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					Standards Crosswalk for ACOS Residency Training Programs in
             Surgery and the Surgical Specialties
                   (Neurological Surgery)

            American Osteopathic Association
                         and the
         American College of Osteopathic Surgeons


                                   Table of Contents

               Section I. Preamble
               Section II. Mission
               Section III. Educational Program - Standard III
               Section IV. Institutional Requirements - Standard IV
               Section V. Specific Program Requirements - Standard V
                        Standard V.1 – General Surgery
                        Standard V.2 – General Vascular Surgery
                        Standard V.3 – Cardiothoracic Surgery
                        Standard V.4 – Surgical Critical Care
                        Standard V.5 – Neurological Surgery
                        Standard V.6 – Plastic and Reconstructive Surgery
                        Standard V.7 – Urological Surgery
               Section VI. Faculty Requirements - Standard VI
               Section VII. Resident Requirements - Standard VII
               Section VIII. Evaluations - Standard VIII
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Instructions:
     Mark each standard as “Met” or “Not Met”
     Use Comments section to explain any standards which are not met or are met with excellence


Program

Program Number

Review Date
Site Reviewer’s Name (Print)                                                                                                 Date

Site Reviewer’s Signature                                                                                                    Date

Program Directors Signature                                                                                                  Date




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SECTION I. INTRODUCTION
A. Definition
1.1          These are the Basic Standards for Residency Training in Surgery and       Sources of Evidence:
             the Surgical Specialties as approved by the American Osteopathic          Standards Crosswalk                            1
             Association (AOA) and the American College of Osteopathic
             Surgeons (ACOS). These standards are designed to provide the
             osteopathic surgical resident with advanced and concentrated training
             in Surgery and the Surgical Specialties and to prepare the resident for
             certification examination in their discipline.
1.2          The program must meet all the requirements for each discipline as
             defined in the AOA/ACOS Basic Standards for Residency Training                                                           1
             in Surgery and the Surgical Specialties.
Program Director Comments:

Site Reviewer Comments:

Site Reviewer Recommendations:

Total Points for Section (to be added by site reviewer):



SECTION II. MISSION
2.1          The mission of the osteopathic surgery and surgical specialties           Sources of Evidence:
             programs is to provide residents with comprehensive structured            Certification History; Model Curriculum;       1
                                                                                       Program Files/Approval Letters
             cognitive and procedural clinical education in both inpatient and
             outpatient settings that will enable them to become competent,
             proficient and professional osteopathic surgeons.
2.2          To train physicians to function as consultants in the surgery and the
             surgical specialties and to develop physicians qualified to teach basic                                                  1
             osteopathic principles, to implement these concepts and to integrate
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             them into undergraduate and postgraduate clinical programs.
Program Director Comments:

Site Reviewer Comments:

Site Reviewer Recommendations:

Total Points for Section (to be added by site reviewer):




SECTION III. THE EDUCATIONAL PROGRAM GOALS
An organized, comprehensive, and effective curriculum must be documented and implemented, which meets or exceeds the model ACOS curriculum for
general surgery and the applicable specialties, and which is based upon a philosophy of competence in practice and excellence in patient care.
3.1          The following components of the educational program must be well-
             documented and based upon the ACOS model curriculum:
                                                                                                                                 1
3.1.a        The didactic program must include contemporary surgical knowledge        Sources of Evidence:
             with special emphasis on surgical science. Instruction in medical        Evaluations of each resident for           1
             ethics, interpersonal skills, and practice management must be included   base institution and outside
             in the curriculum.                                                       rotations for the current and
3.1.a.i      A variety of academic conferences and lectures must be                   previous year; Resident logs, annual
             documented, to include, for example, formal didactic conferences,        reports, including scientific papers
             morbidity and mortality meetings, and journal club, as well as           for each resident for the current          1

             seminars, workshops, and conferences that may be provided                and previous year; List of lectures
             outside the program.                                                     presented to residents for the
                                                                                      current and previous year; Journal
                                                                                      Club minutes for the current and
3.1.a.ii     Each resident must complete the resident scholarly activity/scientific   previous year; Mortality book for
             and research component (Reference Appendix Four.)                        the current and previous year;
                                                                                                                                 1
3.1.b        The clinical component must include a sufficient scope, volume, and      Program segregated totals for the
             variety of operative experience complemented by pre-operative, intra-                                               1

