Acgme Common Program Requirements

The revised requirements are intended to promote patient safety, resident well-being and interprofessional team-based care by providing more flexibility and programming within a defined framework and by giving residents more flexibility to structure clinical education to best support the principles of professional development. This increased flexibility comes with the responsibility for programs and residents to meet the 80-hour weekly limit and use the flexibility to optimize patient safety and resident well-being and education. In addition, the requirements eliminate the documentation requirement for young doctors in order to justify clinical and educational variations in working time. The addition of broader and more specific requirements for the well-being of residents and faculty underscores the need for programs and institutions to prioritize well-being and recognize that physicians are at increased risk of burnout and depression. Sponsoring programs and facilities have the same responsibility to care for the well-being as they do to ensure other aspects of resident competence. In addition, self-care is also an important aspect of professionalism and a skill that must be learned and promoted in the context of other aspects of medical education. Promoting well-being, ensuring protected time with patients and minimising non-medical obligations should improve both resident education and the quality of patient care. Key elements of program and institutional requirements in this area include: In developing the revised standards, the Phase 1 Common Program Requirements Working Group considered all available information, including relevant documentation, written input from higher medical education and the public, and testimony provided at the CMAMA Congress on the Resident Learning and Working Environment. Were. The Working Group`s deliberations were guided by the need to develop standards that: (1) emphasize that advanced medical education programs focus on professional training; (2) on the basis of the best available evidence; and (3) support the philosophy set out in the preamble to the revised requirements. These new and expanded requirements have been added in recognition of the need to clarify that resident education must take place in an environment that emphasizes a culture of safety and quality improvement with an appropriate level of oversight and accountability. It is expected that the increased focus on patient safety and quality improvement will improve resident education and patient safety.

There is a need for entry-level physicians and faculty members to constantly work with other healthcare professionals in a well-coordinated manner to achieve institutional patient safety goals, such as.B. consistent reporting and disclosure of patient safety and adverse events. It is important that residents learn both to identify the causes of patient safety events and to initiate sustainable system-based changes to improve patient safety vulnerabilities. This includes obtaining data on quality measures and benchmarks related to their patient populations. Finally, while the attending physician is ultimately responsible for the care of the patient, each physician shares responsibility and responsibility for their efforts to provide care. Supervision as part of medical education provides safe and effective care for patients; ensures the development of each resident`s skills, knowledge and attitudes necessary to enter unsupervised practice; and creates a basis for further professional growth. Revisions to the residency monitoring requirements have been made to underscore the expectation that the level of education of an individual resident, as well as the complexity and sharpness of the patient, must be considered when making decisions about that resident`s level of supervision to ensure that the level of supervision is appropriate for each patient. Clinical and educational working hours are only part of the broader issue of learning conditions and work environment, and Section VI has now been expanded to pay more attention to patient safety and the well-being of residents and faculty members. The requirements are designed to support programs and residents in their pursuit of excellence while ensuring ethical and humanistic education.

Ensuring that flexibility is used appropriately is the joint responsibility of the program and residents. This flexibility comes with the responsibility for residents and faculty members to recognize the need to outsource a patient`s care to another provider when a resident is too tired to provide safe care, and programs that ensure residents stay within the 80-hour weekly limit. .