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RES. NO. 05 – COPT 04/15 – For Public Comment Page 1

Basic Standards for

1

Residency Training in

2

Otolaryngology / Facial Plastic Surgery

3

American Osteopathic Association

4

and

5

American Osteopathic Colleges of Ophthalmology

6

and Otolaryngology Head and Neck Surgery

7 8

(2)

Basic Standards for Residency Training

1

In Otolaryngology / Facial Plastic Surgery

2 TABLE OF CONTENTS 3 I. Introduction ... 3 4 II Mission ... 3 5

III Educational Program Goals ... 3 6

IV Institutional Requirements ... 3 7

V Program Requirements and Content... 5 8

Program Requirements ... 5 9

Transfers & Advanced Standing ... 5 10

Program Content ... 5 11

Surgical Experience ... 7 12

Program Rotational Requirements ... 8 13

VI Program Director and Faculty ... 8 14

Program Director ... 8 15

Faculty ... 9 16

VII Resident Requirements ... 9 17

VIII Evaluation ... 10 18

(3)

I - INTRODUCTION

1

These are the Basic Standards for Residency Training in Otolaryngology / Facial Plastic Surgery as 2

established by the American Osteopathic Colleges of Ophthalmology and Otolaryngology Head and 3

Neck Surgery (AOCOO-HNS) and approved by the American Osteopathic Association (AOA). 4

These standards are designed to provide the osteopathic resident with advanced and concentrated 5

training in otolaryngology / facial plastic surgery and to prepare the resident for examination for 6

certification in Otolaryngology / Facial Plastic Surgery by American Osteopathic Boards of 7

Ophthalmology and Otolaryngology-Head and Neck Surgery (AOBOO-HNS). 8

II- MISSION

9

The mission of the osteopathic otolaryngology / facial plastic surgery training program is to provide 10

residents with comprehensive structured cognitive and clinical education that will enable them to 11

become competent, proficient and professional osteopathic otolaryngologists/facial plastic surgeons. 12

III – EDUCATIONAL PROGRAM GOALS

13

The goals of the osteopathic Otolaryngology/Facial Plastic Surgery program are to train residents to 14

become proficient in the following core competencies: 15

A. Osteopathic Philosophy and Osteopathic Manipulative Medicine: Integration and application of 16

osteopathic principles into the diagnosis and management of patient clinical presentations. 17

B. Medical Knowledge: A thorough knowledge of the complex differential diagnoses and 18

treatment options for the patient with otolaryngic disease and the ability to integrate the 19

applicable sciences with clinical experiences. 20

C. Patient Care: The ability to rapidly evaluate, initiate and provide treatment for patients with 21

acute and chronic otolaryngic conditions in both the inpatient and outpatient settings as well as 22

promote health maintenance and disease prevention. 23

D. Interpersonal and Communication Skills: Use of clear, sensitive and respectful communication 24

with patients, patients’ families and members of the health care team. 25

E. Professionalism: Adherence to principles of ethical conduct and integrity in dealing with 26

patients, patients’ families and members of the health care team. 27

F. Practice-Based Learning and Improvement: Commitment to lifelong learning and scholarly 28

pursuit in Otolaryngology/Facial Plastic Surgery for the betterment of patient care. 29

G. Systems-Based Practice: Skills to lead health-care teams in the delivery of quality patient care 30

using all available resources. 31

IV – INSTITUTIONAL REQUIREMENTS

32

4.1 There must be a minimum volume of one hundred (100) major otolaryngology surgical cases 33

per year for each resident in training that consist of head and neck, intra-nasal and sinus, 34

broncho-esophagology, and otologic procedures, combined with seventy-five (75) major 35

facial plastic surgery cases per year for each resident in training. 36

4.2 The institution's department/section of Otolaryngology/Facial Plastic Surgery shall have at 37

least one (1) physician certified in Otolaryngology/Facial Plastic Surgery by the AOA and a 38

second physician certified in Otolaryngology/Facial Plastic Surgery by the AOA or the 39

American Board of Otolaryngology. 40

4.3 The program must maintain a list of learning objectives to indicate learning expectations at 41

yearly training levels and provide it to the residents annually. 42

(4)

