5 7

25% 25%25%25%

1. 62. 83. 54. 7

WHERE WOULD YOU FIND MORE INFORMATION REGARDING THE COMPENTENCIES?

 www.nrmp.org

 wwww.acgme.org

 ww.eras.org

 www.arcs.knows...

24%

26%

25%

25%

1. www.nrmp.org2. wwww.acgme.org3. ww.eras.org4. www.arcs.knows.org

4/12/2010 70

Evaluations

Noun:

An appraisal of the value of something.

4/12/2010 71

EvaluationsWhy do we evaluate?

To provide useful feedbackBecause effective feedback is essential for resident/faculty/program effectivenessTo tap into the basic human need-to-improve, to compete and to be accurate.Most importantly, because it is required by the ACGME

4/12/2010 72

EvaluationsProcedures for evaluation of residents are outlined in the Common Program RequirementsMechanisms to evaluate each of the following must be in place:

ResidentsFacultyProgram

4/12/2010 73

Evaluation of ResidentsFaculty must evaluate resident performance in a timely manner during each rotation or similar educational assignment, and provide documentation at completion of their assignment.

4/12/2010 74

Evaluation of ResidentsThe program must:

Provide objective assessments in core competenciesUse multiple evaluators (e.g. faculty, peers, patients, self, other staff)Document progressive resident performance improvement for educational levelProvide resident with documented semi annual evaluation of performance with feedback

4/12/2010 75

Evaluation of FacultyAt least annually, the program must evaluate faculty performance as it relates to the educational program.Should include a review of teaching ability, commitment to program, clinical knowledge, professionalism, scholarly activity.Must include at least annual written confidential evaluation by residents.

4/12/2010 76

Rotation EvaluationNot required by the RRC for Surgery.May be a useful component of program evaluation & improvementResident evaluations of rotation must be confidential.

4/12/2010 77

Evaluation of ProgramResidents & faculty must have the opportunity to evaluate program confidentially in writing annually.Program must use results of residents assessments of program with other program evaluation results to improve programProgram should prepare a written plan of action to address deficiencies.

In accordance with institutional policy, resident performance evaluations must be accessible for review by the resident.

 True

 False

51%

49%

A. TrueB. False

The Program Director should provide a summative evaluation for each resident upon completion of the program.

 True

 False

51%

49%A. TrueB. False

The Program must provide each resident with documented annual evaluation of performance with feedback.

 True

 False

50%50%

A. TrueB. False

How often must the program evaluate the faculty as it relates to the educational program?

 At least annually

 Twice a year

 Quarterly

 Program does not evalu...

24%

26%

24%

26%

A. At least annuallyB. Twice a yearC. QuarterlyD. Program does not

evaluate faculty

At minimum, for the most recent five-year period, what percentage of graduates must pass each of the Qualifying and Certifying examinations on first attempt?

50%

80%

65%

75%

25%

25%

24%

26%

A. 50%B. 80%C. 65%D. 75%

CURRICULUM AND CURRICULUM AND CERTIFICATIONCERTIFICATION

Linda S. Shaffer, CLinda S. Shaffer, C--TAGMETAGMEResidency Program CoordinatorResidency Program Coordinator

Department of SurgeryDepartment of SurgeryWest Virginia University West Virginia University

Morgantown, WVMorgantown, WVApril 2010April 2010

ACGME Program Requirements ACGME Program Requirements for Graduate Medical for Graduate Medical Education in SurgeryEducation in Surgery

Programs must have regularly scheduled didactic Programs must have regularly scheduled didactic sessionssessionsWeeklyWeekly Morbidity and Mortality or Quality Morbidity and Mortality or Quality Improvement ConferenceImprovement ConferenceA course or structured series of lectures that A course or structured series of lectures that ensure education in the basic and clinical ensure education in the basic and clinical sciences fundamental to surgery including:sciences fundamental to surgery including:

Technological advances that relate to surgery and the care of Technological advances that relate to surgery and the care of patients with surgical diseasespatients with surgical diseasesEducation in critical thinkingEducation in critical thinkingDesign of experimentsDesign of experimentsEvaluation of dataEvaluation of data

ACGME Program Requirements for ACGME Program Requirements for Graduate Medical Education in Graduate Medical Education in

SurgerySurgery

Regular organized clinical teachingRegular organized clinical teaching

Attendance by 75% of residents at core Attendance by 75% of residents at core conferences must be achieved and conferences must be achieved and documenteddocumented

PIF (Program Information Form) requires PIF (Program Information Form) requires documentation of basic science documentation of basic science conferences including specific titles and conferences including specific titles and presenterspresenters

