ACGME Efforts Eric S Holmboe Outline Common Program

ACGME Efforts Eric S. Holmboe

Outline • Common Program Requirements • Preliminary results: program data • Addiction medicine milestones and supplemental guide • Congress of GME stakeholders on opioid education • Program director guide • Resources available on ACGME website © 2019 ACGME

Common Program Requirements (CPRs) Effective July 1, 2019, the ACGME required all programs to: “provide instruction and experience in pain management… including recognition of the signs of addiction. ” CPR Section IV. C. 2 © 2019 ACGME

CPR Section IV. C. 2 Focus • Prevent addiction wherever possible while effectively treating pain; • Recognize addiction in its earliest stages; • Function effectively in systems of care for effective pain relief and addiction; • Use non-pharmacologic means wherever possible. © 2019 ACGME

Program Data: Preliminary Results • Programs using a variety of educational methods around pain management: - Didactic sessions - Conferences - Modules • Analysis of survey results - 94% of programs and over 95% of residents in key specialties receiving education. © 2019 ACGME

Addiction Medicine (AM) Milestones © 2019 ACGME

AM Milestones: Supplemental Guide © 2019 ACGME

Congress of GME Stakeholders on Opioid Education • • Two Day Invitational Meeting in April at the ACGME Goal: To reach consensus on the curricular materials and experience needed for residents and fellows to acquire the skills and competencies to effectively recognize and treat addiction relevant to their specialty. 75 to 80 representatives of key GME stakeholders: • - Specialty Societies Certifying Boards Program Directors Review Committee Chairs The Continuum of Medical Education (AAMC, AMA, LCME, ACCME) © 2019 ACGME

Program Director (PDs) Guide • Educational Resource for PDs to implement CPRs • Example topics from section IV: - Determining When to Initiate or Continue Opioids for Chronic Pain - Opioid Selection, Dosage, Duration, Follow-Up, and Discontinuation - Assessing Risk and Addressing Harms of Opioid Use © 2019 ACGME