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            operative, and post-operative care of patients to ensure that residents   last complete training year; Current
            are provided with the necessary knowledge, technical skills, and          program description (includes a
            judgment required for clinical practice.                                  mission statement, goals and
3.1.b.i     Written objectives for each clinical assignment and for each level in     objectives, curriculum, summary of
            the program must be developed and implemented. Both the residents         academic and clinical experience,          1
            and the faculty must receive copies of the goals and objectives prior     resident-patient care
            to each assignment.                                                       responsibilities, rules and
3.1.b.ii    The clinical component must include education and exposure to the         regulations.
            evolving diagnostic and therapeutic methods, such as, laser,                                                         1
            ultrasound, endoscopic and laparoscopic techniques and other
            applicable leading-edge technology.
3.1.b.iii   The operative experience for each resident must be documented in an
            AOA- approved format surgical operative log which reflects all                                                       1
            assignments during the surgery or surgical specialty program. The
            adequacy of each resident’s experience must be evaluated based upon
            the information submitted in these logs. (Reference the required
            minimum numbers for each surgical specialty in Standards V.1 – V.7.)
3.1.b.iv    The surgical competence of each resident must be evaluated based
            upon the number of surgeries performed gained through direct                                                         1
            participation.
3.1.b.v     The program director and the faculty must ensure that each resident
            is provided with direct and progressively responsible patient                                                        1
            management that will result in the demonstration of competence in
            technical skills and clinical decision-making upon successful
            completion of the program.
3.1.b.vi    Outpatient clinics under supervision of the department of surgery
            must be available for resident education. Alternatively, this activity    Sources of Evidence:                       1
            may be accomplished by pre-operative and post-operative care in           Curriculum; Resident Evaluations;
            surgeon offices.                                                          Interviews with residents; Mission.
3.2         AOA competencies: The residency program must require its
            residents to obtain competencies in the following areas to the level                                                 1
            expected of a new practitioner. Toward this end, programs must
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             define the specific knowledge, skills, and attitudes required and
             provide educational experiences as needed for their residents to
             demonstrate (Reference Appendix Five):
3.2.a        Patient care that is compassionate, appropriate, and effective for the
             treatment of health problems and the promotion of health.                                              1
3.2.b        Medical knowledge about established and evolving biomedical,
             clinical, and cognate (e.g. epidemiological and social-behavioral)                                     1
             sciences and the application of this knowledge to patient care.
3.2.c        Practice-based learning and improvement that involves investigation
             and evaluation of their own patient care, appraisal and assimilation of                                1
             scientific evidence, and improvements in patient care.
3.2.d        Interpersonal and communication skills that result in information
             exchange and teaming with patients, their families, and other health                                   1
             professionals.
3.2.e        Professionalism, as manifested through a commitment to carrying out
             professional responsibilities, adherence to ethical principles, and                                    1
             sensitivity to a diverse patient population.
3.2.f        Systems-based practice, as manifested by actions that demonstrate an
             awareness of and responsiveness to the larger context and system of                                    1
             healthcare and the ability to call on system resources to provide care
             that is of optimal value.
3.2.g        Integration of osteopathic principles and osteopathic medical
             management throughout the training program. (See Appendix Five.)                                       1
Program Director Comments:

Site Reviewer Comments:

Site Reviewer Recommendations:

Total Points for Section (to be added by site reviewer):




