Accreditation Council for Graduate Medical Education
2002–2003 Annual Report
Accreditation Council for
Graduate Medical Education
515 North State Street
Suite 2000
Chicago, Illinois 60610
Phone 312.755.5000
Fax 312 .755.7498
www.acgme.org
T
he mission of the ACGME is to improve the quality of health care in
the United States by ensuring and improving the quality of graduate
medical education experiences for physicians in training. The ACGME
establishes national standards for graduate medical education by which it approves
and continually assesses educational programs under its aegis. It uses the most
effective methods available to evaluate the quality of graduate medical education
programs. It strives to improve evaluation methods and processes that are valid,
fair, open and ethical.
In carrying out these activities, the ACGME is responsive to change
and innovation in education and current practice, promotes the use of
effective measurement tools to assess resident competency and encourages
educational improvement.
The mission of the ACGME is to improve the quality of
health care in the United States by ensuring and improving
the quality of graduate medical education experiences for
physicians in training.
The ACGME will:
Be a source of inspiration, encouragement, support and assistance
to all who strive for educational excellence
Incorporate educational outcomes into accreditation decisions
Be data and evidence driven
Encourage the development of core competencies across all disciplines,
including knowledge of quality improvement
Explore a more comprehensive role in GME policy
Become a world leader in accreditation efforts
Maintain objectivity and independence while continuing its
interorganizational relationships
Develop a consultative role and encourage innovation
Be the spokesperson for GME
1
(Left to right)
Linda Roquet, Administrative Secretary; Louise Castile, Senior Accreditation Administrator;
Patricia Levenberg, PhD, Executive Director of RRCs for Allergy and Immunology, Ophthalmology and Otolaryngology;
David C. Leach, MD, ACGME Executive Director
T
he past year has been a challenging one for the graduate medical
education community. No previous effort by the ACGME has garnered
as much attention in the press as has our new duty hours standards.
And none has provoked the anxiety of program directors, designated institutional
officials, department chairs, hospital executives (not to mention chief financial
officers), residents and students as has this.
The overall response has been positive. ACGME staff and Board members
have met with innumerable groups. Most acknowledge that the conditions under
which residents work have been less than satisfactory, and that it is the provision
of service, not the acquisition of knowledge or technical skill, that has consumed
enormous amounts of resident time.
Do we have it exactly right? Probably not. But the great advantage of
accreditation — as opposed to legislation or regulation — is that the standards can
be modified relatively easily. For example, some areas under consideration for
modification are the six-hour post-call limitation and the question of the uniform
application of the standards across all residency years. Under the able leadership
of Dr. David Glass, assisted by Ingrid Philibert, the ad hoc Committee on Duty
Hours has been developing mechanisms for implementation and for the
consideration of modifications should the need be identified.
Another area of interest is the streamlining of program requirements and
of data collection. Dr. Bill Williams has been working closely with RRCs and
executive directors to examine each data element of the 119 program information
forms (PIFs) used by RRCs and by the field staff to assess objective measures
about a program. Several RRCs are considering streamlining their accreditation
processes. The Board has approved a pilot project developed by the RRC for
Plastic Surgery, and other RRCs are considering similar initiatives. This effort is
being nurtured by the Monitoring Committee, led by journalism professor Mr.
Duncan McDonald, one of the Board’s public members. The Monitoring
Committee has also identified Best Practices of RRCs, encouraging other RRCs
to consider them. All of this is intended to lead us toward what Dr. Leach calls
“The Accreditation System After Next” — one much more focused on outcomes
and much less on process.
The Board became concerned about the ambiguous status of combined
programs (Medicine/Pediatrics, Neurology/Rehabilitation Medicine, etc.). Although
the constituent programs are accredited, the combined entity is not. This creates
several problems for residents enrolled in those programs and the program
directors who lead them. The Board is considering mechanisms that will facilitate
accreditation without creating undue burdens on program directors or residents.
Of all the ACGME’s activities, none is more rewarding than the selection of
the Parker J. Palmer awardees. This award was created to acknowledge and honor
those program directors who have excelled in their roles as teacher, coach, mentor,
parent, dutch uncle and the myriad other parts a successful program director must
play. Few tasks stress the Board as much as this — choosing only 10 from so many
deserving candidates. In fact, it was so difficult that there was a tie for the 10th,
resulting in 11 awardees. The 2003 recipients are listed further on in this annual
report. The Board also took great pleasure in conferring the John C. Gienapp
Award on Dr. Paul Friedman and Dr. Bill Williams for their outstanding service
as co-chairs of the Duty Hours Work Group.
Recognizing that being in the public eye so much more than the degree to which
we were accustomed, the Board also has developed a new Strategic Communications
Plan in an initiative led by Dr. Mark Dyken, ACGME Vice Chair. It is our expectation
that this plan, when implemented, will guide the ACGME as it speaks on major
topics facing graduate medical education. One of the most obvious effects of the
new plan is the new logo. Ms. Julie Jacob has joined the ACGME as manager of
communications, and her influence is already being felt.
Tw o Board members complete their terms of service in September 2003. Dr.
Mark Dyken and Dr. Rebecca Minter have made innumerable contributions to the
Board, and they will be missed. The Board welcomed a new public member, Mr.
Roger Plummer of Chicago.
All of medical education lost a great friend, fine advocate and creative intellect.
Dr. Marvin Dunn, who served as Executive Director of the Department of RRC
Activities, died on July 30. He will be greatly missed. The Board is considering
how best to honor him and his service.
Finally, it is a great pleasure to salute the fine staff of the ACGME. Dr. David
Leach, Executive Director and the staff in the Chicago office are tireless in their
efforts to improve graduate medical education. The field staff are a highly professional
group who spend more than 700 weeks collectively on the road each year. The
members of the residency review committees — unpaid volunteers all — are
conscientious and thoughtful representatives of the profession who work effectively
to further graduate medical education. And they are ably assisted by the Executive
Directors of each RRC, who provide careful guidance and represent the corporate
memory. On behalf of the Board, I thank them all for their outstanding work.
Charles L. Rice, MD
Chair
Accreditation Council for Graduate Medical Education
All of this work is intended to lead us toward what Dr. Leach
calls “The Accreditation System After Next” — one much more
focused on outcomes and much less on process.
MESSAGE FROM THE CHAIR
2 3
T
he mission of the ACGME is to improve health care by improving graduate
medical education. We do this by setting standards and accrediting the
country’s 7,878 residency programs representing 119 specialties and
subspecialties that, in aggregate, house 98,484 residents. This past year residency
review committees (RRCs) reviewed 3,658 residency programs (47.6% of programs),
including 1,950 full program reviews (24.9%). The proposed adverse action rate was
11.5%. Seven new subspecialties were created. There are 713 sponsoring institutions.
Residency programs have entered phase two of the competency initiative,
“sharpening the focus and clarifying the definition of the six general competencies.” The six
general competencies have been adopted by several key organizations and have
proven a useful way to organize conversations about the work of medicine. Now
begins a four-year phase in which the understanding of the six competencies is
deepened, assessment tools are developed and institutions begin using educational
outcomes for improvement. Four assessment tools emerged during the year as
especially useful: focused observations of the residents’ skills; 360-degree
evaluations; portfolios and cognitive tests.
In 2002–2003 the ACGME conducted more than 100 workshops on the
competencies. The ACGME has partnered with the American Board of Medical
Specialties (ABMS) to sponsor an annual conference designed to clarify and deepen
our understanding of the six general competencies. In 2002 the conference was about
interpersonal and communication skills; in 2003 it was about professionalism. In
conjunction with the Institute for Healthcare Improvement the ACGME held an
invitational competency workshop for program directors, Practice-based Learning and
Improvement and Systems-based Practice, on December 1–2, 2002, in Orlando, Florida. The
entire community celebrates the work of dedicated program directors and faculty
who have responded to the invitation to increase the community’s understanding
of the formation of physicians.
RRCs are developing pilot projects designed to reduce needless process
and structure measures. Educational outcome measures permit reduced process
measures. The Plastic Surgery RRC has a pilot that has dramatically reduced the
size of the program information form and has proven very successful. Two more
RRCs will introduce pilots in 2004.
The ACGME is becoming more data-driven. Sixteen thousand residents from
24 specialties now enter case and procedure logs on the ACGME data system. Last
year alone 3.2 million procedures were logged in bringing the total to 9.4 million
procedures. These form the basis of individual portfolios that graduating residents
may use to catalog and describe their clinical experiences. The data may be entered
via palm pilot or any computer. The Web Accreditation Data System (ADS) database
now contains information on almost all of the 98,484 residents in training during
the last year. The system also surveys each program annually and enables part 1 of
the program information forms to be updated over the Internet. The ACGME also
rolled out the on-line resident questionnaire. The questionnaire has been tested,
improved and will be used to survey residents on a regular basis for the RRCs.
