TAGME Program Administration 2 — Questions and Answers
Question 1: Which ACGME document outlines the expectations between a sponsoring institution and a program regarding resident supervision and education?
- Program Information Form (PIF)
- Institutional Requirements (IR)
- Program Letter of Agreement (PLA) (Correct answer)
- Memorandum of Understanding (MOU)
Correct answer: Program Letter of Agreement (PLA)
A Program Letter of Agreement (PLA) is required between the sponsoring institution and each participating site and outlines supervision, educational, and administrative responsibilities.
Question 2: The Clinical Competency Committee (CCC) is required to meet at minimum how often per year under ACGME Common Program Requirements?
- Once per year
- Twice per year (Correct answer)
- Once per quarter
- Monthly
Correct answer: Twice per year
ACGME Common Program Requirements mandate that the CCC must meet at least twice per year to review resident milestone progress.
Question 3: When a residency program undergoes a CLER visit, what is the primary focus of the evaluation?
- Residency application and selection processes
- Faculty scholarly activity and publications
- The clinical learning environment and patient safety culture (Correct answer)
- Resident duty hour compliance logs
Correct answer: The clinical learning environment and patient safety culture
CLER (Clinical Learning Environment Review) visits assess how sponsoring institutions engage residents and fellows in patient safety, quality improvement, and other aspects of the clinical learning environment.
Question 4: Under ACGME policy, what is the maximum number of consecutive hours a PGY-1 resident may be scheduled for clinical work?
- 24 hours
- 16 hours (Correct answer)
- 28 hours
- 18 hours
Correct answer: 16 hours
PGY-1 residents may not be scheduled for more than 16 consecutive hours of clinical work under ACGME duty hour requirements.
Question 5: Which entity is responsible for appointing members to the Graduate Medical Education Committee (GMEC)?
- The ACGME Review Committee
- The Designated Institutional Official (DIO)
- The Sponsoring Institution's leadership (Correct answer)
- The program directors collectively
Correct answer: The Sponsoring Institution's leadership
The GMEC is appointed by the sponsoring institution's leadership and must include residents, the DIO, and program directors as required members.
Question 6: In the ACGME accreditation system, what does a 'Continued Accreditation with Warning' status indicate?
- The program is fully compliant with all requirements
- The program has minor administrative paperwork delays only
- The program has areas of non-compliance that must be corrected within a defined timeframe (Correct answer)
- The program is scheduled for voluntary closure
Correct answer: The program has areas of non-compliance that must be corrected within a defined timeframe
'Continued Accreditation with Warning' signals that a program has identified non-compliance issues that must be remedied within the period specified by the Review Committee.
Question 7: A program director is going on an extended medical leave for 6 months. What is the ACGME's requirement regarding program director coverage?
- An associate program director must be formally appointed as interim PD and the ACGME must be notified (Correct answer)
- The DIO automatically assumes PD responsibilities
- A senior faculty member can informally cover without notification
- The program must suspend resident recruitment until the PD returns
Correct answer: An associate program director must be formally appointed as interim PD and the ACGME must be notified
When a program director is absent for an extended period, an interim PD must be formally appointed and the ACGME must be notified of the change in program leadership.
TAGME Program Administration 2
Which ACGME document outlines the expectations between a sponsoring institution and a program regarding resident supervision and education?