Chattanooga Coordinators Corner
- NEW -- ACGME Coordinators Handbook released July 1, 2024
Also a Program Coordinator Handbook Companion (24 modules online through the
ACGME "Learn at ACGME". 12 of 24 modules are available as of June 29, 2024.Once all are
available, Coordinator's who complete all modules with receive a Certificate of Excellence from
the ACGME. Coordinators who wish to participate in the Learning Path on this site will need to
establish an online account and password to the modules. There is a registration link on the
referenced page. There is no cost to Coordinators.) - Residency & Fellowship Annual Timeline and Deadlines for Chattanooga GME
- A Year in the Life of a Coordinator [Word document] (shared from UTHSC GME)
- NEW -- ACGME Coordinators Handbook released July 1, 2024
Also a Program Coordinator Handbook Companion (24 modules online through the
ACGME "Learn at ACGME". 12 of 24 modules are available as of June 29, 2024. Once all are
available, Coordinator's who complete all modules with receive a Certificate of Excellence from
the ACGME. Coordinators who wish to participate in the Learning Path on this site will need to
establish an online account and password to the modules. There is a registration link on the
referenced page. There is no cost to Coordinators.) - Additional Resources for DIOs, PDs, and Coordinators from the ACGME
- Common Program Requirements - Residency
- Common Program Requirements - Fellowship
- Guide to the Common Program Requirements - Residency (revised 2024)
- Guide to the Common Program Program Requirements - Fellowship (revised 2024)
- Common Program Requirements FAQ's
- Institutional Requirements
- Institutional Requirements FAQ's
- NEW -- ACGME Program Coordinators Handbook pdf
Also a Program Coordinator Handbook Companion (24 modules online through the
ACGME "Learn at ACGME". 12 of 24 modules are available as of June 29, 2024. Once all are
available, Coordinator's who complete all modules with receive a Certificate of Excellence from
the ACGME. Coordinators who wish to participate in the Learning Path on this site will need to
establish an online account and password to the modules. There is a registration link on the
referenced page. There is no cost to Coordinators.) - ACGME Residency Coordinator Timeline
- ACGME Fellowship Coordinator Timeline
- ACGME Institutional Coordinator Timeline
- ACGME Blog
- ACGME Annual Educational Conference
- ACGME Process for Program Applications
- WebAds Annual Update - Avoiding Common Errors
- ACGME Contact Us Page
- ACGME Coordinators Advisory Group
- WebAds Technical Contacts
- ACGME Other Conferences, Workshops, etc.
- Milestone Resources (including CCC's, Guidebooks, etc.)
- ACGME Newsroom
- ACGME Policies and Fee Schedules
- ACGME Links to Address Problems (Complaint Office or Office of the Ombudsman)
- Program Coordinator Dedicated Time 7-1-2024
- Core Faculty Dedicated Time by Specialty 7-1-2024
- Program Leadership Dedicated Time by Specialty 7-1-2024
- Number of Faculty by Specialty 7-1-2024
- Faculty Qualifications by Specialty 7-1-2024
- Program Director Qualifications by Specialty 7-1-2024
- Resident/Fellow Scholarly Activity by Specialty 7-1-2024
- Direct Supervision Using Telecommunications Technology by Specialty 7-1-2024
- Independent Practice References by Specialty 7-1-2024
- Institutional Self Study
- Program Self-Study
- DIO Forum via Learn @ ACGME
- CLER Program
- ACGME Public Information Webpage (Find your program information that be easily accessed by the public without username or password). Archived accreditation requirements are available for all specialties by year (from a link on the right-hand side of the page)
Acronym Description
AAMC Association of American Medical Colleges
ABMS American Board of Medical Specialties
ACCME Accreditation Council for Continuing Medical Education
ACGME Accreditation Council for Graduate Medical Education
ACLS Advanced Cardiac Life Support
ADS Accreditation Data System (also called WebAds)
AHA American Hospital Association
ALSO Advanced Life Support in Obstetrics (for Family Medicine Physicians)
AMA American Medical Association