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SECTION IV: INSTITUTIONAL REQUIREMENTS
A. Institutional Support
4.1       The surgical facilities at the primary training institution and affiliated   Sources of Evidence:
          sites must provide a sufficient scope, volume, and variety of operative      Program Description; Resident              1
          experience to ensure that residents are provided with the necessary          Manual; Organization Chart;
          knowledge, technical skills, and judgment required for clinical              Resident Logs, annual reports,
          practice. (See Section V for specialty specific requirements.)               including scientific papers for each
4.1.a     The balance of education to service must be strictly monitored for all       resident for the current and
          clinical assignments.                                                        previous year. Surgery                     1
4.1.b     An experience with the continuity of patient care, i.e., pre-operative,      department/division minutes for
          intra-operative, and post-operative patient care, must be provided at        the current and previous year. List        1
          both the primary training institution and at affiliated sites.               and current CVs of department
4.1.c     Program directors must be afforded protected time with associated            members participating in the
          compensation, secretarial support and office space to complete the           training program. Program                  1
          administrative and operational requirements of the position.                 segregated totals for the last
          Protected time includes, but is not limited to: administrative, didactic     complete training year. Tissue
          and meeting requirements.                                                    committee meeting minutes for the
4.1.d     Institutional support for the program and program director must be           current and previous year. Tumor
          documented and include administrative support.                               board meeting minutes. Quality             1
4.2       Each resident must be provided with a handbook, which must                   assurance board meeting minutes
          include, but is not limited to, the following policies and procedures        for the current and previous year.         1
          and items referenced in the AOA Basic Document:                              Current affiliation agreements for
4.2.a     The model ACOS Curriculum for Surgery and Surgical Specialties,              all rotations. Interviews with
          including the program goals and objectives for the general surgery           administrative staff; Position             1
          and the applicable surgical specialty training program for each              Descriptions. Interviews with
          assignment and for each level in the program.                                residents; Resident Handbook
4.2.b     All applicable policies and procedures of the sponsoring institution
          and the primary training institution, such as, work hours, call, and                                                    1
          leave policies; financial arrangements, including housing, meals, and
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            benefits; resident supervision and evaluation; specifics of contract
            renewal; and disciplinary, due process, and appeal policies.


B.      Discipline Specific Requirements
4.4         Neurological Surgery: A minimum of 500 major neurological                    Sources of Evidence:
            surgery procedures per year per finishing resident must be performed         Program Description; Curriculum;           1
                                                                                         Resident Logs
            within the total clinical facilities available to the training program.
4.4.a       For instance, the cases should be appropriately distributed among
            cranial, extracranial, spinal, and peripheral nerve surgical procedures                                                 1
            and should have a well-balanced spectrum of neurological surgery in
            both adults and children.
4.4.b       This spectrum must include craniotomies for trauma, neoplasms,
            aneurysms, and vascular malformations; transsphenoidal and                                                              1
            stereotaxic surgery (including radiosurgery); pain management; and
            spinal procedures of a sufficient number and variety using modern
            techniques.
4.4.c       There must be clinical resources for the education of neurological
            surgery residents in anesthesiology, critical care, emergency medicine,                                                 1
            endocrinology, ophthalmology, orthopedics, otolaryngology,
            pathology, and psychiatry.
4.4.d       There must be sufficient patients admitted each year to ensure that
            the resident participates in the care of patients suffering from the full                                               1
            spectrum of neurosurgical diseases (see standard V.5.)
4.4.e       The institution must provide institutional resources to train at least
            one resident per year of training.                                                                                      1

Program Director Comments:

Site Reviewer Comments:

Site Reviewer Recommendations:
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Total Points for Section (to be added by site reviewer):



