Surgery RRCSurgery RRC
Thomas V. Whalen, MD, ChairThomas V. Whalen, MD, Chair
RRC—Surgery MembersRRC—Surgery Members
■ Thomas V. Whalen, MD, Chair■
■ J. Patrick O’Leary, MD, Vice Chair
■ Adeline Deladisma, MD, Resident
■ Timothy R. Billiar, MD
■ G. Patrick Clagett, MD
■ Peter J. Fabri, MD
■ Linda M. Harris, MD
■ George W. Holcomb, MD
■ Thomas V. Whalen, MD, Chair■
■ J. Patrick O’Leary, MD, Vice Chair
■ Adeline Deladisma, MD, Resident
■ Timothy R. Billiar, MD
■ G. Patrick Clagett, MD
■ Peter J. Fabri, MD
■ Linda M. Harris, MD
■ George W. Holcomb, MD
■ James C. Hebert, MD
■ Mark A. Malangoni, MD
■ Marshall Z. Schwartz, MD
■ Charles W. Van Way III, MD
■ Marc K. Wallack, MD
■ Frank Lewis, MD, Ex-Officio ABS
■ Patrice Blair, MPH, Ex-Officio ACS
■ James C. Hebert, MD
■ Mark A. Malangoni, MD
■ Marshall Z. Schwartz, MD
■ Charles W. Van Way III, MD
■ Marc K. Wallack, MD
■ Frank Lewis, MD, Ex-Officio ABS
■ Patrice Blair, MPH, Ex-Officio ACS
Surgery RRC--MembersSurgery RRC--Members
■ 3 AMA-CME nominees■ 3 ACS nominees■ 3 ABS nominees■ 1 resident■ Ex-Officio Liaisons
(ABS, ACS)
■ 3 AMA-CME nominees■ 3 ACS nominees■ 3 ABS nominees■ 1 resident■ Ex-Officio Liaisons
(ABS, ACS)
RRC—Surgery LeadershipRRC—Surgery Leadership
■ Chair■ Vice-Chair■ Chair-Elect (Chosen during Chair’s 3rd year)■ Executive Committee (Chair, VC, Chair-Elect)
– Interim Administrative Decisions• (Participating Site, Temporary Increases in Complement)
– Review and approve meeting agenda, newsletters, etc.– Meet with ED and Administrator prior to each RRC
meeting
■ Vice-Chair mentors new members
■ Chair■ Vice-Chair■ Chair-Elect (Chosen during Chair’s 3rd year)■ Executive Committee (Chair, VC, Chair-Elect)
– Interim Administrative Decisions• (Participating Site, Temporary Increases in Complement)
– Review and approve meeting agenda, newsletters, etc.– Meet with ED and Administrator prior to each RRC
meeting
■ Vice-Chair mentors new members
Surgery—Program Data 2010Surgery—Program Data 2010Total
ProgramsCont.
Accred.Initial
Accred.Other
Surgery 245 234 4 7
Pediatric Surgery 38 31 7 0
Critical Care 95 82 13 0
Vascular-Independent 100 90 9 1
Vascular-Integrated 21 2 19 0
Hand 1 1 0 0
TOTAL 500 440 52 8
Surgery—Resident Data 2010Surgery—Resident Data 2010Approved Positions
Filled Positions
% filled vs approved
Surgery 8255 7410 89.7%
Pediatric Surgery 76 72 94.7%
Critical Care 211 158 74.8%
Vascular-Independent 262 246 93.8%
Vascular-Integrated 115 40 34.8%
Hand 8 8 100%
TOTAL 8927 7934 88.9%
Site Visit Results 2008-2009Site Visit Results 2008-2009
■ 124 programs were surveyed– 110 administrative requests at meetings– 283 administrative interim decisions
■ 237 citations issued by RRC– (1.91 citations per program)
■ Average cycle length: 3.43 yrs.■ Common Citations
– Education Program – Procedural Experience– Evaluation– Residents, Faculty, Program
■ 124 programs were surveyed– 110 administrative requests at meetings– 283 administrative interim decisions
■ 237 citations issued by RRC– (1.91 citations per program)
■ Average cycle length: 3.43 yrs.■ Common Citations
– Education Program – Procedural Experience– Evaluation– Residents, Faculty, Program
2009 RRC Activity2009 RRC Activity
■ 152 programs reviewed (post site-visit)■ 3.68 year average cycle length■ 261 citations■ 3.43 citations per program review■ 72 administrative requests■ 328 interim requests (PD changes,
participating site change, temporary increases)
■ 152 programs reviewed (post site-visit)■ 3.68 year average cycle length■ 261 citations■ 3.43 citations per program review■ 72 administrative requests■ 328 interim requests (PD changes,
participating site change, temporary increases)
Surgery RRC InnovationSurgery RRC Innovation
■ Collaboration with SCORE■ Milestones■ Use of Reviewer Templates■ Use of Citation Glossary (core only)■ Adoption of Grovesite
– Program workups (excluding PIF)– Submission of Reviewer Notes
■ Collaboration with SCORE■ Milestones■ Use of Reviewer Templates■ Use of Citation Glossary (core only)■ Adoption of Grovesite
– Program workups (excluding PIF)– Submission of Reviewer Notes
RRC MeetingsRRC Meetings
■ Meet 3 times annually (1.5 days)■ Chair uses ED’s reconciliation sheet to
alert members to widely discordant recommendations prior to meeting.