AOA American Osteopathic Association
APD Associate Program Director
ATLS Advanced Trauma Life SUpport
BLS Basic Life Support
CCC Clinical Competency Committee
CK Clinical Knowledge (Exam)
CLER Clinical Learning Environment Review
CME Continuing Medical Education
CMS Clinical Medicare and Medicaid Services
CMSS Clinical Medical Specialties Societies
CODA Council on Dental Accreditation
COMLEX Comprehensive Osteopathic Medical Licensing Exam
CPR Common Program Requirements
CPT Current Procedural Terminology
DGME Direct Graduate Medical Education Payments
DIO Designated Institutional Official
DNV DNV Accreditation for Hospitals (an alternative to JC Accreditation, from the Norwegian company Det Norske Veritas -- DNV means "the Norwegian Truth")
DO Doctor of Osteopathic Medicine
ECFMG Educational Commission for Foreign Medical Graduates
EPA Entrustable Professional Activity
ERAS Electronic Residency Application Service
FCVS Federation Credentials Verification Service
FREIDA Fellowship and Residency Electronic Interactive Database Access
FSMB Federation of State Medical Boards
FTE Full-Time Equivalent
G & O Goals and Objectives
GME Graduate Medical Education
GMEC Graduate Medical Education Committee
HIPAA Health Information Portability and Accountability Act
HS House Staff
IME Indirect Medical Education Payments
IMG International Medical Graduate
IRC Institutional Review Committee
IRD Institutional Review Document
JC Joint Commission
JCAHO Joint Commission on Accreditation of Healthcare Organizations
LCME Liaison Committee for Medical Education
LOR Letter of Recommendation
MOC Maintenance of Certification
MSPE Medical Student Performance Evaluation
NAS Next Accreditation System
NBME National Board of Medical Examiners
NRMP National Resident Matching Program
NRP Neonatal Resuscitation Provider
OSCE Objective Structured Clinical Exam
PALS Pediatric Advance Life Support
PBLI Practiced Based Learning and Improvement
PC Program Coordinator
PD Program Director
PDA Personal Digital Assistant
PDWS Program Directors Workstation (within ERAS)
PEC Program Evaluation Committee
PGY Post Graduate Year (of training)
PIF Program Information Form
PIP Performance Improvement Plan
PLA Program Letter of Agreement
PRA Per Resident Amount
PSQI Patient Safety/Quality Improvement
QIPS Quality Improvement/Patient Safety
RC Review Committee
RMS Residency Management System
RRC Residency Review Committee
SBP Systems Based Practice
SOAP Supplemental Offer and Acceptance Program
SV Site Visitor
TQM Total Quality Management
TY Transitional Year
USMLE United States Medical Licensing Exam
Academic Appointment
An appointment to a faculty category (e.g. professor, Associate Professor, Adjunct
Clinical Instructor, etc.) of a degree-granting school, college or university.
ACGME
The Accreditation Council for Graduate Medical Education (ACGME) is responsible for
the accreditation of post-graduate medical training programs within the United States.
Accreditation is accomplished through a peer review process and is based upon established
standards and guidelines.
ACLS
Advanced Cardiac Life Support
Accreditation
A voluntary process of evaluation and review based on published standards and following
a prescribed process, performed by a non-governmental agency of peers.
Applicant
An M.D. or D.O. invited to interview with a GME program.
Assessment
An ongoing process of gathering and interpreting information about a learner’s knowledge,
skills, and/or behavior.
At-Home Call
A call taken from outside the assigned site.
BLS
Basic Life Support
Categorical Resident
A resident who enters a program with the objective of completing the entire program.
Certification
A process to provide assurance to the public that a certified medical specialist has
successfully completed an approved educational program and an evaluation, including
an examination process designed to assess the knowledge, experience and skills requisite
to the provision of high-quality care in a particular specialty.
Chief Resident
Typically, a position in the final year of residency (e.g., surgery) or in the year
after the residency is completed (e.g., internal medicine and pediatrics).