SECTION V: Program Requirements and Content

E. Neurological Surgery Standards
Neurological surgery is the surgical specialty that provides operative and non-operative care to patients of all ages with the management of disorders of the
central, peripheral, and autonomic nervous systems, including their support structures and vascular supply. The neurological surgery residency training
program must provide a meaningful education that prepares the resident upon graduation to meet certification requirements of the AOA through the
American Board of Osteopathic Surgeons (AOBS).
5.1          Neurological surgery is a discipline of medicine and the specialty of      Sources of Evidence:
             surgery that provides operative and non-operative management (i.e.,        Program Description; Curriculum;           1
                                                                                        Resident Logs
             prevention, diagnosis, evaluation, interpretation of imaging,
             treatment, critical care, and rehabilitation) of disorders of the central,
             peripheral, and autonomic nervous systems, including their
             supporting structures and vascular supply; the evaluation and
             treatment of pathological processes that modify the function or
             activity of the nervous system, including the hypophysis; and the
             operative and non-operative management of pain. As such,
             Neurological surgery encompasses: the surgical, nonsurgical and
             stereotactic radiosurgical treatment of adult and pediatric patients
             with disorders of the nervous system; disorders of the brain,
             meninges, skull, including skull base, and their blood supply,
             including the surgical and endovascular treatment of disorders of the
             intracranial and extracranial vasculature supplying the brain and spinal
             cord; disorders of the pituitary gland; disorders of the spinal cord,
             meninges, and vertebral column, including those that may require
             treatment by fusion, instrumentation, or endovascular techniques; and
             disorders of the cranial, peripheral, and spinal nerves throughout their
             distribution. The program must encompass and embrace these
             features.
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5.2       The required length of a neurosurgery residency program is 72
          months, which includes an AOA-approved common surgical                                                               1
          OGME-1R year (Reference Appendix Two).
5.2.a     Programs that extend the residency beyond 72 months must present a
          clear educational rationale consonant with the program requirements
          and the objectives of the residency. The program director must obtain
          the approval of the sponsoring institution and the Review Committee
          prior to implementation and at each subsequent accreditation review
          of the program.
5.2.b     During the first 36 months of education residents must have a             Sources of Evidence:
          minimum of three months of structured education in a neurology            Program Description; Curriculum;           1
                                                                                    Educational Logs/Files
          program.
5.2.c     The program must provide 36 months of clinical neurological surgery
          at the sponsoring institution or one of its approved participating sites.                                            1
5.20d     The remaining time not devoted to clinical neurology and
          neurosurgery must be spent in the study of the basic sciences,                                                       1
          neuroradiology, neuropathology, or other subject matter related to the
          neurosciences. These topics must be agreed upon by individual
          residents and the program director.
5.2.e     Residents must spend a 12-month period of time performing the
          duties as chief resident on the neurological surgery clinical service in                                             1
          the sponsoring institution under supervision, and demonstrating
          advanced-level responsibilities.
5.3       Each resident must document by program completion, participation,
          under supervision, of a minimum of 400 major neurosurgical                                                           1
          procedures, 200 of which must be cranial and must represent a well-
          balanced spectrum of neurological surgery in both adults and
          children. This spectrum should include craniotomies for trauma,
          neoplasms, aneurysms, and vascular malformations; extracranial
          carotid artery surgery; transsphenoidal and stereotaxic surgery
          (including radiosurgery); pain management; and spinal procedures of
          a sufficient number and variety using modern techniques.
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             Note: A resident logging this number of cases does not imply
             mastery of a procedure or competency. Competency is determined
             by the program director and the resident must be evaluated
             accordingly.

5.4          The program curriculum must meet or exceed the ACOS model                      Sources of Evidence:
             curriculum. There must be distribution of the following procedures:            Curriculum; Program Description;           1
                                                                                            Resident Logs.
5.4.a        Cranial,                                                                                                                  1
5.4.b        Extracranial,                                                                                                             1
5.4.c        Peripheral nerve, and                                                                                                     1
5.4.d        Spinal                                                                                                                    1
Program Director Comments:

Site Reviewer Comments:

Site Reviewer Recommendations:

Total Points for Section (to be added by site reviewer):




SECTION VI: PROGRAM DIRECTOR AND FACULTY
A. Program Director and Faculty
The educational program must provide faculty and support personnel to accomplish its stated purposes, to provide day-to-day continuity of leadership,
and to fulfill all educational responsibilities inherent in meeting the goals of the program.
6.1          The faculty must be composed of general surgeons, surgical                     Sources of Evidence: Staff Handbook;
             specialists, and other physicians engaged in the active practice of            Resident Manual/Handbook; Interviews       1
                                                                                            with Residents and Faculty.
             surgery.
6.2          Qualifications of the departmental chair, program director, and
             faculty:
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6.2.a       The chair of the department of surgery must be certified in general         Sources of Evidence:
            surgery by the AOA through the American Osteopathic Board of                CV; Organizational Chart                      1
            Surgery (AOBS) or the American Board of Surgery (ABS).
6.2.b       The program director must be clinically active at the institution and in    Sources of Evidence: OR Logs;
            the program for which he is director.                                       Interviews with Program Director,             1
                                                                                        Residents and Faculty
6.2.c       Reference Standard VI for additional SPECIALTY-specific
            qualifications.
6.2.d       Within consortium programs site directors must meet all the                 Sources of Evidence:
            qualifications of the program director                                      Policy and Procedures Manual;                 1
                                                                                        Organizational Chart; CV of Site
                                                                                        Director