■ Meet 3 times annually (1.5 days)■ Chair uses ED’s reconciliation sheet to
alert members to widely discordant recommendations prior to meeting.
RRC Meetings (cont.)RRC Meetings (cont.)
■ Order of program review– Adverse action rebuttal responses– Consent Agenda (PRs, permanent
increases) • Items recommended by RRC team, members
are asked to pull any items they would like discussed.
– Full Program Reviews– Duty Hour Reports
■ Order of program review– Adverse action rebuttal responses– Consent Agenda (PRs, permanent
increases) • Items recommended by RRC team, members
are asked to pull any items they would like discussed.
– Full Program Reviews– Duty Hour Reports
CommunicationCommunication
■ Stakeholders– ACGME Education Conference—Chair/ED– APDS (2x/yr)—Chair/ED– APDVS (1x/yr)—Member/ED – Pediatric Surgery PDs (1x/yr—Chair or ED– Surgical Critical Care PDs—Member– Coordinator Groups (1x/yr)—ED, OpLog
Staff
■ Stakeholders– ACGME Education Conference—Chair/ED– APDS (2x/yr)—Chair/ED– APDVS (1x/yr)—Member/ED – Pediatric Surgery PDs (1x/yr—Chair or ED– Surgical Critical Care PDs—Member– Coordinator Groups (1x/yr)—ED, OpLog
Staff
Communication (cont.)Communication (cont.)
■ Attendance at RRC meetings– 3 attended in 2009-10– Use of Evaluations
■ Newsletters– 3 times per year (after each RRC meeting)
■ Attendance at RRC meetings– 3 attended in 2009-10– Use of Evaluations
■ Newsletters– 3 times per year (after each RRC meeting)
Committee QICommittee QI
■ Member Evaluation■ Program Reviews■ New Member mentoring■ Process monitoring at conclusion of
each meeting
■ Member Evaluation■ Program Reviews■ New Member mentoring■ Process monitoring at conclusion of
each meeting
Strategic Planning ProcessStrategic Planning Process■ Retreats
– February 2007 Retreat• Topics
– Communication with stakeholders– Process improvements– Consistency among Core and sub PRs
– Next Retreat ???????????
■ Use of Subcommittees– PR revisions– Op Log Revisions
■ Retreats– February 2007 Retreat
• Topics– Communication with stakeholders– Process improvements– Consistency among Core and sub PRs
– Next Retreat ???????????
■ Use of Subcommittees– PR revisions– Op Log Revisions
RequirementsRequirements
■ ECA Experience at Integrated Sites■ PD Appointment■ NDP and DP Residents■ Formal Transplant Rotation■ Definition of Resident as “Surgeon”
– Operative minimums to be reset
■ “New Patient” definition■ No 88 hour exemptions
■ ECA Experience at Integrated Sites■ PD Appointment■ NDP and DP Residents■ Formal Transplant Rotation■ Definition of Resident as “Surgeon”
– Operative minimums to be reset
■ “New Patient” definition■ No 88 hour exemptions
Future OpportunitiesFuture Opportunities
■ Development of new sub-specialty– Advanced Surgical Oncology
■ Additional RRC member– Number of total programs has grown from
457 in 2003 to 500 in 2009 (9%)
■ International Rotations■ Residency Training Restructuring
Committee
■ Development of new sub-specialty– Advanced Surgical Oncology
■ Additional RRC member– Number of total programs has grown from
457 in 2003 to 500 in 2009 (9%)
■ International Rotations■ Residency Training Restructuring
Committee