Didactic SessionsDidactic Sessions

Instructs by communicating information, Instructs by communicating information, such as a lecture, conference, journal club, such as a lecture, conference, journal club, directed case discussion, seminar or directed case discussion, seminar or assigned online learning moduleassigned online learning module

In contrast, an independent project, In contrast, an independent project, practicum, mentoring session, or clinical practicum, mentoring session, or clinical preceptor session is selfpreceptor session is self--directed or directed or experientialexperiential

Planning the ConferencesPlanning the Conferences

Day & time that permits resident Day & time that permits resident attendance on a regular basisattendance on a regular basis

Reserve conference room for each Reserve conference room for each conferenceconference

Work with PD and Governance/Education Work with PD and Governance/Education Committee on preferred formatCommittee on preferred format

Planning the ConferencesPlanning the ConferencesPD should name specific topics for PD should name specific topics for designated conferences designated conferences (Core/Basic (Core/Basic Science/ XScience/ X--Ray) Ray)

Assign faculty based on topicAssign faculty based on topic

PD/Chair should contact distinguished PD/Chair should contact distinguished surgeons to be a Visiting Professorsurgeons to be a Visiting Professor

Assign a date for the PGYAssign a date for the PGY--4 and PGY4 and PGY--5 5 residents to presentresidents to present

Core Curriculum ConferenceCore Curriculum Conference

Areas included in the fundamentals of basic Areas included in the fundamentals of basic sciences as applied to clinical surgerysciences as applied to clinical surgery

Applied surgical anatomy and surgical pathologyApplied surgical anatomy and surgical pathologyElements of wound healingElements of wound healingHomeostasis, shock & circulatory physiologyHomeostasis, shock & circulatory physiologyHematologic disordersHematologic disordersImmunobiologyImmunobiology & transplantation& transplantationOncologyOncologySurgical endocrinologySurgical endocrinologySurgical nutrition, fluid & electrolyte balanceSurgical nutrition, fluid & electrolyte balanceMetabolic response to injury, including burnsMetabolic response to injury, including burns

Mortality and Morbidity Mortality and Morbidity ConferenceConference

Must have weeklyMust have weeklyReview all complications & deaths with the Review all complications & deaths with the objective of improved patient careobjective of improved patient careAny event deviating from anticipated Any event deviating from anticipated uneventful recovery from surgery is a uneventful recovery from surgery is a complicationcomplicationResidents must participate to evaluate and Residents must participate to evaluate and analyze patient care outcomes and utilize an analyze patient care outcomes and utilize an evidenceevidence--based approach to patient carebased approach to patient careRepresentatives from ancillary departments Representatives from ancillary departments and/or risk management may be presentand/or risk management may be presentSole reliance on textbook review is Sole reliance on textbook review is inadequateinadequate

Surgical Grand RoundsSurgical Grand Rounds

Formal presentations by faculty, residents, Formal presentations by faculty, residents, fellows and visiting professorsfellows and visiting professors

Topics of educational value to general Topics of educational value to general surgery residents and facultysurgery residents and faculty

Held at least twice a monthHeld at least twice a month

Usually a one hour conference with CME Usually a one hour conference with CME creditcredit

Journal ClubJournal Club

Usually a one hour conference held monthlyUsually a one hour conference held monthly

Most programs incorporate concepts of Most programs incorporate concepts of evidenceevidence--based medicine into Journal Clubbased medicine into Journal Club

Provides an opportunity for residents to ask Provides an opportunity for residents to ask questionsquestionsSearch evidence in the literatureSearch evidence in the literatureFind best appropriate answer applicable to their Find best appropriate answer applicable to their practicepractice

Journal ClubJournal ClubOne format is for assigned faculty to choose One format is for assigned faculty to choose journals specific to their specialty areajournals specific to their specialty area

New format uses the New format uses the Evidence Based Evidence Based Reviews in Surgery Reviews in Surgery on ACS websiteon ACS website

WebWeb--based interface includes clinical and based interface includes clinical and methodological articles, clinical scenarios methodological articles, clinical scenarios and a chance to review the latest literatureand a chance to review the latest literature

ResidentsResidents’’ Scholarly ActivityScholarly ActivityCurriculum must advance residentsCurriculum must advance residents’’ knowledge of knowledge of the basic principles of research including how the basic principles of research including how research is conducted, evaluated, explained to research is conducted, evaluated, explained to patients and applied to patient carepatients and applied to patient care

Residents should participate in scholarly activityResidents should participate in scholarly activity

