Neurology
©2023 Accreditation Council for Graduate Medical Education (ACGME) Page 42 of 51
things on occasion when the need arises, these activities should not be performed by
residents routinely and must be kept to a minimum to optimize resident education.
VI.B.2.b) ensure manageable patient care responsibilities; and,
(Core)
Background and Intent: The Common Program Requirements do not define
“manageable patient care responsibilities” as this is variable by specialty and PGY
level. Review Committees will provide further detail regarding patient care
responsibilities in the applicable specialty-specific Program Requirements and
accompanying FAQs. However, all programs, regardless of specialty, should carefully
assess how the assignment of patient care responsibilities can affect work
compression, especially at the PGY-1 level.
VI.B.2.c) include efforts to enhance the meaning that each resident
finds in the experience of being a physician, including
protecting time with patients, providing administrative
support, promoting progressive independence and flexibility,
and enhancing professional relationships.
(Core)
VI.B.3. The program director, in partnership with the Sponsoring Institution,
must provide a culture of professionalism that supports patient
safety and personal responsibility.
(Core)
Background and Intent: The accurate reporting of clinical and educational work hours,
patient outcomes, and clinical experience data are the responsibility of the program
leadership, residents, and faculty.
VI.B.4. Residents and faculty members must demonstrate an understanding
of their personal role in the safety and welfare of patients entrusted
to their care, including the ability to report unsafe conditions and
safety events.
(Core)
VI.B.5. Programs, in partnership with their Sponsoring Institutions, must
provide a professional, equitable, respectful, and civil environment
that is psychologically safe and that is free from discrimination,
sexual and other forms of harassment, mistreatment, abuse, or
coercion of students, residents, faculty, and staff.
(Core)
Background and Intent: Psychological safety is defined as an environment of trust and
respect that allows individuals to feel able to ask for help, admit mistakes, raise
concerns, suggest ideas, and challenge ways of working and the ideas of others on the
team, including the ideas of those in authority, without fear of humiliation, and the
knowledge that mistakes will be handled justly and fairly.
The ACGME is unable to adjudicate disputes between individuals, including residents,
faculty members, and staff members. However, information that suggests a pattern of
behavior that violates the requirement above will trigger a careful review and, if
deemed appropriate, action by the Review Committee and/or ACGME, in accordance
with ACGME Policies and Procedures.