The ACGME held a June retreat with the Council of RRC Chairs. It had
three major aims: (1) to explore and illuminate an accreditation approach to be
used five years from now; (2) enhance awareness of the steps required to transition
to a new system, including potential new roles and responsibilities for ACGME
and RRC members and (3) to explore ways the ACGME and RRCs can improve
graduate medical education. This is an important step in an effort to implement a
less burdensome system of program review. The talent and dedication of RRC
members cannot be overstated. Volunteers, experts in their field, deeply committed
and experienced teachers, these 250 physicians set standards, review program
information and make accreditation decisions on the country’s 7,878 residency
programs. They deserve the gratitude of all in the profession.
The ACGME also implemented new duty hour requirements on July 1, 2003.
This initiative developed in response to changing patterns of care in hospitals, and
in response to concerns from the public as expressed in pending legislation at both
the state and federal level that would regulate duty hours. These changes will probably
provoke a redesign of the way inpatient care is delivered. The vast majority of
programs have succeeded in complying with the requirements. Successful models
were identified at the ACGME Annual Educational Conference and will continue
to be displayed on our Web site and in other venues.
Each year the ACGME gives ten program directors the Parker J. Palmer
“Courage to Teach” Award. This is the third year of this program and the awardees
are truly extraordinary individuals. They are from diverse specialties and live in
different parts of the country, yet all share some common themes: living undivided
lives, deep experience and understanding about the formation of physicians and the
satisfaction that comes to great teachers. They are exemplars and an inspiration to all.
The ACGME lost a dear friend and colleague when Dr. Marvin Dunn, Director
of RRC Activities, died abruptly on July 30, 2003. Marvin loved the graduate
medical education community, especially the residents. He had great wisdom, polished
skills and boundless energy. I personally miss his insights, advice and humor. He
has left a lasting impression on all of us at ACGME.
David C. Leach, MD
Executive Director
Accreditation Council for Graduate Medical Education
The six general competencies have been adopted by
several key organizations and have proven a useful way to
organize conversations about the work of medicine.
EXECUTIVE DIRECTOR’S REPORT
4 5
MILESTONES
7, 878 ACGME-accredited residency programs
3,658 programs appeared on RRC agendas
16 0 programs were newly accredited
T
he numbers tell the story of the ACGME’s mission to improve the
quality of health care by ensuring and improving the quality of graduate
medical education in the United States. The process of reviewing and
accrediting residency programs is carried out by a dedicated team of field surveyors,
volunteer residency review committee members and ACGME staff. As a way to
align the ACGME’s data with the academic year schedule of residency programs,
the ACGME has switched this year to an academic year format and publication
schedule for its annual report. Financial data will continue to be reported for the
calendar year. The numbers, charts and graphs on these pages illustrate the scope
of the ACGME’s accreditation activities during the 2002–2003 academic year,
July 1, 2002 to June 30, 2003.
7, 878 ACGME-accredited residency
programs — 3,964 core specialty
programs and 3,914 subspecialty
programs
98,484 residents were on duty in
ACGME-accredited programs
3,658 programs appeared on
residency review committee
agendas during the academic
year, including 2,035 that were
scheduled for regular accreditation
status reviews
160 programs were newly accredited
14.3% of programs had new
program directors — 15.7%
of core programs and 12.8% of
subspecialty programs
46% of all accredited programs
appeared on RRC agendas
26% were subject to routine
accreditation review
2,104 participating institutions
18.5% of institutions had new
designated institution officials (DIOs)
713 sponsoring institutions
374 sponsoring institutions
have more than one program
and are reviewed by the
Institutional Review Committee
Newly recognized specialties
and subspecialties in 2002–2003
Molecular Genetic Pathology
Clinical Neurophysiology
Neurodevelopmental Disabilities
Endovascular Surgical Neuroradiology
Interventional Cardiology
Procedural Dermatology
Psychosomatic Medicine
Developmental Behavioral Pediatrics
(effective June 2002)
713 sponsoring institutions
RRCs proposed adverse actions
for 124 programs
6.5% of programs reviewed
were subject to first-time proposed
adverse actions
55 programs placed on probation
74 programs had their accreditation
withdrawn of which 61 were voluntary
8 appeals were considered by the
ACGME after formal hearings —
5 decisions were sustained and
3 were rescinded
40,000 hours contributed
by volunteer physicians and
administrators
ACGME field staff spent
715 weeks traveling
135 visits made by volunteer
surveyors to visit programs
1,728 field staff visits of which
59 were institutional reviews,
840 were core program visits and
829 were subspecialty visits
63 meetings of RRCs
6 7
3 ACGME Board of Directors meetings
2 meetings of the Institutional
Review Committee
R ESIDENTS AND PROGRAMS BY CORE SPECIALTY 2002 FINANCIAL HIGHLIGHTS
8 9
T
he ACGME’s 2002 fiscal year income came primarily from annual fees
charged to all accredited programs. Programs with more than four residents
are charged $2,500 annually and programs with fewer than five residents
are charged $2,000. The current rates have been frozen since 2000. ACGME
reserves, defined as cash and investments, totaled $15.8 million at year end.
Revenues
Investment Revenue $ 459,216 2.34%
Workshops & Miscellaneous Income 580,514 2.96%
Application Fees 561,000 2.86%
Grants 31,250 0.16%
Appeals Fees 73,693 0.42%
Annual Program Accreditation Fees 17,708,563 90.33%
Rent Revenue 183,044 0.93%
Total$19,597,280 100.00%
Expenses
Administration & Research $ 3,627,576 18.76%
Rent & Contracted Support Services 1,970,913 10.20%
RRC Activities 6,015,110 31.14%
Field Staff Activities 4,649,017 24.07%
Appeals & Legal Services 494,318 2.56%
ACGME Activities 2,559,364 13.25%
Total$19,316,298 100.00%
Annual Program
Accreditation Fees
Rent Revenue
Investment Revenue
Workshops & Misc. Income
Appeals Fees
Grants
Application Fees
Administration
& Research
Rent &
Cont. Support
Services
RRC Activities
Field Staff
Activities
ACGME
Activities
Appeals & Legal Services
0.3%
1.8%
5.6%
3.4%
0.1%
0.9%
1.1%
2.7%
4.6%
3.2%
11.8 %
12.1 %
25.4%
9.9%
0.1%
1.2%
0.9%
2.4%
1.7%
3.0%
0.2%
1.7%
5.5%
6.4%
1.6%
3.1%
3.6%
3.8%
1.3%
2.6%
2.6%
3.9%
9.1%
5.2%
1.3%
2.0%
0.6%
2.2%
0.4%
2.1%
5.4%
4.6%
0.6%
2.0%
4.7%
4.8%
8.6%
6.4%
0.4%
2.3%
1.1%
3.0%
1.6%
3.4%
Allergy and Immunology
Anesthesiology
Colon and Rectal Surgery
Dermatology
Emergency Medicine
Family Practice
Internal Medicine
Medical Genetics
Neurological Surgery
Neurology
Nuclear Medicine
Obstetrics and Gynecology
Ophthalmology
Orthopaedic Surgery
Otolaryngology
Pathology — Anatomic and Clinical
Pediatrics
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine
Psychiatry
Radiation Oncology
Radiology — Diagnostic
Surgery — General
Thoracic Surgery
Urology
Transitional Year
% of Residents % of Programs
Source: Accreditation Data Systems (ADS) Graduate Medical Education Data Academic Year 2002–03.
Chicago, Illinois: ACGME 2003.
E
leven program directors, chosen out of more than 200 nominees, received
the ACGME’s 2003 Parker J. Palmer “Courage to Teach” award. The
annual award honors medical residency program directors who have shown
their commitment to graduate medical education through their outstanding work
in mentoring and teaching physicians in training and developing and improving
residency programs. It is named in honor of Parker J. Palmer, PhD, a sociologist
and educator who wrote The Courage to Teach, a book about the intellectual,
emotional and spiritual aspects of teaching.
“Such concepts as living divided no more, creating space to have conversations
about teaching and learning, recognizing that medicine is a cooperative rather than
a productive art, and developing practical wisdom in addition to knowledge and
skills have all either been developed explicitly by Parker or have resulted from an
extension of his thinking into medicine,” said Dr. Leach.
In their nomination letters, the program directors chosen for the award were
described with phrases such as “a true leader for house staff and chief residents,”
“tackles the most difficult clinical problems,” “delights in teaching” and “a tireless
supportive mentor.”
Program directors receiving the 2003 Parker J. Palmer award are listed on the
following pages.
C. Bruce Alexander, MD
Pathology, University of Alabama at Birmingham, Birmingham, Alabama
Medical residents’ energy is transferable. They will leave us and within the first
five years out have a remarkable learning experience. I enjoy being part of setting
the table for them. What does receiving the Parker Palmer award mean to me?
Quite an honor, even more so as I have read more of his writing. It has provided
an opportunity to reflect on the many good teachers I have been around.
Keith B. Armitage, MD
Internal Medicine, University Hospitals of Cleveland, Cleveland, Ohio
I like teaching residents because they are truly “junior colleagues” so their education
is more of a partnership than a formal teacher/learner construct. We also enlist
them as partners in patient care and I find the educational process that combines a
team of patient care providers with education very rewarding.
Eugene V. Beresin, MD
Child and Adolescent Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
Why does this role require courage? Teaching involves exposure of our
knowledge, skills, attitudes and their limitations; and to be effective we need to
create a relationship that allows for open questioning and criticism. If done in a
non-defensive fashion, without arrogance or closed-mindedness, it is terrifying …
above all, the courage to teach must engender the courage to learn.