Citation
A finding of a Review Committee that a program or an institution is failing to comply
substantially with a particular accreditation standard or ACGME policy or procedure.
Clinical
Refers to the practice of medicine in which physicians assess patients (in person
or virtually) or populations in order to diagnose, treat, and prevent disease using
their expert judgment. It also refers to physicians who contribute to the care of
patients by providing clinical decision support and information systems, laboratory,
imaging, or related studies.
Clinical Responsibility/Workload Limits
Reasonable maximum levels of assigned work for residents/fellows consistent with ensuring
both patient safety and a quality educational experience. Such workloads, and their
levels of intensity, are specialty-specific and must be thoroughly examined by the
RRCs before inclusion in their respective program requirements.
Clinical Supervision
A required faculty activity involving the oversight and direction of patient care
activities that are provided by residents/fellows.
Clinical Learning Environment Review (CLER)
A review process implemented by the Accreditation Council for Graduate Medical Education
(ACGME) as part of its Next Accreditation System. The CLER program is designated to
provide U.S. teaching hospitals, medical centers, health systems, and other clinical
setting affiliated with ACGME-accredited institutions with periodic feedback that
addresses the following six Focus Areas: Patient Safety, Health Care Quality, Care
Transitions, Supervision, Well-Being, and Professionalism. The feedback provided by
the CLER Program is designated to improve how clinical sites engage resident and fellow
physicians in learning to provide safe, high quality patient care. The only accreditation
requirement associated with this program is that each sponsoring institution must
undergo a CLER site visit every 24 months (+/-6) to maintain accreditation.
Combined Specialty Programs
Programs recognized by two or more separate specialty boards to provide GME in a particular
combined specialty. Each combined specialty program is made up of two or three programs,
accredited separately by the ACGME at the same institution.
Common Program Requirements
The set of ACGME requirements that apply to all specialties and subspecialties.
Competencies
Specific knowledge, skills, behaviors and attitudes and the appropriate educational
experiences required of residents to complete GME programs. The six resident competencies
are: Patient Care; Medical Knowledge; Practice-based Learning and Improvement; Systems-Based
Practice; Interpersonal and Communication Skills; and Professionalism.
Complement
The maximum number of residents or fellows approve by a Residency Review Committee
per year and/or per program based upon availability of adequate resources.
Compliance
A program’s or institution’s adherence to a set of prescribed requirements.
Conditional Independence (also referred to as graduated responsibility)
Graded, progressive responsibility for patient care with defined oversight.
Consortium
An association of two or more organizations, hospitals, or institutions that have
come together to pursue common objectives (e.g., GME).
Continuity Clinic
Setting for a longitudinal experience in which residents develop a continuous, long-term
therapeutic relationship with a panel of patients.
Continuous time on duty
The period that a resident or fellow is in the hospital (or other clinical care setting)
continuously, counting the resident’s (or fellow’s) regular scheduled day, time on
call, and the hours a resident (or fellow) remains on duty after the end of the on-call
period to transfer the care of patients and for didactic activities.
Core Program
See Specialty Program
Cycle Length
The interval between a final accreditation action and the target date identified for
the next site visit.
Designated Institutional Official (DIO)
The individual in a sponsoring institution who has the authority and responsibility
for all of the ACGME accredited GME programs.
Didactic
A kind of systematic instruction by means of planned learning experiences, such as
conferences or grand rounds.
Duty Hours
All clinical and academic activities related to the residency/fellowship program,
i.e., patient care (both inpatient and outpatient), administrative duties related
to patient care, the provision for transfer of patient care, time spent in-house during
call activities, and scheduled academic assignments such as conferences.
ECFMG
Educational Commission for Foreign Medical Graduates
ECFMG Number
The identification number assigned by the Educational Commission for Foreign Medical
Graduates (ECFMG) to each international medical graduate physician who receives a
certification from ECFMG.
