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The graduate medical education committee (GMEC) is responsible for overseeing the quality of graduate medical education and the learning and working environment for ACGME-accredited programs. While there are required components to oversight (i.e., the annual program evaluation and special program review), GMECs have been allowed the flexibility to innovate an oversight structure that is appropriate for their individual programs and institution. This leaves some GMECs struggling to come up with a solid oversight process.

This book will provide readers with essential tools and processes to create a robust residency program oversight system for their institution that satisfies ACGME Institutional, Common, and Specialty Program Requirements under the Next Accreditation System (NAS) and which can be tailored to the unique characteristics of their educational environment.

Authors Jennifer L. Peel, PhD and Robert J. Nolan, MD are responsible for the design and implementation of program oversight in the NAS for 54 programs of various size and specialty at the University of Texas Health Science Center at San Antonio. They have developed an oversight and review process that can be replicated at institutions of all types and sizes.

Readers will learn how to:

- Develop a timeline for new program reviews
- Conduct a mock site visit before the scheduled 10-year site visit
- Complete the self-study, including a pre self-study review
- Identify actionable steps for improvement through the annual program evaluation

Table of Contents


Chapter 1: GMEC Oversight of ACGME-Accredited Residency Programs
ACGME Requirements
Program Oversight Policy Structure
GMEC Oversight Toolbox for Continuous Program Improvement
GMEC Program Oversight in the NAS Calendar
What's YOUR Cycle?

Chapter 2: The New Program Review (NPR)

NPR Protocol
NPR Report Template
Timeline for the NPR Process

Chapter 3: The Annual Program Evaluation (APE)

The Program Evaluation Committee (PEC)
Accreditation Data System (ADS)
APE Protocol
The Online APE Form
APE Meeting Minutes & Action Plan
SWOT Analysis
APE Report Template
Timeline for the APE Process

Chapter 4: The Periodic Program Review (PPR)

PPR Protocol
PPR Report Template
Timeline for the PPR Process

Chapter 5: The Special Program Review (SPR)

SPR Protocol
SPR Report Template
Timeline for the SPR Process

Chapter 6: The Pre Self-Study Review (PSSR)

Chapter 7: The Self-Study (SS)

Chapter 8: The Mock Self-Study Visit (MSSV)

Chapter 9: The 10-Year Accreditation Site Visit (SV)

Chapter 10: Strategies to Enhance the Oversight Process

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