Frank J. Eismont, MD
Orthopaedic Surgery, Jackson Memorial Hospital/Jackson Health System, Miami, Florida
Out of everything in my CV, this gives me more satisfaction than anything
else. The chance to teach is always great and to receive an award for it is “icing
on the cake.” I would like to thank the ACGME for encouraging this type of
academic activity.
Steven K. Feske, MD
Neurology, Brigham and Women’s Hospital, Boston, Massachusetts
The award is a high honor because it reflects the appreciation for a job well
done from my nominating colleagues on the staff and in the residency. I appreciate
the ACGME for providing recognition for work in residency direction and
resident education.
PARKER J. PALMER AWARD RECIPIENTS2003 YEAR IN REVIEW
10 11
Bottom row (left to right)
Bennett Vogelman, MD; John Tarpley, MD;
Eugene Beresin, MD; Joseph Gilhooly, MD;
Earl Kemp, MD
Middle row (left to right)
Bruce Alexander, MD; David Leach, MD;
Parker Palmer, PhD; Marsha Miller;
Robert Block, MD; Wm. James Howard, MD
Back row (left to right)
Henry Schultz, MD; Kathleen Watson, MD;
Harold Johnston, MD; David Nahrwold, MD;
Paul Batalden, MD, Daniel Winship, MD;
Keith Armitage, MD; Ingrid Philibert;
Marvin Dunn, MD; Nikitas Zervanos, MD
Above all, the courage to teach must engender the courage to learn.
John L. Tarpley, MD
General Surgery, Vanderbilt University, Nashville, Tennessee
I enjoy teaching residents because they teach me. They keep me current. I live
by aphorisms and proverbs. One is “the getting’s in the giving.” The more I try
to give, the more I receive in turn. We are co-learners together. It is exciting,
energizing and fun to grow, explore and learn together. The most rewarding part
of my job is to participate with and experience and see young folks who are smart
and work hard acquire judgment and skills and knowledge, and hopefully retain
their idealism to book.
Bennett S. Vogelman, MD
Internal Medicine, University of Wisconsin, Madison, Wisconsin
Our learners are more accomplished and well-rounded than ever before, yet like
all students, they strive to emulate what they witness within their own pedagogical
experiences. When they see teachers struggling as they themselves struggle,
striving to improve themselves, and coping with successes and failures, a bond is
forged that allows learner and teacher to relate to one another in a more realistic
manner. While we are teaching and learning medicine ourselves, we can help our
learners integrate goals such as personal-professional balance, healthy lifestyles,
self-awareness, self-care and personal and career growth into their daily lives.
Kathleen Watson, MD
Internal Medicine, University of Minnesota, Minneapolis, Minnesota
Teaching medical residents reaffirms my hopes for humanity. It is a privilege to
watch these bright young idealists focus their energies upon individual patients
and their families, over and over, and emerge reforged by the doctor-patient
relationship … to be present when a resident grasps the nature of our profession,
and to have a few laughs every day, is a powerful motivation.
12 13
Joseph T. Gilhooly, MD
Pediatrics, Oregon Health and Sciences University, Portland, Oregon
Teaching residents is an extremely rewarding part of my role as an academic physician.
Residents arrive fresh out of medical school anxious about the next phase of their
careers. They are eager for information. One of the main things I teach them is
how to become lifelong learners, eventually seeking out information on their own …
it is rewarding to teach the residents about a patient and then observe them
incorporating these newly learned skills into their practice.
Harold L. Johnston, MD
Family Practice, Alaska Family Practice/Providence Hospital, Anchorage, Alaska
It has taken me years of study and practice to find my way through the thicket of
information pertinent to every patient encounter. There is nothing in professional
life more satisfying than helping a new doctor confronting these same thickets to
find their own pathway, by using my experience and knowledge. At the same time,
I learn from these bright doctors new ways to approach old familiar problems,
and new problems we explore together. Doctors come to me newly minted from
medical school with idealism and practice goals. I get the greatest satisfaction from
watching and helping them incorporate these into a practice vision of medicine
and then become the doctors they envision.
Henry J. Schultz, MD (retired)
Internal Medicine, Mayo Clinic, Rochester, Minnesota
There is no nobler task than advancing residency education. The responsibility
for the welfare of over 800 categorical and 375 preliminary residents, and the
opportunity to work with a superb administrative and physician staff dedicated to
our residency program these past 15 years has been one of the greater joys and
privileges of my career.
To me, the Parker J. Palmer “Courage to Teach” award has been a culmination
of my 15 years as a program director … it serves as a wonderful affirmation reminder
that this work that we do “educational administration” really matters in the day-to-
day lives of our residents and faculty.
There is no nobler task than advancing residency education. To be present when a resident grasps the nature of our profession,
and to have a few laughs every day, is a powerful motivation.
GIENAPP AWARD RECIPIENTS
14 15
P
aul Friedmann, MD, and William T. Williams Jr., MD, who co-chaired the
ACGME’s work group on resident duty hours, were the recipients of the
ACGME’s 2003 John C. Gienapp award. The annual award honors
persons who have made distinguished contributions to graduate medical education
and the accreditation process.
Dr. Friedmann, a senior vice president for academic affairs for Baystate Health
System in Springfield, Mass. and a professor of surgery at Tufts University School
of Medicine, previously served as chairman of the ACGME’s Board of Directors
and the Residency Review Committee for Surgery.
Dr. Williams, a retired internist and pediatrician and a clinical professor of
medicine and pediatrics at the University of North Carolina at Chapel Hill School
of Medicine, also served as chairman of the ACGME’s Institutional Review
Committee. He also co-chaired a task force on rewriting institutional requirements.
The two physicians exemplify the dedication of the ACGME’s volunteer
physicians who, through their service to the Council, improve patient care by
improving the way physicians are educated, noted Dr. Leach. “While everyone is
essential to the success of an organization, occasionally individuals come along who
contribute so effectively and consistently the community feels compelled to
recognize their efforts. Paul Friedmann and Bill Williams are two such individuals.
Long service on the review committees, acceptance of hard supplemental
assignments to improve the ACGME and graduate medical education, and an
uncanny ability to address complicated problems with grace and ease have resulted
in this recognition.”
Dr. Paul Friedmann (left) and Dr. William T.
Williams received the Gienapp Award at the
ACGME’s February meeting.
Paul Friedmann, MD
Senior Vice President for Academic Affairs, Baystate Health System, Springfield, Massachusetts
As I reflect on the Gienapp Award, I regard it as one of the greatest honors of my
professional life. Even though the Gienapp Award is relatively new, it serves as
recognition of accomplishment and a call to excellence for all who are involved in
graduate medical education. It is the graduate medical education system, after all,
that has the responsibility for educating the coming generations of practicing
physicians in this country. As the Gienapp Award continues and matures, it will
serve as a standard of recognition for those who have made significant contributions
to the quality of the graduate medical education system, and therefore, to the
medical care system. There are many people who have made and will continue to
make outstanding efforts to improve graduate medical education, and the Gienapp
Award will be an important way to recognize those efforts. I feel very proud to
have been able to make some small contributions to the ACGME and feel very
fortunate that the ACGME has chosen to bestow the Gienapp Award on me and
Bill Williams this past year.
William T. Williams, MD
Clinical Professor of Medicine and Pediatrics, University of North Carolina at Chapel Hill
School of Medicine, Chapel Hill, North Carolina
It is a privilege to be honored in this manner by the ACGME, whose mission and
work are so important to medical education, and so critical to the quality of the
health care work force. In accepting such an award, it is also on behalf of the
scores of my colleagues who volunteer their services and energy to the ACGME
to make graduate medical education better. The honor is made even more special
by the fact that it is named for John Gienapp, with whom I was fortunate to be
associated for many years; and by the fact that these activities have allowed me to
work with the wonderful staff of the ACGME, whose talents and dedication make
it such an outstanding organization, which contributes so much to our health.
It is a privilege to be honored in this manner by the ACGME,
whose mission and work are so important to medical education,
and so critical to the quality of the health care work force.
2003 YEAR IN REVIEW
RESIDENT COUNCIL UPDATE
17
2003 YEAR IN REVIEW
U
nder Dr. Leach’s leadership, resident involvement within the ACGME
has risen to an all-time high. Every residency review committee now has a
resident member with full voting privileges; these resident members have
been assembled to form the RRC resident council. In creating the RRC Resident
Council, Dr. Leach not only provided a forum for resident RRC members to come
together and share ideas, but also created another formal channel for a resident
voice within the ACGME.
Residents have participated in several important projects and committees,
including the competency initiative and the drafting of the new duty hour
requirements. Each resident RRC member served as part of a four-member
subcommittee within their RRC charged with developing general competency
language for the specialty and tools appropriate for assessing residents’ learning
and performance of the general competencies. And as the ACGME moves
forward into the implementation phase of the new duty hours requirements, a
subcommittee has been formed to advise the ACGME Board of Directors on
matters related to the implementation of the new standards. This duty hours
subcommittee has several resident members, including two at-large members
who are external to the ACGME’s RRC resident representatives.
