TAGME Faculty Development and Supervision 1 — Questions and Answers
Question 1: What is the ACGME's definition of 'direct supervision' of a resident?
- The supervising physician is available by phone
- The supervising physician is physically present with the resident (Correct answer)
- The supervising physician reviews work within 24 hours
- The supervising physician co-signs orders
Correct answer: The supervising physician is physically present with the resident
Direct supervision means the supervising physician is physically present during the resident's performance of an activity or procedure.
Question 2: Which ACGME supervision level requires a supervisor to be immediately available by phone or electronic means?
- Direct supervision
- Indirect supervision with direct supervision immediately available (Correct answer)
- Indirect supervision with direct supervision available
- Oversight
Correct answer: Indirect supervision with direct supervision immediately available
Indirect supervision with direct supervision immediately available means the supervisor is not physically present but can reach the resident in minutes if needed.
Question 3: What is the primary purpose of a faculty development program in GME?
- To increase faculty compensation
- To enhance faculty skills in teaching, assessment, and supervision (Correct answer)
- To satisfy Joint Commission requirements
- To track faculty clinical productivity
Correct answer: To enhance faculty skills in teaching, assessment, and supervision
Faculty development programs are designed to build faculty competence in education, supervision, evaluation, and mentoring of trainees.
Question 4: According to ACGME requirements, who is responsible for ensuring that faculty are appropriately developed as educators?
- The Department Chair
- The Program Director (Correct answer)
- The DIO
- The GMEC
Correct answer: The Program Director
The Program Director is responsible for the quality of education in the program, including ensuring that faculty are developed and prepared to fulfill their educational roles.
Question 5: What is 'entrustable professional activity' (EPA) in the context of GME?
- A financial entitlement for residents
- A unit of professional practice that can be trusted to a trainee at a defined level (Correct answer)
- A faculty performance metric
- A type of scholarly project
Correct answer: A unit of professional practice that can be trusted to a trainee at a defined level
An EPA is a key professional task or responsibility that can be entrusted to a trainee to perform unsupervised once sufficient competence is demonstrated.
Question 6: What type of feedback is most effective for promoting resident learning according to educational research?
- Annual written evaluations
- Specific, timely, and actionable feedback tied to direct observation (Correct answer)
- Peer-to-peer anonymous ratings
- End-of-rotation numeric scores only
Correct answer: Specific, timely, and actionable feedback tied to direct observation
Research consistently shows that specific, timely, actionable feedback based on direct observation is the most effective form of feedback for resident learning.
What is the ACGME's definition of 'direct supervision' of a resident?