New ACGME Requirements

[zeloc]

How do the new requirements affect those people already in residency? Eg, with the continuity clinic being changed from 108 weekly sessions to 130, do those who have finished a year of residency have to recalculate over the 3-year period to make sure we will meet the new requirements or are we held to the old ones?

How is the 33% ambulatory requirement of residency determined, eg, how would a one half-day/ week clinic during the first year and 2 half-days the 2nd and 3rd years be calculated?

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[NotAProgDirector]

How do the new requirements affect those people already in residency? Eg, with the continuity clinic being changed from 108 weekly sessions to 130, do those who have finished a year of residency have to recalculate over the 3-year period to make sure we will meet the new requirements or are we held to the old ones?

How is the 33% ambulatory requirement of residency determined, eg, how would a one half-day/ week clinic during the first year and 2 half-days the 2nd and 3rd years be calculated?

The new rules have been public for some time, and before that when they were in draft form it was clear where things were going. Any program with a review planned in the next 6-12 months should have known about this for some time, and should have been adjusting their schedules to suit.

However, the RRC is clear that the rules are for "the aggregate" and they're not going to check each resident's schedule to make sure you meet the rules. If your program's schedule has 130 clinics going forward, they will be fine with that.

Plus, remember that included in the 130 are any acute care clinics you may do (as long as you're seeing patients in the same office / situation as your continuity clinic) so you might be close to 130.

As far as calculating, both a 1/2 day continuity outpt experience (for 1 year) and a 1 month experience = 3%.

 

[zeloc]

My program required me to do geriatric housecalls on 4 half-days and we have an ER month. There are also 12 one-half day nursing home experience that is coming up. How much do these count toward the ambulatory requirement?

Even if I spend an entire month in an ambulatory environment, it counts for 3% regardless of whether it is all half-days or full days or other factors?

Thanks for the very helpful information, aProgDirector.

 

[zeloc]

Does anyone know how much individual half-days count for in the 1/3 of residency ambulatory requirement? Want to make sure I get whatever credit I should because my program requires these things out of our elective time and tries to schedule as many clinics as they can.