4.4 The program must maintain a written curriculum and provide it to the residents annually. 1

Sample curriculum is available at www.aocoohns.org. 2

4.5 The institution/program must maintain a file for each resident containing, at minimum: 3

1. Ambulatory logs; 4

2. Procedure logs; 5

3. Monthly rotation evaluation forms; 6

4. Quarterly program director evaluations; 7

5. Semiannual ambulatory evaluations; 8

6. Semi-annual reviews 9

7. In-service exam scores 10

4.6 The institution must provide the time and resources for each resident to attend the Annual 11

Clinical Assembly or another educational program sponsored by the AOCOO-HNS at least 12

once during their residency. 13

4.7 The institution must arrange for each resident to take the annual in-service exam. 14

4.8 The program must be represented each year at the annual AOCOO-HNS Program 15

Directors Work Shop and annual College sponsored Faculty Development Course. 16

4.9 The institution must provide access to a temporal bone lab facility, staffed, and organized to 17

provide quality otolaryngology training. 18

19

4.10 The institution must provide access to post-graduate courses in allergy, facial plastic surgery, 20

head and neck surgery, laser surgery, and temporal bone surgery when clinical and didactic 21

material is not available at the base institution. 22

V - PROGRAM REQUIREMENTS AND CONTENT

23

A. Program Requirements

24

5.1 The residency training program in Otolaryngology/Facial Plastic Surgery must be sixty (60) 25

months in duration. 26

B. Transfers and Advanced Standing

27

5.1 The program must receive documentation from previous program director confirming that 28

the resident has achieved a specific level of training, and receive an endorsement from the 29

new program director recommending advanced standing for a specific block of time. 30

5.2 The program is required to provide verification of residency education for residents who 31

may leave the program prior to completion of their education. 32

5.3 Requests for advanced standing and time allotted for such requests shall be considered on a 33

case-by-case basis. The AOCOO-HNS Council of Medical Education shall review all 34

applications and make recommendations. Advanced standing credit is applicable only for 35

training received at the institution immediately prior to the program to which the resident is 36

requesting transfer. 37

C. Program Content

38

5.1 Osteopathic Philosophy & Manipulative Medicine 39

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RES. NO. 05 – COPT 04/15 – For Public Comment Page 5

a. Training in osteopathic principles and practice must be provided in both structured 1

educational activities and clinical formats.

2

b. Residents must complete an OPP/OMM curriculum. 3

5.2 Medical Knowledge 4

a. The formal structure of educational activities must include monthly journal clubs. 5

b. The formal structure of educational activities must include structured faculty didactic 6

participation. 7

c. Attendance at required educational activities must be documented. 8

d. Residents must participate in the Otolaryngology/Facial Plastic Surgery structured 9

educational activities throughout their training program, including during the OGME-1 10

Year. 11

e. Each resident must participate in Otolaryngology/Facial Plastic Surgery board review, 12

either in the form of an ongoing program, or by the program sponsoring the resident's 13

attendance at an Otolaryngology/Facial Plastic Surgery board review course. 14

f. By the completion of the Otolaryngology/Facial Plastic Surgery residency program, each 15

resident must have completed an formal basic science course (at minimum 100 hours) 16

and demonstrate competency in the basic sciences, medical and surgical knowledge in 17

the following areas: 18

Morphology, physiology, pharmacology, pathology, microbiology biochemistry, genetics, 19

and immunology relevant to the head and neck; the upper respiratory and upper 20

alimentary systems; the communication sciences, including knowledge of audiology and 21

speech-language pathology; the chemical senses and allergy, endocrinology, and 22

neurology as they relate to the head and neck; and voice sciences as they relate to 23

laryngology. 24

5.3 Patient Care 25

a. The resident must have training and experience in comprehensive histories and 26

physicals, including structural examinations, with emphasis on the head and neck and 27

related systems. 28

b. The resident must have training and experience in the following surgical procedures: 29

Head and Neck, (Salivary Glands, Nose and maxilla, Lips, Oral cavity, Neck, Larynx) 30