Sponsoring institution and program should Sponsoring institution and program should allocate adequate educational resources to allocate adequate educational resources to facilitate resident involvement in scholarly facilitate resident involvement in scholarly activityactivity

Attending RoundsAttending Rounds

Service Based RoundsService Based Rounds

Meet weekly to review patient list for the Meet weekly to review patient list for the weekweek

Faculty participation imperativeFaculty participation imperative

Surgical Skills LabSurgical Skills LabMajor component of surgical education Major component of surgical education programprogram

Benefits depend on curriculum and Benefits depend on curriculum and consistencyconsistency

Residents participate in lab sessions tailored Residents participate in lab sessions tailored to meet the psychomotor and operative to meet the psychomotor and operative judgment skills appropriate to level of judgment skills appropriate to level of trainingtraining

Programs may follow ACS/APDS National Programs may follow ACS/APDS National Surgical Skills CurriculumSurgical Skills Curriculum

Surgical Council on Resident EducationSurgical Council on Resident EducationSCORESCORE

A call for better defined curriculum in A call for better defined curriculum in general surgery residency traininggeneral surgery residency training

ACGME expects residents to be competent in ACGME expects residents to be competent in medical knowledge, patient care and medical knowledge, patient care and professionalismprofessionalism

ABS has developed a curriculum in general ABS has developed a curriculum in general surgery patient care by delineating the surgery patient care by delineating the specific patient care competenciesspecific patient care competencies

Surgical Council on Resident EducationSurgical Council on Resident EducationSCORESCORE

General Surgery Residency patient care General Surgery Residency patient care curriculumcurriculum

28 organ system28 organ system--based categoriesbased categoriesEach category has diseases/conditions as well Each category has diseases/conditions as well as operations/proceduresas operations/procedures

Diseases/ConditionsDiseases/ConditionsBroad Broad FocusedFocused

Operations/ProceduresOperations/ProceduresEssential Essential –– CommonCommonEssential Essential –– UncommonUncommonComplexComplex

Ethics SessionsEthics Sessions

Avoidance of Medical Avoidance of Medical Malpractice Malpractice Competition of InterestCompetition of InterestConfidentialityConfidentialityEnd of Life IssuesEnd of Life IssuesProfessional ObligationsProfessional ObligationsResource AllocationResource AllocationResearchResearchSubstituted ConsentSubstituted Consent

Truth Telling and Truth Telling and CommunicationCommunicationSleep DeprivationSleep DeprivationSafety Lessons from the Safety Lessons from the BedsideBedsideDisclosing Medical Disclosing Medical ErrorsErrorsA Just CultureA Just CultureCulture of SafetyCulture of SafetyFatigueFatigue

To respond to ACGME/Surgery RRC Competencies, surgical To respond to ACGME/Surgery RRC Competencies, surgical residents are required to participate in Ethics/Patient residents are required to participate in Ethics/Patient Curriculum. To meet these requirements, programs may Curriculum. To meet these requirements, programs may have sessions on the following topics annually or biannuallyhave sessions on the following topics annually or biannually

NEW NEW REQUIREMENTS FORREQUIREMENTS FORGENERAL SURGERY GENERAL SURGERY

CERTIFICATIONCERTIFICATION

2010 2010

AMERICAN BOARD OF AMERICAN BOARD OF SURGERY (ABS) REQUIREMENTSURGERY (ABS) REQUIREMENT

Advanced Cardiovascular Life Advanced Cardiovascular Life Support (ACLS)Support (ACLS)

Advanced Trauma Life Support Advanced Trauma Life Support (ATLS)(ATLS)

Fundamentals of Laparoscopic Fundamentals of Laparoscopic Surgery (FLS)Surgery (FLS)

Offered by the American Heart Offered by the American Heart AssociationAssociation

Teaches skills in the treatment of Teaches skills in the treatment of adult victims of cardiac arrest or adult victims of cardiac arrest or other cardiopulmonary emergenciesother cardiopulmonary emergencies

ACLSACLS

ATLSATLS

Provided by the American College of Provided by the American College of SurgeonsSurgeons

Presents a systematic approach to Presents a systematic approach to early care of trauma patients in a early care of trauma patients in a hospital emergency department hospital emergency department

Joint program of Society of American Joint program of Society of American Gastrointestinal and Endoscopic Gastrointestinal and Endoscopic Surgeons (SAGES) and the ACSSurgeons (SAGES) and the ACS

Teaches the physiology, knowledge Teaches the physiology, knowledge and technical skills required in basic and technical skills required in basic laparoscopic surgerylaparoscopic surgery