These are just a few highlights of the resident activities within the ACGME
over the past year, and as my term as chair of the RRC Resident Council draws
to a close, I am optimistic that this increased resident involvement will continue.
Graduate medical education accreditation can only be strengthened if one of its
primary stakeholders — residents — takes an active role in the process. It is time for
residents to become “owners” rather than “renters,” and there is no better place to
start than within the ACGME itself.
Rebecca Minter, MD
Chair, RRC Resident Council, 2001–2003
It is time for residents to become “owners” rather than “renters,”
and there is no better place to start than with the ACGME itself.
POSTER SESSION WINNERS
16
A
t the 2003 Annual Educational Conference, held March 6–7 at the
Hyatt Regency McCormick Place in Chicago, the ACGME invited
program directors, faculty, administrators and residents to submit posters
highlighting innovative approaches and best practices for teaching and evaluating
the ACGME general competencies or addressing the impact of the duty hours
standards on resident education and patient/resident safety. Listed below are the
2003 poster session winners, judges’ awards and honorable mentions.
2003 YEAR IN REVIEW
First Place
Evaluation of Core Competencies
at Baseline — an Individualized
Assessment
M. Lypson, MD; L.D. Gruppen, PhD;
J.O. Woolliscroft, MD
Ann Arbor VA Healthcare System
and the University of Michigan,
Ann Arbor, Michigan
Second Place
From >110 to <80: More Work
for the Program Director a Better
Educational Experience for the
Residents
Joel C Rosenfeld, MD
St. Luke’s Hospital, Bethlehem, Pennsylvania
Third Place
McGaw Medical Center of
Northwestern University:
The Core Competency Initiative
GME Fellows of McGaw Medical Center of
Northwestern University, Chicago, Illinois
Judges’ Awards
The Use of the Objective Structured
Clinical Examination for Evaluation of
Anesthesiology Residents
Glynne D. Stanley, MBChB, FRCA
Boston University Medical Center,
Boston, Massachusetts
Advancing Competency in
Interpersonal and
Communication Skills
Elvira Lang, MD; Brad Anderson, BA;
Eleanor Laser, PhD
Beth Israel Deaconess Medical Center,
Harvard Medical School,
Boston, Massachusetts
Honorable Mentions
Assessment of the Impact of the
Resident Duty Work-Hours Policy:
An Outcomes Analysis of Surgery
Residents Perceptions
Chandrasekhar Bob Basu, MD;
Saleh M. Shenaq, MD
Division of Plastic Surgery,
Michel E. DeBakey Department of Surgery,
Baylor College of Medicine, Houston, Texas
A Chart Audit Program: Helping
Residents Assess Practice Habits
The University of Texas Health Science
Center at San Antonio, San Antonio, Texas
Patient Safety in the Ambulatory
Setting: A System for Clinician-based
Medical Error Reporting, Analysis,
Response and Feedback in a
Residency Clinic
M. Plews-Ogan, MD; M. Nadkarni, MD,
S. Vanderkin, MD; D. Marieneau, LP
University of Virginia, Charlottesville, Virginia
A Dynamic Strategy for Reducing
Internal Medicine Work Hours
Rebecca Dillingham, MD;
J. Samuel Pope, MD;
Donald Benson, MD, PhD;
Gerald Donowitz, MD
University of Virginia Health System,
Charlottesville, Virginia
18
IN MEMORIAM
T
he ACGME lost a beloved colleague and friend with the death of
Dr. Marvin Dunn on July 30. Dr. Dunn, 71, was the ACGME’s director
of RRC activities, as well as a nationally-renowned figure in the
medical community.
“In 1998, the ACGME was fortunate to have Dr. Dunn join our staff,” said
Dr. Leach. “He brought vast experience, deep wisdom, an unfailing sense of humor
and the capacity to see goodness in each of us. His concern for residents was
unfailing. He was the country’s best resident advocate. He is greatly missed.”
As the ACGME developed its duty hours standards and moved to a
competency-based method of evaluating residents, Dr. Dunn always kept the
impact on the resident at the forefront.
“He had a deep respect for the role of the residency review committees in
strengthening the formation of residents and kept the RRCs and the ACGME on
task to improve the quality of life for residents,” noted Dr. Leach.
Colleagues and friends across the country contacted the ACGME with their
own memories of Dr. Dunn. In their letters of condolence, he was remembered
over and over again with phrases such as “a true advocate for excellence in medical
education,” “the most wonderful combination of wisdom and humor,” “wise
counsel and gentle style” and “truly one of the good people.”
During his distinguished career, Dr. Dunn, a native of Lubbock, Texas, and a
board-certified pathologist, held a series of prominent positions. Before joining the
ACGME, he served as the AMA’s director of graduate medical education. Earlier
in his career he served as vice president for health sciences and dean of the
University of South Florida College of Medicine, dean of the University of Texas
Medical School at San Antonio, acting dean and associate dean for academic affairs
at the University of California at San Diego School of Medicine and deputy
director of the National Institutes of Health Bureau of Health Manpower.
Marvin Dunn, MD
His concern for residents was unfailing.
He was the country’s best resident advocate.
ACGME BOARD OF DIRECTORS
July 1, 2002 to June 30, 2003
Stephen M. Altschuler, MD
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Carol Bazell, MD, MPH
Bureau of Health Professions
Rockville, Maryland
Federal Government Representative
Carol Berkowitz, MD
Harbor/UCLA Medical Center
Torrance, California
Edward T. Bope, MD
Riverside Family Practice Center
Colombus, Ohio
Past RRC Council Chair
Term ended 9/30/02
Dennis C. Brimhall
University Hospital
Denver, Colorado
Term ended 9/30/02
L. Maximilian Buja, MD
University of Texas–Houston Medical School
Houston, Texas
Emmanuel G. Cassimatis, MD
Uniformed Services University of Health Sciences
Bethesda, Maryland
Betty Chang, MD, CM
Baltimore, Maryland
Past Resident Director
Term ended 9/30/02
Robert M. Daugherty, Jr., MD, PhD
University of South Florida College of Medicine
Tampa, Florida
Term ended 9/30/02
Mark L. Dyken, MD
Indiana University School of Medicine
Indianapolis, Indiana
Harold J. Fallon, MD
Institute of Medicine
Washington, DC
John I. Fishburne, Jr., MD
Maricopa Medical Center
Phoenix, Arizona
Paul B. Gardent
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire
D. David Glass, MD
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire
Term ended 9/30/02
Kay Huffman Goodwin
Ripley, West Virginia
Public Director
Term ended 9/30/02
William H. Hartmann, MD
American Board of Pathology
Tampa, Florida
Joseph C. Honet, MD
Sinai-Grace Hospital
Detroit, Michigan
Wm. James Howard, MD
Washington Hospital Center
Washington, DC
R. Edward Howell
University of Virginia Medical Center
Charlottesville, Virginia
Past Chair
Term ended 9/30/02
David Jaffe
Harborview Medical Center
Seattle, Washington
Mark A. Kelley, MD
Henry Ford Health Care System
Detroit, Michigan
Edward L. Langston, MD, RPh
American Health Network
Lafayette, Indiana
Mark Laret
Medical Center at the University of California,
San Francisco
San Francisco, California
David C. Leach, MD
Chicago, Illinois
ACGME Executive Director
Ex-Officio
Allen S. Lichter, MD
University of Michigan Medical School
Ann Arbor, Michigan
Duncan L. McDonald
University of Oregon
Eugene, Oregon
Public Director
Sheldon Miller, MD
Northwestern Memorial Hospital
Chicago, Illinois
Sandra F. Olson, MD
Chicago, Illinois
Roger L. Plummer
Chicago, Illinois
Public Director
Agnar Pytte, PhD
Etna, New Hampshire
Public Director
Charles L. Rice, MD
University of Illinois at Chicago
Chicago, Illinois
Chair
Barry Smith, MD
Baylor University Medical Center
Dallas, Texas
RRC Council Chair
Melissa Thomas, MD
Massachusetts General Hospital
Boston, Massachusetts
Carlos James Vital, MD
New Orleans, Louisiana
Resident Director
19
2120
RESIDENCY REVIEW COMMITTEES
Allergy and Immunology
Colon and Rectal Surgery
Dermatology
Anesthesiology
Emergency Medicine
Internal Medicine
Family Practice
RRC Specialized Areas Appointing Organizations*
Clinical & Laboratory Immunology American Board of Allergy and Immunology
(a conjoint board of the American Board of Internal
Medicine and the American Board of Pediatrics)
Critical Care Medicine
Pain Management
Pediatric Anesthesiology
American Board of Anesthesiology
American Society of Anesthesiologists
American Board of Colon & Rectal Surgery
American College of Surgeons
Dermatopathology
Procedural Dermatology
American Board of Dermatology
Medical Toxicology
Pediatric Emergency Medicine
Sports Medicine
American Board of Emergency Medicine
American College of Emergency Physicians
Geriatric Medicine
Sports Medicine
American Board of Family Practice
American Academy of Family Physicians
Cardiovascular Disease
Clinical Cardiac Electrophysiology
Critical Care Medicine
Endocrinology, Diabetes & Metabolism
Gastroenterology
Geriatric Medicine
Hematology
Hematology & Oncology
Infectious Disease
Interventional Cardiology
Nephrology
Oncology
Pulmonary Disease
Pulmonary Disease & Critical Care Medicine
Rheumatology
Sports Medicine
American Board of Internal Medicine
American College of Physicians
Medical Genetics
Neurology
Nuclear Medicine
Neurological Surgery
Obstetrics and
Gynecology
Orthopaedic Surgery
Ophthalmology
RRC Specialized Areas Appointing Organizations*
Molecular Genetic Pathology American Board of Medical Genetics
American College of Medical Genetics
Endovascular Neuroradiology American Board of Neurological Surgery
American College of Surgeons
Child Neurology
Clinical Neurophysiology
Neurodevelopmental Disabilities
Pain Management
Vascular Neurology
American Board of Psychiatry and Neurology
American Academy of Neurology
American Board of Nuclear Medicine
Society of Nuclear Medicine
American Board of Obstetrics and Gynecology
American College of Obstetricians and
Gynecologists
American Board of Ophthalmology
American Academy of Ophthalmology
Adult Reconstructive Orthopaedics
Foot & Ankle Orthopaedics
Hand Surgery
Musculoskeletal Oncology
Orthopaedic Sports Medicine
Orthopaedic Surgery of the Spine
Orthopaedic Trauma
Pediatric Orthopaedics
American Board of Orthopaedic Surgery
American Academy of Orthopaedic Surgeons
Pathology —
Anatomic and Clinical
Blood Banking/Transfusion Medicine
Chemical Pathology
Cytopathology
Dermatopathology
Forensic Pathology
Hematology
Immunopathology
Medical Microbiology
Molecular Genetic Pathology
Neuropathology
Pediatric Pathology
American Board of Pathology
Otolaryngology Otology-Neurology
Pediatric Otolaryngology
American Board of Otolaryngology
American College of Surgeons
M
embers of the 26 residency review committees are appointed in equal number
by the appropriate medical specialty board, the American Medical Association’s
Council on Medical Education, and in many instances, an appropriate major
specialty organization. In addition to the specialty areas, the RRCs also accredit programs
in the subspecialties and specialized training areas listed next to each RRC.
