Focus on the FutureAccreditation Council for Graduate Medical Education 2011 Annual Report

Contents Message from the CEO

Year in Review

Message from the Chair of the Board of Directors

ACGME Board of Directors

Review Committees

Review Committee Members

ACGME Staff

Statistical Highlights

2011 Financial Reports

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© 2012 Accreditation Council for Graduate Medical Education

Design: Arc Group Ltd

Interior photography: All photos by Paul Berg except where otherwise indicated

MissionWe improve health care by assessing and advancing the quality of resident physicians’ education through exemplary accreditation.

VisionWe imagine a world characterized by:• astructuredapproachtoevaluatingthecompetencyofallresidentsandfellows;• motivatedphysicianrolemodelsleadingallGMEprograms;• high-quality,supervised,humanisticclinicaleducationalexperience,withcustomized formativefeedback;

• residentsandfellowsachievingspecialty-specificproficiencypriortograduation;and• residentsandfellowspreparedtobecomeVirtuousPhysicianswhoplacetheneeds andwell-beingofpatientsfirst.

Values• HonestyandIntegrity• ExcellenceandInnovation• AccountabilityandTransparency• FairnessandEquity• StewardshipandService• EngagementofStakeholders

Strategic Priorities• Fosterinnovationandimprovementinthelearningenvironment• Increasetheaccreditationemphasisoneducationaloutcomes• Increaseefficiencyandreduceburdeninaccreditation• Improvecommunicationandcollaborationwithkeyexternalstakeholders

Core Staff Values • CustomerFocus• Integrity/Ethics• ResultsFocus• Teamwork

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Message from the CEO

ACGME Preparing for the Future

2011wasfilledwithsuccess,andthepromiseofmoreopportunityonthehorizon.TheBoardofDirectorsapprovedthekeyelementsoftheACGME’s“NextAccreditationSystem,”theculminationof the ACGME’s 2005 Strategic Plan. With goals of enhancing the ACGME’s emphasis on outcomes (themilestones),reducingtheadministrativeburdenassociatedwithaccreditation,andincreasingaccountabilitytotheAmericanpublicforthenewcompetencies,thenextaccreditationsystempromisestomovetheACGMEtothevanguardofeducationalaccreditation.TheCouncilofReviewCommitteesidentifiedthefirstsevenspecialtiestoenterthenextaccreditationsysteminJuly2013,andactivelyengagedintheworkofrefiningkeyelementsoftheaccreditationprocess.TheBoardofDirectorsproposedneweligibilityrequirementsforentryintoadvancedpositionsinACGME-accreditedprograms,andsetexpectationsforconsistencyineligibilityacrossspecialties.TheNationalAdvisoryCommitteeontheSponsorSiteVisitProgramcompleteditswork,andprovidedaseriesofrecommendationstotheACGMEBoardofDirectors.TheserecommendationsserveastheframeworkfortheClinicalLearningEnvironmentReview(C.L.E.R.)program,acoreelementofthenext accreditation system which will begin in the fall of 2012.

TheJournal of Graduate Medical Educationcompleteditsthirdyear,andsolidifieditspositionasahighlyvaluedavenueforpublicationofgraduatemedicaleducationresearch,aswellasasourceofnewinformationforpractitionersoftheartofeducationalprogramleadership.TheACGMEAnnualEducational Conference set new records for attendance and participant satisfaction at its last year inNashville,andtheDepartmentofEducationleadershipsetambitiousgoalsforfurthergrowthofthemeetinginthespringof2012.TheMilestoneProject,anallspecialty-wideeffortaccomplishedinconjunctionwitheachspecialtyboard,college,oracademy,programdirectorassociation,andReviewCommittee,madesignificantprogressindevelopmentofmilestonesineachcorespecialtyarea.TheprojectisonscheduletohavemilestonesineachcorespecialtyareadefinedbyDecember2012,andtothenmovetowarddevelopmentofmilestonesinthesubspeciaties.

PerhapsthemostsignificantaccomplishmentofthepastyearwastherecruitmentoffourseniorvicepresidentstooverseetheaccreditationprocessesoftheACGME.Basedontheself-organizationoftheReviewCommitteesintofourareas(hospital-based,institutional,medical,andsurgical),nationalsearcheswereconfiguredtoidentifyexceptionalleadersfromeachgroupingofspecialties.Withsearch committees led by the chairs of the Review Committees and key members of ACGME leadership,outstandingindividualsweresuccessfullyrecruitedtotheACGME.Dr.LouisLing(hospital-basedaccreditation),Dr.KevinWeiss(institutionalaccreditation),Dr.MaryLieh-Lai(medicalaccreditation),andDr.JohnPotts(surgicalaccreditation)willcollectivelybringover80yearsof educational program leadership and national prominence to the ACGME’s accreditation activities. Simultaneouswiththerecruitmentoftheseleaders,theACGME’saccreditationinfrastructurewasreorganizedtoengagetheReviewCommitteesinthesefourmajorareas.Thiswilloperationalizetherecognitionthat“onesizedoesnotfitall,”whilebuildingonthecommonalitieswithineachoftheseareasidentifiedbytheReviewCommitteechairs.

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Behindthescenes,theredesignoftheACGME’sentireinformationsystemhasbeenunderway.PlannedtogoliveinJune2012,thepreviouslyindependentsubsystemsoftheACGME’sdatainfrastructurehavebeenunified.Thiswillcreatetheplatformfortheinformationsystemsrequiredtosupportthenextaccreditationsystem.Simultaneously,theACGMEwebsiteisundergoingacompleterevision,withthegoalofmakingitmorevisuallyappealing,intuitive,andfunctionalforthe wide range of our users’ needs.

Finally,thepilotofinternationalaccreditationinSingaporehasenteredPhase3,andallparametersindicatethatACGMEInternationalLLCissuccessfulinaccomplishingitsgoals.TheBoardofDirectorsapproved assessment of the feasibility of expanding international accreditation beyond one geographic area,andwillconsideraproposalbymanagementtocompletethepilotphaseinJune2012.

AlloftheeffortsoftheACGMEarebasedonthegenerosityoftime,expertise,andwisdomofitshundredsofvolunteersfromacrossthecountry;andadedicatedandhighlyskilledadministrativecoreofprofessionalscommittedtoexcellence,andtothepropositionthatweimprovethehealth of the American public by continually improving graduate medical education of the next generation of physician specialists through excellence in accreditation.

ThomasJ.Nasca,MD,MACP Chief Executive Officer Accreditation Council for Graduate Medical Education

“With goals of enhancing the ACGME’s emphasis on outcomes(themilestones),reducingtheadministrativeburdenassociatedwithaccreditation,andincreasingaccountabilitytotheAmericanpublicforthenewcompetencies,thenextaccreditation system promises to move the ACGME to the vanguardofeducationalaccreditation.”

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2011:AYearofTransitionsfor Department of Accreditation Services

In2011,theDepartmentofAccreditationServices(DAS)sawtheretirementofJeanneK.Heard,MD,seniorvicepresidentoftheDAS(formerlytheDepartmentofAccreditationCommittees),andtheinterimappointmentofWilliamE.Rodak,PhD,thecurrentvice president of ACGME International. A search for Dr. Heard’s replacementstookplaceduringthefallof2011,andreflects the restructuring in 2012 of the department into four units: hospital-basedaccreditation,institutionalaccreditation,medicalaccreditation,andsurgicalaccreditation.

TheDAScontinuesitscommitmentstocommunicationwithgraduatemedicaleducationcommunities,increasingefficiencyandtransparency,andfosteringinnovationandimprovement.TheDAScomprises49staffmemberswhosupportthe28ACGMEReview Committees and several ACGME standing committees and councils.

Overthepastyear,theDASpublished42ReviewCommitteenewsletters and collaborated with Review Committee chairs to provide more than 100 presentations at the ACGME Annual Educational Conference and numerous specialty meetings.

Seated, left to right:LouiseKing,MS(ExecutiveDirector);PeggySimpson,EdD(ExecutiveDirector);WilliamE.Rodak,PhD,(InterimSeniorVicePresident);PatriciaB.Levenberg,PhD(ExecutiveDirector);CarolineFischer,MBA(ExecutiveDirector);Second row:MaryJoyceJohnston,MJ,RHIA(AssociateExecutiveDirector);PatriciaM.Surdyk,PhD(ExecutiveDirector);LynneMeyer,PhD,MPH(ExecutiveDirector);JerryVasilias,PhD(ExecutiveDirector);EileenAnthony,MJ(ExecutiveDirector);LorraineLewis,EdD,RD(ExecutiveDirector);KarenLambert(AssociateExecutiveDirector);Third row:PamelaL.Derstine,PhD,MHPE(ExecutiveDirector);FeliciaDavis(AssociateExecutiveDirector);SusanMansker(AssociateExecutiveDirector);LindaThorsen,MA(ExecutiveDirector)

Review Committee staff members participated in the Department of Education’s annual new program and institutional coordinator workshops.Inaddition,theexecutivedirectors,ReviewCommitteechairs,Boardmembers,andspecialtysociety,academy,orcollegerepresentativeshavebeenparticipatinginACGME-facilitatedmilestonemeetings.Theworkinthesemeetingsanswers thedirectivetodevelopspecialty-specificbehaviormarkers for different points along the continuum of resident education ineachofthesixACGMEcompetencyareas(patientcare,medicalknowledge,practice-basedlearningandimprovement,interpersonalandcommunicationskills,professionalism,andsystems-basedpractice).Theindicators—themilestones—willbe used by the specialty residency programs to track residents’ progressduringtheirACGME-accreditededucation.

ThisyearsawtheretirementofMissyFleming,PhD,executivedirectorfortheReviewCommitteesforNuclearMedicine,ObstetricsandGynecology,andDiagnosticRadiology.LorraineLewis,EdD,RD,joinedtheACGMEastheexecutivedirectorfortheReviewCommitteesforAnesthesiology,PreventiveMedicine,andtheTransitionalYear.

Year in Review

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Department of Education Completes a Year of Growth and Collaboration

TheDepartmentofEducationexperiencedayearofgrowth and change in 2011 as department staff members worked with ACGME employees from other areas of the organization oneducationalprojects.

ThedepartmentisworkingcloselywiththeMilestoneWorkingGroups as they develop milestones for each of the core specialties (seearticle,page6).Eachcorespecialtywillhaveadraftofitsmilestones completed by December 2012.

In2011,thedepartmentconductedsixLeadershipSkillsTrainingWorkshopsforChiefResidentsinallspecialties,aswellasthreesessionstailoredtopediatricchiefresidents.Theworkshopswere held at several cities across the country. Residents who have taken part in the workshops have given them enthusiastic reviewsand,inresponsetoaheavydemandfortheworkshops,the department will be adding additional sessions in 2012.

The2011AnnualEducationalConferenceandpre-conferenceworkshopfornewcoordinatorswerebothwell-attended,andparticipants gave both meetings high marks in their online evaluations(seearticle,page6).TheACGMEhasappliedforcontinuing medical education accreditation so it can offer CME creditsatupcomingconferences.Inaddition,thedepartmentiscollaboratingwiththeOfficeofResidentServicesonareceptionfor past award winners that will take place during the 2012 Annual Educational Conference.

Seated, left to right:DebraDooley(DirectorofEducation);DeWitt“Bud”C.BaldwinJr.,MD(Scholar-in-Residence);TimothyBrigham,MDiv,PhD(SeniorVicePresident,Education);MarshaMiller,MA(AssociateVicePresident,ResidentServices);SusanSwing,PhD(VicePresident,OutcomesAssessments);Second row:LauraEdgar,EdD,CAE(SeniorMilestonesConsultant);NicholasYaghmour(ConsultantandResearchAssociate);KarlaWheeler,MA,(EducationalProjectManager);AmyDunlap(ResidentServicesAssociate);DanielleMalloy(EducationalCoordinator);ErikaCannaday(MilestoneProjectAdministrator);Third row: DeLonda Dowling (Executive Assistant);TamaraWolski,MA(EducationAdministrator);SteveNestler,PhD(SeniorConsultant);KenjiYamazaki,PhD(OutcomeAssessmentProjectAssociate);ErinBerryhill(MilestoneProjectAdministrator)

ThedepartmentalsoworkedwiththeOfficeofResidentServicesonenhancingtheannualretreatfortheParkerJ.PalmerCouragetoTeachandCouragetoLeadAwardrecipientsbyaddingmoreinformation on teaching and learning methods.

Inadditiontoplanningconferencesandworkshopsforresidents,coordinators,andprogramdirectors,thedepartmentprovideseducational opportunities for ACGME staff members. It hosted the2010–2011BaldwinLectureSeries,inwhichgraduatemedical education scholars presented lectures to ACGME employeesandguests.Thedepartmentiscurrentlyworkingwith the Department of Human Resources to create staff leadershipdevelopmentworkshops.ThedepartmentalsoprovideseducationalopportunitiesfortheGMEcommunity,andseveralmembers of the Department of Education team traveled around the country to present lectures on various educational topics.