Includes handsIncludes hands--on skills training and on skills training and assessmentassessment

FLS

American Board

Of Surgery

ATLS ACLSFLS

Contact InformationContact InformationSCORESCORE

Info@surgicalcore.orgInfo@surgicalcore.org

ACLSACLSContact your institution or GME Office for Contact your institution or GME Office for courses in your areacourses in your area

ATLSATLSContact your institution or GME Office for Contact your institution or GME Office for courses in your areacourses in your area

FLSFLSwww.flsprograms.orgwww.flsprograms.org

What percentage of resident What percentage of resident attendance at core conferences attendance at core conferences must be documented to meet the must be documented to meet the ACGME requirements?ACGME requirements?

A.A. 89%89%B.B. 75%75%C.C. 50%50%D.D. 45%45%

A. B. C. D.

25% 25%25%

25%

A didactic session A didactic session instructs byinstructs by……

A. B. C. D.

25% 25%25%25%A.A. Communicating Communicating

informationinformationB.B. Directing case Directing case

discussiondiscussionC.C. Assigning online Assigning online

learning moduleslearning modulesD.D. All of the aboveAll of the above

Mortality and Morbidity Mortality and Morbidity Conference must be held at Conference must be held at leastleast……

A. B. C. D.

25% 25%25%25%A.A. Twice a monthTwice a monthB.B. Once a weekOnce a weekC.C. Three times a Three times a

monthmonthD.D. Once a monthOnce a month

To sit for the American Board of To sit for the American Board of Surgery Qualifying Examination, Surgery Qualifying Examination, residents must complete which of the residents must complete which of the following courses?following courses?

A. B. C. D.

25% 25%25%25%

A.A. PALS, SCORE, FCCPALS, SCORE, FCCB.B. SESAP, CPR, ASAPSESAP, CPR, ASAPC.C. FLS, ATLS, ACLSFLS, ATLS, ACLSD.D. BLS, LTB, ACSBLS, LTB, ACS

What is the curriculum being What is the curriculum being developed by the ABS to ensure developed by the ABS to ensure competent surgical residents?competent surgical residents?

A. B. C. D.

25%

25%

25%

25%

A.A. SCARESCAREB.B. SARSSARSC.C. SOURCESOURCED.D. SCORESCORE

Lillian Figueroa, C-TAGMEHospital of Saint Raphael

New Haven, CT

April 2010

General Surgery Operative General Surgery Operative Log System Log System

114

Resident Case Log SystemResident Case Log System

The Resident Case Log System is an Internet-based data collection system utilizing CPT/ICD 9 codes designed by ACGME to track resident experience.

The system was designed to permit residents to enter procedures on a regular basis.

All categorical, designated preliminary, & non-designated preliminary residents in ACGME accredited positions must enter their operative experience concurrently each year of residency.115

Logging OnLogging On

Go to the ACGME homepage at Go to the ACGME homepage at www.acgme.orgwww.acgme.org >Data Collection >Data Collection Systems >Resident Case Log Systems >Resident Case Log System>LoginSystem>Login

Enter User ID: (Program Number)Enter User ID: (Program Number)Password:Password:

116

Data Entry ScreenData Entry Screen

117

Credit RolesCredit Roles

SC = Surgeon Chief YearOnly cases credited as surgeon during 12 months of chief year

SJ = Surgeon Junior YearAll cases credited as surgeon prior to chief yea r

TA = Teaching AssistantMore senior resident working with junior resident who takes credit as surgeon

FA = First AssistantAny instance in which a resident assists at an operation with another surgeon who is responsible for the operation

118

DefinitionDefinition of Teaching of Teaching Assistant (TA)Assistant (TA)

A PGY 5 (chief) resident may act as a teaching A PGY 5 (chief) resident may act as a teaching assistant to a more junior resident with assistant to a more junior resident with appropriate faculty supervision.appropriate faculty supervision.Up to 50 cases listed by the chief resident as TA Up to 50 cases listed by the chief resident as TA will be credited for the total requirement of 750 will be credited for the total requirement of 750 cases. cases. TA cases do count towards the 150 minimum TA cases do count towards the 150 minimum cases needed to fulfill the operative requirements cases needed to fulfill the operative requirements for the chief resident year.for the chief resident year.The junior resident will also be credited as surgeon The junior resident will also be credited as surgeon for these cases.for these cases.

