📱ACGME ANNUAL UPDATE NAVIGATOR Issue 2: Major Changes and Other Updates

Hey GME leaders! In our 2nd post this week, we will break down the Major Changes and Other Updates, share practical tips, and guide you on how to streamline your compliance process.

The Major Changes section captures your program's evolution over the past academic year. This critical component demonstrates your program's responsiveness to challenges and commitment to continuous improvement.

🎯 MAJOR CHANGES ESSENTIALS Major Changes requires clear documentation of all significant program updates, improvements, and responses implemented during the academic year. Focus on concrete details and measurable outcomes.

KEY ELEMENTS

• Program Updates: Document changes to leadership, curriculum, resources, and rotations

• Required Responses: Address citations or survey concerns with specific actions

• Evidence: Provide data showing improvement where applicable

• Monitoring: Detail ongoing assessment and review plans

⚠️ COMMON PITFALLS "No changes" is an unacceptable response. Avoid these documentation errors:

• Not addressing citations, AFIs, or low ACGME survey results

• Generic responses without concrete action plans

• Missing implementation timeframes

• Stating intentions without specific plans

• Incomplete follow-through documentation

• Limited monitoring strategies

• Overlooked stakeholder input

💡 BEST PRACTICES

1. Track Progress • Issue → Action → Outcome • Supporting data • Next steps

2. Show Impact • Baseline vs current metrics • Clear improvement trends

3. Ensure Sustainability • System-level changes • Ongoing monitoring

   
   

✅ QUALITY CHECKLIST □ Documents all significant changes □ Addresses citations and survey data □ Provides clear rationale □ Details implementation steps □ Includes supporting evidence □ Outlines monitoring plans □ Shows PEC oversight

📋 SAMPLE TEMPLATE "In response to faculty survey feedback highlighting workload concerns, we implemented a new clinical scheduling system in March 2023. The change included rebalancing clinical assignments and adding two core faculty members. Early outcomes show improved faculty satisfaction scores and more equitable distribution of teaching responsibilities. We continue to monitor through monthly faculty feedback and quarterly workload assessments."

Coming Next: Participating Sites

#FULGME #ACGMEUpdates #GME #MedEd #ProgramDirector #ResidencyProgram #MedicalEducation #QualityImprovement

www.fulgme.org

ACGME ANNUAL UPDATE NAVIGATOR ISSUE 2.pdf

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