Elective
An educational experience approved for inclusion in the program curriculum and selected
by the resident in consultation with the program director.
ERAS
Electronic Residency Application Service is most commonly used by medical graduates
or medical students in their final year of medical school to apply for specialized
graduate training in ACGME accredited residency programs in the U.S. Many residency
and fellowship programs require applicants to apply through ERAS. ERAS was developed
by the AAMC. It transmits residency applications, letters of recommendation, medical
student performance evaluations (MSPE, formerly dean’s letters), transcripts, and
other supporting documents to residency program directors via the Internet. ERAS is
also available to IMG’s through the ECFMG.
External Moonlighting
Voluntary, compensated, medical-related work performed outside the institution where
the resident is in training or at any of its related participating sites.
Faculty
Individuals who have received a formal assignment to teach resident/fellow physicians.
At some site’s appointment to the medical staff of the hospital constitutes appointment
to the faculty.
Fatigue Management
Recognition by either a resident or supervisor of a level of resident fatigue that
may adversely affect patient safety and enactment of a solution to mitigate the fatigue.
Fellow
A physician in a program of graduate medical education accredited by the ACGME who
has completed the requirements for eligibility for first board certification in the
specialty. The term “subspecialty residents” is also applied to such physicians. Other
uses of the term “fellow” require modifiers for precision and clarity, e.g., research
fellow.
Fifth Pathway
One of several ways that individuals who obtain their undergraduate medical education
abroad can enter GME in the United States. The fifty pathway is a period of supervised
clinical training for students who obtained their premedical education in the United
States, received undergraduate medical training abroad, and passed Step 1 of the United
States Medical Licensing Examination. After these students successfully complete a
year of clinical training sponsored by an LCME-accredited U.S. medical school and
pass USMLE Step 2, they become eligible for an ACGME accredited residency as an international
medical graduate.
FREIDA
Fellowship Residency Electronic Interactive Database. The Graduate Medical Education
Directory (also called the Green Book) and FREIDA Online are resources created by
the AMA to assist students in finding a residency program. FREIDA Online is a database
with over 7,800 graduate medical education programs accredited by the ACGME, as well
as over 200 combined specialty programs.
Focused Institutional Site Visit
An on-site review requested by the Institutional Review Committee (IRC) and conducted
by a senior member of the ACGME Department of Field Activities (DFA). The focused
institutional site visit concentrates on institutional oversight of compliance with
duty hour standards, potential egregious violations related to resident safety and
security, or serious disruption to the resident educational and work environment at
a sponsoring institution following a disaster.
Formative Evaluation
Assessment of a resident/fellow with the primary purpose of providing feedback for
improvement as well as to reinforce skills and behaviors that meet established criteria
and standards without passing a judgment in the form of a permanently recorded grade
or score.
Graduate Medical Education (GME)
The period of didactic and clinical education in a medical specialty which follows
the completion of a recognized undergraduate medical education and which prepares
physicians for the independent practice of medicine in that specialty, also referred
to as residency education. The term “graduate medical education” also applies to the
period of didactic and clinical education in a medical subspecialty which follows
the completion of education in a recognized medical specialty and which prepares physicians
for the independent practice of medicine in that subspecialty.
GME Track
GME Track is a resident database and tracking system created in 2000 by the AAMC and
the AMA. Its purpose is to assist GME administrators and program directors in the
collection and management of GME data.
Graduate Medical Education Committee (GMEC)
The Graduate Education Committee shall review from an institutional perspective the
implementation at UTHSC of the required “Institutional Requirements” of the ACGME.
The Committee shall advise and monitor the Office of Graduate Medical Education, the
Medical Center, and the Medical School of pertinent issued related to house staff
(residents and clinical fellows) programs of the institution. The Sponsoring Institution
must have a GMEC that has the responsibility for monitoring and advising of all aspects
of residency education.