119

CoordinatorCoordinator’’s Responsibilitys Responsibility

Maintain residents, faculty, rotations, and institutions in Op Log systemProvide training to residentsBe familiar with defined categories including minimum number required to graduate as a chief residentMonitor ACGME website for pending changes to the requirements

120

Yearly TasksYearly Tasks

Enter new resident information into Web ADS; synchronize with your Op Log system

Establish log in and password for each new resident

Update faculty members, hospitals and/or rotations

Inactivate residents who leave your program (other than graduates)

Run final reports for graduating chief and preliminary residents; keep copies of all the final reports with original signatures for your files

Submit GSOL to the ACGME by August 1st! 121

SemiSemi--Annual TasksAnnual Tasks

Run Op Log reports for resident’s at least semi annually

Review each resident’s Critical Care Case Log (CCIC) for progress and accuracy

Run defined category reports for your PD to review to ensure all residents are on-track

122

Weekly/Monthly TasksWeekly/Monthly Tasks

To ensure that resident Op Log information is current & correct, periodic monitoring by the coordinator & program director is necessary

Establish a weekly/monthly routine to monitor resident compliance with entering their cases & stick to it

Utilize reports to ensure residents are entering their cases correctly and in a timely manner

Monitor Op Log requirement changes through the ACGME website 123

Things to ConsiderThings to Consider

Top RRC Citations relates to operative experience

Failure to meet minimum requirements in any defined categoryFailure to meet minimum requirements for total majors or total chief casesImbalance of operative experience between residents

124

Things to ConsiderThings to Consider

It should not be a surprise to your PD if a chief resident has not met the required minimum case numbers for graduation.

Keep your PD informed of your residents’ progress!

125

Things to ConsiderThings to Consider

Establish a policy for your program regarding Op Log accuracy & currency including consequences for non-compliance

Establish consequences with the PD for those residents who are not current with their data entry

Stick to it!126

Use Reports to Help YouUse Reports to Help You

127

Resident Activity ReportResident Activity Report

128

Defined Category ReportDefined Category Report

129

Defined Category Report Defined Category Report Page 2Page 2

Page 2 has been added to Defined Page 2 has been added to Defined Category Report Category Report Breakdown of Breakdown of pediatric pediatric and and endoscopic endoscopic defined categories.defined categories.

131

Special RequirementsSpecial Requirements

Ensure residents understand how to Ensure residents understand how to enter cases for their CCIC Log.enter cases for their CCIC Log.Ensure residents understand how to Ensure residents understand how to enter trauma nonenter trauma non--operative cases and operative cases and ““meetmeet”” the required minimum the required minimum number.number.New Pediatric Surgery and Endoscopy New Pediatric Surgery and Endoscopy case numbers this yearcase numbers this year

132

Special RequirementsSpecial Requirements

Ensure residents understand how to Ensure residents understand how to enter cases for their CCIC Log.enter cases for their CCIC Log.Ensure residents understand how to Ensure residents understand how to enter trauma nonenter trauma non--operative cases and operative cases and ““meetmeet”” the required minimum the required minimum number.number.New Pediatric Surgery and Endoscopy New Pediatric Surgery and Endoscopy case numbers this yearcase numbers this year

133

Critical Care Index Case Log Critical Care Index Case Log (CCIC(CCIC))

Each resident must document the care of at least 25 critically ill patientsFor a patient to qualify for the CCIC log, their care must fall into at least two of 7 areasCompleted log should include experience with at least 1 patient in all 7 of the essential categoriesUse the CPT code 99292 to document these patients99292 is the ONLY code that will accept multiple entries for the same patient on the same day

134

Where to Find?Where to Find?

Critical Care Index Case Report 135

MOTNORMOTNOR

Major Organ Trauma, No Operation Major Organ Trauma, No Operation Required (99199)Required (99199)

Patients with major organ trauma admitted Patients with major organ trauma admitted to a specialty care unitto a specialty care unitMost senior resident should claim credit as Most senior resident should claim credit as surgeonsurgeonSubsequent surgery that may be claimed in Subsequent surgery that may be claimed in ““Trauma, OperativeTrauma, Operative”” category should be category should be recorded with operative code, not MOTNORrecorded with operative code, not MOTNOR

136

Where to Find?Where to Find?

Resident Operative Log (Total Counts)

Also on Defined Category Report137

Pediatric SurgeryPediatric Surgery

Patients up to 13 years of agePatients up to 13 years of ageUse dropUse drop--down box to identify down box to identify pediatric from adult casespediatric from adult cases20 total cases in pediatric surgery 20 total cases in pediatric surgery

138

Where to Find?Where to Find?

