Items
AAMC Elective Form
AAMC template with WashU/BJH/SLCH language added; used for individual, trainee-specific elective rotations.
ACGME: American Council on Graduate Medical Education
The organization that accredits most medical residencies and fellowships.
ADS: Accreditation Data System
Online service where programs upload program information yearly for ACGME.
All of the Emergency Medicine Residents
Not only are every single one of the EM Residents on the front line, but they were thrown a major curve ball while both Barnes and WashU sorted out how to handle doctors who came in contact with suspected COVID-19 patients and staff. This resulted in nearly half of the residency being out on quarantine, furlough, or "work from home" status for some time. The EM residents banded together, with the Chiefs spending innumerable hours filling the gaps (all remotely) in a unified effort to continue to staff the ED. When asked if they were willing to see COVID patients after it became apparent that this was unavoidable in the ED, 100% answered yes! This speaks to the character and compassion of our residents.
My gratitude to the WashU EM Family!
jason wagner
AOC: Area of concern
ACGME review has revealed an area where the program exhibits weakness in the area or has trended down. The issue is not to the degree that the program is out of compliance, so they do not receive a citation.
BJH Medical Staff Office
Facilitates graduate medical trainee access to EPIC, badging, etc in the clinical space.
Blackout
Timeframe of March 1 – August 31 where no applications are reviewed & no external trainees are allowed to be on site.
CCC: Clinical Competency Committee
Active teaching faculty who are chosen by the program director to review and assess evaluation information and performance for each resident to make recommendations on promotion & remediation.
Citation
ACGME review has determined that a program is out of compliance with an accreditation standard or ACGME policy or procedure. Citations MUST be addressed in a program’s next APE.
CLER: Clinical Learning Environment Review
A review of the institution’s efforts to provide residents with a safe learning environment, and to engage residents in initiatives focused on patient safety, quality improvement and resident wellness.
Clinical (hands on)
Graduate medical trainee actively participating in patient care in the clinical/research space. They CAN touch patients & do have EPIC access.
Clinical research
This is observation-only research in the clinic space. The trainee will not gain EPIC access & will still proceed through the GME observer approval process.
Content of the educational experiences
The rationale behind why this program rotates to this site & what trainees should be responsible for learning.
Continued Accreditation
This is an accreditation status. It means the program has been reviewed and it is in compliance with requirements.
Core Faculty
Faculty who play a significant role in the education of residents. They must have specific qualifications to serve as core faculty which depend on the program’s specialty area.
CPR: Common Program Requirements
ACGME requirements that apply to all specialties and subspecialties.
Dear OB/GYN Residents and Fellows
You are phenomenal and empathetic clinicians and human beings--I absolutely love working with you! These times are difficult and I fully realize that it's difficult to address the needs of others when you may feel like your own personal needs are not fully met. Please know that we recognize and appreciate the high-quality, evidence-based care you're providing for our patients, we are here for you, and we are waging this battle together.
Warm Regards,
Ebony Carter, MD, MPH
MFM Attending
DIO: Designated Institutional Official
The person responsible for all of the ACGME accredited residencies and fellowships. This is Dominique Cosco, MD, FACP.
Dr Sahar El Hayek and Dr Jenna Nofziger
Have lead the effort within Emergency Medicine to encourage and provide space, opportunities for wellness during this pandemic. They have taken time out of their busy lives to create and nurture a recurring weekly Zoom check in (Together Apart). Dr El Hayek's efforts have brought together over 50 residents, faculty and alumni every Saturday afternoon. Dr Nofziger has sent out emails to the residents and faculty with reminders, suggested apps, stories about resiliency, self care and the importance of looking out for and supporting our colleagues.
ECFMG: Educational Commission for Foreign Medical Graduates
Certifying body for international medical graduates.
Fellow
A physician who has already met requirements for board certification in a specialty (e.g., Pediatrics or Internal Medicine), but is now completing a training program in a subspecialty (e.g., Cardiology, Rheumatology etc.).
FPP: Faculty Practice Plan
These are practice locations considered within the consortium, which will not require a PLA. Only for a WashU CLINIC with a WashU Physician Faculty member. It DOES NOT include off campus sites with in-patient or procedural experience.
GMEC: Graduate Medical Education Committee
A group of program directors, trainees and program coordinators who meet to review accreditation issues.