Intheareaofinternationalaccreditation,thedepartmentcollaborated with ACGME International staff members to teach program administrators in Singapore how to assess clinicalcompetency(seearticle,page7).

AstheACGMEshiftstothenextaccreditationsystem,theDepartment of Education will continue to work with ACGME staff membersacrossdepartments,aswellaswithACGMEBoardandReviewCommitteemembers,oninitiativestoeducateresidents,programdirectors,coordinators,andstaffmembers.

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Milestones Project Moves Forward with Continued Specialty Milestone Development

Theyearbeganwitheightspecialtiesatvariouspointsintheprocessofdefiningmilestones.Itendedwith22of28corespecialtiesengagedinmilestonedevelopment.Tenspecialtieshavecompletedrafts.Inaddition,anothereightspecialtiesaremakingfinalrefinementsandanothereighthavemadesignificantprogressinframinganddefiningmilestonesinthepatientcareand medical knowledge competency domains. All specialties are expected to have completed usable drafts of milestones in all six general competency domains by the end of 2012.

Milestone development occurs as a specialty community activity withinvolvementofthespecialty’scertificationboard,ReviewCommittee,programdirectors’association,andmajorprofessionalorganizations. ACGME staff members facilitate the process. Specialtiesaredirectedtouseafive-levelframeworkthatdepictsexpected performance and progress in the six general competency domains from entry into the residency (Level 1) to completion of residency,andbeyondtoperformanceexpectedofanexceptionalresident or practitioner (Level 5).

Milestone groups have described patient care and medical care milestonesintermsofgeneralskills(e.g.,datagathering,diagnosis,management,proceduralperformance,testperformance)oralternatively,asthespecificknowledgeandskillsrequiredtocare for patients with selected conditions or perform particular procedures and operations. Each specialty’s Milestone Working Grouphastheoptionofdevelopingitsownmilestonesor,alternately,adoptingmilestonesdevelopedbytheACGME’sexpertpanelsforinterpersonalandcommunicationskills,professionalism,practice-basedlearningandimprovement, andsystems-basedpractice.

Inadditiontotherapidscale-upofspecialtymilestonedevelopment,2011alsoincludedthefollowingnotable activities and accomplishments:

• Thedevelopments,byanexpertpanel,ofmilestonesthatincluded emphasis on: formation and manifestation of a values-basedprofessionalidentity(professionalism);teamworkandconflictmanagement(interpersonalandcommunicationskills);self-directedlearning,point-of-careaccessanduseofevidence,andqualityimprovementmethodology(practice-basedlearningandimprovement);andsystemsknowledge,techniques,andpracticesassociatedwithsafecare,anduseoftechnology(systems-basedpractice).

• Smalltestsofmilestoneconceptsand/orusabilityininternalmedicine and general surgery.

• AplenarysessiononmilestonesattheACGME’s2011Annual Education Conference. In addition Milestone Working Groupchairs,ACGMEleadershipandstaffmembersgavepresentationsandupdatestoprogramdirectors,ReviewCommittees,andothergroups.

ArrayofSessions,KeynoteSpeech,AwardsLuncheonHighlights of 2011 Annual Educational Conference

About1,700programdirectors,programcoordinators,designatedinstitutionalofficials,residents,andotherparticipantsattendedthe2011ACGMEAnnualEducationalConference,whichtookplaceMarch3–6attheGaylordOprylandinNashville,Tennessee.

Inhiswelcomingremarkstoattendees,ThomasJ.Nasca,MD,MACP,chiefexecutiveofficeroftheACGME,talkedabouttheACGME and the responsibility of medical educators. Physicians must repair and maintain the traditional social contract between physiciansandpatients,whichhasfrayedinrecentyears.Thisresponsibility,saidDr.Nasca,includesmakingsurethatmedicaleducation “results in outcomes that manifest the values and virtues ofprofessionalismanddeliverssafe,affordablequalitycare.”

TheACGMEmustensure“thesafetyandqualityofcareofpatientsunderthecareofresidentstoday,thesafetyandqualityofcareofpatients under the care of graduates in the future and a humanistic educationalenvironment,”Dr.Nascasaidinconclusion.

DonaldM.Berwick,MD,administratoroftheCentersforMedicareandMedicareServices,presentedtheconference’sannualMarvinR.DunnKeynoteAddress.Dr.Berwickdiscussedhowthe health care system in the United States is rapidly evolving intoasystemwithmoreaccountabilityandcoordination,andhow health care reform and advances in medical care and technology are affecting health care overall.

Inthecomingyears,saidDr.Berwick,“healthcareneedstobeconnected,itneedstobeseamlessandincompletepartnershipwiththepatients.”

Theconferencefeaturedabout100coursesinteaching,assessment,teamwork,andspecialty-specifictopics.Ameetingon international accreditation preceded the conference. Other highlightsincludedtwopre-conferenceworkshopsfornew andexperiencedprogramcoordinators,theMarvinR.DunnPosterSession,technologyconsultationsandanawardsluncheon(seearticle,page8).

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ACGME International Prepares for Expansion to Second Country

ACGME International LLC had another productive year with the initial accreditation of seven new specialties in Singapore: anesthesiology,familymedicine,obstetricsandgynecology,ophthalmology,orthopaedicsurgery,otolaryngology,anddiagnostic radiology. Of the 20 new applications reviewed by theACGME-IReviewCommittee,19receivedfoundationalinitialaccreditationand18receivedtheadditionaladvancedspecialty initial accreditation.

Inaddition,atitsFebruary2011meeting,theACGMEBoardofDirectors approved the expansion of the ACGME International pilot toanothercountrybeyondSingapore.TheACGMEleadershipteam is examining options for this expansion.

Submissions to the Journal of Graduate Medical EducationTop300in2011

The Journal of Graduate Medical Education (JGME) received more than300submissionsduringitssecondfullyearofoperations,which represents a sizable increase over submissions in 2010. LaunchedinSeptember2009,theJGME is the ACGME’s quarterly,peer-reviewedjournaldedicatedtotheeducationofresidents and fellows and the learning environments in which it takesplace.TheJGMEisprovidedforfreetomorethan10,000programdirectors,designatedinstitutionalofficials,andmembersoftheACGMEReviewCommitteesandBoardofDirectors,aspartoftheirparticipationintheaccreditationprocess.Additionally,ithasa growing list of subscribers in the United States and internationally. Recent articles have included a systematic review of the literature oneducationalcurriculaforminimallyinvasivesurgery;perspectiveson balancing duty hour limits and residents’ development of professionalism,andontheattributesofGenerationYandsuggestionsforteachingandworkingwiththisagegroup;commentariesontheeducationalmilestones;astudyofresidentattitudesandvolunteerbehaviorstocareforunderservedpatients;andnewapproachesforwork-basedassessment.

Editorial direction for the JGME is provided by an independent editorialboardmadeupofnotededucators,ledbyGailSullivan,MD,professorattheUniversityofConnecticut.EditorialBoardmembershavediversebackgrounds,bringawealthoftalentandexperiencetotheirroles,andpromotetheJGME ’s editorial independence.AJournalOversightCommittee(seephoto)madeup of members of the ACGME Board of Directors with an interest in academic publishing oversees the JGME ’s business affairs.

JGME Editorial Board

Gail Sullivan, MD, MPH, Editor-in-ChiefUniversity of Connecticut School of Medicine

Lisa Bellini, MD University of Pennsylvania School of Medicine

Tina C. Foster, MD, MPH, MS Dartmouth Hitchcock Medical Center

John Gazewood, MD, MSPH UniversityofVirginiaHealthSystem

Teodor Grantcharov, MD, PhDUniversityofToronto/ St. Michael’s Hospital

Deborah Klamen, MD Southern Illinois University School of Medicine

Monica Lypson, MD, FACP University of Michigan Medical School

David Murray, MDWashington University School of Medicine

Lawrence Opas, MDLAC and USC Healthcare Network

Susan Promes, MD, FACEP UCSF School of Medicine

Joan Sargeant, PhDDalhousie University

Deborah Simpson, PhDMedical College of Wisconsin

Olle ten Cate, PhDUniversityMedicalCenter- Utrecht,Netherlands

Left to right:PaigeAmidon;AjitSachdeva,MD;CarolAnnBernstein,MD;MohendrKochar,MD;KennethSimons,MD;DebraWeinstein,MD(Chair);Not pictured: AntonHasso,MD;AlexanderKhalessi,MD;KennethLudmerer,MD

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Seated, left to right:TammySamuels,MPA;CollenNugent,MD,MS;KarenSouter,MBBS,FRCA;MaryKathrynPoptic;MariaAaron,MD;TsevitMarkova,MD,FAAFP;SusanScott;AnnVanHeese,MD;MichelleRickard;PatChapek;MaijaHasiba;Standing, left to right:VijayRajput,MD;StanleyAshley,MD;ChristiandeVirgilio,MD;MarkBugnitz,MD;JohnMusich,MD;JamesZaidan,MD,MBA;ByronJoyner,MD,MPA;AndrewMiller,MD;RashidM.Rashid,MD,PhD;GregoryKane,MD;PeterFleischut,MD;JasonItri,MD,PhD;CarlPatow,MD,MPH,FACS

ACGME Honors 2011 Award Winners

Atthe2011AnnualEducationalConference,theACGMErecognizedoutstandingprogramdirectors,designatedinstitutionalofficials,programcoordinators,andresidentsfortheircontributionsto graduate medical education. At an awards luncheon on March4attendedbyabout1,700conferenceparticipants,theACGMEhonoredtherecipientsofthe2011ParkerJ.PalmerCouragetoLead,2011ParkerJ.PalmerCouragetoTeach,GMEProgramCoordinatorExcellence,GMEInstitutionalCoordinatorExcellence,andDavidC.LeachAwards.

Detailed information about the 2011 award recipients can be foundatwww.acgme.orginthe“ACGMEAwards”section.

2011 Parker J. Palmer Courage to Lead Award (designatedinstitutionalofficials)

• John Musich, MD,WilliamBeaumontHospital, RoyalOak,Michigan

• Carl Patow, MD, MPH, MBA, FACS, HealthPartners InstituteforMedicalEducation,Bloomington,Minnesota

• James Zaidan, MD, MBA,EmoryUniversity,Atlanta,Georgia

2011 Parker J. Palmer Courage to Teach Award (program directors)

• Maria Aaron, MD,ophthalmology,EmoryUniversity, Atlanta,Georgia

• Stanley Ashley, MD,generalsurgery,BrighamandWomen’sHospital,Boston,Massachusetts

• Mark Bugnitz, MD,pediatrics,UniversityofTennesseeHealthScienceCenter,Memphis,Tennessee

• Christian de Virgilio, MD,generalsurgery,LosAngelesCounty-Harbor-UCLAMedicalCenter,Torrance,California

• Byron Joyner, MD, MPA,urology,UniversityofWashington,Seattle,Washington

• Gregory Kane, MD,internalmedicine,ThomasJeffersonUniversity,Philadelphia,Pennsylvania

• Tsveti Markova, MD, FAAFP,familymedicine,WayneStateUniversity/Crittenton,Rochester,Michigan

• Vijay Rajput, MD,internalmedicine,UMDNJRobertWoodJohnsonMedicalSchool(Camden)/CooperUniversityHospital,Camden,NewJersey

• Karen Souter, MBBS, FRCA,anesthesiology,UniversityofWashington,Seattle,Washington

• Ann Van Heest, MD,orthopaedicsurgery,UniversityofMinnesota,Minneapolis,Minnesota

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2011 GME Program Coordinator Excellence Award (program coordinators)

• Maija Hasiba,internalmedicine,McGawMedicalCenterofNorthwesternUniversity,Chicago,Illinois

• Mary Kathryn Poptic,radiationoncology,ClevelandClinic,Cleveland,Ohio

• Michelle Rickard,pathology,UniversityofWashington,Seattle,Washington

• Tammy Samuels, MPA,psychiatry,UniversityofColoradoDenver,Aurora,Colorado

• Susan Scott,internalmedicine,KeeslerMedicalCenter,Biloxi,Mississippi

2011 GME Institutional Coordinator Excellence Award (institutional coordinators)

• Pat Chapek,ClevelandClinic,Cleveland,Ohio

2011 David C. Leach Award (residents and resident teams)

• Peter Fleischut, MD,anesthesiology,NewYorkPresbyterianHospital(Cornellcampus),NewYork,NewYork

Team Members:AdamS.Evans,MD,MBA;WilliamC.NugentIII,MD,MBA;SusanL.Faggiani,RN,BA,CPHQ;GregoryE.Kerr,MD,MBA;EliotJ.Lazar,MD,MBA;RichardS.Liebowitz,MD,MHS;LauraForese,MD,MPH

• Jason Itri, MD, PhD,diagnosticradiology,UniversityofPennsylvania,Philadelphia,Pennsylvania

Team Members:SriyeshKrishnan,MD;ChristineKang,MD,PhD;DianeLi,MD;MichaelAbdulhadi,MD

• Andrew Miller, MD,emergencymedicine/internalmedicine,SUNYHealthScienceCenteratBrooklyn,Brooklyn,NY

• Colleen Nugent, MD, MS,pediatrics,UniversityatBuffalo,Buffalo,NewYork

• Rashid M. Rashid, MD, PhD,dermatology,UniversityofTexasHealthScienceCenteratHouston,Houston,Texas,

• Claudia Reardon, MD,psychiatry,UniversityofWisconsin,Madison,Wisconsin

Team Members:DeanKrahn,MD,MS;EricHeiligenstein,MD;KenLoving,MD;DouglasKirk,LCSW;NicholasStanek,MD

Office of Resident Services Assists Residents withConcernsonWorkingEnvironment,DutyHoursand Other Issues

TheACGME’sOfficeofResidentServices(ORS)addressesnon-compliancewithACGMEInstitutionalandProgramRequirementsthroughitscomplaintsandconcernsprocess; the concern process also addresses issues related to graduate medical education and its environment.