Resident Operative Log Report

(before Total Counts)

Now on the Defined Category Report

Page 2 139

New Requirements forNew Requirements forChief ResidentsChief Residents

For chief residents graduating For chief residents graduating Total major cases Total major cases –– 750 750 Total chief cases Total chief cases –– 150150Critical Care Index Cases Critical Care Index Cases –– 2525Pediatrics Pediatrics -- 2020

Endoscopy total: 85Endoscopy total: 85Upper Endoscopy 35Upper Endoscopy 35Colonoscopy 50Colonoscopy 50

140

Additional CategoryAdditional Category

Category Alimentary tract Category Alimentary tract –– stomach has stomach has been added to allow residents to enter been added to allow residents to enter laparoscopic gastric restrictive procedures.laparoscopic gastric restrictive procedures.The category is titled Gastric Reduction for The category is titled Gastric Reduction for morbid obesity morbid obesity –– lap. It will give residents lap. It will give residents credit in the alimentary tract and credit in the alimentary tract and laparoscopic laparoscopic –– complex defined categories. complex defined categories. The CPT codes are 43770, 43771, 43772, The CPT codes are 43770, 43771, 43772, 43773, 4377443773, 43774

141

Things to RememberThings to Remember

Program Director is Program Director is ultimately ultimately responsible for the residents meeting responsible for the residents meeting their minimum numbers.their minimum numbers.Establish a process to monitor the Establish a process to monitor the case logs.case logs.Monitor residentsMonitor residents’’ case requirements.case requirements.Keep up to date on new requirements Keep up to date on new requirements and codes. and codes.

142

143

Benchmarks forBenchmarks forPGY LevelsPGY Levels

144

Defined CategoriesDefined CategoriesSkin, Soft tissue and Breast Skin, Soft tissue and Breast –– 2525Head and Neck Head and Neck –– 2424Alimentary Tract Alimentary Tract –– 7272Abdominal Abdominal –– 6565Liver Liver –– 44Pancreas Pancreas –– 3 3 Vascular Vascular –– 44 44 Endocrine Endocrine –– 8 8 Trauma Operative Trauma Operative –– 10 10 Trauma NonTrauma Non--operative operative –– 2020Thoracic Thoracic –– 1515Pediatrics Pediatrics –– 2020Plastics Plastics –– 55Laparoscopy Laparoscopy –– Basic Basic –– 6060

CholecystectomyCholecystectomy, appendectomy, appendectomyLaparoscopy Laparoscopy -- Advanced Advanced –– 2525Endoscopy Endoscopy –– 8585

-- Upper endoscopyUpper endoscopy-- 3535-- Colonoscopy Colonoscopy –– 5050

Which of the following is the website for the ACGME OpLogsystem?

A. B. C.

33%

34%

33%

A. www.acgme.comB. www.acgme.netC. www.acgme.org

Which of the following is the total major cases and total chief cases a chief resident must have in order to graduate?

A. B. C.

33% 33%33%

A. Major 750; chief 150B. Major 900; chief 100C. Major 1000; chief 200

What does the letters MOTNOR stand for?

A. B. C.

33% 33%33%

A. Monitor your tone noise, in operating room

B. Major operation trauma, no operation required

C. Major organ trauma, no operation required

RECRUITMENT CYCLERECRUITMENT CYCLESandy K. Sandy K. DelCoglinDelCoglin, BS, C, BS, C--TAGMETAGME

General Surgery Residency CoordinatorGeneral Surgery Residency CoordinatorChristiana Care Health SystemChristiana Care Health System

Newark, DelawareNewark, Delaware

April 19, 2010April 19, 2010

RECRUITMENTRECRUITMENT

Organization Organization –– Key to SuccessKey to SuccessImportant taskImportant taskTime consumingTime consumingNever endingNever endingConstant planning & organizing Constant planning & organizing CommunicationCommunicationGreet each applicant with a smileGreet each applicant with a smile

Check ListCheck ListSet interview dates Set interview dates (February)(February)Reserve conference rooms Reserve conference rooms (February)(February)Organize meet & greet Organize meet & greet (March)(March)Assign attending / residents Assign attending / residents (August)(August)Update handouts for applicants Update handouts for applicants (August)(August)Select Rank List meeting date Select Rank List meeting date (August)(August)Update hotel accommodation price sheet Update hotel accommodation price sheet (Sept)(Sept)Order catering (breakfast / lunch) Order catering (breakfast / lunch) (October)(October)Prepare individual interview date sheets Prepare individual interview date sheets (Nov)(Nov)

