Annual Data Submission to the GME Office

Annual Data Submission to the GME Office consists of:

• Annual Program Evaluation – The Program must convene a Program Evaluation Committee at least annually consisting of at least two faculty members and one trainee. The Program Evaluation Committee must have written responsibilities and render a written Annual Program Evaluation report, which must document initiatives for improvement in a plan of action. The action plan should be reviewed and approved by faculty and documented in meeting minutes.
  
  In addition to documenting a systematic evaluation of the curriculum, the program must monitor and track each of the following areas:
    a) resident performance
    b) faculty development
    c) graduate performance, including performance of program graduates on the certification exam
    d) program quality
    e) progress on the previous year's action plan(s).

• Annual Review of Programs – The GME Office will review all data elements submitted through the ACGME Accreditation Data System (ADS) as well as internally submitted materials. 
  This review will start with an overview of all programs. Data reviewed will consist of:
   a) Recent ACGME Accreditation Letters, any progress reports sent to the RRC;
   b) GMEC Special Reviews (if applicable) or last GME internal Review;
   c) ACGME Resident Survey
   d) ACGME Faculty Survey
   e) GME Work Hour Program Survey (optional),
   f) ADS Update, 
   g) Milestone Data
   h) Case Log Data
   i) Annual Program Evaluation form (APE)

This page was updated on 12/29/17.