6.3         The program director and the physician faculty must be academically         Sources of Evidence:
            and professionally qualified, maintain professional expertise               Interviews with Residents; Resident           1
                                                                                        Evaluations; Faculty lists; CVs
            appropriate to their educational and clinical responsibilities and be
            engaged in the active practice of surgery.
6.3.a       Both the program director and the faculty must affirm their                 Sources of Evidence:
            commitment to the residency program by providing a quality                  Interviews with Residents; syllabi;           1
                                                                                        Educational Records; Resident
            education in all areas of the curriculum and by demonstrating active
                                                                                        Evaluations; attendance records
            participation in the following educational activities:
6.3.a.i     Resident supervision and instruction in the operating room, at the
            bedside, and in ambulatory settings.                                                                                      1
6.3.a.ii    Participation and teaching in academic conferences.
                                                                                                                                      1
6.3.a.iii   Participation in resident and program evaluation activities.
                                                                                                                                      1
6.3.a.iv    Faculty development with an emphasis in adult pedagogy.                     Sources of Evidence:                          1
                                                                                        Interviews with Faculty and Residents;
6.3.b       The program director must have three years experience in the                CV’s; Ops Logs; Faculty Evaluations;
                                                                                        Job Descriptions
            appropriate specialty, after certification.                                                                               1
6.3.b.i     Membership in the American College of Osteopathic Surgeons.                                                               1

6.3.b.ii    Be clinically active staff member in the department of surgery of the
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            sponsoring institution or the primary training institution and in the                                                      1
            program for which he is director.
6.3.b.iii   Demonstrate clinical, educational, teaching, administrative, and
            leadership skills.                                                                                                         1
6.3.b.iv    Must maintain fulfillment of continuing medical education, such as
            appropriate State Board, AOA, and other professional society                                                               1
            activities, including continuing education in medical and surgical
            teaching skills and faculty development activities.

6.3.b.v     Must participate in community and professional organizations.                                                              1

6.3.b.vi    Certification criteria. (Reference Standards 6.6 – 6.19 for specialty-
            specific certification criteria.)
6.3.c       Non-physician faculty must be qualified in their area of expertise.           Sources of Evidence: Job Descriptions;
                                                                                          Interviews with Program Director and         1
                                                                                          Residents; Administrative Files;
                                                                                          Resident Files; Attendance Rosters
6.3.d       Exceptions to the qualifications, such as the special circumstances of
            non-AOA certification, must be submitted to the ACOS RESC for
            review and approval.
6.4         The general responsibilities of the program director must include, but Sources of Evidence: Job Descriptions;
            are not limited to the following activities:                           Interviews with Program Director;                   1
                                                                                   Interviews with Residents
6.4.a       Administrative and educational responsibility for the conduct of the
            program consistent with the model ACOS curriculum.                                                                         1
6.4.b       Arranging for affiliated training sites and electives to meet program
            objectives, consistent with approval of the DME.                                                                           1
6.4.c       Document compliance with the standards, policies, and procedures of
            the AOA.                                                                                                                   1


6.4.d       Submitting reports as required by the AOA Approval Procedures.
            (Reference Section IV.)                                                                                                    1
6.4.e       Ensure resident completion and submission of the resident annual
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          reports to the ACOS. (To include the annual resident report checklist                                               1
          for program directors.)
6.4.f     Complete and submit the program director’s annual evaluation of the
          program.                                                                                                            1
6.4.g     Preparing the required documentation for, and participation in, the
          AOA site visit process.                                                                                             1
6.4.h     Coordinate educational administrative activities of the training
          program to include resident schedules and resident assignments for                                                  1
          educational activities.
6.4.i     Ensuring that all components of the training program are evaluated as
          required. (Reference Section VIII.)                                                                                 1
6.4.j     Encourage residents to apply for ACOS resident membership status.
                                                                                                                              1
6.4.k     Attend the ACOS Osteopathic Surgical Educators' Seminar at least
          once every two years.                                                                                               1
6.4.l     Register program residents to utilize the ACOS electronic data
          collection/log system. Residents in general surgery, plastic and                                                    1
          reconstructive surgery, neurological surgery, urological surgery, and
          general vascular surgery must utilize the ACOS electronic data
          collection/log system to document and submit logs of procedures for
          the annual resident report. (Reference Standard 3.1.b.3)
6.5       Procedural Requirements
6.5.a     Program director appointments must be approved by the ACOS                Sources of Evidence: Administration
          RESC with subsequent registry by the AOA. (Reference Section IV)          Files                                     1

6.5.b     Program directors may be dismissed for non-adherence to the
          AOA/ACOS Residency training standards. (Reference AOA Basic
          Documents for Postdoctoral Training.)


