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The ACGME Common Program Requirements, stipulate that “the educational effectiveness of a program must be evaluated at least annually in a systematic manner." This is accomplished though the Annual Program Evaluation (APE). A Program Evaluation Committee (PEC) should be created to ensure that each program has undertaken and documented a systematic review process, on at least an annual basis.

See Annual Program Evaluation Checklist


The following items should be included in an APE and submitted to GME:


      • Program Goals and Objectives - include the effectiveness of the program in achieving these goals

      • Annual Faculty Program Survey

      • Annual Resident Program Survey

      • GMEC Special Focus Review

      • Annual Institutional GME Surveys

      • ACGME Letters of Notification

      • Annual Action Plans - the prior years’ action plans

      • Annual ACGME Resident Survey - the most recent aggregate data from the ACGME ADS resident surveys

      • Annual ACGME Faculty Survey - confidential written evaluations of the program submitted by residents

      • Board Pass Rate - performance of graduates on the board certification exam

      • In-service Scores

      • Faculty Development - opportunities and needs (include faculty development activities)

      • Resident/Faculty Scholarly Activity

      • Graduate Placement

      • Graduate Survey

      • Match Data

      • Recruitment Survey/Feedback

      • Action Plan Reviewed & Approved by Core Faculty - specific action plans developed to address deficiencies and approved by faculty (include minutes approving Action Plan Review by Core Faculty)

      • Program Evaluation Committee (PEC) - minutes and attendance of this meeting and action plan must be completed.

The presence of a Program Evaluation Committee and the need for an Annual Program Evaluation have been requirements for a number of years. In NAS, the ACGME has provided a better defined and detailed structure for programs to use in evaluating the program.

Download the ACGME Annual Program Evaluation PowerPoint presentation here.
 

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