In addition to accrediting programs in specialties and subspecialties, the ACGME also
accredits special one-year general clinical programs called transitional year programs. The
ACGME also has an institutional review committee, which evaluates sponsoring institutions
for compliance with the ACGME institutional requirements.
*AMA Council on Medical Education is an appointing organization for all RRCs
except Transitional Year programs.
*AMA Council on Medical Education is an appointing organization for all RRCs
except Transitional Year programs.
RESIDENCY REVIEW COMMITTEE MEMBERS 2002–2003
Allergy and Immunology
John A. Anderson, MD
Tucson, Arizona
Vincent R. Bonagura, MD
Schneider Children’s Hospital
New Hyde Park, New York
A. Wesley Burks, MD
Arkansas Children’s Hospital
Little Rock, Arkansas
Carla Davis, MD
Baylor College of Medicine
Houston, Texas
Resident
Theodore M. Freeman, MD
Wilford Hall Medical Center
San Antonio, Texas
Vice-Chair
J. Andrew Grant, MD
University of Texas Medical Branch
Galveston, Texas
Paula A. Greenberger, MD
Northwestern University Medical School
Chicago, Illinois
Dean D. Metcalfe, MD
National Institutes of Health/
NIAID/LAD
Bethesda, Maryland
Chair
Laurie J. Smith, MD
Walter Reed Army Medical Center
Washington, D.C.
John W. Yunginger, MD
Mayo Graduate School of Medicine
Rochester, Minnesota
Ex-Officio
Anesthesiology
J. Jeffrey Andrews, MD
University of Alabama
Birmingham, Alabama
James F. Arens, MD
University of Texas Medical Branch
Galveston, Texas
Chair
David L. Brown, MD
University of Iowa College of Medicine
Iowa City, Iowa
Wayne K. Jacobsen, MD
Loma Linda University Medical Center
Loma Linda, California
Vice-Chair
Patricia A. Kapur, MD
UCLA School of Medicine
Los Angeles, California
Ex-Officio
Philip D. Lumb, MD
University of Southern California
Los Angeles, California
Susan J. Polk, MD
University of Chicago
School of Medicine
Chicago, Illinois
Mark A. Rockoff, MD
Children’s Hospital
Boston, Massachusetts
Maneesh Sharma, MD
Johns Hopkins University
Baltimore, Maryland
Resident
Mark A. Warner, MD
Mayo Clinic
Rochester, Minnesota
Colon and Rectal Surgery
Herand Abcarian, MD
American Board of Colon &
Rectal Surgery
Detroit, Michigan
Ex-Officio
Alan Abrams, MD
Greater Baltimore Medical Center
Baltimore, Maryland
Ann Lowry, MD
University of Minnesota
Minneapolis, Minnesota
Vice-Chair
Robert D. Madoff, MD
University of Minnesota
Minneapolis, Minnesota
Jan Rakinic, MD
SIU School of Medicine
Springfield, Illinois
Ajit K. Sachedva, MD
American College of Surgeons
Ex-Officio
Dana Sands, MD
Weston, Florida
Resident
Alan G. Thorson, MD
Creighton, University
Omaha, Nebraska
Chair
Steven Wexner, MD
Cleveland Clinic
Weston, Florida
Dermatology
Terry L. Barrett, MD
Johns Hopkins University
Baltimore, Maryland
Vice-Chair
Paul R. Bergstresser, MD
University of Texas Southwestern
Medical Center
Dallas, Texas
Jeffrey P. Callen, MD
University of Louisville
Louisville, Kentucky
Leslie Carter, MD
DHMC Medical Center
Lebanon, New Hampshire
Kenneth E. Greer, MD
University of Virginia Medical Center
Charlottesville, Virginia
Chair
Antoinette Hood, MD
Indiana University School of Medicine
Indianapolis, Indiana
Ex-Officio
Thomas D. Horn, MD
University of Arkansas
for Medical Sciences
Little Rock, Arkansas
Lee T. Nesbitt, MD
Louisiana State University
New Orleans, Louisiana
Jeanne Osborn, MD
Naval Medical Center
San Diego, California
Resident
Randall K. Roenigk, MD
Mayo Clinic
Rochester, Minnesota
Abel Torres, MD
Brigham and Women’s Hospital
Boston, Massachusetts
Duane C. Whitaker, MD
University of Iowa Hospitals and Clinics
Iowa City, Iowa
Emergency Medicine
Vikhyat Bebarta, MD
Denver, Colorado
Resident
Louis S. Binder, MD
MetroHealth Medical Center
Cleveland, Ohio
Charles K. Brown, MD
Brody School of Medicine
Greenville, North Carolina
Dane Michael Chapman, MD, PhD
Page, Arizona
2322
Pediatrics
RRC Specialized Areas Appointing Organizations*
Adolescent Medicine
Developmental & Behavioral Pediatrics
Neonatal–Perinatal Medicine
Pediatric Cardiology
Pediatric Critical Care Medicine
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Pediatric Infectious Diseases
Pediatric Nephrology
Pediatric Pulmonology
Pediatric Rheumatology
Pediatric Sports Medicine
American Board of Pediatrics
American Academy of Pediatrics
Physical Medicine
and Rehabilitation
Spinal Cord Injury Medicine
Pain Management
Pediatric Rehabilitation
American Board of Physical Medicine
and Rehabilitation
American Academy of Physical Medicine
and Rehabilitation
Preventive Medicine Medical Toxicology
Undersea & Hyperbaric Medicine
American Board of Preventive Medicine
Plastic Surgery Craniofacial Surgery
Hand Surgery
American Board of Plastic Surgery
American College of Surgeons
Psychiatry Addiction Psychiatry
Child & Adolescent Psychiatry
Forensic Psychiatry
Geriatric Psychiatry
Pain Management & Psychosomatic Medicine
American Board of Psychiatry and Neurology
American Psychiatric Association
Radiation Oncology American Board of Radiology
American College of Radiology
Thoracic Surgery American Board of Thoracic Surgery
American College of Surgeons
Urology Pediatric Urology American Board of Urology
American College of Surgeons
Transitional Year ACGME Standing Committee
Radiology — Diagnostic Abdominal Radiology
Cardiothoracic Radiology
Endovascular Neuroradiology
Musculoskeletal Radiology
Neuroradiology
Nuclear Radiology
Pediatric Radiology
Vascular & Interventional Radiology
American Board of Radiology
American College of Radiology
Surgery General Vascular Surgery
Hand Surgery
Pediatric Surgery
Surgical Critical Care
American Board of Surgery
American College of Surgeons
T
he volunteers who serve on the ACGME’s residency review committees are
appointed by the AMA Council on Medical Education and the appropriate medical
boards and specialties. They are recognized as the leaders, experts and innovators
in their specialties, dedicated to excellence in medical education.
It is with their support that the ACGME is a leader in improving the quality of health
care in the United States by ensuring and improving the quality of graduate medical education.
It is with pride and gratitude that we acknowledge their contributions.