Graduate Year Level
Refers to a resident’s current year of accredited GME. This designation may or may
not correspond to the resident’s particular year in a program. For example, a resident
in pediatric cardiology could be in the first program year of the pediatric cardiology
program, but in his/her fourth graduate year of GME (including the 3 prior years of
pediatrics). Also referred to as “post graduate year” or “PGY”.
Grand Rounds
A formal meeting at which physicians discuss the clinical case of one or more patients.
Grand rounds originated as part of residency training wherein new information was
taught and clinical reasoning skills were enhanced. Grand rounds today are an integral
component of medical education. They present clinical problems in medicine by focusing
on current or interesting cases.
Green Book
A book published annually by the AMA that includes allopathic GME Institutional and
Program Requirements. The Green Book also includes lists of accredited allopathic
residencies and fellowships by specialty and by state as well as contact information,
program directors’ names, address, and telephone number for each program.
In-House Call
Duty hours beyond the normal workday when residents are required to be immediately
available in the assigned institution.
Innovation
Experimentation initiated at the program level which may involve an individual program,
a group of residents (e.g., PGY1 residents) or an individual resident (e.g. chief
resident).
Institutional Review
The process undertaken by the ACGME to determine whether a sponsoring institution
offering GME programs is in substantial compliance with the Institutional Requirements.
Integrated
A site may be considered integrated when the program director a) appoints the members
of the faculty and is involved in the appointment of the chief of service at the integrated
site, b) determines all rotations and assignments of residents, and c) is responsible
for the overall conduct of the educational program in the integrated site. There must
be a written agreement between the sponsoring institution and the integrated site
stating that these provisions are in effect. This definition does not apply to all
specialties.
Intern
Historically, a designation for individuals in the first year of GME. This term is
no longer used by ACGME.
Internal Moonlighting
Any hours a resident works for compensation at the sponsoring institution or any of
the sponsor’s primary clinical sites.
Internal Review
A self-evaluation process undertaken by sponsoring institutions ACGME-accredited programs
to judge whether each is in substantial compliance with accreditation requirements.
International Medical Graduate (IMG)
A graduate from a medical school outside the United States and Canada (and not accredited
by the Liaison Committee on Medical Education). IMGs may be citizens of the United
States who chose to be educated elsewhere or non-citizens who are admitted to the
United States by U.S. Immigration authorities.
In-Training Examination
Formative examinations developed to evaluate resident/fellow progress in meeting the
educational objectives of a residency/fellowship program. These examinations may be
offered by certification boards or specialty societies.
JC
Joint Commission, formally known as the Joint Commission on Accreditation of Healthcare
Organizations or JCAHO, which evaluates and accredits health care organizations in
the U.S.
LCME
Liaison Committee on Medical Education, which accredits programs of medical education
leading to the M.D. in the United States and in collaboration with the Committee on
Accreditation of Canadian Medical Schools (CACMS) in Canada.
Letter of Notification
The official communication from a Review Committee that states the action taken by
the Review Committee.
Master Affiliation Agreement
A written document that addresses GME responsibilities between a sponsoring institution
and a major participating site.
Medical School Affiliation
A formal relationship between a medical school and a sponsoring institution.
Moonlighting
Patient care activities external to the educational program that residents/fellows
engage in at sites used by the educational program (internal moonlighting) and other
healthcare sites.
Must
A term used to identify a requirement which is mandatory or done without fail. This
term indicates an absolute requirement.
National Resident Matching Program (NRMP)
A private, not-for-profit corporation established in 1952 to provide a uniform date
of appointment to positions in graduate medical education in the United States. Five
organizations sponsor the NRMP: American Board of Medical Specialties, American Medical
Association, Association of American Medical Colleges, American Hospital Association
and Council of Medical Specialty Societies. It is the most widely used matching program.
There are other matches used by some programs, such as the San Francisco Match or
other specialty matches.
Night Float
Rotation or educational experience designed to either eliminate in-house call or to
assist other residents during the night. Residents assigned to night float are assigned
on-site duty during evening/night shifts and are responsible for admitting or cross-covering
patients until morning and do not have daytime assignments. Rotation must have an
educational focus.
