Even Better Together.
Our strength in numbers has impact and influence on legislative decision makers and partnering organizations.
AAIM constituent organizations recognize the authority of two accrediting bodies:
- Accreditation Council for Graduate Medical Education. APDIM and ASP draw their members from ACGME-accredited internal medicine residencies and fellowships.
- Liaison Committee on Medical Education. APM, CDIM, and AIM members come from departments of internal medicine at LCME-accredited medical schools.
AAIM Comments on ACGME Requirements
AAIM submitted its comments on the proposed ACGME Common Program Requirements for both residencies and fellowships. A workgroup composed of members from APDIM Council, APM Council, ASP Council, and the AAIM Education Committee, and chaired by Lisa L. Willett, MD, provided feedback on 28 requirements in the residency and fellowship requirements.
Highlights of response:
- Limit V.B.1.a) to core faculty: This evaluation must include a review of the faculty member's clinical teaching abilities, engagement with the educational program, participation in faculty development related to skills as an educator, clinical performance, professionalism, and scholarly activities. AAIM also recommends deleting "clinical performance" in this requirement.
- Incorporate II.A.4.a(2) as a philosophy statement rather than requirement: design and conduct the program in a fashion consistent with the needs of the community, the mission(s) of the Sponsoring Institution, and the mission(s) of the program
- Add requirement to section II.C.3 that program coordinators must be provided with professional development opportunities
- Add "services that support population health" to activities in IV.D.2.a) Among their scholarly activity, programs must have efforts in at least three of the following domains:
Based on input received during this public comment period, the ACGME Phase 2 Common Program Requirements Task Force will submit the final proposed requirements to the ACGME Board of Directors for approval, with implementation targeted for July 1, 2019.
Donna J. Astiz, MD
John H. Choe, MD, MPH
Harley P. Friedman, MD
Cara A. Giacomo, C-TAGME
Eileen T. Kruck, C-TAGME
Abigail Lara, MD
Rodi A. Marcelle, C-TAGME
Bethany Millar, C-TAGME
Smruti Mohanty, MD
John P. Moriarty, MD
Cheryl H. Moss, C-TAGME, MSEd
Sandra Patricia Ordonez, C-TAGME
Ateeq U. Rehman, MD
Deena W. Segal, C-TAGME
Debra L. Simmons, MD, MS, FACE, FACP
Jonathan L. Tolentino, MD, FAAP, FACP
Lisa L. Willett, MD, MACM, FACP
Joseph Yusin, MD
AAIM Prepared to Comment on ACGME Phase 2 Common Program Requirements
ACGME announced February 6 that its Phase 2 Common Program Requirements Task Force has completed preliminary work on Sections I-V. Proposed requirements and impact statements are now available for review and comment. Based on input received during the public comment period, the task Force will submit the final proposed requirements to the ACGME Board of Directors for approval, with implementation targeted for July 1, 2019. The Alliance has created a task force to review the proposed requirements and will submit feedback by the deadline of March 22. Members are encouraged to provide their comments to the task force via AAIM@im.org (or email@example.com) no later than February 21 for consideration.
AAIM Responds to ACGME Call for Comments on Sections I-IV AAIM Provides Comments on ACGME's Proposed Section VI Revisions
In response to ACGME's significant proposed revisions to Common Program Requirements Section VI, on December 19, AAIM provided comments and feedback on the proposed duty hours requirements and impact statement. While the revisions generally align with AAIM's recommendations to the ACGME Phase I Task Force, Alliance members are concerned about the substantially increased expectations for faculty and the absence of clear-cut requirements for institutions to support the new mandates.
In mid-September, ACGME invited AAIM to provide a position paper on sections of the current common program requirements (sponsoring institutions and participating sites; program director and faculty member qualifications and responsibilities; resident/fellow appointment, including eligibility; the educational program, including scholarly activity; and evaluation). AAIM submitted its feedback Friday, October 28, in keeping with the ACGME deadline; key themes including systems to ensure wellness for residents and fellows; mandating infrastructural support; clarifying service v. education; using electronic medical records; and providing leadership training
Read AAIM's comments (PDF)
AAIM Provides Feedback on ACGME Focused Revisions
In response to the August 15 request for feedback on ACGME Program Requirements for Graduate Medical Education in Internal Medicine V.C.2.c).(1), V.C.2.c).(2), V.C.2.c).(3), AAIM submitted comments that noted that while the change does not materially change the expectation for the percentage of graduates taking (or passing) board certification exam, creating separate expectations for each exam rather than a three-year rolling pass rate may place smaller programs at risk for noncompliance.
Read AAIM's comments (PDF)
Internal Medicine Education Community Supports ACGME and the iCOMPARE Trial
In response to a December 7 letter from ACGME President and CEO Thomas J. Nasca, MD, publicly reiterating its support for iCOMPARE--a large, multicenter clinical trial investigating the impact of duty hour standards on patient safety and resident education--AAIM, ACP, SGIM, and SHM have issued a joint letter of support for this investigation. The letters come in the wake of criticism from Public Citizen and the American Medical Student Association about the trial sent to regulatory and legislative entities in November calling for suspension and oversight investigation.
AAIM Provides Position Statement on Duty Hours Requirements to ACGMEAt the request of ACGME in a December 21 letter, the Alliance has provided evidence-based feedback in a position paper about the duty hours requirements. This input will inform ACGME in its deliberations on these important aspects of educational programs; the solicited feedback will be discussed at the ACGME Congress on the Resident Learning and Working Environment March 16-17.
AAIM thanks the writing group for its work to develop this position statement: Alpesh N. Amin, MD;John H. Choe, MD; Frances A. Collichio, MD; Lia S. Logio, MD, Writing Group Co-Chair; Maria Maldonado, MD; James D. Marsh, MD; Caroline Milne, MD; Isitri Modak, MD; John P. Moriarty, MD, Writing Group Co-Chair; Polly Parsons, MD; Sara L. Swenson, MD; Bipin Thapa, MD; and Gopal Yadavalli, MD.