*AMA Council on Medical Education is an appointing organization for all RRCs
except Transitional Year programs.
Francis Counselman, MD
Norfolk, Virginia
Daniel Danzl, MD
University of Louisville
Louisville, KY
Vice-Chair
Marjorie Geist, PhD
American College
of Emergency Physicians
Irving, Texas
Ex-Officio
David T. Overton, MD
Michigan State University
Kalamazoo Center
for Medical Studies
Kalamazoo, Michigan
Debra Perina, MD
University of Virginia
Health Science Center
Charlottesville, Virginia
Mary Ann Reinhart, PhD
American Board
of Emergency Medicine
East Lansing, Michigan
Ex-Officio
Arthur Sanders, MD
Arizona Health Science Center
Tucson, Arizona
Chair
Rebecca Smith-Coggins, MD
Palo Alto, California
Family Practice
Diane Kaye Beebe, MD
University of Mississippi
Medical Center
Jackson, Mississippi
Chair
Samuel W. Cullison, MD
Swedish Medical Center/Providence
Seattle, Washington
Charles Driscoll, MD
Centra Health Program
Lynchburg, Virginia
Margaret Hayes, MD
Oregon Health Sciences University
Portland, Oregon
Alternate
Warren Heffron, MD
University of New Mexico
School of Medicine
Albuquerque, New Mexico
Nancy Pandhi, MD
Medical College of Virginia
Virginia Commonwealth University
Winchester, Virginia
Resident
James Puffer, MD
American Board of Family Practice
Lexington, Kentucky
Ex-Officio
Perry A. Pugno, MD
American Academy
of Family Physicians
Kansas City, Missouri
Ex-Officio
Mary Elizabeth Roth, MD
Sacred Heart Hospital
Allentown, Pennsylvania
John W. Saultz, MD
Oregon Health Sciences University
Portland, Oregon
Susan Schooley, MD
Henry Ford Health System
Detroit, Michigan
J. Lewis Sigmon, Jr., MD
Charlotte Office
of Regional Care Education
Charlotte, North Carolina
Vice-Chair
Mary Willard, MD
West Jersey Health System
Voorhees, New Jersey
Internal Medicine
Patrick Alguire, MD
American College of Physicians
Philadelphia, Pennsylvania
Ex-Officio
Thomas Blackwell, MD
University of Texas Medical Branch
Galveston, Texas
Roger Bush, MD
Virginia Mason Medical Center
Seattle, Washington
Sidney Cohen, MD
Thomas Jefferson University
Philadelphia, Pennsylvania
Thomas Cooney, MD
Oregon Health & Science University
Portland, Oregon
F. Daniel Duffy, MD
American Board of Internal Medicine
Philadelphia, Pennsylvania
Ex-Officio
Wildon Farwell, MD
Indiana University School of Medicine
Indianapolis, Indiana
Resident
Rosemary Fisher, MD
Yale–New Haven Medical Center
New Haven, Connecticut
Suzanne Gebhart, MD
Emory University
Atlanta, Georgia
Allan H. Goroll, MD
Massachusetts General Hospital
Boston, Massachusetts
Mariell Jessup, MD
University of Pennsylvania
School of Medicine
Philadelphia, Pennsylvania
Mark Klempner, MD
Boston University School of Medicine
Boston, Massachusetts
Capt. Angeline Lazarus, MC, USN
National Naval Medical Center
Bethesda, Maryland
Richard F. LeBlond, MD
University of Iowa
Hospitals and Clinics
Iowa City, Iowa
Vice-Chair
Glenn Mills, MD
Louisiana State University
Shreveport, Louisiana
Jeanette Mladenovic, MD
SUNY Health Science Center
Brooklyn, New York
Thomas Nasca, MD
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania
Chair
Paul Rockey, MD
Southern Illinois University
Springfield, Illinois
Dennis Schaberg, MD
University of Tennessee
Memphis, Tennessee
Barbara Schneidman, MD
American Medical Association
Chicago, Illinois
Ex-Officio
Henry Schultz, MD
Mayo Graduate School of Medicine
Rochester, Minnesota
James Simon, MD
Brooke Army Medical Center
Fort Sam Houston, Texas
Resident
Carl Sirio, MD
University of Pittsburgh Medical Center
Pittsburgh, PA
Valerie Stone, MD
Massachusetts General Hospital
Boston, Massachusetts
Kenneth Torrington, MD
Brooke Army Medical Center
San Antonio, Texas
Robert Wright, MD
Mercy Hospital
Scranton, Pennsylvania
Medical Genetics
John W. Belmont, MD
Baylor College of Medicine
Houston, Texas
Katrina Dipple, MD
UCLA Medical Center
Los Angeles, California
Resident
Mark I. Evans, MD
Wayne State University
School of Medicine
Detroit, Michigan
Gerald Feldman, MD, PhD
Wayne State University
School of Medicine
Detroit, Michigan
Lewis B. Holmes, MD
Massachusetts General Hospital
Boston, Massachusetts
Chair
Capt. Charles J. Macri, MD
Armed Forces Institute of Pathology
Rockville, MD
Hope Northrup, MD
University of Texas at Houston
School of Medicine
Houston, Texas
Vice-Chair
Amy E. Roberts, MD
Harvard Medical School
Boston, Massachusetts
Resident
Georgia D. Wiesner, MD
University Hospitals of Cleveland
Cleveland, Ohio
Neurological Surgery
Ralph G. Dacey, Jr., MD
American Board
of Neurological Surgery
St. Louis, Missouri
Ex-Officio
Steven L. Giannota, MD
University of Southern California
Los Angeles, California
Edward Laws, MD
University of Virginia
School of Medicine
Charlottesville, Virginia
Chair
Lawrence Marshall, MD
University of California–San Diego
San Diego, California
Donald Quest, MD
Columbia University School of Medicine
New York, New York
Ajit Sachdeva, MD
American College of Surgeons
Chicago, Illinois
Ex-Officio
William Shucart, MD
Tufts University School of Medicine
Boston, Massachusetts
Vice-Chair
Dennis D. Spencer, MD
Yale University School of Medicine
New Haven, Connecticut
G. Edward Vates, MD
San Francisco, California
Resident
Neurology
David Anderson, MD
University of Minnesota
School of Medicine
Minneapolis, Minnesota
Vice-Chair
Jasper Daube, MD
Mayo Clinic
Rochester, Minnesota
Robert S. Greenwood, MD
University of North Carolina
at Chapel Hill
School of Medicine
Chapel Hill, North Carolina
Chair
Michael Johnston, MD
Johns Hopkins University
Baltimore, Maryland
H. Royden Jones, MD
Lahey Clinic
Burlington, Massachusetts
Shannon Kilgore, MD
Stanford University
Stanford, California
Resident
Stephen C. Scheiber, MD
American Board of Psychiatry
and Neurology
Deerfield, Illinois
Ex-Officio
Ann Tilton, MD
Louisiana State University
School of Medicine
New Orleans, Louisiana
Nuclear Medicine
Scott Bartley, MD
University of Alabama
Birmingham, Alabama
Resident
Terrence Beven, MD
Our Lady of the Lake RMC
Baton Rouge, Louisiana
Michael M. Graham, MD
University of Iowa
Iowa City, Iowa
Chair
Lawrence E. Holder, MD
Pointe Vedra Beach, Florida
Tom R. Miller, MD, PhD
Mallinckrodt Institute of Radiology
St. Louis, Missouri
C. Leon Partian, MD
Vanderbilt University Medical Center
Nashville, Tennessee
Lalitha Ramanna, MD
University of Southern California
Los Angeles, California
Obstetrics and Gynecology
Howard A. Blanchette, MD
Danbury Hospital
Danbury, Connecticut
Haywood Brown, MD