Notable Practice
A process or practice that a Review Committee or other ACGME committee deems worthy
of notice. Notable practices are shared through the ACGME website or other ACGME publications
to provide programs and institutions with additional resources for resident education.
Notable practices do not create additional requirements for programs or institutions.
One Day Off
One (1) continuous 24-hour period free from all administrative, clinical and educational
activities.
Ownership of Institution
Refers to the governance, control, or type of ownership of the institution.
PALS
Pediatric Advanced Life Support
Pilot
An ACGME approved project, which is initiated by the Review Committee and involves
several residency/fellowship programs that elect to participate.
PIP (Performance Improvement Plan)
A formal written document issued to a resident or fellow that is designed to outline
deficiencies in his/her training. A PIP is executed for a set time period (typically
4 to 6 weeks) and identifies a negative trend in performance and/or an egregious behavior.
It is designed to remedy or resolve the problem and once the PID is satisfactorily
completed, the resident or fellow will be returned to regular status. If concerns
remain, then the PIP may be extended for another month(s). An unsatisfactory achievement
in the PIP could result in the resident/fellow being placed on probation, suspension
and/or being terminated from the program (with prior approval from the DIO).
Primary Clinical Site
If the sponsoring institution is a hospital, it is by definition the principal or
primary teaching hospital for the residency/fellowship program. If the sponsoring
institution is a medical school, university, or consortium of hospitals, the hospital
that is used most commonly in the residency/fellowship program is recognized as the
primary clinical site. In Chattanooga, our Primary Clinical Site is Erlanger Health.
Program
A structured educational experience in graduate medical education designed to conform
to the Program Requirements of a particular specialty/subspecialty, the satisfactory
completion of which may result in eligibility for board certification.
Program Director
The one physician designated with authority and accountability for the operation of
the residency/fellowship program.
Program Evaluation
Systematic collection and analysis of information related to the design, implementation,
and outcomes of a resident education program, for the purpose of monitoring and improving
quality and effectiveness of the program.
Program Information Form (PIF)
The PIF is the document completed by the program director in preparation for a site
visit. The document is a compilation of requested information that reflects the current
status of the educational program. The PIF is organized in two parts: The Common PIF,
which addresses the program’s compliance with the Common Program Requirements, and
the specialty or subspecialty specific PIF, which addresses compliance with the specialty
or subspecialty specific program requirements. The Common PIF is electronically generated
through the Accreditation Data System.
Program Letter of Agreement (PLA)
A written document that addresses GME responsibilities between an individual accredited
program and a site other than the sponsoring institution at which residents receive
a required part of their education.
Program Merger
Two or more programs that combine to create a single program. One program may maintain
continued accreditation while accreditation is voluntarily withdrawn from the other
program or programs. Alternatively, both programs may be withdrawn, and a new program
may be established.
Program Year
Refers to the current year of education within a specific program; this designation
may or may not correspond to the resident’s graduate year level.
Required
Educational experiences within a residency/fellowship program designated for completion
by all residents/fellows.
Resident
A physician in an accredited graduate medical education specialty program.
Residency
A program accredited to provide a structured educational experience designed to conform
to the Program Requirements of a particular specialty.
Rotation
An educational experience of planned activities in selected settings, over a specific
time period, developed to meet goals and objectives of the program.
Scholarly Activity
An opportunity for residents/fellows and faculty to participate in research, as well
as organized clinical discussions, rounds, journal clubs, and conferences. In addition,
some members of the faculty should also demonstrate scholarship through one or more
of the following: peer-reviewed funding; publication of original research or review
articles in peer-reviewed journals or chapters in textbooks; publication or presentation
of case reports or clinical series at local, regional, or national professional and
scientific society meetings; or participation in national committees or educational
organizations.
Short Call
Responsibility for admitting patients to the teaching service during the early part
of the day. Residents begin call in the morning, admit patients until some designated
time in the afternoon or late morning and do not stay in the hospital overnight.