Otologic, Facial Plastic and Reconstructive, Congenital anomalies, Laser, Endoscopy, to 31

include, at minimum: indications; contraindications; complications; limitations and 32

evidence of competent performance. 33

c. The resident must have training and experience in the interpretation, indications, contra-34

indications and complications of audiologic, vestibular, and vocal function testing; 35

biopsy and fine needle aspiration techniques; and other clinical and laboratory 36

procedures related to the diagnosis of diseases and disorders of the upper airway and 37

digestive tract and the head and neck. 38

d. The resident must have training and experience in the management of congenital, 39

degenerative, idiopathic, infectious, inflammatory, toxic, allergic, immunologic, vascular, 40

metabolic, endocrine, neoplastic, foreign body and traumatic states; airway management, 41

resuscitation, local/regional anesthesia, sedation; universal precaution techniques to 42

include, at minimum: indications; contraindications; complications; limitations and 43

evidence of competent performance. 44

(6)

e. The resident must have training and experience in operative intervention, and 1

preoperative and postoperative care of the following major categories: 2

1. General otolaryngology, including pediatric otolaryngology, rhinology, 3

bronchoesophagology and laryngology; 4

2. Head and neck oncologic surgery; 5

3. Facial plastic and reconstructive surgery of the head and neck; 6

4. Otology and neurotology. 7

f. The resident must have training and experience to competently perform habilitation and 8

rehabilitation techniques and procedures, in the areas of respiration, deglutition, 9

chemoreception, balance, speech, as well as auditory measures such as hearing aids and 10

implantable devices. 11

g. The resident must have training and experience to diagnose and apply therapeutic 12

techniques involving endoscopy of the upper airway and digestive tract, including 13

rhinoscopy, laryngoscopy, esophagoscopy, and bronchoscopy, as well as the associated 14

application of stroboscopes, lasers, mechanical debriders, computer-assisted guidance 15

devices, and nerve integrity monitors. 16

h. The resident must have training and experience in therapeutic radiology and the 17

interpretation of x-rays, CT scan, MRI and other imaging modalities of the head and 18

neck and thorax including: temporal bone skull, nose, paranasal sinuses, salivary glands, 19

thyroid gland, larynx, neck, lungs, and esophagus. 20

i. The resident must have training and experience with state-of-the-art advances and 21

emerging technology in otolaryngology and head-and-neck surgery; 22

5.4 Interpersonal and Communication Skills 23

a. The resident must have training in communication skills with patients, patient families 24

and other members of the health care team, including patients with barriers to 25

communication, such as sensory impairments, dementia, language and cultural 26

differences. 27

5.5 Professionalism 28

a. The resident must have training in health care disparities. 29

5.6 Practice-Based Learning and Improvement 30

a. The resident must have training in teaching skills. 31

b. The resident must have training in the use of electronic health records. 32

c. The resident must have learning activities and participation in quality improvement 33

processes. 34

d. The resident must have learning activities in medical research throughout the program 35

including, at minimum: research types and methodology; biostatistics; health services 36

research and interpretation of medical literature. 37

e. The resident must complete scholarly projects as required by the AOCOO-HNS and 38

approved by the program director. 39

5.7 Systems-Based Practice 40

a. The resident must have training in practice management. 41

b. The resident must have training in health policy and administration. 42

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RES. NO. 05 – COPT 04/15 – For Public Comment Page 7

1

D. Surgical Experience

2

5.1 Residents must have major technical and patient care responsibilities in surgery (including 3

laser surgery). Each resident must perform as primary surgeon at least the following required 4

number of operative procedures prior to graduation: 5

a. Head and neck: 25 major per year 6

b. Otology: 20 major per year 7

c. Plastic and reconstructive: 35 major per year 8

d. Endoscopic sinus surgery: 25 major per year 9

e. Congenital anomalies: 3 major per year 10

f. Laser pertaining to all categories: 10 per year 11

5.2 The program director is responsible for verifying the surgical experiences of each resident, to 12

include the number of cases in each category where the resident has served as the primary 13

surgeon or the assistant surgeon (surgical logs). 14

5.3 Equivalent distribution of categories and procedures among the residents must be 15

demonstrated. Significantly unequal experience in volume and/or complexity of cases 16

managed by the residents will be considered serious noncompliance with these requirements. 17