Whereas the concern process does not affect accreditation becausetheinformationisnotusedforaccreditationdecisions,thecomplaintprocess,inwhichtheReviewCommitteesconsidercomplaintsandrenderdecisions,may affectaprogramand/orinstitution’saccreditationifeitherorbotharefoundtobenon-compliant with ACGME requirements. While both processes play aroleinqualityimprovementandpatientsafety,theconcernprocess is intended to assist a person feeling distressed and apprehensive in solving problems within the work environment without the threat of disclosure and loss of accreditation.

TheORSreceived43formalcomplaintsand96concernsfromJuly1,2009throughJune30,2010,and35formalcomplaintsand94concernsfromJuly1,2010throughJune30,2011,showing that complaints slightly diminished and concerns remained about the same in the latter year. In order to determine the most frequentareasofnon-compliance,complaintsandconcerns are assigned to the citation database in categories used by the ReviewCommittees.Thedutyhoursandtheworkingenvironmentcategory stands out as the number one area of complaint and concern,andfearofintimidationandretaliation,whichareincludedinthedutyhoursandworkingenvironmentcategory,are also frequently cited. Data from both years show that current and former residents submit complaints and concerns more often thanfacultymembers,familymembers,friends,andpatients.TwoinstitutionswithconcernsalsohadcomplaintswhichtheACGME will continue to monitor in an effort to assist those institutions in creating quality educational programs.

TheORSusestheinformationthatitcollectsforqualityimprovement.Inthenextaccreditationsystem,theORS looks forward to the role it will play in improving program quality,residentwell-being,andpatientsafety.

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Council of Review Committee Residents Elects NewOfficers,StandingCommitteesContinueWork

TheCouncilofReviewCommitteeResidents(CRCR)isanexpertpanelofyoungphysicianswhoindividuallysitononeofthe28Review Committees and collectively advise the ACGME about graduatemedicaleducation,accreditation,andresidentissues.

Thisyear,outgoingChairRupaJ.Dainer,MDandViceChairAdelineDeladisma,MDwererecognizedfortheirservicetoboththeCRCRandtheACGME.ChuckScales,MD,residentmemberoftheReviewCommitteeforUrology,waselectedchair,andJasonItri,MD,PhD,residentmemberoftheReviewCommitteeforDiagnosticRadiology,waselectedvicechair.Both are excited about the opportunity to continue serving the ACGME and the graduate medical education community.

TheCRCRconducteditsfirstorientationfornewmembers.While resident members of Review Committees have always receivedorientationtotheircommitteerolesandresponsibilities,theCRCR,afterreflectionanddiscussion,recognizedtheneedto help these members become familiar with their roles as members of the resident council. Incoming members attended the CRCR’s winter meeting as observers and learned about the CRCR’smission,history,andpurposewithintheACGME.

ThestandingcommitteesoftheCRCRcontinuedtheirworkonACGMEpriorities.TheCRCRLeadershipCommittee,underthedirectionofDr.Itri,isdevelopingaleadershipcurriculumtohelp

Seated, left to right:JordonLubahn,MD;AlexanderKhalessi,MD;NoelJabbour,MD;JasonItri,MD,PhD(ViceChair);QionnaTinneyRailey,MD;ZacharyLopater,MD;KatherineBao-ShianLee,MD;AmarDhand,MD;Second row:ErinGrady,MD;ParisButler,MD;DonaldBuck,MD;DanielBarr,MD;CharlesD.ScalesJr.,MD(Chair);HeatherBrislen,MD;AnnaGaines,MD;KarinHardiman,MD;NastaranSafdarian,MD;Third row:DouglasLynch,MD;CathyLeeMiller,MD;MatthewPatterson,MD; AlikWidge,MD;TimothyDaskivich,MD;JonathanHeidt,MD;EileanMyer,MD;AudreyWoerner,MD;KaylaPope,MD;Not pictured: ChristopherDy,MD;VinaiGondi,MD;TomNguyen,MD;SamuelPeik,MD;AdamRosie,MD

identify,recruit,cultivate,andpromotefutureleadersingraduatemedical education. Many of the committee members attended oneoftheACGME’sLeadershipSkillsTrainingWorkshopsforChiefResidentsinordertoenhancetheirself-awareness,developknowledgeandappreciationofgroupandinterpersonalbehavior,and learn additional personal skills critical to success and satisfaction as both a clinician and leader.

While the Leadership Committee was focused on member development,theEducationCommittee,undertheguidanceofErinGrady,MD,theresidentmemberoftheReviewCommitteeforNuclearMedicine,reviewedpromotionguidelinesfromacademic medical centers across the country in order to better understandthedefinitionofscholarlyactivity.

TheData/InformationTechnologyandCommunicationsCommittees merged and will continue to assist in the redesign of the ACGME website. One goal is to create a short video for residents and fellows about the ACGME’s role in graduate medical education.

Finally,anumberofindividualCRCRmemberscontinueinroleson the specialty Milestone Working Groups.

Lookingtothefuture,theCRCRplanstomatureinitsroleasanadvisory panel to the ACGME. One high priority area will be quality of care and patient safety in the graduate medical education environment. CRCR members will continue outreach to their fellow residents in order to promote better understanding of the ACGME’s role in the lives of residents.

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Department of Field Activities Enhances Resident InputintoAccreditationSiteVisits

TheDepartmentofFieldActivitiescoordinatesallaspectsofapproximately2,000ACGMEaccreditationsitevisits,includingschedulingandlogistics,writingandprocessingofsitevisitreports,andassociatedpolicyandimprovementactivities.Thedepartment is also responsible for the professional development of30accreditationfieldrepresentativesandoverseesthepublication of the Journal of Graduate Medical Education, the ACGME e-Bulletin, and GME Focus,aweb-basedcompendiumof current literature on graduate medical education.

InJuly2011,ACGMEfieldrepresentativesbeganrequestingconsensus lists of residents’ or fellows’ perceptions of program strengthsandopportunitiesforimprovement.Thefieldrepresentative assigned to a site visit requests the list from the programdirectorimmediatelybeforethesitevisit,andusesittosetthestageforresidentinterviewsduringthevisit.Benefitsofusing the consensus list include enhanced insight into residents’ unique perspectives on their programs and the accreditation standards,andresidents’increasedsenseofengagementwiththesitevisit,particularlyinlargeprogramswheremanyresidentsdo not participate in the interview process.

ThefieldrepresentativeshavealsobegunusingtheTracerMethod to:

• enhancereviewofcitations;

• analyzecomplaints;

• assesspotentiallysignificantnon-compliancereportedthroughtheResidentSurvey;and,

• enhancereviewofselectednewstandardsinthe2011Common Program Requirements on duty hours and the learning and working environment.

Inadditiontocoordinatingsitevisits,thedepartmentfacilitatestheongoingprofessionaldevelopmentofACGMEaccreditationfieldrepresentatives through two dedicated professional development meetings,aswellasaprocessofpeerteachingandfeedbackfocused on improving site data collection and the clarity and utility of the information provided in site visit reports.

Site Visits and New Program Applications in 2011

Institutional Reviews

Core Program Site Visits

Subspecialty Program Site Visits

New Program Applications

94

1,005

1,017

262

Specialties,isresponsibleforthecontentofresidencyeducation.Standards are set and the accrediting process ensures the 8,900individualaccreditedprogramsinthecountrymeettheminimalstandardsofcompliance.Thisprocesshasservedthecommunity well over the last several decades. But as a learning organization,weknowwecanimprovetheprocessandalsoberesponsive to calls to reform graduate medical education with the goal of improving care.

Thosewhohavebeeninvolvedingraduatemedicaleducationfor the past 30 years know that much has transformed as a result of changes initiated by the ACGME. Yet we still have a largelyprocess-drivenaccreditationsystem.Therehaslongbeen talk about moving to a system where a program is actually judgedbyitsresultsandnotbyhowmanybooksareinitslibrary.Thecomplexitiesarenotsmallinthisshift,butweareonthebrinkofmovingrapidlyinthedirectionofanoutcomes-basedaccreditationsystem.Inthenextaccreditationsystem,emphasiswill be on continuous assessment of the aggregate progress of residents throughout their programs as they move from novices tomastersintheirdisciplines.Ratherthananevery-five-yearsexerciseinfillingoutthepaperwork,stableprogramswillbeaskedtodoaself-studyevery10years.Periodicvisitstoinstitutions will ensure the learning environment is conducive tosafe,effectivecare.

Thenextaccreditationsystemrepresentsafundamentalchangeinasystemthathasprovendifficulttochange.Itwilltakemanyofusoutofourcomfortzonesanddemandnewskillsofresidents,facultymembers,andadministrators.Thiswillnotbeeasy.Therewillbenosmallamountofcontroversy.Therearelotsofreasonsnottodothis,butmanymorethatcompelustomoveforward.Itisnotaboutus—itisaboutourpatients.

TimothyC.Flynn,MD Chair ACGME Board of Directors

Message from the Chair of the Board of Directors

Learning and adapting are important attributes of successful organizations. Success involves understanding the current strengths and weaknesses of the organization’s activity and reacting to both internal and external forces that come into play.

Health care has always been inthepublicspotlight,buteven more so recently in light

ofthedebateonhowourcountryspendsitsresources.Therearethose,bothoutsideandwithinthefield,whohavecriticizedthe graduate medical education process for not providing physician graduates with what they see as the right portfolio of skills to improve quality and rein in costs. It is postulated that the educationalsystemisthemajordeterminantofhowphysicianswillpracticeaftertheyleavetheirresidencyprograms.Therefore,ensuring that resident physicians have appropriate learning aroundtheso-called“newcompetencies”willtransformthesystem in ways that achieve better quality of care at lower costs. Withinthiscontext,theACGMEhasacriticalroleinsettingthecontent of the residency experience that will lead to a workforce able to effect change.

Although all of us engaged in the daily provision of care to the American people realize the solution to the nation’s problems ofaccess,quality,andcostextendwellbeyondtheresidencyenvironment,thereisvaliditytotheargumentthatgraduatemedical education must be accountable to the needs of the public and responsive to a changing environment. Graduate medicaleducationcertainlyhasitsroletoplay,butitisonly one part of a much larger and exceedingly complex system in need of change.

Havingsaidthat,thegraduatemedicaleducationcommunityshould not shirk from the challenge of improving the health of the American people by improving the skills of our graduates. TheACGME,throughitsReviewCommitteesandinconjunctionwith the specialty boards of the American Board of Medical

The Next Accreditation System will Transform Graduate Medical Education

12

13

ACGME Board of Directors

Seated, left to right: TimothyM.Goldfarb;GeorgeD.WendelJr.,MD,(Chair,CouncilofReviewCommittees);ThomasJ.Nasca,MD,MACP(CEO,ACGME);TimothyC.Flynn,MD,FACS(Chair,BoardofDirectors);BarettaR.Casey,MD,MPH,FAAFP(Chair-Elect,BoardofDirectors);KennethB.Simons,MD;Second Row: Dorothy S. Lane,MD,MPH;HenryD.Schultz,MD,MACP;LouisJ.Ling,MD;PeterF.Rapp(Treasurer);JohnF.Duval;MahendrKochar,MD,MS,MBA;KaylaPope,MD,JD;PaigeAmidon;KathleenKlink,MD(FederalGovernmentRepresentative);CarolAnnBernstein,MD;Third Row:CarolRumack,MD;AjitSachdeva,MD;RogerL.Plummer;MalcolmCox,MD(DepartmentofVeteransAffairsRepresentative);WilliamPinsky,MD;DavidJ.Fine;DebraF.Weinstein,MD;AntonN.Hasso,MD;E.StephenAmisJr.,MD(Chair,CouncilofReviewCommittees);RupaJ.Dainer,MD(Chair,CouncilofReviewCommitteeResidents);WilliamA.McDade,MD,PhD;Not Pictured: David L. Brown,MD;CarmenHookerOdom,MRP;CharlesD.ScalesJr.,MD(Chair,CouncilofReviewCommitteeResidents);RowenK.Zetterman,MD

TheACGMEBoardofDirectorscomprisesfourmembersfromeachoftheACGME’sfivememberorganizations—theAmericanBoardofMedicalSpecialties,theAmericanHospitalAssociation,theAmericanMedicalAssociation,theAssociationofAmericanMedicalColleges,andtheCouncilofMedicalSpecialtySocieties.Thememberorganizationsnominatethedirectors,whoareelectedbytheBoard.TheBoardalsoincludesthechairoftheCouncilofReviewCommittees,thechairoftheCouncilofReviewCommitteeResidents,aresidentappointedbytheAMA’sResidentandFellowSection,threepublicmembers,onetofourdirectors-at-large,andtwonon-votingfederalgovernmentrepresentatives,includingarepresentativeoftheDepartmentofVeteransAffairs.TheACGMEisgratefultotheBoardmembersfortheirservice.

