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- May 31, 2018
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Surprised I saw no thread about this! So FM residency fundemental requirements are changing in 2023. It's a pretty big deal as it's the fairly large overhaul.
Here is a link to the direct changes (scroll down, one is also a tracked changes copy where you can see the before and after) - https://www.acgme.org/.../program-requirements-and-faqs.../
I thought I would sum up some major changes:
Here is a link to the direct changes (scroll down, one is also a tracked changes copy where you can see the before and after) - https://www.acgme.org/.../program-requirements-and-faqs.../
I thought I would sum up some major changes:
- The "1650 FM clinic encounters" and maintaining a minimum 40 weeks of being in the clinic is replaced with "1,000 hours of caring for one's panel", and the 40 week is now a should rather than a must.
- 165 patients in a residents panel must be under the age of 10 is now replaced with at least 10% of their panel must be under the age of 18.
- 40 encounters with newborns (including well and sick) is replaced with no required minimum - instead "an experience"
- 200 hours/2 months AND 250 encounters of sick kids (75 inpatient, 75 ED) is now replaced with less - 100 hours/1 month, and 50/50.
- 200 hours/2 months AND 250 encounters for kiddos and teens in the ambulatory setting is changed to just 200 hours/2 months "of all ages".
- 100 hours/1 month OR 125 gyn encounters is replaced with just the 100 hours/1 month.
- 200 hours/2 months for OB is sort of expanded? - either do that (with at least 20 experiences in vaginal deliveries) OR (if you wanna do OB) 400 hours/4 months of LnD and 80 deliveries min.
- 100 hours/1 month in the ICU OR 15 ICU enounters is changed to no longer being required.
- 200 hours/ 2 months in adult ED OR 250 adult ED encounters is lessened to 100 hours in the ED AND 125 encounters.
- 100 hours/ 1 month on geri OR 125 geri encounters is now changed to be BOTH 100 hours AND 125 encounters.
- 100 hours/1 month on gen surg is replaced to no requirement - instead "an experience".
- 200 hours/2 months in MSK/Sports Med is replaced to no minimum requirement.
- Derm is changed to no minimum requirement.
- Behavioral Health is changed from "integration into resident's education" to "dedicated experiences" involving Motivational Interviewing, CBT, diagnosis of common psychiatric conditions, psychopharm, and addiction.
- Procedural training is now much more vague in terms of requirements.
- Rads - the curriculum should include training in common diagnostic imaging interpretation relevant to FM is changed to now no longer being required, and instead encouraging it.
- 3 months of elective time is increased to 6 months.
- Min protected teaching time for faculty is reduced to 10%.
- FM is becoming a "choose your own adventure" (pros and cons)
- FM is becoming "IM-Lite, without fellowships" considering the loss of pediatric training and lack of fellowships
- Less pediatric training (pros and cons)
- More elective time means a resident can really mold their career early on (ie taking on electives in more concentrated endocrine, psychiatry, rheum, etc)
- FM is being pushed to be ambulatory primary care only (pros and cons)
- Concern over competency in acuity and complexity
- The changes allow weak FM programs to continue to exist, and allow opening up new FM programs much easier
- More social work emphasis on FM training
- Less clinical skill training in FM - more care coordination
- Less required teaching time for faculty could mean less dedicated education for residents (health system may push faculty to be more patient facing)