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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. Under ACGME Institutional Requirements, how often must the GMEC conduct a formal review of each ACGME-accredited program it oversees?

    Answer: At least annually

    ACGME Institutional Requirements mandate that the GMEC conduct an annual review of each program to ensure ongoing compliance and educational quality.

  2. A fellowship program wants to add a new rotation at an off-site affiliated hospital. What must the sponsoring institution establish before trainees rotate there?

    Answer: A formal program letter of agreement (PLA) signed by both institutions

    ACGME requires a written Program Letter of Agreement (PLA) between the sponsoring institution and each participating site before residents or fellows train there.

  3. Which body has the authority to withdraw ACGME accreditation from a residency program that fails to correct cited deficiencies?

    Answer: The relevant Review Committee (RC)

    Each specialty-specific Review Committee (RC) holds the accreditation decision-making authority for programs within its purview, including withdrawal.

  4. A program administrator notices the most recent ADS Annual Update was submitted with incorrect complement numbers. What is the proper corrective action?

    Answer: Contact the program director to submit a revision through ADS and document the correction

    Errors in ADS submissions should be corrected promptly through the ADS portal with program director authorization, documented for compliance records.

  5. Which ACGME Common Program Requirement addresses the expectation that programs provide residents with access to mental health and wellness resources?

    Answer: Well-Being requirements within the Learning and Working Environment section

    The ACGME's Well-Being requirements, housed under Learning and Working Environment, mandate that programs support residents' mental, emotional, and physical health.

  6. When a sponsoring institution sponsors more programs than its resources can adequately support, ACGME may place the institution under which action?

    Answer: Institutional Review

    ACGME may initiate an Institutional Review when systemic concerns—such as resource insufficiency across programs—suggest the institution cannot fulfill its oversight responsibilities.

  7. A program director resigns unexpectedly. According to ACGME requirements, within what timeframe must the sponsoring institution notify ACGME of this change?

    Answer: Within 30 days

    ACGME requires sponsoring institutions to report a change in program director within 30 days via ADS to ensure continuity of accredited oversight.