Should
A term used to designate requirements so important that their absence must be justified.
A program or institution may be cited for failing to comply with a requirement that
includes the term ‘should’.
Site
An organization providing educational experiences or educational assignments/rotations
for residents/fellows.
Site Visitor
The ACGME has several site visitors or site reviews of staff. This is the person to
whom you will submit your PIF. He/she is also the person who will personally come
to your program and examine your program’s documentation, and meet with the program
director, residents, program coordinator, and members of the faculty. The site visitor
is only a “fact gatherer”. He/she will not be able to tell you whether or not your
program will receive a “favorable” review.
Sponsoring Institution
The organization (or entity) that assumes the ultimate financial and academic responsibility
for a program of GME. The sponsoring institution has the primary purpose of providing
educational programs and/or health care services. When the sponsoring institution
is a non-rotation site the major associated hospital is the participating rotation
site. Additionally, for multiple ambulatory medical sites under separate ownership
from the sponsoring institution one central or corporate site must represent the satellite
clinics. The Sponsoring Institution in Chattanooga is the University of Tennessee
Health Science College of Medicine - Chattanooga and not the primary training site
(Erlanger Health).
Strategic Napping
Short sleep periods, taken as a component of fatigue management, which can mitigate
the adverse effects of sleep loss.
Subspecialty Program
A structured educational experience following completion of a prerequisite specialty
program in GME designed to conform to the Program Requirements of a particular subspecialty.
Dependent Subspecialty Program
A program that is required to function in conjunction with an accredited specialty/core
program, usually reviewed conjointly with the specialty program, usually sponsored
by the same sponsoring institution, and geographically proximate. The continued accreditation
of the subspecialty program is dependent on the specialty program maintaining its
accreditation.
Independent Subspecialty Program
A program that is not directly related to, or dependent upon, the accreditation status
of a specialty program.
Suggested
A term along with its companion “strongly suggested”, used to indicate that something
is distinctly urged rather than required. An institution or program will not be cited
for failing to do something that is suggested or strongly suggested.
Summative Evaluation
Assessment with the primary purpose of establishing whether or not performance measured
at a single defined point in time meets established performance standards, permanently
recorded in the form of a grade or score.
Transfer Resident
Residents are considered transfer residents under several conditions including: moving
from one program to another within the same or different sponsoring institution; when
entering a PGY2 program requiring a preliminary year even if the resident was simultaneously
accepted into the preliminary PGY1 program and the PGY2 program as part of the match
(e.g., accepted to both programs right out of medical school). Before accepting a
transfer resident, the program director of the ‘receiving program’ must obtain written
or electronic verification of previous educational experiences and a summative competency-based
performance evaluation from the current program director.
Transitional Year Program
A one-year educational experience in GME, which is structured to provide a program
of multiple clinical disciplines; its design to facilitate the choice of and/or preparation
for a specialty. The transitional year is not a complete graduate education program
in preparation for the practice of medicine.
Transitions of Care
The relaying of complete and accurate patient information between individuals or teams
in transferring responsibility for patient care in the healthcare setting.
USMLE
United States Medical Licensing Exam – USMLE is a three-part exam by allopathic medical
students and residents. Each part of the USMLE is called a Step. Step 1 is usually
taken at the end of the second year of medical school. Step 2 is usually taken prior
to graduation from US medical schools. Step 2 has two parts: a clinical knowledge
(CK) exam and clinical skills assessment (CSA or CS). Step 3 is usually taken during
or after the first year of residency training.
Pain Management Resources for Chronic Pain:
- CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022
- CDC & American Hospital Association Prescribing Opioid Guidelines - What You Should Know
- CDC Primary Care Checklist - Prescribing Opioids for Chronic Pain
- CDC Pocket Guide: Tapering Opioids for Chronic Pain
- Gabapentin-Schedule V Controlled Substance-TN July 2018
- Tennessee Chronic Pain Management Guidelines (revised Jan 2024)
- TMA Prescriber Guide for Opioids in Tennessee