F. Neurological Surgery
6.1       The program director must be certified in neurological surgery by the     Sources of Evidence:
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             AOA through the AOBS or by the American Board of Neurological                 Position Description; CV                     1
             Surgery (ABNS).
6.2          There must be a minimum of three neurosurgery faculty, one of                 Sources of Evidence:
             whom may be the program director. One faculty member must be                  Faculty List; CVs; OP Logs.                  1
             AOA-certified or eligible in neurological surgery, the other faculty
             members must be at least board-eligible in neurological surgery.
6.2.a               At least three (3) of the neurological surgery faculty members
                        must perform a minimum of 200 major neurological                                                                1
                        surgery procedures per year in the teaching institution.

Program Director Comments:

Site Reviewer Comments:

Site Reviewer Recommendations:

Total Points for Section (to be added by site reviewer):




SECTION VII: RESIDENT REQUIREMENTS
7.1          The resident-specific policies enumerated in the AOA Basic Documents          Sources of Evidence:
             for Postdoctoral Training must be implemented and provided, as                Resident Handbook; Interviews with           1
                                                                                           Residents and Program Director
             applicable, to residents admitted to the AOA-approved programs.
7.1.a        The resident is required to maintain and accurately complete records          Sources of Evidence:
             for their educational activities in the required surgical and educational     Resident Files; Interviews with              1
                                                                                           Residents and Program Director
             log forms.

7.1.b        The surgical logs must be submitted at the end of each rotation to the        Sources of Evidence: Resident Files;
             program director for review and verification.                                 Annual Reports; Interviews with              1
                                                                                           Residents and Program Director
7.1.c        The surgical logs must document the fulfillment of the requirements                                                        1
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          of the program, describing the scope, volume, and variety,
          progressive responsibility by the resident.
7.2       The resident is required to complete and submit the annual resident
          report to the ACOS RESC by the due date determined by the RESC,                                                        1
          but no later than 30 days after the completion of the contract year.
          The ACOS does not review annual resident reports that are three or
          more years delinquent.).
7.3       Resident's Annual Report for Surgery (segregated totals): This
          AOA/ACOS form is completed by the resident and signed by both                                                          1
          the resident and the program director to verify that the information
          reported is accurate. This report form documents the resident's
          surgical experience for the residency year. There is a different report
          form for each surgical specialty reviewed by the RESC. Segregated
          totals must reflect adequate scope, volume, and variety of procedures
          as defined by the ACOS/AOA standards. Residents in General
          Surgery, Plastic and Reconstructive Surgery, Neurological Surgery,
          Urological Surgery, and General Vascular Surgery must utilize the
          ACOS electronic data collection/log system to document and submit
          log data for the annual resident report
7.4       Evidence of completion of scholarly activity which may include an           Sources of Evidence: Resident Files;
          Original Scientific Research Paper. (Appendix Three and Four.)              Resident Evaluations; Annual Reports       1
7.4.a     Residents must meet the applicable requirements for scholarly
          activity/scientific research for their specialty.                                                                      1
7.4.b     The scientific research paper or other research project submitted for
          credit towards the annual resident report must be approved by the                                                      1
          program director and adhere to The ACOS Trainer’s Evaluation Format
          for the Resident Original Scientific Research Paper.
7.5       Annual resident reports must be received by the ACOS by the date
          determined by the RESC. Incomplete annual resident reports                                                             1
          submitted to the ACOS will not be reviewed by the RESC.
7.6       Residents must review and sign the Program Director’s Annual
          Resident Evaluation Report for Surgery.                                                                                1

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7.7          Residents must complete the required scientific and research
             component of the curriculum. (Reference Appendices Three and                                                        1
             Four.)
7.8          Didactic Requirements
7.8.a        Resident attendance in all educational offerings must be documented.     Sources of Evidence: Resident Files;
                                                                                      Curriculum; Attendance Rosters.            1
7.8.b        Residents must attend and document participation in at least 75% of
             all educational offerings by a program.                                                                             1
7.9          Continuity of training: To achieve approval/program completion           Sources of Evidence:                       1
             by the ACOS RESC, a resident must spend the final two years of           Resident files
             residency training in the same program. Resident transfers resulting
             from participation in a residency program that has been discontinued
             must be exempt from the continuity of training policy for the final
             two years of residency training. (See Appendix One for Advanced
             Standing, Residency Transfers, and Research Sabbatical.)
Program Director Comments:

Site Reviewer Comments:

Site Reviewer Recommendations:

Total Points for Section (to be added by site reviewer):