Gratitude for Victoria Levasseur
Dr. Victoria Levasseur is the Wellness Chief of the Neurology residency. She's hitting us residents with double the kudos, (socially-distanced) events, and info about mental health resources. We are grateful for her work.
IIAA: Inter-Institutional Affiliation Agreement
These are legal, hospital/institutional agreements which incorporate financial and liability information. They are not recognized by the ACGME. These agreements are solely initiated and managed by the WashU/BJH/SLCH GME Consortium.
IMG: International Medical Graduate
A physician who holds a terminal degree in medicine from an international medical school verified by the ECFMG.
LON: Letter of Notification
The official letter that tells a program the outcome of an ACGME review, and the action taken by the committee. A program can get continued accreditation with or without “areas of concern” or “citation.” Programs can also be put on probation, and accreditation can be terminated.
Non-Appointee Office
A function of WashU HR responsible for clearing observers to be in the clinical space.
NST: Non-Standard Training
A program for which there is no ACGME accreditation or ABMS member board certification.
Observer (hands off)
Graduate medical trainee observing in the clinical/research space. They CANNOT touch patients & do not gain EPIC access.
PD: Program Director
One physician faculty with authority and accountability for the operation of the residency/fellowship.
PEC: Program Evaluation Committee
The faculty chosen by the program director to conduct the Annual Program Review (APE).
PLA: Program Letter of Agreement
An educational agreement between a GME program and the Participating Site where a recurrent, standing rotation is located. These are recognized & required by the ACGME. There must be an IIAA in place prior to a program initiating a PLA.
Recognizing Dr. Drew Hensel
I would like to recognize Dr. Drew Hensel, PG1 Ob/Gyn at Barnes Hospital. He is intelligent, compassionate, devoted and always helpful from his fellow residents as well as nursing and ancillary staff. He has a tremendous bedside manner and truly cares about his patients, coworkers and people in general. He is the epitome of his profession and spreads joy , cheer and generosity to all he encounters. My name is Debbie Bradford RN but I know I speak for the entire staff of Women’s Assessment Center.
Recognizing Dr. Randall Brenneman
I wanted to recognize Dr. Randall Brenneman, the assistant chief resident of the Radiation Oncology training program.
Since the Covid-19 pandemic began to impact our residency, he has worked tirelessly to create a modified rotation schedule that minimizes risk to my co-residents and other staff, while allowing us continue to give the best care to our patients. This is a complex task given that our we treat patients at several satellite facilities. He is responsive to any concerns we have. He continues to work with our program director (who also deserves a shout-out for caring for our wellbeing) and other clinical faculty to make changes as necessary. He sends timely emails about updates to our clinical workflow and pertinent summaries of other leadership meetings.
Often times, I think the work of a chief resident can seem thankless and taken for granted by others. On top of his other clinical, research, and personal obligations, he has risen to the challenges presented at an unprecedented time. I want him to know that his hard work and has not gone unnoticed.
Recognizing Kathy Stroud
In all the craziness of the pandemic response, Kathy Stroud has continued to keep our Peds CCM fellowship program moving forward. She has been coordinating all the logistics of the program from home, from coordinating all the Zoom meetings to helping ensure ACGME requirements will be met for our graduating fellows to developing contingency plans for incoming fellow orientation. Just as importantly, she has been taking the time to send short, but impactful, messages checking in with both fellow program leadership as well as the individual fellows. She has truly been a "behind the scenes" hero!
RRC: Review Committee, Residency Review Committee
Sets accreditation standards and provides peer evaluation of residency and fellowship programs.
Site Director
Individual in charge of the learning environment at the participating site; cannot be the PD.
Sponsoring Institution (“home institution”)
The organization (or entity) that assumes the ultimate financial and academic responsibility for a program of graduate medical education consistent with the ACGME Institutional Requirements.
Summative Evaluation (Final Evaluation)
The evaluation completed at the end of the training program to certify that the resident has successfully completed the program.
TOC: Transitions of Care
Managing the transition of a given patient’s care during a change in care team. The focus is to ensure that the new team has the complete and accurate information they need to take proper care of the patient.
WashU/BJH/SLCH Graduate Medical Education Consortium
The three facilities located on the “Kingshighway campus” within immediate walking distance of one another.