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Challenges in Implementation of the New Accreditation System.

Terri B Feist1, Julia L Campbell2, Julie A LaBare3

  • 11 Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

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|December 28, 2016
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Summary

Residency coordinators face challenges impacting accreditation. Increased coordinator experience, supervision, and administrative support improve implementation of new Graduate Medical Education training requirements in child neurology programs.

Keywords:
Accreditation Council for Graduate Medical Education (ACGME)Graduate Medical Education (GME)Next Accreditation System (NAS)Workforceresidency program coordinator

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Area of Science:

  • Medical Education
  • Neurology Training
  • Accreditation Systems

Background:

  • The role of Residency Coordinators in Graduate Medical Education (GME) accreditation is understudied.
  • Child neurology programs face unique accreditation challenges due to separate adult and child neurology residencies.
  • Recent GME reforms, including the Next Accreditation System (NAS), necessitate evaluating coordinator roles.

Purpose of the Study:

  • To evaluate workforce factors affecting Child Neurology Program Coordinators.
  • To assess the first-year implementation of new GME training requirements by these coordinators.
  • To identify factors associated with successful NAS implementation in child neurology.

Main Methods:

  • A survey was distributed to Child Neurology Program Coordinators in the US.
  • The survey assessed workforce characteristics and NAS implementation.
  • Response rate was 65% (48/74).

Main Results:

  • High turnover, unpaid overtime, and inadequate training were common workforce issues.
  • Programs implemented an average of 7.5 out of 14 new accreditation items.
  • Greater NAS implementation correlated with coordinator experience, GME supervision, and administrative support.

Conclusions:

  • Child Neurology Program Coordinator roles are characterized by significant workforce challenges.
  • Effective implementation of GME accreditation requirements depends on coordinator experience and support.
  • Improving coordinator support and training is crucial for US child neurology program compliance.