Common Program Requirements

[Anna Bingham]

Hello

Just wanted to get your thoughts on this…. Our GME office is questioning our compliance with this program requirement for our PGY 1 residents when they are off service for those 6 months of non-ortho rotations

4.11.h.1. Each resident must have at least one half-day per week and should have
two half-days per week of outpatient clinical experience in physician offices
or hospital clinics with a minimum of 10 patients per session on all clinical
rotations

They are arguing that we are out of compliance when they are on SICU, GEN SX Trauma, Anesthesia, Musculoskeletal Radiology, and ER. We have argued that there is no clinical experience on those rotations, and the off-service rotations they are on with clinical experience, like plastics, and the other six months of ortho, we are in compliance.

Does anyone have experience with this or thoughts on this? Our PD is pretty adamant with them; it’s not an issue, but they are pushing back.

Thank you!!!

[Laurel Lewis]

Hi Anna,

We have similar rotations for our interns; I call those their “Gen Ed” rotations.   I agree with you that there is no clinic responsibility on those rotations.  I had never thought about it, either.  However, in looking at the new CPRs, the language your GME cited is no longer in the 2025 edition.  Wherever it says, “The Review Committee must further specify” the CPRs are leaving it up to the specialty.  I would refer your GME office to the new CPRs.  Here is what I found, and I added the file below.

Curriculum Organization and Resident Experiences (p 24)

4.10.  Curriculum Structure

The curriculum must be structured to optimize resident educational experiences, the length of the experiences, and the supervisory continuity. These

educational experiences include an appropriate blend of supervised patient care responsibilities, clinical teaching, and didactic educational events. (Core)

[The Review Committee must further specify]

[The Review Committee may specify required didactic and clinical experiences]

 

6.17. Clinical Responsibilities (p 41)

The clinical responsibilities for each resident must be based on PGY level, patient safety, resident ability, severity and complexity of patient illness/condition, and available support services. (Core)

[Optimal clinical workload may be further specified by each Review Committee]

Anyone else have more info or a different take?

~Laurel

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