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, one of whom is a core faculty member, and at least one trainee. The Program Evaluation Committee is responsible for rendering a written Annual Program Evaluation (APE) report, which must document initiatives for improvement in a plan of action. The annual review, including the action plan, must be distributed to and discussed with the members of the teaching faculty and trainees.
  
  APE Instructions AY2022
  High Value Data suggested for APE review
  APE Questions AY2022
  APE AP Multi-Year template
  
  Programs are advised to refer to the ACGME Common Program Requirements and their program specific requirements for a detailed description of the Program Evaluation Committee responsibilities and a complete list of program elements that should be included in the assessment of the program during the Annual Program Evaluation process. Programs may also consider incorporating the following materials in their program assessment: most recent internal and/or special review; Mass General Brigham GME Fall Program Survey; trainee compliance with mandatory training (e.g., HealthStream, etc.); and patient surveys.
• Annual Review of Programs–  The GME Office, in conjunction with the Annual Review of Programs Subcommittee of GMEC, 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 and will be used to determine which programs would benefit from a Special Review. Data reviewed may include the ACGME Resident and Faculty Surveys, recent ACGME accreditation letters (including any progress reports sent to the RRC), Annual ADS Update submitted by the program to the ACGME, Annual Program Evaluation (APE) along with the program’s multi-year action plan, recent Special and/or Internal Reviews (if applicable), GME Work Hour Program Survey (optional), Milestones Data, and Case Log Data (if applicable).

This page was reviewed 5/18/22.