Daily Check ListDaily Check ListCopy filesCopy filesScore formScore formEvaluation formsEvaluation formsFive labels for each fileFive labels for each fileCharge digital camera for picturesCharge digital camera for picturesNumbered name sheet to go with pictureNumbered name sheet to go with pictureItinerary for Itinerary for attendingsattendingsItinerary for applicantsItinerary for applicantsName badgesName badgesConfidentiality Agreement for each applicantConfidentiality Agreement for each applicantSchedule packets for applicantsSchedule packets for applicantsInterview day evaluation form Interview day evaluation form Folder for returned evaluationsFolder for returned evaluationsConfirm cateringConfirm cateringRemind residents / Remind residents / attendingsattendingsResidency program graduates formResidency program graduates form

RECRUITMENTRECRUITMENTERAS (Electronic Residency Application Service)ERAS (Electronic Residency Application Service)

–– Service of AAMC Service of AAMC (Association of American Medical Colleges)(Association of American Medical Colleges)Enhances medical studentsEnhances medical students’’ transition to residencytransition to residencyReduces time required for application processReduces time required for application processPartners with NBME and ECFMGPartners with NBME and ECFMG

–– Comprised of Four Main ComponentsComprised of Four Main ComponentsThe The MyERASMyERAS Web SiteWeb SiteThe DeanThe Dean’’s Office Workstation (DWS)s Office Workstation (DWS)Program DirectorProgram Director’’s Workstation (PDWS)s Workstation (PDWS)The ERAS Post OfficeThe ERAS Post Office

www.aamc.orgwww.aamc.org (ERAS)(ERAS)

RECRUITMENTRECRUITMENTERAS ERAS -- 19961996

Only one specialty Only one specialty –– OB/GYNOB/GYN

ERAS ERAS –– 2000 2000 –– General Surgery ResidencyGeneral Surgery Residency

ERAS ERAS -- 2009200941 Residency Specialties 41 Residency Specialties 34 Fellowship Specialties 34 Fellowship Specialties

# of Applicants # of Applicants –– General SurgeryGeneral Surgery2003 2003 –– 4,5744,5742006 2006 –– 5,7295,7292009 2009 –– 7,2247,224

RECRUITMENTRECRUITMENT

Prior to ERASPrior to ERAS

The left side of the screen contains the applicant information, arranged in separate

tabs.

Application ManagerApplication Manager

The right side of the screen is the Review Sheet, where you record information about

applicants.

Review SheetReview Sheet

The Menus and Icons allow you access to the various features of the PDWS.

PDWS Menus and IconsPDWS Menus and Icons

ERAS Training & ContactsERAS Training & Contacts

WebsiteWebsite: : www.aamc.orgwww.aamc.org (ERAS)(ERAS)QuestionsQuestions: : erashelp@aamc.orgerashelp@aamc.orgERAS Help DeskERAS Help Desk: (202) 828: (202) 828--04130413–– Monday Monday –– Friday 8 AM Friday 8 AM –– 6 PM (ET)6 PM (ET)

Training SessionTraining Session: : –– Instructor Based PDWS Instructor Based PDWS –– ½½ day sessionday session–– Web Based Session for Seasoned CoordinatorsWeb Based Session for Seasoned Coordinators

Power Point TourPower Point Tour

20092009--2010 ERAS Timeline 2010 ERAS Timeline DateDate ActivityActivity

MidMid--late June 2009late June 2009 Schools begin receiving DWS materialsSchools begin receiving DWS materialsBegin generating & distributing tokensBegin generating & distributing tokens

July 1, 2009July 1, 2009 MyERASMyERAS website opens to applicantswebsite opens to applicantsAugust 15, 2009August 15, 2009 Residency programs begin receiving PDWS Residency programs begin receiving PDWS

kitskitsSeptember 1, 2009September 1, 2009 ERAS Post Office opens ERAS Post Office opens

Begin downloading filesBegin downloading filesNovember 1, 2009November 1, 2009 MSPEMSPE’’ss are releasedare releasedDecember 2009December 2009 Military match results availableMilitary match results availableMarch 2010March 2010 NRMP Match Week (3NRMP Match Week (3rdrd week of March)week of March)March 16, 2010March 16, 2010 ScrambleScrambleMarch 18, 2010March 18, 2010 Match DayMatch DayMay 31, 2010May 31, 2010 ERAS Post Office closesERAS Post Office closesJuly 1, 2010July 1, 2010 Residents begin their training Residents begin their training

RECRUITMENTRECRUITMENTNRMP (National Resident Matching Program)NRMP (National Resident Matching Program)