Paige AmidonConsumers UnionNewYork,NewYorkPublic Director

E. Stephen Amis Jr., MDAlbert Einstein College of MedicineBronx,NewYorkChair,CouncilofReviewCommitteesTerm ended June 30, 2011

Carol Ann Bernstein, MDNew York University College of MedicineNewYork,NewYork

David L. Brown, MDCleveland ClinicCleveland,Ohio

Baretta R. Casey, MD, MPH, FAAFPUniversityofKentuckyCollege of MedicineHazard,KentuckyChair-Elect

Malcolm Cox, MDDepartmentofVeteransAffairsWashington,DistrictofColumbiaDepartment of Veterans Affairs representative

Rupa J. Dainer, MDChildren’s National Medical CenterBethesda,MarylandChair, Council of Review Committee ResidentsTerm ended June 30, 2011

John F. DuvalMedicalCollegeofVirginiaHospitalsand ClinicsMidlothian,Virginia

David J. FineSt. Luke’s Episcopal Health SystemHouston,Texas

Timothy C. Flynn, MD, FACSUniversity of Florida College of MedicineGainesville,FloridaChair

Timothy M. GoldfarbShands HealthCareGainesville,Florida

Anton N. Hasso, MDUniversityofCalifornia,IrvineMedical CenterOrange,California

Kathleen Klink, MDFederal Government Representative

Mahendr Kochar, MD, MS, MBA TheMedicalCollegeofWisconsinMilwaukee,WisconsinRetired June 30, 2010

Dorothy S. Lane, MD, MPHStonyBrookUniversity,School of MedicineStonyBrook,NewYork

Louis J. Ling, MDUniversity of Minnesota School of MedicineMinneapolis,Minnesota

William A. McDade, MD, PhDUniversity of Chicago Pritzker School of MedicineChicago,Illinois

Thomas J. Nasca, MD, MACPChiefExecutiveOfficer,ACGMEChicago,IllinoisEx-Officio

Carmen Hooker Odom, MRPNewYork,NewYorkPublic Director

William W. Pinsky, MDOchsner Clinic FoundationNewOrleans,Louisiana

Roger L. PlummerPlummer and AssociatesChicago,IllinoisAt-Large Director

Kayla Pope, MD, JDChildren’s National Medical CenterSilverSpring,Maryland

Peter F. RappOregon Health and Science UniversityPortland,OregonTreasurer

Carol Rumack, MDUniversity of Colorado Denver Health Sciences Center Aurora,Colorado

Ajit Sachdeva, MDAmerican College of SurgeonsChicago,Illinois

Charles D. Scales Jr., MDUniversityofCalifornia,LosAngelesLosAngeles,CaliforniaChair, Council of Review Committee ResidentsTerm began October 1, 2011

Henry J. Schultz, MD, MACPMayo Clinic College of MedicineRochester,Minnesota

Kenneth B. Simons, MDMedical College of WisconsinMilwaukee,Wisconsin

Debra F. Weinstein, MDPartners HealthCare SystemBoston,Massachusetts

George D. Wendel Jr., MDUniversityofTexasSouthwesternMedical CenterDallas,TexasTerm began July 1, 2011

Rowen K. Zetterman, MDCreighton UniversityOmaha,Nebraska

14

Review Committees

Seated, left to right:WallaceCarter,MD;StephenAlbanese,MD;SuzannePowell,MD;NealCohen,MD(ViceChair);GeorgeWendel,MD(Chair);LindaAndrews,MD;PatriciaCrumrine,MD;AnitaGewurz,MD.Second row:TeresaMassagli,MD;W.RobertLee,MD;BradleyMarple,MD;JamesMartin,MD;HuntBatjer,MD;ChristineStock,MD;JosephGilhooly,MD;MiraIrons,MD;DannyTakanishi,MD;MarkJuzych,MD.Third row:BarbaraChang,MD;MichaelCoburn,MD;R.StanleyTaylor,MD;RobertJohnson,MD;JamesHebert,MD;RodRohrich,MD;ChristopherThomas,MD;LawrenceDavis,MD;ChristopherPalestro,MD;SusanMurin,MD.Not pictured: LynneKirk,MD;DavidPeden,MD;DouglasWood,MD

Seated, left to right:GeorgeWendel,MD(Chair);NealCohen,MD(ViceChair).Standing:LindaAndrews,MD;SuzannePowell,MD

Council of Review Committees

TheCouncilofReviewCommittees(CRC)playsanintegralongoingrolewithintheACGME.TheCouncilallowsthechairsofthe28ReviewCommittees,theInstitutionalReviewCommittee(IRC)andtheCouncilofReviewCommitteeResidents,plus a representative from the Organization of Program Director Associations,tocometogethertoevaluateandactuponissuesthatarecommontothem.TheCRCalsoactsasanadvisorygroupfortheACGMEBoardofDirectors.In2011,therewas a renewed deliberate focus to have the CRC directly interact with the Board of Directors and Executive Committee of the ACGME.Thecommitmenttothiscloserelationshipwasbestdemonstrated through the continued presence of several Board membersateachmeetingoftheCRCthispastyear.Thesein-depthconversationscenteredonevaluatingwaystoaddressareas of concern facing the graduate medical education communitytodayandinthefuture.Thepredominantissueforthe CRC was the revision of the common requirements for resident duty hours. Each Review Committee worked diligently toensureeaseofimplementationforitsownspecialty,withsimilargeneralimplicationsbutsomedramaticspecialty-specific

differences.Discussingtheseimplementationissuesasagroup,as well as in collaboration with the Board of Directors and its ExecutiveCommittee,greatlyassistedeachoftheReviewCommitteesintheprocess.TheCRCwillplayapivotalroleintheimplementationoftheACGME’snextaccreditationsystem,and looks forward to the future of graduate medical education.

15

Allergy and Immunology

Colon and Rectal Surgery

Dermatology

Anesthesiology

Emergency Medicine

Internal Medicine

Family Medicine

AmericanAcademyofAllergy,Asthma, and Immunology

AmericanCollegeofAllergy,Asthma, and Immunology

Adult Cardiothoracic AnesthesiologyCritical Care AnesthesiologyHospice and Palliative MedicineObstetric AnesthesiologyPain MedicinePediatric Anesthesiology

American Board of Anesthesiology

American Board of Colon and Rectal SurgeryAmerican College of Surgeons

DermatopathologyProcedural Dermatology

American Board of Dermatology

Emergency Medical ServicesHospice and Palliative MedicineMedicalToxicologyPediatric Emergency MedicineSports MedicineUndersea and Hyperbaric Medicine

American Board of Emergency MedicineAmerican College of Emergency Physicians

Geriatric MedicineHospice and Palliative MedicineSports Medicine

American Board of Family PracticeAmerican Academy of Family Physicians

Advanced Heart Failure and TransplantHepatology

Cardiovascular DiseaseClinical Cardiac ElectrophysiologyCritical Care MedicineEndocrinology,Diabetes,andMetabolismGastroenterologyGeriatric MedicineHematologyHematology and OncologyHospice and Palliative MedicineInfectious DiseaseInternal Medicine–PediatricsInterventional CardiologyNephrologyOncologyPulmonary DiseasePulmonary Disease and Critical Care MedicineRheumatologySleep MedicineTransplantHepatology

American Board of Internal MedicineAmerican College of Physicians

Medical Genetics Medical Biochemical GeneticsMolecular Genetic Pathology

American Board of Medical GeneticsAmerican College of Medical Genetics

Review Committee Specialized Areas Appointing Organizations*

** The American Medical Association’s Council on Medical Education is an appointing organization for all Review Committees except for the Transitional Year Review Committee.

16

Nuclear Medicine

Obstetrics and Gynecology

Orthopaedic Surgery

Ophthalmology

American Board of Nuclear MedicineSociety of Nuclear Medicine

Female Pelvic Medicine and Reconstructive Surgery

Hospice and Palliative Medicine

American Board of Obstetrics and GynecologyAmerican College of Obstetricians

and Gynecologists

Ophthalmic Plastic and Reconstructive Surgery American Board of OphthalmologyAmerican Academy of Ophthalmology

Adult Reconstructive OrthopaedicsFoot and Ankle OrthopaedicsHand SurgeryMusculoskeletal OncologyOrthopaedic Sports MedicineOrthopaedic Surgery of the SpineOrthopaedicTraumaPediatric Orthopaedics

American Board of Orthopaedic SurgeryAmerican Academy of Orthopaedic Surgeons

Pathology — Anatomic and Clinical

BloodBanking/TransfusionMedicineChemical PathologyCytopathologyDermatopathologyForensic PathologyHematologyMedical MicrobiologyMolecular Genetic PathologyNeuropathologyPediatric PathologySelective Pathology

American Board of Pathology

Otolaryngology Otology/NeurotologyPediatric OtolaryngologySleep Medicine

American Board of OtolaryngologyAmerican College of Surgeons

Child NeurologyClinical NeurophysiologyEndovascular Surgical NeuroradiologyHospice and Palliative MedicineNeurodevelopmental DisabilitiesNeuromuscular MedicinePain MedicineSleep MedicineVascularNeurology

American Board of Psychiatry and NeurologyAmerican Academy of Neurology

Neurology

Review Committee Specialized Areas Appointing Organizations*

Neurological Surgery Endovascular Surgical Neuroradiology American Board of Neurological SurgeryAmerican College of Surgeons

** The American Medical Association’s Council on Medical Education is an appointing organization for all Review Committees except for the Transitional Year Review Committee.

17

Review Committee Specialized Areas Appointing Organizations*

Pediatrics Adolescent MedicineChild AbuseDevelopmental and Behavioral PediatricsHospice and Palliative MedicineInternal Medicine–PediatricsNeonatal-PerinatalMedicinePediatric CardiologyPediatric Critical Care MedicinePediatric Emergency MedicinePediatric EndocrinologyPediatric GastroenterologyPediatricHematology/OncologyPediatric Infectious DiseasesPediatric NephrologyPediatric PulmonologyPediatric RheumatologyPediatricTransplantHepatologySleep MedicineSports Medicine

American Board of PediatricsAmerican Academy of Pediatrics

Physical Medicine and Rehabilitation

Hospice and Palliative MedicineNeuromuscular MedicinePain MedicinePediatric Rehabilitation MedicineSpinalCordInjuryMedicineSports Medicine

American Board of Physical Medicine and Rehabilitation

American Academy of Physical Medicine and Rehabilitation

Preventive Medicine

Psychiatry

Plastic Surgery

MedicalToxicologyUndersea and Hyperbaric Medicine

American Board of Preventive Medicine

Addiction PsychiatryChild and Adolescent PsychiatryForensic PsychiatryGeriatric PsychiatryHospice and Palliative MedicinePain MedicinePsychosomatic MedicineSleep Medicine

American Board of Psychiatry and NeurologyAmerican Psychiatric Association

Craniofacial SurgeryHand Surgery

American Board of Plastic SurgeryAmerican College of Surgeons

Diagnostic Radiology Abdominal RadiologyCardiothoracic RadiologyEndovascular Surgical NeuroradiologyMusculoskeletal RadiologyNeuroradiologyNuclear RadiologyPediatric RadiologyVascularandInterventionalRadiology

American Board of RadiologyAmerican College of Radiology

** The American Medical Association’s Council on Medical Education is an appointing organization for all Review Committees except for the Transitional Year Review Committee.

