Crosswalk Preventive Medicine Public Health Eff 7 12 by bsN2jI5X

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									                  INSPECTION CROSSWALK
                 FOR RESIDENCY PROGRAMS
                            IN
         PUBLIC HEALTH AND PREVENTIVE MEDICINE




Inspection Crosswalk
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                Public Health And Preventive Medicine Inspection Crosswalk

Instructions:
      Mark each standard as met or not met
      Use the Comments section to record why not met or any commendations




Program:
Program Number:
Review Date:
Site Reviewer:




Inspection Crosswalk
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                                                                                                                                  Pre-Site Visit Current Review    Prior
                                                                                                                                   (Program      (Site Reviewer)   Revie
                                                                                                                                  Director Self                     w
                                                                                                 SUGGESTED                           Study)
                                                                                             DOCUMENTATION
                                                                                             / INTERVIEWS FOR




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Standard                                                                                         VERIFYING
Number     STANDARD                                                                             COMPLIANCE

IV. Institutional Requirements
4.1        The institution must provide the time and resources for each resident to attend    Resident Interviews       1
           the annual convention and scientific sessions or another educational program       Conference certificates
           sponsored by the AOCOPM at least once during their residency.



4.2        The institution shall provide a documented internal review                         GME Committee Minutes     1
           mechanism to assure an annual appraisal of, the educational
           curriculum, clinic scope and volume, the faculty, and the quality of
           patient care

           Program Director Comments:




           Site Reviewer Comments (describe not met or met with excellence):




V. Program Requirements, Faculty and Content


Inspection Crosswalk
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                                                                                                                        Pre-Site Visit Current Review    Prior
                                                                                                                         (Program      (Site Reviewer)   Revie
                                                                                                                        Director Self                     w
                                                                                       SUGGESTED                           Study)
                                                                                   DOCUMENTATION
                                                                                   / INTERVIEWS FOR




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Number     STANDARD                                                                   COMPLIANCE

5.1        A Preventive Medicine and Public Health residency shall be 24            Curriculum                1
           months in duration, to be completed within 4 years. Residents who        Transfer Policy
           have completed other residency training (as described in Article III,
           Section 8) and are board‐certified or board‐eligible in another
           specialty and have completed the required graduate coursework will
           be considered for a shorter training period, but in no case shall this
           be less than 12 months.
5.2         A Preventive Medicine and Public Health residency training program  OPTI Affiliation              1
            must have at least two physician faculty board certified in Preventive   Agreement(s)
            Medicine and Public Health.

5.3        Subject to appropriate agreements, physicians in other settings, such    Affiliation Agreements    1
           as behavioral and mental health clinics, chemical dependency             Faculty Rosters
           treatment centers, and occupational medicine clinics shall be used to    Resident Evaluations
           supplement the faculty to provide residents with a breadth of
           experiences in Preventive Medicine and Public Health.


5.4        Non-physicians who hold advanced degrees pertinent to Preventive         Faculty CVs               1
           Medicine and Public Health may serve as faculty and supervise
           residents within their disciplines.
5.5        The resident must participate in direct clinical patient care a          Resident Work Schedules   1
           minimum of 80 days during the OGME2 academic year and 60 days            Resident Logs
           during the OGME3 academic year.                                          Chart Audits




Inspection Crosswalk
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                                                                                                                          Pre-Site Visit Current Review    Prior
                                                                                                                           (Program      (Site Reviewer)   Revie
                                                                                                                          Director Self                     w
                                                                                        SUGGESTED                            Study)
                                                                                    DOCUMENTATION
                                                                                    / INTERVIEWS FOR




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Number     STANDARD                                                                    COMPLIANCE

5.6        The program shall provide clinical and administrative experiences         Resident Research Papers   1
           within a functioning state and/or local health department, university
           or hospital administration, or other health care organization that can
           provide relevant clinical and public health systems exposure.
5.7        The program shall provide a documented internal review mechanism          Institutional Core         1
           to assure an annual appraisal of, the educational curriculum, clinic       Competency Plan
           scope and volume, the faculty, and the quality of patient care.           Resident Evaluations
                                                                                     Program Evaluations
                                                                                     Annual Report

5.8        The program must have a supervision policy that includes, at              Resident Interview         1
           minimum: how the faculty provides supervision (direct, indirect and       Logs
           informal) at all times; how supervision is graded with regard to level    Resident Evaluations
           of training; how the program assesses competence (both procedural         Annual Report
           and non-procedural) with regard to the need for supervision; and
           how the policy is monitored and enforced.
5.9        The program must maintain a file for each resident containing, at         Resident File              1
           minimum:
           a. Ambulatory logs;
           b. Rotation evaluation forms;
           c. Quarterly program director evaluations.




Inspection Crosswalk
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                                                                                                                  Pre-Site Visit Current Review    Prior
                                                                                                                   (Program      (Site Reviewer)   Revie
                                                                                                                  Director Self                     w
                                                                                    SUGGESTED                        Study)
                                                                                DOCUMENTATION
                                                                                / INTERVIEWS FOR




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Number     STANDARD                                                                COMPLIANCE

5.10       Graduate level training in the following areas, which includes the    Resident Application   1
           earning of a Master of Public Health or an equivalent graduate        Resident Interview
           degree:                                                               Resident File
             a. Epidemiology, to develop an understanding of the study of
                disease within communities and populations, including Global
                Health.
             b. Biostatistics: Research and Statistical methods and their
                application to the study of and prevention of individual and
                population diseases, both chronic and acute.
             c. Health Services Management and Administration
             d. Environmental Health.
             e. Behavioral Aspects of Health
           Program Director Comments:




