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Accreditation and Compliance Flashcards

7 cards from real TAGME practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Accreditation and Compliance flashcards as text

  1. Which ACGME document outlines the specific educational content, supervision levels, and milestone expectations for a particular specialty?

    Answer: Program Requirements

    Program Requirements are specialty-specific documents that define the curricular, supervisory, and structural standards unique to each residency or fellowship.

  2. A program receives a 'Continued Accreditation with Warning' status. What does this signify?

    Answer: The program has serious non-compliance that must be resolved within 12 months or accreditation will be withdrawn

    Warning status indicates significant non-compliance; the program must demonstrate correction within 12 months or face withdrawal of accreditation.

  3. Under ACGME Common Program Requirements, which entity is primarily responsible for ensuring that residents and fellows are not assigned excessive duty hours?

    Answer: The program director

    The program director is directly responsible for monitoring and enforcing duty hour compliance within their program.

  4. What is the purpose of the ACGME's Milestones 2.0 initiative?

    Answer: To replace subjective evaluations with nationally benchmarked, developmental competency markers

    Milestones 2.0 refines milestone descriptors to provide clearer, nationally consistent developmental benchmarks for assessing trainee progress.

  5. An institution's CLER visit reveals inadequate resident involvement in patient safety event reporting. Which CLER Focus Area does this primarily implicate?

    Answer: Patient Safety

    CLER's Patient Safety Focus Area specifically evaluates whether residents and fellows are engaged in identifying, reporting, and learning from patient safety events.

  6. A DIO discovers that a program director has been falsifying resident procedure logs. What is the DIO's immediate obligation?

    Answer: Report the matter to the GMEC and initiate an internal investigation per institutional policy

    The DIO must escalate the integrity concern to the GMEC and follow institutional investigation procedures before any external reporting.

  7. Which ACGME accreditation status is publicly disclosed and indicates that a program's continued accreditation is at risk?

    Answer: Probationary Accreditation

    Probationary Accreditation is publicly disclosed and signals that the program has serious deficiencies that, if uncorrected, will result in withdrawal of accreditation.