18

Review Committee Specialized Areas Appointing Organizations*

Radiation Oncology Hospice and Palliative Medicine American Board of RadiologyAmerican College of Radiology

Thoracic Surgery Congenital Cardiac Care AmericanBoardofThoracicSurgeryAmerican College of Surgeons

Urology Female Pelvic Medicine and Reconstructive Surgery

Pediatric Urology

American Board of UrologyAmerican College of Surgeons

Transitional Year Members appointed by ACGME Board of Directors

Surgery Advanced Surgical OncologyHand SurgeryHospice and Palliative MedicinePediatric SurgerySurgical Critical CareVascularSurgery

American Board of SurgeryAmerican College of Surgeons

** The American Medical Association’s Council on Medical Education is an appointing organization for all Review Committees except for the Transitional Year Review Committee.

19

Review Committee Members

Allergy and Immunology

William Kennedy Dolen, MDMedical College of GeorgiaAugusta,GeorgiaTerm began July 1, 2011

Marianne Frieri, MD, PhDNassau University Medical CenterNewYork,NewYork

Anita T. Gewurz, MDRush Medical CollegeRush UniversityChicago,Illinois

David P. Huston, MDTexasA&MHealthScienceCenterHouston,Texas

Dennis K. Ledford, MDUniversity of South Florida College of Medicine Tampa,FloridaVice Chair

Bryan L. Martin, DOOhio State UniversityColumbus,OhioChairTerm ended June 30, 2011

Michael R. Nelson, MDWalter Reed Army Medical CenterWashington,DistrictofColumbia

David B. Peden, MDTheUniversityofNorthCarolinaSchool of MedicineChapelHill,NorthCarolinaChairTerm began July 1, 2011Vice ChairTerm ended June 30, 2011

Jay M. Portnoy, MDChildren’s Mercy HospitalKansasCity,Missouri

Nastaran Safdarian, MDUniversity of MichiganAnnArbor,MichiganResident

Stephen I. Wasserman, MDAmerican Board of Allergy and ImmunologyLaJolla,CaliforniaEx-Officio

Anesthesiology

J. Jeffrey Andrews, MDAmerican Board of AnesthesiologyRaleigh,NorthCarolinaEx-Officio

Neal H. Cohen, MD UCSF School of MedicineSanFrancisco,CaliforniaChair

Douglas Baird Coursin, MDUniversity of WisconsinMadison,Wisconsin

Deborah J. Culley, MDBrigham and Women’s HospitalBoston,Massachusetts

Brenda G. Fahy, MDUniversity of FloridaGainesville,Florida

Jeffrey R. Kirsch, MDOregonHealth&ScienceUniversityPortland,OregonTerm ended June 30, 2011

Rita M. Patel, MDUniversity of Pittsburgh Medical CenterPittsburgh,Pennsylvania

Matthew E. Patterson, MDOchsner Health SystemNewOrleans,LouisianaResident

James Ramsay, MDEmory University School of MedicineAtlanta,GeorgiaTerm began July 1, 2011

James P. Rathmell, MDMassachusetts General HospitalBoston,MassachusettsVice Chair

Margaret Wood, MDColumbia UniversityNewYork,NewYork

Colon and Rectal Surgery

Patrice Blair, MPHAmerican College of SurgeonsChicago,IllinoisEx-Officio

Eric J. Dozois, MDMayo ClinicRochester,Minnesota

Karin M. Hardiman, MD, PhDOregonHealth&ScienceUniversityPortland,OregonResident

Bruce A. Orkin, MDTuftsMedicalCenterBoston,MassachusettsVice Chair

David J. Schoetz Jr., MDAmerican Board of Colon and Rectal SurgeryTaylor,MichiganEx-Officio

Anthony J. Senagore, MDUniversity of Southern CaliforniaLosAngeles,CaliforniaTerm began July 1, 2011

Clifford L. Simmang, MDTexasColon&RectalSurgeonsCoppell,TexasTerm ended June 30, 2011

Michael J. Stamos, MDUniversityofCalifornia,IrvineSchool of MedicineIrvine,California

Eric G. Weiss, MDCleveland Clinic FloridaWeston,FloridaChair

Charles B. Whitlow, MDOchsner Medical CenterNewOrleans,LouisianaTerm began July 1, 2011

W. Douglas Wong, MDMemorialSloanKettering Cancer CenterNewYork,NewYorkTerm ended February 15, 2011

Dermatology

Terry L. Barrett, MD UniversityofTexasSouthwesternMedical CenterDallas,TexasTerm ended June 30, 2011

Antoinette F. Hood, MDAmerican Board of DermatologyNorfolk,VirginiaEx-Officio

Maria K. Hordinsky, MDUniversity of MinnesotaMinneapolis,MinnesotaVice Chair

William Huang, MDRush University Medical CenterChicago,IllinoisResidentTerm ended June 30, 2011

Katherine Bao-Shian Lee, MDIndiana UniversityIndianapolis,IndianaResidentTerm began July 1, 2011

Ronald L. Moy, MDUCLA Medical CenterLosAngeles,California

Nicole M. Owens, MDWilford Hall Medical CenterLacklandAirForceBase,TexasChairTerm began November 1, 2011

Amy Susan Paller, MDNorthwestern University Feinberg School of MedicineChicago,Illinois

James W. Patterson, MDUniversityofVirginiaHealthSystemCharlottesville,Virginia

Mary Stone, MDUniversity of Iowa Carver College of MedicineIowaCity,IowaTerm began July 1, 2011

R. Stan Taylor III, MDUniversityofTexasSouthwesternMedical CenterDallas,TexasChairTerm ended October 31, 2011

Colonel George W. Turiansky, MDNational Capital ConsortiumWashington,DistrictofColumbia

Emergency Medicine

Michael Beeson, MDAkron General Medical CenterAkron,OhioVice ChairTerm began July 1, 2011

Wallace Carter, MDNewYork-PresbyterianHospitalNewYork,NewYorkChair Term began July 1, 2011Vice Chair Term ended June 30, 2011

Marjorie Geist, PhDAmerican College of Emergency PhysiciansIrving,TexasEx-Officio

Jeffrey Graff, MDUniversity of Chicago Medical CenterChicago,Illinois

Jonathan W. Heidt, MDWashington UniversitySt.Louis,MissouriResidentTerm began July 1, 2011

Mark Hostetler, MDPhoenix Children’s HospitalPhoenix,Arizona

Samuel M. Keim, MDUniversity of Arizona College of MedicineTucson,Arizona

Robert Muelleman, MDUniversity of Nebraska Medical CenterOmaha,NebraskaChair Term ended June 30, 2011

Susan Promes, MDUCSF Medical CenterSanFrancisco,California

20

Earl J. Reisdorff, MDAmerican Board of Emergency MedicineEastLansing,MichiganEx-Officio

Christine Sullivan, MDTrumanMedicalCenterKansasCity,MissouriTerm began July 1, 2011

Stephen S. Tantama, MDNaval Medical CenterSanDiego,CaliforniaResidentTerm ended June 30, 2011

Victoria Thornton, MDDurham,NorthCarolina

Suzanne R. White, MDWayne State University School of MedicineDetroit,Michigan

Family Medicine

Suzanne M. Allen, MDUniversity of Washington School of MedicineBoise,Idaho

Peter J. Carek, MD, MSMedical University of South CarolinaCharleston,SouthCarolinaCo-Vice Chair

Colleen Conry, MDUniversity of Colorado School of MedicineAurora,ColoradoCo-Vice Chair

Stanley M. Kozakowski, MD, FAAFPAmerican Academy of Family PhysiciansLeawood,KansasEx-OfficioTerm began September 29, 2011

Michael K. Magill, MDUniversity of Utah School of MedicineSaltLakeCity,Utah

James Martin, MDChristus Santa Rosa HospitalSanAntonio,TexasChair

Richard Neill, MDUniversity of Pennsylvania Health SystemPhiladelphia,Pennsylvania

James Puffer, MDAmerican Board of Family MedicineLexington,KentuckyEx-Officio

John Fitzgibbons, MDStamford,Connecticut

John G. Frohna, MDUniversity of WisconsinMadison,WisconsinTerm ended June 30, 2011

Andrew S. Gersoff, MDSanta Barbara Cottage HospitalSantaBarbara,California

Sara J. Grethlein, MDSUNY Upstate Medical UniversitySyracuse,NewYorkTerm ended March 30, 2011

William Iobst, MDAmerican Board of Internal MedicinePhiladelphia,PennsylvaniaEx-Officio

Lynne Kirk, MDUniversityofTexasSouthwesternMedical CenterDallas,TexasInterim Chair Term began September 26, 2011Vice Chair Term ended September 25, 2011

Betty Lo, MDLSU Health Sciences CenterNewOrleans,LouisianaTerm began July 1, 2011

Furman S. McDonald, MDMayo ClinicRochester,MinnesotaTerm began July 1, 2011

Susan Murin, MDUniversityofCalifornia,DavisSchoolof MedicineSacramento,California

Victor J. Navarro, MDThomasJeffersonUniversityPhiladelphia,Pennsylvania

Stuart F. Quan, MDHarvard Medical SchoolBoston,MassachusettsTerm ended June 30, 2011

Andrea Reid, MDWashingtonVeteransAffairs Medical CenterWashington,DistrictofColumbia

Eileen Reynolds, MDBeth Israel Deaconess Medical CenterBoston,MassachusettsVice ChairTerm ended June 30, 2011

Paul H. Rockey, MD American Medical AssociationChicago,IllinoisEx-Officio

Ilene M. Rosen, MDUniversity of PennsylvaniaPhiladelphia,Pennsylvania

Stephen M. Salerno, MD, MPHMadigan Army Medical CenterTacoma,Washington

Jennifer C. Thompson, MDSan Antonio Uniformed ServicesBrooke Army Medical CenterFortSamHouston,Texas

Medical Genetics

Hans Christoph Andersson, MDTulaneUniversityMedicalSchoolNewOrleans,LouisianaTerm began July 1, 2011

Mimi G. Blitzer, PhD, FFACMGAmerican Board of Medical GeneticsBethesda,MarylandEx-Officio

Susan J. Gross, MDAlbert Einstein College of MedicineBronx,NewYorkVice Chair Term ended June 30, 2011

Mira B. Irons, MD Children’s HospitalBoston,MassachusettsChair

Bruce R. Korf, MD, PhDUniversity of Alabama Birmingham,AlabamaTerm ended June 30, 2011

Shawn E. McCandless, MDUniversity Hospitals Case Western Reserve UniversityCleveland,OhioTerm began July 1, 2011

Cynthia M. Powell, MDUniversity of North Carolina ChapelHill,NorthCarolina

Nathaniel H. Robin, MDUniversity of Alabama Birmingham,AlabamaTerm ended June 30, 2011

V. Reid Sutton, MDBaylor College of MedicineHouston,TexasVice Chair Term began July 1, 2011

Audrey C. Woerner, MDChildren’s Hospital BostonBoston,MassachusettsResident

Neurological Surgery

H. Hunt Batjer, MD, FACSNorthwestern University Feinberg School of MedicineChicago,IllinoisChair Term began July 1, 2011

Perry A. Pugno, MDAmerican Academy of Family PhysiciansLeawood,KansasEx-OfficioTerm ended September 28, 2011

Adam Roise, MDNortheast Iowa Medical Education FoundationWaterloo,IowaResident

Thomas C. Rosenthal, MDState University of New York at BuffaloBuffalo,NewYork

Penelope K. Tippy, MDSouthern Illinois UniversityCarbondale,Illinois

Robin O. Winter, MDJFKMedicalCenterEdison,NewJersey

Internal Medicine

Patrick Alguire, MD, FACPAmerican College of PhysiciansPhiladelphia,PennsylvaniaEx-Officio

James A. Arrighi, MDRhode Island HospitalBrown UniversityProvidence,RhodeIsland

Beverly M.K. Biller, MDMassachusetts General HospitalBoston,Massachusetts

Dennis Boulware, MDHawaii Permanente Medical GroupHonolulu,HawaiiChairTerm ended September 26, 2011

Heather C. Brislen, MDUniversity of New MexicoAlbuquerque,NewMexicoResident

Steffanie R. Campbell, MDIndiana University School of MedicineIndianapolis,IndianaResidentTerm ended June 30, 2011

Andres F. Carrion, MDUniversity of MiamiMiami,FloridaResidentTerm began July 1, 2011

E. Benjamin Clyburn, MDMedical University of South CarolinaCharleston,SouthCarolina

John D. Fisher, MDAlbert Einstein College of MedicineBronx,NewYork

21

Patrice Blair, MPHAmerican College of SurgeonsChicago,IllinoisEx-Officio

Kim J. Burchiel, MDOregonHealth&ScienceUniversityPortland,OregonVice Chair Term began July 1, 2011

Ralph G. Dacey Jr., MD, FACSWashington University School of MedicineSt.Louis,MissouriChair Term ended June 30, 2011

Arthur L. Day, MDUniversityofTexasMedicalSchoolat HoustonHouston,TexasTerm ended June 30, 2011

Alexander A. Khalessi, MDUniversity of Southern CaliforniaLosAngeles,CaliforniaResident

