ACGME Change in Complement Request

[ARCOS]

Are there any program coordinators who have submitted a recent complement change request to the ACGME and were approved? I need your help! My program is in the process of writing our rationale and are interested in hearing what some of other programs have included in their letters. Any help is appreciated.

Thanks

[ARCOS]

We received a compliment increase in 2017. Here is the rationale we submitted. “Our request is to expand to 13 residents per year with an ultimate goal of 65 residents. While the rationale behind our request is multifactorial it remains centered on the consistently outstanding educational opportunities available to residents at Mayo Clinic Rochester. Orthopedic residents at Mayo Clinic are exposed to a broad spectrum of pathology from the simple “bread and butter” cases to the most serious and complex cases, they take advantage of excellent research opportunities and they participate in a unique curriculum that includes an extensive basic science course. We are always looking to improve our program and upon recent analysis determined that the addition of one resident per year would open opportunities for even better resident education. Under the slightly expanded program we would continue our successful mentorship model (1-to-1 pairing of resident to consultant) which uniquely provides our learners with exposure to individual patients through the continuum of their care including preoperative decision making, intra-operative care, postoperative care and follow-up. Our graduating residents view this as one of the core educational strengths of their training. An expansion of our resident pool would allow us to consistently offer more diverse opportunities for residents to see patients from communities that are ethnically, socio-economically and culturally distinct from Rochester, MN. We would specifically include additional rotations at Mayo Clinic Florida in Jacksonville and at the University of Maryland Shock Trauma Center in Baltimore. We currently send one resident a quarter to each of these sites, and with the increased compliment we would have the flexibility needed to increase our proportion of residents sent to each. In order to meet the specific volume targets for trauma, we would plan to send 5 residents per year instead of 4 to Shock Trauma in Baltimore. The rotation at Mayo Clinic Florida would provide an experience for our residents to work in a high volume practice; that has excellent research, and that delivers high quality care with a range of cases that will prepare the resident for private practice. This is a level 2 trauma center so it would provide the resident that is interested a community practice career the opportunity to spend time at this size trauma center. The Mayo Clinic Florida orthopedic leadership team is engaged and enthusiastic about this collaboration and is very willing to be flexible with the subspecialty assignment of residents to meet the educational requirements and case-volume targets of the individual resident and the program. Please see enclosed some additional information including the case volumes which strongly suggest a robust learning experience for our residents. We have received institutional support and funding the opportunities to experience Orthopedic practice in setting away from Rochester, MN. This expansion would provide residents greater educational flexibility to meet their career goals while still maintaining the core components of our program.”

[ARCOS]

Thank you, so much Channon! It looks like we are a little too descriptive in our first draft. Your program’s letter is more to the point.

[Author]

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