           Site Reviewer Comments (describe not met or met):




Inspection Crosswalk
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                                                                                                                         Pre-Site Visit Current Review    Prior
                                                                                                                          (Program      (Site Reviewer)   Revie
                                                                                                                         Director Self                     w
                                                                                       SUGGESTED                            Study)
                                                                                   DOCUMENTATION
                                                                                   / INTERVIEWS FOR




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Number      STANDARD                                                                  COMPLIANCE


VI. Program Director/Faculty
            The qualifications and duties of the program director will include:    Program Director CV         1
               a. Certification in Preventive Medicine and Public Health by        Board Certification
                   the American Osteopathic Association, through the                Verification
                                                                                   Medical Staff Appointment
                   American Osteopathic Board of Preventive Medicine
                                                                                    Letter
                   (AOBPM), or be an Osteopathic physician certified in            AOA Membership
                   Public Health and general Preventive Medicine by the             Verification
                   American Board of Preventive Medicine (ABPM).
               b. Demonstrated evidence of continuing medical education in
                   the fields of preventive medicine, including General
                   Preventive Medicine, Preventive Medicine and Public
                   Health, or Aerospace Medicine.
               c. Involvement in the delivery of Preventive Medicine and
                   Public Health, have training and experience in academic
                   medicine and have administrative ability and expertise to
                   direct and supervise a residency program.
               d. Licensure to practice osteopathic medicine in the state or
                   territory where the institution that sponsors the program is
                   located, or another jurisdiction satisfactory to the
                   sponsoring institution.
               e. Appointment in good standing to the medical staff of an
                   institution participating in the program.
6.2         The program director must prepare an annual report to the              Annual Report               3
            AOCOPM .




Inspection Crosswalk
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                                                                                                                        Pre-Site Visit Current Review    Prior
                                                                                                                         (Program      (Site Reviewer)   Revie
                                                                                                                        Director Self                     w
                                                                                      SUGGESTED                            Study)
                                                                                  DOCUMENTATION
                                                                                  / INTERVIEWS FOR




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Number     STANDARD                                                                  COMPLIANCE

           Program Director Comments:




           Site Reviewer Comments (describe not met or met with excellence):




VII. Resident Requirements
7.1.a       Applicants for training   in Preventive Medicine and Public Health    Resident Selection Policy   1
            must:                                                                 Resident Licensure
                       a. Have completed an AOA, ACGME, or US                      Verification
                                                                                  AOA Membership
                          government approved internship.
                                                                                   Verification




Inspection Crosswalk
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                                                                                                                           Pre-Site Visit Current Review    Prior
                                                                                                                            (Program      (Site Reviewer)   Revie
                                                                                                                           Director Self                     w
                                                                                        SUGGESTED                             Study)
                                                                                    DOCUMENTATION
                                                                                    / INTERVIEWS FOR




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Number     STANDARD                                                                    COMPLIANCE

7.2        During the training program, the resident must:                          Resident Annual Reports      3
                      a. Submit an annual report to the American                    COMLEX-III Verification
                          Osteopathic College of Occupational and                   Resident Research Projects
                          Preventive Medicine (AOCOPM)                              Resident Case Logs
                      b. Submit a scientific paper and/or research paper,
                          suitable for publication and pertaining to
                          Preventive Medicine and Public Health. Established
                          guidelines shall be used in preparation of the paper.
                      c. Keep a log, recording each case and procedures
                          assigned for all treatment settings, identified by the
                          institution number. This log shall be submitted
                          each quarter to the program director and Director
                          of Medical Education for review and evaluation.
                      d. Participate in an annual in-service exam when
                          available and required by AOCOPM.

           Program Director Comments:




           Site Reviewer Comments (describe not met or met with excellence):




Inspection Crosswalk
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                                                                                                                          Pre-Site Visit Current Review    Prior
                                                                                                                           (Program      (Site Reviewer)   Revie
                                                                                                                          Director Self                     w
                                                                                        SUGGESTED                            Study)
                                                                                    DOCUMENTATION
                                                                                    / INTERVIEWS FOR




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Number      STANDARD                                                                   COMPLIANCE


VIII. Evaluation
A           The residency program shall maintain a system of programmatic
            reviews, as follows:

8.1         This record shall include a patient log, which shall document that       Resident Periodic          1
            each resident has completed all clinical experiences required by the      Evaluations
            program.
8.2         Provide written evaluation that documents the resident’s               Resident Final Evaluations   1
            knowledge, skills and overall performance at regularly scheduled
            intervals throughout the training period and a final evaluation,
            which documents satisfactory completion of all program
            requirements for each resident at the end of training. The evaluation
            must include a review of the resident’s performance during the final
            period of training and should verify that the resident has
            demonstrated an ability to practice competently and independently.
            This final evaluation should be part of the resident’s permanent
            record maintained by the institution. The program director shall
            meet with each resident and the resident shall receive a written
            performance review at least every 6 months during their program.
            Program Director Comments:



            Site Reviewer Comments (describe not met or met with excellence):




Inspection Crosswalk
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Additional Comments




Site Reviewer Grid
                                                          Met   Not Met   Total
Section Number                                                            Possible Met
IV Institutional Requirement, 8 points
V. Program Requirements, Faculty and Content, 12 points
VI. Program Director/Faculty, 9 points
VII. Resident Requirements, 2 points
VIII. Evaluation, 7 points



Totals,                                                   0     0         0
To update Totals, highlight the number and press F9.


Site Reviewer’s Name (print)                                                  Date

Site Reviewer’s Signature                                                     Date

Program Director’s Signature                                                  Date




Inspection Crosswalk
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