Provides uniform date of appointmentProvides uniform date of appointmentImpartial venueImpartial venue

–– matching applicants and programsmatching applicants and programs

2009 2009 –– Processed 35,972 applicants Processed 35,972 applicants –– Enrolled in NRMP:Enrolled in NRMP: 3,575 programs3,575 programs–– Positions Offered:Positions Offered: 22,427 (PGY22,427 (PGY--1)1)

General Surgery Categorical:General Surgery Categorical:–– 239 programs enrolled239 programs enrolled–– 1065 PGY1065 PGY--1 positions offered1 positions offered–– 1060 PGY1060 PGY--1 positions filled1 positions filled

www.nrmp.orgwww.nrmp.org

20092009--2010 Main Match Schedule2010 Main Match ScheduleDateDate ActivityActivity

Aug 15, 2009Aug 15, 2009 Applicant registration beginsApplicant registration beginsSept 1, 2009Sept 1, 2009 Institution/Program registration beginsInstitution/Program registration beginsNov 30, 2009Nov 30, 2009 Applicant registration deadlineApplicant registration deadlineJan 15, 2010Jan 15, 2010 Rank Order List entry beginsRank Order List entry beginsJan 31, 2010Jan 31, 2010 Quota Change DeadlineQuota Change DeadlineFeb 24, 2010Feb 24, 2010 Rank Order List Certification DeadlineRank Order List Certification DeadlineMarch 15, 2010March 15, 2010 Matched/Unmatched info posted to Web SiteMatched/Unmatched info posted to Web SiteMarch 16, 2010March 16, 2010 ScrambleScrambleMarch 18, 2010March 18, 2010 Match DayMatch DayMarch 19, 2010March 19, 2010 Send welcome letters to matched applicantsSend welcome letters to matched applicants

RECRUITMENTRECRUITMENTMarch March –– AugustAugust

Match weekMatch weekContact matched applicantsContact matched applicantsSend out employment & informational packetsSend out employment & informational packetsPrepare for orientationPrepare for orientationAttend recruiting fairsAttend recruiting fairsInstall ERAS Install ERAS Register with NRMPRegister with NRMPFamiliarize yourself with ERASFamiliarize yourself with ERAS

RECRUITMENTRECRUITMENTSeptember September –– OctoberOctober

ERAS Post Office opensERAS Post Office opensDownload applicationsDownload applicationsScreen applicationsScreen applicationsInvite applicantsInvite applicantsBegin to schedule interviewsBegin to schedule interviews

RECRUITMENTRECRUITMENTNovember November –– JanuaryJanuary

Continue to download applications Continue to download applications (Nov 1(Nov 1stst –– MSPEMSPE’’ss))

Continue to review applicationsContinue to review applicationsContinue to schedule interviewsContinue to schedule interviewsOrganize interview sessionsOrganize interview sessionsConduct interviewsConduct interviewsOrganize Rank List meetingOrganize Rank List meeting

RECRUITMENTRECRUITMENT

FebruaryFebruary

Download any new supporting Download any new supporting documentation for ranked applicantsdocumentation for ranked applicantsConduct Rank List meetingConduct Rank List meetingPrepare/enter/Prepare/enter/CERTIFY RANK LISTCERTIFY RANK LIST

RECRUITMENTRECRUITMENT

SummarySummaryOrganization Organization –– Key to SuccessKey to Success

–– Check ListsCheck ListsCommunication Communication

–– Know what PD/Chair expects & wantsKnow what PD/Chair expects & wantsERAS Time Line ERAS Time Line NRMP Main Match ScheduleNRMP Main Match Schedule

What does ERAS stand for?

A B C D

25% 25%25%25%A. Electronic Resident Application Status

B. Electronic Residency Application Service

C. Electronic Resident Appointment Service

D. Electronic Resident Application System

What is the primary function of ERAS?

A B C D

25%

25%

25%25%A. To reduce the amount of

time medical students spend on the residency application process

B. To enhance the medical student’s transition to residency

C. To transmit residency applications and supporting documentation via the internet

D. All of the above

What is the primary function of the NRMP?

A B C D

24%

26%

24%

25%

A. To process applications (application processing service)

B. To assist 4th year medical students with graduation requirements

C. To provide a uniform date of appointment for matching applicants and programs via an impartial venue

D. All of the above

When is Match Week?

A B C D

25%

25%

25%

25%A. 2nd week of FebruaryB. 1st week of MarchC. 4th week of April D. 3rd week of March

QUESTIONSQUESTIONS

COMMENTS

SUGGESTIONS