SECTION VIII: EVALUATION
A. Institutional Evaluation
8.1      The program, with the support of the sponsoring institution, must            Sources of Evidence:
         document and implement an ongoing evaluation process that focuses            Program Files; GMEC Minutes;               1
                                                                                      Interviews with Program Director and
         upon improving the quality of osteopathic surgical education
                                                                                      Residents
         provided to their residents.
B. Program Evaluation
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8.1         Programs must incorporate the self-study evaluation process as a           Sources of Evidence:
            permanent part of their operation.                                         GMEC Minutes; Administrative Files;          1
                                                                                       Interviews with Residents, Faculty and
8.2         The program director and the faculty must be peer evaluated annually       Program Director
            with respect to their teaching abilities, commitment to the program,                                                    1
            and scholarly activities.
8.3         The quality of the program must be evaluated at least annually by the
            program director, faculty, and residents, and the results should be                                                     1
            used for program improvement. Recommended methods include:
            program improvement and outcome results such as resident in-
            service examination scores and graduate performance on the
            certifying examination; postgraduate professional performance
            satisfaction surveys and records of the professional accomplishments
            of the program graduates; the resident attrition rate from the program
            and the percent of graduates completing the program on time.
8.4         Resident's Annual Evaluation Report of the Program                         Sources of Evidence: Resident Files;
            Director/program: This ACOS report form is completed by the                Interviews with Residents                    1
            resident and is held in strict confidence by the RESC. The RESC
            utilizes this form to evaluate the program director and the program.
            ACOS staff notifies the RESC when a trend of negative evaluations
            develops for a particular residency program.
C.    Resident Evaluation
8.1          The program director, with faculty input, must complete written           Sources of Evidence:
             evaluations of resident performance at least quarterly. This must         Resident Files; Interviews with              1
                                                                                       Residents and Program Director
             include evaluations from all affiliated training sites and elective
             assignments.
8.1.a        The evaluations must be learner-centered, developmental,                  Sources of Evidence:
             improvement-oriented, and based upon educational objectives for           Resident Files; Resident Evaluations;        1
                                                                                       Interviews with Residents/Program
             each assignment and program activity, and reflect the AOA core
                                                                                       Director.
             competencies.
8.1.b        Completed evaluations must be signed by the program director and
             the resident as documentation that evaluation and counseling have                                                      1
             occurred quarterly as required.
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8.1.c       Copies of the quarterly evaluations must be filed, made available to
            the resident upon request, and submitted to the RESC as necessary or                                                1
            requested (Reference Section IV)
8.1.d       Residents requiring remediation or counseling must be evaluated
            more frequently.                                                                                                    1
8.1.e       A final evaluation of each resident’s general and technical abilities
            which attests to their competence at graduation from the program,                                                   1
            must be completed and filed with their permanent record.
8.2         The program director must submit the Program Director’s Annual             Sources of Evidence:
            Resident Evaluation Report for Surgery by deadline established by the      Resident Files (ACOS Annual Report       1
                                                                                       Letters)
            RESC.
8.2a        This AOA/ACOS report form is completed by the program director.            Sources of Evidence:
            The program director must include a narrative progress report on the       Resident and Program Files               1
            resident’s competency in each year of training. The narrative must
            summarize the resident’s progress in achieving the core competencies
            and provide a description and an evaluation of the resident’s scholarly
            activity. Both the resident signature and the program director
            signature are required to document that the resident has been
            counseled concerning progress. Quarterly evaluations must be
            submitted with this annual report form if the promotion section of
            the form includes a recommendation from the program director that
            the training year not receive approval and/or that the resident not be
            advanced to the next level of training.
8.3         Residents must evaluate their program director by completing and           Sources of Evidence:
            signing the Resident’s Annual Evaluation Report of the                     Resident Files (ACOS Annual Report       1
                                                                                       Letter); Interviews with Residents
            Program/Program Director.
8.4         Residents in general surgery training programs must have completed
            the annual ACOS in-service examination. Residents in other surgical                                                 1
            specialties must complete an annual in-service examination if
            available.
Program Director Comments:

Site Reviewer Comments:
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Site Reviewer Recommendations:

Total Points for Section (to be added by site reviewer):



Section                                   Max. Total
I - Preamble                              2
II - Mission                              2
III – Educational Program                 19
IV – Institutional Requirements           14
V – Program Requirements                  12
VI – Faculty Requirements                 34
VII – Resident Requirements               15
VIII - Evaluation                         15




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