Duke University
Durham, North Carolina
Joanna Cain, MD
Oregon Health Sciences Center
Portland, Oregon
Wesley C. Fowler, MD
University of North Carolina
School of Medicine
Chapel Hill, North Carolina
Chair
Norman F. Gant, MD
American Board
of Obstetrics & Gynecology
Dallas, Texas
Ex-Officio
Ronald S. Gibbs, MD
University of Colorado
Health Science Center
Denver, Colorado
Maria Manriquez-Gilpin, MD
Morgan Hill, California
Resident
Ira Golditch, MD
Santa Rosa, California
Ralph Hale, MD
American College of Obstetricians
and Gynecologists
Washington, DC
Ex-Officio
E. Paul Kirk, MD
Oregon Health Sciences
Portland, Oregon
Timothy R.B. Johnson, MD
University of Michigan
Ann Arbor, Michigan
Frank Ling, MD
University of Tennessee
Memphis, Tennessee
Roy Nakayama, MD
University of Hawaii School of Medicine
Honolulu, Hawaii
Vice-Chair
Sharon Phelan, MD
University of New Mexico
Albuquerque, New Mexico
Peter A. Schwartz, MD
The Reading Hospital
and Medical Center
West Reading, Pennsylvania
Ophthalmology
Preston Blomquist, MD
University of Texas Southwestern
Dallas, Texas
Geoffrey Broocker, MD
Emory Eye Center
Atlanta, Georgia
Louis B. Cantor, MD
Indiana University Hospitals
Indianapolis, Indiana
Jack A. Cohen, MD, FACS
Rush University
Chicago, Illinois
Susan H. Day, MD
California Pacific Medical Center
San Francisco, California
Chair
Marlon Maus, MD
Berkeley, California
Richard P. Mills, MD
Seattle, Washington
Vice Chair
Denis O’Day, MD
Vanderbilt University
School of Medicine
Nashville, Tennessee
Ex-Officio
Jeffrey Padousis, MD
Washington University
School of Medicine
St. Louis, Missouri
Resident
Susan M. Stenson, MD
New York, New York
James S. Tiedeman
University of Virginia
Charlottesville, Virginia
Orthopaedic Surgery
Robert W. Bucholz, MD
University of Texas Southwestern
Medical School at Dallas
Dallas, Texas
Jason H. Calhoun, MD
University of Texas Medical Branch
Galveston, Texas
John R. Denton, MD
Catholic Medical Center
of Brooklyn and Queens
Jamaica, New York
G. Paul DeRosa, MD
American Board
of Orthopaedic Surgery
Chapel Hill, North Carolina
Ex-Officio
Frank J. Eismont, MD
University of Miami
School of Medicine
Miami, Florida
Vice-Chair
Mark C. Gebhardt, MD
Massachusetts General Hospital
Boston, Massachusetts
Michael J. Goldberg, MD
Tufts New England Medical Center
Boston, Massachusetts
Richard E. Grant, MD
Howard University Hospital
Washington, DC
Hillary D. Green, MD
UCSF Medical Center
San Francisco, California
Resident
Mark Hoffer, MD
Orthopaedic Hospital
Los Angeles, California
George L. Lucas, MD
University of Kansas–Wichita
School of Medicine
Wichita, Kansas
Scott Porter, MD
Carolinas Healthcare System
Charlotte, North Carolina
2524
Michael F. Schafer, MD
Northwestern University Medical School
Chicago, Illinois
Michael A. Simon, MD
University of Chicago
School of Medicine
Chicago, Illinois
Chair
Dempsey S. Springfield, MD
Mount Sinai Medical Center
New York, New York
Otolaryngology
Michael S. Benninger, MD
Henry Ford Health System
Detroit, Michigan
Patrick Brookhouser, MD
Boys Town National Research Hospital
Omaha, Nebraska
Richard A. Chole, MD
Washington University
School of Medicine
St. Louis, Missouri
Gerald B. Healy, MD
Children’s Hospital
Boston, Massachusetts
Ex-Officio
G. Richard Holt, MD
University of Texas
Health Science Center
San Antonio, Texas
Paul R. Lambert, MD
Medical University of South Carolina
Charleston, South Carolina
Paul A. Levine, MD
University of Virginia
School of Medicine
Charlottesville, Virginia
Frank E. Lucente, MD
Long Island College Hospital
Brooklyn, New York
John David Osguthorpe, MD
Department of Otolaryngology &
Communicative Sciences
Charleston, South Carolina
Chair
Ajit K. Sachdeva, MD, MD
American College of Surgeons
Chicago, Illinois
Ex-Officio
Cecelia E. Schmalbach, MD
University of Michigan
Ann Arbor, Michigan
Resident
Dean M. Toriumi, MD
University of Illinois Eye & Ear Infirmary
Chicago, Illinois
Vice Chair
Pathology
C. Bruce Alexander, MD
University of Alabama Medical Center
Birmingham, Alabama
Stephen D. Allen, MD
Indiana University School of Medicine
Indianapolis, Indiana
M. Desmond Burke, MD
New York Hospital–
Cornell Medical Center
New York, New York
Joseph C. Fantone, MD
University of Michigan Medical School
Ann Arbor, Michigan
Margaret M. Grimes, MD
Medical College of Virginia
Richmond, Virginia
William H. Hartmann, MD
American Board of Pathology
Tampa, Florida
Ex-Officio
Joseph Hughes, MD
San Diego, California
E. Tessa Hedley-Whyte, MD
Massachusetts General Hospital
Boston, Massachusetts
Rebecca Johnson, MD
Berkshire Medical Center
Pittsfield, Massachusetts
Deborah E. Powell, MD
Kansas University School of Medicine
Kansas City, Kansas
Chair
Jason D. Reutter, MD
University of North Carolina Hospitals
Chapel Hill, North Carolina
Resident
Janet E. Roepke, MD
Ball Memorial Hospital
Muncie, Indiana
Ross E. Zumwalt, MD
University of New Mexico
School of Medicine
Albuquerque, New Mexico
Pediatrics
Jay E. Berkelhamer, MD
Children’s Healthcare of Atlanta
Atlanta, Georgia
Carol Carraccio, MD
University of Maryland
Baltimore, Maryland
Matilda Garcia, MD
St. Joseph’s Hospital
and Medical Center
Phoenix, Arizona
Gerald S. Gilchrist, MD
Mayo Clinic
Rochester, Minnesota
Marcia B. Hutchinson, MD
Mercer University School of Medicine
Macon, Georgia
M. Douglas Jones, Jr., MD
University of Colorado
School of Medicine
Denver, Colorado
Ildy Katona, MD
Uniformed Services University
of the Health Sciences
Bethesda, Maryland
Mary W. Lieh-Lai, MD
Children’s Hospital of Michigan
Detroit, Michigan
Carol B. Lindsley, MD
University of Kansas Medical Center
Kansas City, Kansas
Chair
Thomas W. Pendergrass, MD
Children’s Hospital Regional
Medical Center
Seattle, Washington
Robert Perelman, MD
American Academy of Pediatrics
Elk Grove Village, Illinois
Ex-Officio
Nancy Tofil, MD
University of Alabama
Birmingham, Alabama
Resident
Gail McGuinness, MD
American Board of Pediatrics
Chapel Hill, North Carolina
Ex-Officio
Surendra K. Varma, MD
Texas Tech University
Health Science Center
Lubbock, Texas
Vice-Chair
Physical Medicine
and Rehabilitation
Murray Brandstater, MD
Loma Linda University
Affiliated Hospitals
Loma Linda, California
Chair
Gary S. Clark, MD
Metro-Health Medical Center
Case Western Reserve University
Cleveland, Ohio
Marc Duerden, MD
Indianapolis, Indiana
Carri Eggert, MD
Rochester, Minnesota
Resident
Malcom D. Reid, MD
St. Lukes–Roosevelt Center
New York City, New York
James Sliwa, D.O.
