Category: Operations

COVID-19’s Novel Impact on UME and GME

It’s been nearly one year since the unforgiving coronavirus permeated the country’s hospitals and health systems. We’ve seen how COVID-19 has disrupted our day-to-day lives, leading to various adaptations and adjustments, some for the better, while other mitigation and innovations are being drawn up and attempted. Only time will tell how the infrastructure and operations of health care will evolve,...

Towards Being A Good Hospitalist

What makes a good hospitalist? How does one even begin to characterize one? Dr. Jesse Burk-Rafel, a hospitalist at NYU Grossman School of Medicine, addressed this topic recently in a series of tweets, all 180-characters or less. Ultimately, one thing can be deduced from his thoughts and supporting evidence - a good hospitalist is not easily defined. Nonetheless, some defining characters come up frequently...

The Rise of Social Media In the GME Community

Social Media - love it or hate it; it is part of everyday life. Social Media permeated the GME community culture in a very short amount of time. Twitter, Facebook, Instagram, and LinkedIn were all founded after 2000. The first iPhone was released in 2007. Within twenty years, both grew into incredibly powerful and influential tools used by people, companies, and organizations—including those in the...

Planning Proficiency: Coordinator Training for Lifelong Learning

Throughout the years, a Graduate Medical Education (GME) Program Coordinator (PC) evolved from an entry-level position of administrative secretary or clerk to a higher-level leadership position of the program administrator. Due to this evolution, this role requires extensive training, so PCs can learn about and assimilate to a profession that necessitates a combination of compliance with accrediting...

Predictive Resident Schedules in the Time of COVID-19

As the COVID-19 pandemic continues to develop, so do the Accreditation Council of Graduate Medical Education’s (ACGME) efforts to assist in managing key educational and operational concerns resulting from these disruptions. To date, the accrediting organization’s largest response to this devastating event is the implementation of two emergency states that help each Sponsoring Institution highlight...

How Does GME Physician Recruitment Work?

Recruitment season is an exciting time for Residency and Fellowship programs. Programs meet potential residents or fellows by inviting them to interview. These interview days usually include dinner with faculty and residents, informal meet and greets, and facility tours. However, due to the COVID-19 pandemic, programs are strongly encouraged to conduct all recruitment season activities virtually, at...

How Often Must Physicians Recertify?

The American Board of Medical Specialties (ABMS) has 24 boards that cover a plethora of medical specialties. Upon being initially certified, all physicians must be continually recertified which, “is the process whereby the Board identifies for the public those Diplomates who have met the Board's criteria for basic continuing education and have demonstrated a fund of knowledge and expertise in the care...

Coalition for Physician Accountability: Away Rotations and Interviews

With the new academic year starting this week (July 1) many institutions are starting to look forward to how COVID-19 is going to impact their GME programs. Institutions are changing their approach to move away from rotations that many Residents take during their training programs. As mentioned in past Germane News Alerts, institutions have moved to the virtual process of interviewing candidates...

NRMP Main Residency MATCH Update: 4th SOAP Round Added

The NRMP made a big announcement this June by adding a fourth round to the Supplemental Offer and Acceptance Program (SOAP). The SOAP is the process during MATCH Week whereby positions left unfilled are offered to eligible unmatched applicants through a rapid succession interview and offer rounds. In previous years, SOAP is comprised of three rounds. However, with the increasing number of unfilled...

USMLE Testing Center Updates

In their April 17, 2020 press release, Prometric (the parent company of USMLE) confirms testing for USMLEs 1, 2 CK, and 3 will begin again on May 1st on a site-by-site basis, meaning states like New York, New Jersey, Pennsylvania, and Michigan will likely be on the bottom of the list for re-opening. USMLE Step 2 CS exams are markedly more 'hands-on' by nature and thus have no exact date for restarting,...

COVID-19's Impact on Continuing Medical Education

With the rapid evolution of news regarding the COVID-19 pandemic, it is imperative for institutions and programs to be observant of the Centers for Disease Control and Prevention (CDC) and other trusted sources. By staying well acquainted and actively responsive to the most recent medical information and practices from these numerous resources, institutions, and programs, we'll all be better positioned...

Preparing for a Fall COVID-19 Surge

In some areas of the United States, a slow decline in COVID-19 cases is occurring as the summer rolls in and hospitals begin their orientation for incoming Residents and Fellows. With the heavy lift of unprecedented times, onboarding, and orientation nearing completion and with the outcome-- pandemic-related policies and processes--in place, it is time to be proactive and acknowledge the coming of...