Fredric Meyer, MDAmerican Board of Neurological SurgeryHouston,TexasEx-Officio

Nelson M. Oyesiku, MDEmory University School of MedicineAtlanta,GeorgiaTerm began July 1, 2011

A. John Popp, MDBrigham and Women’s HospitalBoston,MassachusettsVice ChairTerm ended June 30, 2011

Volker K. H. Sonntag, MDBarrow Neurological InstitutePhoenix,Arizona

Neurology

Imran I. Ali, MDUniversityofToledoCollege of MedicineToledo,OhioTerm began July 1, 2011

Terrence L. Cascino, MDMayo ClinicRochester,MinnesotaTerm ended June 30, 2011

Patricia Crumrine, MDChildren’s Hospital of PittsburghPittsburgh,PennsylvaniaChair Term began July 1, 2011Vice ChairTerm ended June 30, 2011

Amar Dhand, MD, DPhilUniversityofCalifornia,SanFranciscoSanFrancisco,CaliforniaResidentTerm began July 1, 2011

John W. Engstrom, MDUniversity of California San FranciscoSanFrancisco,CaliforniaChairTerm ended June 30, 2011

Larry Faulkner, MDAmerican Board of Psychiatry and NeurologyBuffaloGrove,IllinoisEx-Officio

Ralph F. Jozefowicz, MDUniversity of RochesterRochester,NewYork

Shannon M. Kilgore, MDVAPaloAltoHealthCareSystemPaloAlto,California

Brett Kissela, MDUniversity of CincinnatiCincinnati,Ohio

Steven L. Lewis, MDRush University Medical CenterChicago,IllinoisVice ChairBegan July 1, 2011

Phillip L. Pearl, MDChildren’s National Medical CenterWashington,DistrictofColumbia

Meridith Runke, MDIndiana University Medical CenterIndianapolis,IndianaResidentTerm ended June 30, 2011

Catherine Rydell, CAEAmerican Academy of NeurologySt.Paul,MinnesotaEx-Officio

Lori A. Schuh, MDHenry Ford HospitalDetroit,Michigan

Barney J. Stern, MDUniversity of Maryland School of MedicineBaltimore,MarylandTerm began July 1, 2011

Nuclear Medicine

Lorraine M. Fig, MDUniversity of MichiganAnnArbor,Michigan

Leonie Gordon, MDMedical University of South CarolinaCharleston,SouthCarolinaVice Chair

Rebecca P. McAlister, MDWashington University School of MedicineSt.Louis,MissouriVice Chair

Eilean Myer, MDMayo School of Graduate Medical EducationRochester,MinnesotaResident

Andrew Satin, MDJohnsHopkinsBayviewMedical CenterBaltimore,MarylandTerm ended June 30, 2011

Robert S. Schenken, MDUniversityofTexasHealthScienceCenter at San AntonioSanAntonio,Texas

Roger P. Smith, MDUniversityofMissouri-KansasCityTrumanMedicalCenterKansasCity,Missouri

Cyril O. Spann Jr., MD, MPHEmory HospitalAtlanta,Georgia

Ronald Strickler, MDHenry Ford HospitalDetroit,MichiganTerm ended June 30, 2011

Patrice M. Weiss, MDVirginiaTechCarilionSchool of MedicineRoanoke,Virginia

George D. Wendel Jr., MDUniversityofTexasSouthwesternMedical SchoolDallas,TexasChair

Carolyn L. Westhoff, MDColumbia University Medical CenterNewYork,NewYork

Ophthalmology

Maria M. Aaron, MD, FACSEmory University School of MedicineAtlanta,GeorgiaVice Chair

Anthony C. Arnold, MDJulesSteinEyeInstitute,UCLALosAngeles,California

John G. Clarkson, MDAmerican Board of OphthalmologyBalaCynwyd,PennsylvaniaEx-Officio

Claude L. Cowan, MDVeteransAffairsMedicalCenterWashington,DistrictofColumbiaTerm began July 1, 2011

Erin Cook Grady, MDLoyola University Medical CenterMaywood,IllinoisResident

Christopher J. Palestro, MDNorthShore–LongIslandJewishHealth SystemNewHydePark,NewYorkChair

J. Anthony Parker, MDBeth Israel Deaconess Medical CenterBoston,MassachusettsTerm ended November 30, 2011

Donald A. Podoloff, MDUniversityofTexasHouston,TexasTerm ended August 31, 2011

Harvey Ziessman, MDJohnsHopkinsUniversitySchool of MedicineBaltimore,Maryland

Obstetrics and Gynecology

Jessica L. Bienstock, MD, MPHJohnsHopkinsUniversitySchool of MedicineBaltimore,MarylandTerm began July 1, 2011

Mary C. Ciotti, MDUC Davis Health SystemSacramento,California

Dee Fenner, MDUniversity of MichiganAnnArbor,Michigan

Larry C. Gilstrap III, MDTheAmericanBoardofObstetricsand GynecologyDallas,TexasEx-Officio

Ralph Hale, MDAmerican College of Obstetricians and GynecologistsWashington,DistrictofColumbiaEx-OfficioRetired May 1, 2011

Diane M. Hartmann, MDUniversity of Rochester Strong Memorial HospitalRochester,NewYork

Hal C. Lawrence, MDAmerican College of Obstetricians and GynecologyWashington,DistrictofColumbiaTerm began July 1, 2011

Lee A. Learman, MD, PhDIndiana University School of MedicineIndianapolis,IndianaTerm began July 1, 2011

22

Mark S. Juzych, MDKresgeEyeInstituteWayne State UniversityDetroit,MichiganChair

Paul D. Langer, MDUMDNJ–NewJerseyMedicalSchoolNewark,NewJersey

Andrew Lee, MDTheMethodistHospitalHouston,Texas

Jordon G. Lubahn, MDUniversityofTexasSouthwesternMedical CenterDallas,TexasResident

James C. Orcutt, MDVAPugetSoundHealthCareSystemSeattle,WashingtonTerm ended June 30, 2011

Howard D. Pomeranz, MD, PhDLongIslandJewishMedicalCenterGreatNeck,NewYork

Joel S. Schuman, MDUniversity of PittsburghPittsburgh,Pennsylvania

R. Michael Siatkowski, MDUniversity of OklahomaOklahomaCity,Oklahoma

Orthopaedic Surgery

Stephen A. Albanese, MDSUNY Upstate Medical CenterSyracuse,NewYorkChair

R. Dale Blasier, MD, FRCS(C), MBAUniversity of Arkansas for Medical SciencesLittleRock,ArkansasTerm began July 1, 2011

Thomas James Christensen, MDUniversity of Utah Orthopaedic CenterSaltLakeCity,UtahResidentTerm ended June 30, 2011

Christopher J. Dy, MDHospital for Special SurgeryNewYork,NewYorkResidentTerm began July 1, 2011

Shepard R. Hurwitz, MDAmerican Board of Orthopaedic SurgeryChapelHill,NorthCarolinaEx-Officio

Michelle A. James, MDShriner’s Hospital for ChildrenSacramento,CaliforniaVice ChairTerm began July 1, 2011

David M. Lichtman, MDJohnPeterSmithHospitalFortWorth,TexasTerm ended June 30, 2011

J. Lawrence Marsh, MDUniversity of Iowa HospitalsIowaCity,Iowa

Terrance D. Peabody, MD University of ChicagoChicago,IllinoisVice ChairTerm ended June 30, 2011

Vincent D. Pellegrini Jr., MDUniversity of Maryland School of MedicineBaltimore,Maryland

Craig S. Roberts, MDUniversity of LouisvilleLouisville,Kentucky

Lisa A. Taitsman, MD, MPHUniversity of WashingtonSeattle,Washington

Terry L. Thompson, MDHoward University HospitalWashington,DistrictofColumbia

Otolaryngology

Gerald S. Berke, MDUniversityofCalifornia,LosAngelesLosAngeles,California

Patrice Blair, MPH American College of SurgeonsChicago,IllinoisEx-Officio

Sukgi S. Choi, MDChildren’s National Medical CenterWashington,DistrictofColumbiaTerm began July 1, 2011

Michael J. Cunningham, MD, FACSMassachusetts Eye and Ear AssociatesBoston,Massachusetts

David W. Eisele, MDUniversity of California Medical CenterSanFrancisco,CaliforniaTerm ended June 30, 2011

Noel JabbourUniversity of MinnesotaMinneapolis,MinnesotaResident

Bradley F. Marple, MDUniversityofTexasSouthwesternMedical CenterDallas,TexasChair

Robert H. Miller, MD, MBA American Board of OtolaryngologyHouston,TexasEx-Officio

Lloyd B. Minor, MDJohnsHopkinsUniversitySchool of MedicineBaltimore,Maryland

Richard T. Miyamoto, MD, MSClarian Indiana University HospitalIndianapolis,IndianaTerm ended June 30, 2011

Stephen S. Park, MDUniversityofVirginiaHealthSystemCharlottesville,VirginiaVice Chair

Terance T. Tsue, MDUniversityofKansasSchool of MedicineKansasCity,Kansas

Randal S. Weber, MDUniversityofTexasMDAndersonCancer CenterHouston,Texas

D. Bradley Welling, MDOhio State University Eye and Ear InstituteColumbus,OhioTerm began July 1, 2011

Pathology

Betsy D. Bennett, MD, PhDAmerican Board of PathologyTampa,FloridaEx-Officio

Mark D. Brissette, MDDenver,ColoradoVice ChairTerm ended June 30, 2011

Diane D. Davey, MDUniversity of Central Florida College of MedicineOrlando,Florida

Susan Adela Fuhrman, MDRiverside Methodist HospitalColumbus,OhioTerm began July 1, 2011

Julia C. Iezzoni, MDUniversityofVirginiaHealthSystemCharlottesville,Virginia

Patrick E. Lantz, MDWake Forest University Winston-Salem,NorthCarolina

Douglas W. Lynch, MDSanford School of MedicineUniversity of South DakotaSiouxFalls,SouthDakotaTerm began July 1, 2011

Wesley Y. Naritoku, MD, PhDLosAngelesCounty/ USC Medical CenterLosAngeles,CaliforniaVice Chair Term began July 1, 2011

Suzanne Z. Powell, MDTheMethodistHospitalHouston,TexasChair

Gary W. Procop, MDCleveland ClinicCleveland,Ohio

Michael Garrett Swaby, MDUniversityofTexas Health Science CenterHouston,TexasResidentTerm ended June 30, 2011

Pediatrics

Robert Adler, MD, MSEdChildren’s HospitalLosAngeles,California

William F. Balistreri, MDCincinnati Children’s Hospital Medical CenterCincinnati,Ohio

Jerri Curtis, MDUniformed Services University of the Health SciencesBethesda,Maryland

Thomas DeWitt, MDCincinnati Children’s Hospital Medical CenterCincinnati,Ohio

J. Carlton Gartner, MDA. I. DuPont Hospital for ChildrenWilmington,Delaware

Joseph Gilhooly, MDOregonHealth&ScienceUniversityPortland,OregonChairTerm began July 1, 2011

David Jaffe, MDWashington UniversitySt.Louis,MissouriTerm began July 1, 2011

Deepak M. Kamat, MDChildren’s Hospital of MichiganDetroit,MichiganTerm began July 1, 2011

Stephen Ludwig, MDChildren’s Hospital of PhiladelphiaPhiladelphia,PennsylvaniaChairTerm ended June 30, 2011

Gail A. McGuinness, MDAmerican Board of PediatricsChapelHill,NorthCarolinaEx-Officio

Julia McMillan, MDJohnsHopkinsUniversitySchool of MedicineBaltimore,MarylandVice Chair

23

Cathy An-ping Lee Miller, MDUniversity of WisconsinMadison,WisconsinResidentTerm began July 1, 2011

Robert Perelman, MD, FAAPAmerican Academy of PediatricsElkGroveVillage,IllinoisEx-Officio

Meredith Riebschleger, MDUniversity of Michigan Medical CenterAnnArbor,MichiganResidentTerm ended June 30, 2011

R. Franklin Trimm, MDUniversity of South Alabama College of MedicineMobile,Alabama

Daniel C. West, MD, MPHUniversityofCalifornia,SanFranciscoSanFrancisco,California

Modena Wilson, MDAmerican Medical AssociationChicago,IllinoisEx-Officio

Yolanda Wimberly, MD, MSMorehouse School of MedicineAtlanta,Georgia

Edwin L. Zalneraitis, MDConnecticut Children’s Medical CenterHartford,ConnecticutTerm ended June 30, 2011

Physical Medicine and Rehabilitation

Diana D. Cardenas, MDUniversity of MiamiMiami,Florida

Anthony E. Chiodo, MDUniversity of MichiganAnnArbor,Michigan

Gerard E. Francisco, MDUniversityofTexasHealthScienceCenter at HoustonHouston,Texas

Anna K. Gaines, MDUniversity of Pittsburgh Medical CenterPittsburgh,PennsylvaniaResident