Rehabilitation Institute of Chicago
Chicago, Illinois
Barry S. Smith, MD
Baylor University Medical Center
Dallas, Texas
Vice-Chair
Jay Subbarao, MD
Loyola University Medical Center
Maywood, Illinois
Plastic Surgery
John J. Coleman, III, MD
Indiana University School of Medicine
Indianapolis, Indiana
Steven C. Herber, MD
St. Helena, California
Ajit K. Sachdeva, MD
American College of Surgeons
Chicago, Illinois
Ex-Officio
Lawrence L. Ketch, MD
University of Colorado
Health Sciences Center
Denver, Colorado
Vice-Chair
Walter Thomas Lawrence, MD
Kansas University Medical Center
Kansas City, Kansas
Stephen J. Mathes, MD
University of California
at San Francisco
San Francisco, California
John A. Persing, MD
Yale–New Haven Medical Center
New Haven, Connecticut
Linda G. Phillips, MD
University of Texas Medical Branch
Galveston, Texas
Chair
Robert Ruberg, MD
Ohio State University
School of Medicine
Columbus, Ohio
Ann Schwentker, MD
University of Pittsburgh
Pittsburgh, Pennsylvania
Resident
Charles N. Verheyden, MD
Scott and White Clinic
Temple, Texas
Preventive Medicine
Glenn Davis, MD, MPH
Oak Ridge Associated Universities
Oak Ridge, Tennessee
Jeffrey R. Davis, MD
University of Texas
Medical Branch Hospitals
Galveston, Texas
Chair
Alan Ducatman, MD
West Virginia University
Morgantown, West Virginia
Vice-Chair
Philip Harbor, MD
UCLA School of Medicine
Los Angeles, California
Mark Johnson, MD, MPH
Golden, Colorado
Margot Krauss, LTC, MD
Walter Reed Army
Institute of Research
Silver Springs, Maryland
Jill Rosenthal, MD
Evanston, Illinois
Resident
Peter Rumm, MD, MPH
Madison, Wisconsin
Judith Rubin, MD
University of Maryland
School of Medicine
Baltimore, Maryland
Michael R. Valdez, MD, MPH
Pensacola, Florida
James Vanderploeg, MD, PhD
American Board
of Preventive Medicine
Schiller Park, Illinois
Ex-Officio
Psychiatry
Donald Bechtold, MD, (CAP)
Jefferson Center for Mental Health
Arvada, Colorado
Wayne D.L. Bentham, MD, MPP
Seattle, Washington
Resident
Michael Ebert, MD
VA Connecticut Healthcare System
West Haven, Connecticut
Larry Faulkner, MD
University of South Carolina
Columbia, South Carolina
Deborah J. Hales, MD
American Psychiatric Association
Arlington, Virginia
Ex-Officio
Nalini V. Juthani, MD
Bronx Lebanon Hospital Center
Bronx, New York
Jerald Kay, MD
Wright State University
Dayton, Ohio
Grant Miller, MD
University of Nevada
School of Medicine
Reno, Nevada
Luz Minerva Guevara-Ramos, MD
Rio Piedras, Puerto Rico
David M. Razet, MD
Mayo Clinic
Rochester, Minnesota
Pedro Ruiz, MD
University of Texas
Mental Sciences Institute
Houston, Texas
Andrew Russell, MD
UCLA Neuropsychiatry Institute
Los Angeles, California
Vice-Chair
Richard M. Sarles, MD
University of Maryland
School of Medicine
Baltimore, Maryland
Barbara Schneidman, MD
American Medical Association
Chicago, Illinois
Ex-Officio
Sandra Sexson, MD
Emory University School of Medicine
Atlanta, Georgia
Stephen C. Scheiber, MD
American Board
of Psychiatry and Neurology
Deerfield, Illinois
Ex-Officio
James H. Scully, Jr., MD
University of South Carolina
School of Medicine
Columbia, South Carolina
Joel Silverman, MD
Virginia Commonwealth University/
Medical College of Virginia
Richmond, Virginia
Chair
Zabulon Taintor, MD
Orangeburg, New York
Daniel Winstead, MD
Tulane University School of Medicine
New Orleans, Louisiana
Radiology — Diagnostic
Robert B. Hatlery
Tu cs o n, Arizona
Ex-Officio
George R. Leopold, MD
La Jolla, California
Anton N. Hasso, MD
University of California
Irvine Medical Center
Orange, California
Steven Hetts, MD
San Mateo, California
Resident
Harvey L. Neiman, MD
Carol M. Rumack, MD
University of Colorado
Denver, Colorado
Vice-Chair
Michael A. Sullivan, MD
Ochsner Clinic
New Orleans, Louisiana
E. Stephen Annis, Jr., MD
Albert Einstein College of Medicine
Bronx, New York
Kay H. Vydareny, MD
Emory University Hospital
Atlanta, Georgia
Richard L. Wesenberg, MD
University of South Alabama
Medical Center
Mobile, Alabama
Ronald J. Zagoria, MD
Wake Forest University
School of Medicine
Winston-Salem, North Carolina
Chair
Radiation Oncology
Gregory Chronowski, MD
MD Anderson Cancer Center
Houston, Texas
Resident
Lawrence W. Davis, MD
Emory Clinic
Atlanta, Georgia
Ex-Officio
Bruce G. Haffty, MD
Yale University School of Medicine
New Haven, Connecticut
David H. Hussey, MD
University of Iowa Hospitals & Clinics
Iowa City, Iowa
Larry E. Kun, MD
St. Jude Children Research Hospital
Memphis, Tennessee
Colleen Lawton, MD
Medical College of Wisconsin
Milwaukee, Wisconsin
Chair
Steven A. Leibel, MD
Memorial Sloan Kettering
Cancer Center
New York, New York
James E. Marks, MD
Missouri Baptist Medical Center
St. Louis, Missouri
Paula J. Schomberg, MD
Mayo Clinic
Rochester, Minnesota
Bhadrasain Vikram, MD
El Cerrito, California
Surgery
Kirby I. Bland, MD
University of Alabama at Birmingham
School of Medicine
Birmingham, Alabama
Chair
L.D. Britt, MD
Eastern Virginia Medical School
Norfolk, Virginia
Vice-Chair
R. Phillip Burns, MD, FACS
University of Tennessee
at Chattanooga
School of Medicine
Chattanooga, Tennessee
Paul Colombani, MD
Johns Hopkins University
Baltimore, Maryland
Josef E. Fischer, MD
Beth Israel Deaconess Medical Center
Boston, Massachusetts
Jerry Goldstone, MD
University Hospitals of Cleveland
Cleveland, Ohio
2726
Donald L. Kaminski, MD
St. Louis University School of Medicine
St. Louis, Missouri
A. Letch Kline, MD
Biloxi VA Medical Center
Biloxi, Mississippi
Linda M. Reilly, MD
University of California
San Francisco, California
David Richardson, MD
University of Louisville
Louisville, Kentucky
Linda M. Reilly, MD
University of California
San Francisco, California
Bradley M. Rodgers, MD
University of Virginia
School of Medicine
Charlottesville, Virginia
Patricia L. Turner, MD
New York, New York
Resident
Richard E. Welling, MD
Good Samaritan Hospital Program
Cincinnati, Ohio
Frank Lewis, MD
American Board of Surgery
Philadelphia, Pennsylvania
Ex-Officio
Ajit Sachdeva, MD
American College of Surgeons
Chicago, Illinois
Ex-Officio
Katherine Yao, MD
Northwestern University
Chicago, Illinois
Thoracic Surgery
Richard H. Feins, MD
University of Rochester
Rochester, New York
David Aaron Fullerton, MD
University of Colorado
Health Sciences Center
Denver, Colorado
William Gay, MD
St. Louis, Missouri
Ex-Officio
Douglas Mathisen, MD
Massachusetts General Hospital
Boston, Massachusetts
Chair
Russell Scott Ronson, MD
Charlottesville, Virginia
Resident
Ajit Sachdeva, MD
American College of Surgeons
Chicago, Illinois
Ex-Officio
Robert M. Vanecko, MD
Northwestern University Medical School
Chicago, Illinois
Edward D. Verrier, MD
University of Washington
Medical Center
Seattle, Washington
Benson R. Wilcox, MD
University of North Carolina
Chapel Hill, North Carolina
Vice-Chair
Urology
Stuart Howards, MD
University of Virginia Hospital
Charlottesville, Virginia
Ex-Officio
Kenneth A. Kropp, MD
Medicine College of Ohio
Toledo, Ohio
Richard E. Link, MD
Baylor College of Medicine
Houston, Texas
Resident
David G. McLeod, MD
Walter Reed Army Medical Center
Washington, DC
David C. Miller, MD
University of Michigan
Ann Arbor, Michigan
Resident
Michael E. Mitchell, MD
Children’s Hospital
& Regional Medical Center
Seattle, Washington
Vice-Chair
James E. Montie, MD
University of Michigan
School of Medicine
Ann Arbor, Michigan
Andrew C. Novick, MD
Cleveland Clinic Foundation
Cleveland, Ohio
Chair
Carl A. Olsson, MD
Columbia–Presbyterian
Medical Center
New York, New York
Ajit K. Sachdeva, MD
American College of Surgeons
Chicago, Illinois
Ex-Officio
Paul F. Shellhammer, MD
Easter Virginia Medical School
Norfolk, Virginia
Ian M. Thompson, MD
University of Texas
Health Science Center
San Antonio, Texas
Dennis D. Venable, MD
Louisiana State University
Medical Center
Shreveport, Louisiana
Transitional Year
Nadine Bruce, MD
St. Elizabeth Health Center
Youngstown, Ohio
Chair
Joseph T. Gilhooly, MD
Oregon Health and Sciences University
Portland, Oregon
Vice-Chair
Jo Ellen Linder, MD
Maine Medical Center
Portland, Maine
Kimball W. Mohn, MD
Mercy Hospital of Pittsburgh
Pittsburgh, Pennsylvania
Mary C. Nace, MD
Walter Reed Army Medical Center
Silver Spring, Maryland
Mrugeshkumar K. Shah, MD,
MPH, MS
Malden, Massachusetts
Resident Member
Ann K. Skelton, MD
Maine Medical Center
Portland, Maine
Lloyd B. Tepper, MD, ScD
Villanova, Pennsylvania
Marc K. Wallack, MD
St. Vincent’s Hospital & Medical Center
New York, New York
Alfred B. Watson, Jr., MD
Baylor College of Medicine
Houston, Texas
Institutional Review
Richard Allen, MD
Colorado Medical Society
Denver, Colorado
Ronald B. Berggren, MD
Galena, Ohio
Vice-Chair
Emmanuel G. Cassimatis, MD
Bethesda, Maryland
Leo J. Dunn, MD
Medical College of Virginia
Richmond, Virginia
Jeanne K. Heard, MD, PhD
University of Arkansas
for Medical Sciences
Little Rock, Arkansas
Louis J. Ling, MD
Hennepin County Medical Center
Minneapolis, Minnesota
Rebecca Minter, MD
Gainesville, Florida
Resident Member
Howard Pomeranz, MD
University of Maryland
School of Medicine
Baltimore, Maryland
Michael J. Reichgott, MD
Albert Einstein College of Medicine
Bronx, New York
W. T. Williams, Jr., MD
Carolinas Medical Center
Charlotte, North Carolina
Chair
28
© 2003 Accreditation Council for Graduate Medical Education Design: Arc Group Ltd
Back row (left to right)
Felicia Davis, Data Coordinator; Jevon Truesdale, Data Coordinator; Lesley Moore, Administrative Secretary
Front row (left to right)
Thomas Richter, Systems Manager; Art Childs, Software Quality Assurance Manager; Kathleen Holt, PhD,
Data Analyst; Chris Jordan, Data Coordinator; Rebecca Miller, Director of Operations and Data Analysis