Regional USMLE Testing Updates

USMLE announced two additional regional test sites for Step 1 and Step 2 CK serving select schools in California (n=5) and Texas (n=10). This increases the availability of testing from 25 to 38 LCME schools. It also provides access to 2 Texas-based osteopathic schools, leaving 78% (n=138) of LCME medical students and 100% of potentially eligible international medical students behind.

Specialty Statements Guide Program Recruitment

Germane previously provided in our May 19th News Alert a deep analysis of the Coalition for Physician Accountability's statement strongly recommending virtual recruitment and the impacts it will have on the 2021 NRMP MATCH season. As an update, it is important to notify all Program Directors to check for joint statements from specialty-specific Organizations and Boards regarding residency/fellowship...

USMLE Announces Regional Testing

Over the course of last week, the USMLE posted three locations for regional and event- based testing opportunities for medical students and graduates to take USMLE Step 1 and Step 2 CK exams. Last night, the USMLE released that it would not hold USMLE Step II CS exams for the next 12-18 months. While we await understanding of how this will impact students and programs in the long run, we do know the...

AAMC Releases Podcast, "Beyond the White Coat"

One item that's not receiving a ton of publicity, but perhaps should, is the AAMC's new podcast, "Beyond the White Coat". Available for free from your favorite podcast provider, the podcast is a weekly medium through which top leaders of Physician Education organizations gather to share insights and perspectives on one topic at a time. Topics thus far have ranged from the bioethical responses amidst...

ACGME holds National DIO/IRC Call

On Thursday, May 21, 2020, the ACGME held one of the largest international calls of record (700+ attendees) for Sponsoring Institution leadership. The call was recorded and will become available within the Sponsoring Institution Forum sometime later this week. If you haven't already logged into the forum and explored it, it is a great location for more than just recorded meeting minutes. It also...

Implications of the Coalition for Physician Accountability's May 11th Report

On Monday, May 11, 2020, the Coalition for Physician Accountability, comprised of almost every overarching group (AACOM, AAMC, ACCME, ACGME, AMA, AOGME, AOA, CMSS- OPDA, ECFMG, FSMB, LCME, NBME, and NBOME) released its Final Report and Recommendations for Medical Education Institutions of LCME Accredited, U.S. Osteopathic, and Non-U.S. Medical School Applicants. The main recommendations to consider...

Case Studies of Excellence by Burnout Factor

Well-being, Burnout, Moral Injury. In the American healthcare workforce, these are not just buzzwords. ACGME, AAMC, AMA, and AHA - you name an acronym and that association is taking well being seriously. Research, case studies, and white papers have exploded over the last five years with physicians and their advocates voicing the ever-growing need to identify the root causes of burnout and spotlight...

USMLE Continues to Stumble

In contrast to the many organizations and accrediting bodies demonstrating extraordinary leadership in the face of challenge, the parent company of NMBE and USMLE exams, Prometrics, continues to stumble. Last week, Prometrics sent out ambiguous e-mails to thousands of registered testers notifying of canceled testings without identifiable information to discern which date(s) were affected and testing...

AOA Extends Board Eligibility Window

In response to COVID-19, the AOA announced to its members accommodations to reconcile testing center closures with the ticking clock of board eligibility. Namely, the accommodations include:

NAM Sponsored Well-Being Event

The National Academy of Medicine has teamed with the Accreditation Council for Graduate Medical Education, American Hospital Association, American Medical Association, and the Association of American Medical Colleges to host a collaborative Well-Being Event this Thursday, May 7th at 1:30 pm ET. This free 90-minute webinar will provide a timely discussion and platform for physicians, nurses, students,...

AAMC Applauds the PPP Act

President and CEO of AAMC, Dr. David J. Skorton issued a statement of support and praise for the April 24, 2020 passage of the Paycheck Protection Program and Health Care Enhancement Act which allows for an additional $75 billion to be released to support physicians and infuse additional dollars into the grants and loans provided via the CARES Act. Hospitals and Physician practices may also be eligible...

ECFMG Provides Updates on J-1 Visas

The ECFMG provided two important updates from the Department of State (DOS) last week. First, the Department of State (DOS) confirmed the April 22 Executive Order signed by President Trump is not applicable to J-1 visa seekers. Second, the DOS announced additional requirements relaxed for the interim. Last week, Germane reported Statements of Need could be electronically mailed (e.g., e-mailed) rather...

USMLE Testing Resumes in May

In their April 17, 2020 press release, Prometric (the parent company of USMLE) confirms testing for USMLEs 1, 2 CK, and 3 will begin again on May 1st on a site-by-site basis, meaning states like New York, New Jersey, Pennsylvania, and Michigan will likely be on the bottom of the list for re-opening. USMLE Step 2 CS exams are markedly more 'hands-on' by nature and thus have no exact date for restarting,...

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