Gail L. Gamble, MDRehabilitation Institute of ChicagoChicago,IllinoisVice Chair

Teresa L. Massagli, MDUniversity of Washington Medical CenterSeattle,WashingtonChair

William F. Micheo, MDUniversity of Puerto Rico School of MedicineSanJuan,PuertoRico

Tom Stautzenbach, CAEAmerican Academy of Physical Medicine and RehabilitationRochester,MinnesotaEx-Officio

Anthony M. Tarvestad, JDAmerican Board of Physical Medicine and RehabilitationRochester,MinnesotaEx-Officio

Plastic Surgery

Patrice Blair, MPHAmerican College of SurgeonsChicago,IllinoisEx-Officio

Gregory Borah, MDUMDNJ-RobertWoodJohnsonMedical SchoolNewBrunswick,NewJerseyVice ChairTerm ended June 30, 2011

Donald William Buck, MDNorthwestern University Feinberg School of MedicineChicago,IllinoisResidentTerm began July 1, 2011

James Chang, MDStanford University Medical CenterPaloAlto,California

Kevin C. Chung, MDUniversity of MichiganAnnArbor,MichiganTerm began July 1, 2011

Juliana E. Hansen, MDOregonHealth&ScienceUniversityPortland,OregonTerm began July 1, 2011

Robert J. Havlik, MDIndiana University School of MedicineIndianapolis,IndianaChair Term ended June 30, 2011

Jeffrey H. Kozlow, MDUniversity of MichiganAnnArbor,MichiganResidentTerm ended June 30, 2011

David L. Larson, MDMedical College of WisconsinMilwaukee,Wisconsin

Donald R. Mackay, MDPenn State University Milton S. Hershey Medical CenterHershey,Pennsylvania

Mary H. McGrath, MDUniversityofCalifornia,SanFranciscoSanFrancisco,CaliforniaVice Chair

R. Barrett Noone, MDAmerican Board of Plastic SurgeryPhiladelphia,PennsylvaniaEx-Officio

Rod J. Rohrich, MDUniversityofTexasSouthwesternMedical CenterDallas,TexasChair

Thomas Ray Stevenson, MDUniversityofCalifornia,DavisSacramento,CaliforniaTerm ended June 30, 2011

Nicholas B. Vedder, MDUniversity of WashingtonSeattle,Washington

Robert A. Weber, MDTexasA&MHealthScienceCenterCollegeStation,TexasTerm began July 1, 2011

Preventive Medicine

Miriam Alexander, MD, MPHJohnsHopkinsBloombergSchool of Public HealthBaltimore,Maryland

Sara Brenner, MDUniversity at Albany State University of New YorkAlbany College of Nanoscale Science&EngineeringAlbany,NewYorkResidentTerm ended June 30, 2011

William W. Greaves, MD, MSPH Medical College of WisconsinMilwaukee,WisconsinTerm ended June 30, 2011

Kurt Timothy Hegmann, MDUniversity of UtahSaltLakeCity,UtahTerm began July 1, 2011

Richard T. Jennings, MD, MSUniversityofTexasMedicalBranchat GalvestonGalveston,Texas

Robert Johnson, MD, MPH, MBACivil Aerospace Medical InstituteOklahomaCity,OklahomaChairTerm began July 1, 2011

Timothy J. Key, MD, MPHOccupational Health SolutionsBirmingham,AlabamaChairTerm ended June 30, 2011

Glenn Merchant, MD, MPH&TMAmerican Board of Preventive MedicineHouston,TexasEx-Officio

Samuel M. Peik, MDWalter Reed Army Institute of ResearchSilverSpring,MarylandResidentTerm began July 1, 2011

Clyde B. Schechter, MD, MAAlbert Einstein College of MedicineBronx,NewYorkTerm ended June 30, 2011

Gail M. Stennies, MD, MPHCenters for Disease Control and PreventionAtlanta,GeorgiaVice Chair

Andrew R. Wiesen, MD, MPHMadigan Army Medical CenterFortLewis,Washington

Psychiatry

Elizabeth L. Auchincloss, MDWeill Cornell Medical CollegeNewYork,NewYork

Jonathan F. Borus, MDBrigham and Women’s HospitalBoston,Massachusetts

Carlyle H. Chan, MDMedical College of WisconsinMilwaukee,Wisconsin

Steven P. Cuffe, MDUniversity of Florida College ofMedicine–JacksonvilleJacksonville,Florida

Mina Dulcan, MDChildren’s Memorial HospitalChicago,Illinois

Larry Faulkner, MDAmerican Board of Psychiatry and NeurologyBuffaloGrove,IllinoisEx-Officio

Marshall Forstein, MDHarvard Medical SchoolCambridge,Massachusetts

Deborah J. Hales, MDAmerican Psychiatric AssociationArlington,VirginiaEx-Officio

James J. Hudziak, MDUniversityofVermontCollege of MedicineBurlington,VermontVice ChairTerm ended June 30, 2011

24

Gail H. Manos, MDNaval Medical CenterPortsmouth,Virginia

Carla B. Marienfeld, MDYale University School of MedicineNewHaven,ConnecticutResidentTerm ended June 30, 2011

Burton V. Reifler, MDWake Forest University School of MedicineWinston-Salem,NorthCarolina

Victor I. Reus, MDUniversity of California School of MedicineSanFrancisco,CaliforniaChairTerm ended June 30, 2011

Robert J. Ronis, MDUniversity Hospitals Case Medical CenterCleveland,OhioTerm began July 1, 2011

Donald E. Rosen, MDAusten Riggs CenterStockbridge,MassachusettsVice ChairTerm began July 1, 2011

Cynthia W. Santos, MDUniversityofTexas Health Sciences CenterHouston,Texas

Mark Servis, MDUC Davis School of MedicineSacramento,California

Dorothy E. Stubbe, MDYale University Child Study CenterNewHaven,ConnecticutTerm began July 1, 2011

Christopher R. Thomas, MDUniversityofTexasMedicalBranchat GalvestonGalveston,TexasChairTerm began July 1, 2011

Michael J. Vergare, MDJeffersonMedicalCollegePhiladelphia,Pennsylvania

Alik Sunil Widge, MD, PhDUniversity of WashingtonSeattle,WashingtonResidentTerm began July 1, 2011

Diagnostic Radiology

E. Stephen Amis Jr., MDAlbertEinsteinCollegeofMedicine/MontefioreMedicalCenterBronx,NewYorkChairTern ended June 30, 2011

Stephen R. Baker, MDUMDNJ–NewJerseyMedicalSchoolNewark,NewJersey

Daniel Coke Barr, MDUniversity of MichiganAnnArbor,MichiganResidentTerm began July 1, 2011

Gary Becker, MDAmerican Board of RadiologyTucson,ArizonaEx-Officio

Thomas H. Berquist, MDMayo ClinicJacksonville,FloridaVice ChairTerm began July 1, 2011

Jannette Collins, MDUniversity of Cincinnati College of MedicineCincinnati,OhioTerm ended June 30, 2011

Lawrence P. Davis, MD, FACRLongIslandJewishMedicalCenterNewHydePark,NewYorkChairTerm began July 1, 2011

Jason N. Itri, MD, PhDUniversity of Pennsylvania HospitalCherryHill,NewJerseyResidentTerm ended June 30, 2011

Valerie P. Jackson, MDIndiana University School of MedicineIndianapolis,Indiana

Susan D. John, MDUniversityofTexasMedicalSchoolat HoustonHouston,TexasTerm began July 1, 2011

Jeanne M. LaBerge, MDUniversityofCalifornia,SanFranciscoSanFrancisco,CaliforniaTerm began July 1, 2011

Duane G. Mezwa, MDOakland University William Beaumont HospitalsRoyalOak,MichiganTerm began July 1, 2011

Gautham P. Reddy, MDUniversity of WashingtonSeattle,WashingtonTerm began July 1, 2011

Anne C. Roberts, MDUC San Diego Medical CenterThorntonHospitalLaJolla,CaliforniaVice ChairTerm ended June 30, 2011

Robert D. Zimmerman, MD New York Presbyterian HospitalNewYork,NewYork

Radiation Oncology

Robert J. Amdur, MDUniversity of FloridaGainesville,FloridaTerm began July 1, 2011

Beth A. Erickson, MDMedical College of WisconsinMilwaukee,WisconsinTerm ended June 30, 2011

Laurie E. Gaspar, MD, MBAUniversity of Colorado–DenverAurora,ColoradoVice Chair

Vinai Gondi, MDUniversity of Wisconsin Hospital and ClinicsMadison,WisconsinResident

Katherine L. Griem, MDRush University Medical CenterChicago,Illinois

W. Robert Lee, MD, MSDuke University School of MedicineDurham,NorthCarolinaChair

Dennis Charles Shrieve, MDUniversity of UtahSaltLakeCity,Utah

Paul E. Wallner, DOAmerican Board of RadiologyTucson,ArizonaEx-Officio

Lynn D. Wilson, MD, MPHYale University School of MedicineNewHaven,Connecticut

Surgery

John Armstrong, MDUniversity of South FloridaTampa,FloridaTerm began July 1, 2011

Timothy R. Billiar, MDPresbyterian University HospitalPittsburgh,Pennsylvania

Patrice Blair, MPHAmerican College of SurgeonsChicago,IllinoisEx-Officio

Paris D. Butler, MDUniversityofVirginiaHealthSystemCharlottesville,VirginiaResident

G. Patrick Clagett, MDUniversityofTexasSouthwesternMedical CenterDallas,TexasTerm ended June 30, 2011

Ronald Dalman, MDStanford University School of MedicineStanford,California

Peter J. Fabri, MDUniversity of South Florida Medical CenterTampa,Florida

Linda M. Harris, MDUniversityofBuffalo/KaleidaHealthBuffalo,NewYork

James C. Hebert, MDUniversityofVermontCollege of MedicineBurlington,VermontChairTerm began July 1, 2011

George W. Holcomb III, MDChildren’s Mercy HospitalKansasCity,Missouri

Frank Lewis, MDTheAmericanBoardofSurgeryChicago,IllinoisEx-Officio

Mark A. Malangoni, MDMetro Health Medical CenterCleveland,OhioVice ChairTerm ended December 31, 2010

J. Patrick O’Leary, MDFlorida International University College of MedicineMiami,FloridaTerm ended June 30, 2011

John J. Ricotta, MDWashington Hospital CenterWashington,DistrictofColumbiaTerm began July 1, 2011

Marshall Z. Schwartz, MDDrexel UniversitySt. Christopher’s Hospital for ChildrenPhiladelphia,Pennsylvania

Steven C. Stain, MDAlbany Medical CollegeAlbany,NewYorkTerm began July 1, 2011

Charles W. Van Way III, MDUniversityofMissouri–KansasCityKansasCity,MissouriVice ChairTerm began July 1, 2011

Marc K. Wallack, MDMetropolitan Hospital CenterNew York Medical CollegeNewYork,NewYork

Thomas V. Whalen, MDLehighValleyHospitalAllentown,PennsylvaniaChairTerm ended June 30, 2011

25

Thoracic Surgery

Carl L. Backer, MDChildren’s Memorial HospitalNorthwestern UniversityChicago,IllinoisTerm began July 1, 2011

William A. Baumgartner, MDAmericanBoardofThoracicSurgeryChicago,IllinoisEx-Officio

Patrice Blair, MPHAmerican College of Surgeons Chicago,IllinoisEx-Officio

R. Morton Bolman III, MDBrigham and Women’s HospitalBoston,MassachusettsVice ChairTerm ended June 30, 2011

Robert S. D. Higgins, MDOhio State UniversityColumbus,OhioTerm began July 1, 2011

Walter H. Merrill, MDUniversity of Mississippi Medical CenterJackson,Mississippi

Michael R. Mill, MDUniversity of North Carolina at Chapel HillChapelHill,NorthCarolinaTerm ended June 30, 2011

Tom C. Nguyen, MDNew York Presbyterian HospitalColumbia University Medical CenterNewYork,NewYorkResident

Mark B. Orringer, MDUniversity of Michigan Health SystemAnnArbor,Michigan

Carolyn E. Reed, MDMedical University of South CarolinaCharleston,SouthCarolinaVice ChairTerm began July 1, 2011

Douglas E. Wood, MDUniversity of WashingtonSeattle,WashingtonChair

Transitional Year

Brian M. Aboff, MDChristiana Care Health SystemNewark,Delaware

Claire E. Bender, MDMayo School of Health SciencesRochester,Minnesota

Robert Bing-You, MDMaine Medical CenterPortland,MaineVice Chair Term began July 1, 2011

David Kuo, MD, FACPMorristown Memorial HospitalMorristown,NewJersey

Zachary Lopater, MDUniversity of MinnesotaMinneapolis,MinnesotaResidentTerm began July 1, 2011

