Internal analysis of the training program by the program director and his or her staff is essential in addition to the regular surveys conducted by the Residency Review Committee for Dermatology. One measure of the quality of a program is the performance of its graduates on the certifying examination of the American Board of Dermatology.
The program director must notify the Secretary of the Residency Review Committee of any change in the program, staffing, affiliations or facilities which might significantly alter the educational experience.
At times of his or her absence, the program director must designate an interim director. If this period is for six months or longer, the Residency Review Committee should be notified. Appointment of an interim director should not exceed two years because it might have a detrimental effect on the program.
A log of surgical procedures performed by residents must be kept on file and provided upon request to the Residency Review Committee or the site visitor. Documentation of resident evaluation, institutional and inter-institutional agreements, resident agreements and departmental statistics should be kept on file and provided upon request to the Residency Review Committee or site visitor. The accurate and complete execution of application forms, progress reports and replies to other requests from the Residency Review Committee is the responsibility of the program director. The care and precision given to these responses will be taken into consideration in the assessment of the training program.
The program director must ensure that residents are adequately supervised by faculty at all times. Further, resident duty and on-call assignments must be made in a manner that ensures that neither education nor quality of patient care is jeopardized by inappropriate resident stress or fatigue. Physicians must have a keen sense of personal responsibility for continuing patient care, and must recognize that their obligation to patients is not automatically discharged at any given hour of the day or any particular day of the week. In no case should a resident go off duty until proper care and welfare of the patients have been ensured. Resident duty hours and night and weekend call must reflect the concept of responsibility for patients and provide for adequate patient care. Residents must not be required regularly to perform excessively difficult or prolonged duties. When averaged over four weeks, residents should spend no more than 80 hours per week in hospital duties. Residents at all levels should, on average, have the opportunity to spend at least one day out of seven free of hospital duties and should be on call no more often than every third night. There should be an opportunity to rest and sleep when on call for 24 hours or more. Trainees should be adequately supported to permit their undivided attention to educational and service responsibilities.
The program director should advise all residents planning to seek certification by the American Board of Dermatology to complete the Preliminary Registration Form of this Board and to communicate directly with the Executive Director of the Board to be certain that they are in full compliance with the requirements for certification.
Effective: January 1991
ACGME: September 1990
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