TAGME Accreditation and Compliance 2 — Questions and Answers
Question 1: What is the purpose of the ACGME's Milestones Project?
- To set duty hour limits
- To provide developmental benchmarks for resident/fellow competency (Correct answer)
- To standardize program budgets
- To track faculty scholarly activity
Correct answer: To provide developmental benchmarks for resident/fellow competency
Milestones are competency-based developmental outcomes that describe a continuum of performance from novice to expert for each specialty.
Question 2: What is the maximum consecutive hours a PGY-1 resident may work without a break according to ACGME duty hour rules?
- 16 hours (Correct answer)
- 24 hours
- 28 hours
- 30 hours
Correct answer: 16 hours
ACGME duty hour requirements limit PGY-1 residents to no more than 16 consecutive hours of clinical work.
Question 3: Which ACGME committee is responsible for reviewing and acting on complaints about residency programs?
- Residency Review Committee (RRC) (Correct answer)
- Graduate Medical Education Committee (GMEC)
- Clinical Competency Committee (CCC)
- Program Evaluation Committee (PEC)
Correct answer: Residency Review Committee (RRC)
The Residency Review Committee (RRC) for each specialty reviews complaints, site visit reports, and makes accreditation decisions for programs in that specialty.
Question 4: What is a Self-Study in the context of ACGME accreditation?
- A resident's individual learning plan
- A program's comprehensive internal review conducted every 10 years (Correct answer)
- A faculty scholarly project requirement
- An annual resident survey
Correct answer: A program's comprehensive internal review conducted every 10 years
The ACGME Self-Study is a comprehensive 10-year program review that evaluates strengths, challenges, and opportunities for improvement.
Question 5: Which document governs institutional-level requirements that a Sponsoring Institution must meet for ACGME accreditation?
- Common Program Requirements
- Institutional Requirements (Correct answer)
- Program Requirements
- CLER Pathways
Correct answer: Institutional Requirements
The ACGME Institutional Requirements outline the responsibilities and standards that the Sponsoring Institution must fulfill to support all its GME programs.
Question 6: What is the primary purpose of the ACGME Clinical Learning Environment Review (CLER) program?
- To accredit new programs
- To assess how institutions engage residents in patient safety and quality improvement (Correct answer)
- To verify duty hour compliance
- To conduct financial audits of GME programs
Correct answer: To assess how institutions engage residents in patient safety and quality improvement
CLER visits evaluate how Sponsoring Institutions engage residents and fellows in patient safety, quality improvement, and other clinical learning environment areas.
What is the purpose of the ACGME's Milestones Project?