Philip D. Lumb, MBBS, FCCMUniversity of Southern CaliforniaLosAngeles,CaliforniaVice Chair Term ended June 30, 2011

Julie B. McCausland, MD, MSUniversity of Pittsburgh Medical CenterPittsburgh,Pennsylvania

Neena D. Shah, MDMeriter HospitalUniversity of WisconsinMadison,WisconsinTerm ended November 5, 2011

Danny M. Takanishi Jr., MD, FACS JohnA.BurnsSchoolofMedicineHonolulu,HawaiiChair

Karolyn Ann Wanat, MDUniversity of PennsylvaniaPhiladelphia,PennsylvaniaResidentTerm ended June 30, 2011

Urology

Christopher L. Amling, MDOregonHealth&ScienceUniversityPortland,Oregon

Anthony Atala, MDWake Forest University Medical CenterWinston-Salem,NorthCarolinaTerm ended June 30, 2011

Patrice Blair, MPHAmerican College of SurgeonsChicago,IllinoisEx-Officio

Michael Coburn, MDBaylor College of MedicineHouston,TexasChair Term began July 1, 2011Vice Chair Term ended June 30, 2011

Timothy J. Daskivich, MDDavid Geffen School of Medicine at UCLALosAngeles,CaliforniaResidentTerm began July 1, 2011

Stuart Howards, MDAmerican Board of UrologyCharlottesville,VirginiaEx-Officio

Michael O. Koch, MDIndiana Cancer PavilionIndianapolis,IndianaChairTerm ended June 30, 2011

Barry A. Kogan, MDUrologic Institute of Northeastern New YorkAlbany,NewYorkVice ChairTerm began July 1, 2011

Randall B. Meacham, MDUniversity of Colorado School of MedicineAurora,ColoradoTerm began July 1, 2011

Allen F. Morey, MDUniversityofTexasSouthwesternMedical CenterDallas,TexasTerm ended June 30, 2011

Stephen Y. Nakada, MDUniversity of WisconsinMadison,WisconsinTerm began July 1, 2011

Margaret S. Pearle, MDUniversityofTexasSouthwesternMedical CenterDallas,Texas

Charles D. Scales, MDDuke University Medical CenterDurham,NorthCarolinaResidentTerm ended June 30, 2011

Martha K. Terris, MDMedical College of GeorgiaAugusta,Georgia

James Brantley Thrasher, MDUniversityofKansasMedicalCenterKansasCity,KansasTerm began July 1, 2011

Willie Underwood III, MDRosewell Park Cancer InstituteBuffalo,NewYork

Institutional Review Committee

Linda B. Andrews, MDBaylor College of MedicineHouston,TexasChair

Hannah Copeland, MDUniversity of California San DiegoSanDiego,CaliforniaResidentTerm ended June 30, 2011

Peter M. Nalin, MDIndiana University School of MedicineIndianapolis,IndianaVice ChairTerm began July 1, 2011

Robin C. Newton, MDHoward UniversityWashington,DistrictofColumbia

Lawrence M. Opas, MDUniversity of Southern CaliforniaLosAngeles,California

Qionna M. Tinney Railey, MDUniversity of North Carolina Health CareDurham,NorthCarolinaResidentTerm began July 1, 2011

John C. Russell, MD, FACSUniversity of New MexicoAlbuquerque,NewMexico

Andrew M. Thomas, MD Ohio State University HospitalColumbus,OhioVice ChairTerm ended June 30, 2011

Christopher Veremakis, MDSt.John’sMercyMedicalCenterSt.Louis,Missouri

John L. Weinerth, MD, FACSDuke University HospitalDurham,NorthCarolina

James R. Zaidan, MD, MBAEmory University School of MedicineAtlanta,Georgia

26

ACGME Staff

Office of the Chief Executive Officer

Thomas J. Nasca, MD, MACPChiefExecutiveOfficer

Timothy Brigham, MDiv, PhD, Chief of Staff

Department of Applications and Data Development

Rebecca Miller, MSSeniorVicePresident,Applicationsand Data Development

Office of Operations

John H. Nylen, MBAChiefFinancialOfficer

Patty DesmondDirector,NetworkServices

Nancy WheelerDirector,Financialand OfficeServices

Department of Accreditation Services

William J. Rodak, PhDInterimSeniorVicePresident

Eileen Anthony, MJExecutive Director

Pamela L. Derstine, PhD, MHPEExecutive Director

Caroline Fischer, MBAExecutive Director

Louise King, MSExecutive Director

Patricia B. Levenberg, PhDExecutive Director

Lorraine C. Lewis, EdD, RDExecutive Director

Lynne Meyer, PhD, MPHExecutive Director

Peggy Simpson, EdDExecutive Director

Patricia M. Surdyk, PhDExecutive Director

Linda Thorsen, MAExecutive Director

Jerry Vasilias, PhDExecutive Director

Department of Education

Timothy Brigham, MDiv, PhDSeniorVicePresident,Education

Susan Swing, PhDVicePresident,OutcomesAssessment

Marsha Miller, MAAssociateVicePresident,ResidentServices

Department of Field Activities

Ingrid Philibert, PhD, MHA, MBASeniorVicePresident,FieldActivities

Department of Human Resources

Richard MurphyVicePresident,HumanResources

Department of Meeting Services

Linda Gordon, MSDirector,MeetingServices

ACGME International LLC

Thomas J. Nasca, MD, MACP ChiefExecutiveOfficer

John H. Nylen, MBA ExecutiveVicePresident, ChiefOperatingOfficer

William J. Rodak, PhDVicePresident, International Accreditation

Thomas J. Nasca, MD, MACPChiefExecutiveOfficer

John H. Nylen, MBAChiefFinancialOfficer SeniorVicePresident,Administration,Facilities,andITInfrastructure

Rebecca Miller, MSSeniorVicePresident, Applications and Data Development

Timothy Brigham, MDiv, PhDChief of Staff SeniorVicePresident,Education

William J. Rodak, PhDVicePresident,InternationalAccreditation InterimSeniorVicePresident,Accreditation Services

Ingrid Philibert, PhD, MHA, MBASeniorVicePresident,FieldActivities

Senior Leadership Group

The complete list of the more than 150 individuals who are on the staff of the ACGME is posted at www.acgme.org/acWebsite/about/ab_ACGMEstaff.pdf.

27

Statistical Highlights July1,2010toJune30,2011

2,301 Review Committee accreditation decisions

2,854 Review Committee administrative decisions

• 5.4%ofactionsresultedinfirst-timeproposedadverseactions– 32.4%proposedactionsweresustained– 66.7%proposedactionswererescinded– 1.0%ofprogramsorinstitutionsgivenaproposedadverseactionvoluntarilywithdrew beforetheactionwasconfirmed

• 2,197programsreviewedduring2010–2011receivedaccreditationorcontinued accreditation status

• 241programsreviewedduringtheyearreceivedinitialaccreditation

• 18programsreviewedduringtheyearwereissuedprobationarystatus

• 96programsreviewedduringtheyearweregrantedvoluntarywithdrawal

• 3programsreviewedduringtheyearhadtheiraccreditationwithdrawn

Program Reviews and Review Committee Decisions

Accredited Programs

10,000

8,000

6,000

4,000

2,000

2006–07

8,355 8,4908,734 8,8878,814

2007–08 2008–09 2009–10 2010–110

Academic Year

Number of Specialty Programs

Number of Subspecialty Programs

28

8,887 accredited programs

• 4,020specialtyprograms

• 4,867subspecialtyprograms

201 programs were newly accredited

59 programs were closed or voluntarily withdrew their accreditation

64 programs were on probation or had a status of warning

4.3 years was the average cycle length across all accredited programs

Program Status (effective 2010–2011)

Program Cycle Length (2010–2011)

4,000

4,500

5,000

3,500

3,000

2,500

2,000

1,500

1,000

500

1

100

583

1,6621,567

875

4,038

2 3 4 5 Over 50

Number of Years

Number of Programs

29

Sponsoring Institutions

684 sponsoring institutions

• 386institutionssponsormultipleprograms

• 298institutionssponsorasingleprogramorsinglecorespecialty

3,968 institutions participated in resident education/rotations

Program Director and DIO Turnover During the Past Five Years

Institutions with DIO Changes

Programs with Director Changes

20%

15%

10%

5%

2006–07

13%

15% 15%

12%

13%13%

12% 12%

11% 11%

2007–08 2008–09 2009–10 2010–110%

Academic Year

30

Resident Statistics

Residents on Duty the Past Five Years

120,000

2006–07

24,911

106,383

25,069

107,851

25,522

109,482 111,386 113,142

25,865 26,107

2007–08 2008–09 2009–10 2010–11

100,000

80,000

60,000

40,000

20,000

0

Academic Year

TotalNumber of Residents

Number of Residents Entering the Pipeline

Residents by Specialty Type (2010–2011)

Type of Medical School

Canadian Medical School

International Medical School

Osteopathic Medical School

US LCME-Accredited Medical School

Medical School Unknown

Canadian Medical School

International Medical School

Osteopathic Medical School

US LCME-Accredited Medical School

Medical School Unknown

Number of Residents

109

24,183

7,425

62,236

6

93,959

129

6,806

1,007

11,236

5

19,183

Specialty Type

Specialty

Subspecialty

TotalNumberofOn-DutyResidents 113,142

Note:“Pipelineprograms”are programs within specialties that lead to initialboardcertification.Entering pipeline residents are residents in pipeline specialties in Year 1 (excluding preliminary year).

31

Academic YearResident Case Logs

Accredited Programs

Programs Using Case Log System

% of Programs Using Case Log System

On-dutyResidentsinAccreditedPrograms

On-duty Residents Using Case Log System

% of On-duty Residents Using Case Log System

Procedures Entered into Case Log System

Specialties Using Case Log System

2007–08

8,490

2,622

31%

107,851

37,605

35%

10,142,517

49

2008–09

8,734

2,665

31%

109,482

40,775

37%

10,678,485

52

2009–10

8,814

2,743

31%

111,386

42,069

38%

12,307,420

54

2010–11

8,887

2,792

31%

113,142

43,269

38%

12,746,052

55

2006–07

8,355

2,531

30%

106,383

40,376

38%

11,259,467

43

Resident Status (2010–2011)

Resident Status Number of Residents

Active Full-time

Active Part-time

Completed all Accredited Education

Completed Preliminary Education

Deceased

Dismissed

In Program doing Research/Other Education

Leave of Absence

Transferred to Another Program

Unsuccessfully Completed Program

Withdrew from Program

112,915

227

35,594

3,612

22

251

1,426

91

1,367

39

927

32

2011 Financial Reports

TheACGME’sfiscalyearrunsfromJanuary1–December31.TheseresultsrepresentunauditedfiguresforFiscalYear2011.

ACGME revenue comes primarily from annual fees charged to allprogramsaccreditedduringtheacademicyear,accountingforover85%ofACGMEincome.Incomefrominternationaloperationsincreasedfrom2010,reflectingthegrowthofthatbusiness unit.

Asaserviceorganization,salaryandbenefitexpenses,aswellastravelandmeetingcosts,makeupover70%ofACGMEannual expenses.

2011 Revenue 2011 Expenses

International Operations $ 1,670,591 4.56%

Publications and Other Income 133,328 0.36%

Annual Program Accreditation Income 31,565,500 86.12%

Workshops and Miscellaneous Income 1,553,330 4.24%

Application Income 1,209,450 3.30%

Rent Revenue 472,816 1.29%

TechSupportRevenue(not visible in chart) 32,775 0.09%

Investment Revenue (not visible in chart) 13,927 0.04%

Total $36,651,717 100.00%

Salaries and Fringe Benefits $ 19,562,856 55.56%

Administrative Expenses 777,340 2.21%

Meeting Expenses 6,409,524 18.20%

ITExpenses 2,576,594 7.32%

RentandRealEstateTaxes 2,810,757 7.98%

Office Supplies and Expenses 735,298 2.09%

JournalProductionExpenses 392,801 1.12%

Professional Services 1,935,306 5.50%

Other Expenses (not visible in chart) 8,453 0.02%

Total $35,208,929 100.00%

Fees for 2011 remained stable at the same amounts as 2009 and2010.TheACGMEtriestokeepaccreditationfeesfromrisingoverathree-yearperiodtoaidinbudgetplanningfor its institutions.

TheACGMEiscommittedtokeepingaccreditationfeesaslowaspossible.In2011,thecostperresidentforACGMEaccreditationfeeswas$300;thecostpersponsoringinstitutionwas$48,655.

“Asalearningorganization,weknowwecanimprovetheprocess and also be responsible to calls to reform graduate medicaleducationwiththegoalofimprovingcare.”Timothy C. Flynn, MD Chair ACGME Board of Directors

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Accreditation Council for Graduate Medical Education

515 North State Street Suite 2000 Chicago, Illinois 60654

Phone 312.755.5000 Fax 312.755.7498 www.acgme.org