E. Program Rotational Requirements

18

5.1 The first year of Osteopathic graduate medical education (OGME-1) training must contain 19

the following required elements: 20

a. 4 months hospital-based general surgery; 21

b. 1 month medical pediatrics; 22

c. 1 month anesthesia; 23

d. 1 month intensive care unit; 24

e. 1 month emergency room; 25

f. 1 month surgical subspecialty (neurological, vascular, maxillofacial, plastic, 26

cardiovascular, general); 27

g. 1 month medical subspecialty (pulmonary, neurology, family medicine, gastroenterology,

28

dermatology, internal medicine, ophthalmology); 29

h. 2 months Elective (from surgical subspecialty or medical subspecialty lists above). 30

5.2 During OGME-2-OGME-5 training years the resident must have the following rotations: 31 a. Otology 32 b. Rhinology 33 c. Laryngology 34

d. Head and Neck 35

e. Facial Plastic surgery 36 f. Pediatric Otolaryngology 37 g. Otolaryngic Allergy 38 39 40

(8)

1

VI – PROGRAM DIRECTOR AND FACULTY

2

A. Program Director

3

6.1 The program director must be certified in Otolaryngology/Facial Plastic Surgery by the 4

AOA through the American Osteopathic Boards of Ophthalmology and Otolaryngology-5

Head and Neck Surgery. 6

6.2 The program director must have a minimum of three (3) years of clinical experience in 7

Otolaryngology/Facial Plastic Surgery following certification by the AOA or request special 8

consideration by the AOCOO-HNS Council of Medical Education; 9

6.3 The program director must be in active clinical practice in Otolaryngology/Facial Plastic 10

Surgery. 11

6.4 The program director must be an active member of the AOCOO-HNS. 12

6.5 The program director's authority in directing the residency training program must be defined 13

in the program documents of the institution. 14

6.6 The program director must comply with procedures and requests of the Council on Medical 15

Education. 16

6.7 The program director must have compensated dedicated time to administer the training 17

program. 18

6.8 The program director must complete SUBMIT an annual report for each resident TO THE 19

AOCOO-HNS and review it with the resident. Final ANNUAL Reports must be submitted 20

within 30 days of training completion. 21

6.9 The program director must attend the annual AOCOO-HNS Program Director Workshop, 22

held during the ACA, at a minimum of once every other year. In the intervening years, the 23

program director must assign a designee who is actively involved in the training program, to 24

attend the workshop in his or her place. 25

6.10 The program director must attend the annual AOCOO-HNS-sponsored Faculty 26

Development Course as follows: the program director must attend two (2) out of three (3) 27

programs and assign other faculty involved in the training program to attend one (1) out of 28

five (5) annual faculty development programs. 29

6.11 The program director must notify the AOCOO-HNS of the resident's entry into the training 30

program and the names of all residents in the program by submitting a resident list annually 31

on a form furnished by AOCOO-HNS. 32

6.12 The program director must maintain an e-mail address and provide it to the AOCOO-HNS. 33

6.13 The program director must arrange for the residents to take the in-service examination on an 34

annual basis and to provide, each year, the test results to the AOCOO-HNS Council of 35

Medical Education. 36

6.14 The program director must review the results of the annual in-service examination with each 37

resident by the end of the training year. 38

6.15 THE PROGRAM DIRECTOR HAS THE RESPONSIBILITY AND AUTHORITY TO 39

PROMOTE A RESIDENT. 40

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RES. NO. 05 – COPT 04/15 – For Public Comment Page 9

6.16 THE PROGRAM DIRECTOR HAS THE RESPONSIBILITY TO DESIGNATE THE 1

RESIDENT AS TRAINING COMPLETE. 2

B. Faculty 3

6.1 FACULTY MUST MAINTAIN CURRENT CERTIFICATION OR BE BOARD 4

ELIGIBLE BY THE AOA OR APPROPRIATE ALLOPATHIC BOARD AGENCY. 5

6.2 Faculty must make available non-clinical time to provide instruction to residents. Faculty 6

must participate in the academic educational programs such as formal lectures, case 7

conferences, journal clubs, book clubs, and board review. 8

VII – RESIDENT REQUIREMENTS 9

7.1 The residents must be members of the AOCOO-HNS. 10

7.2 THE RESIDENT MUST MAINTAIN AND ACCURATELY COMPLETE RECORDS 11

OF THEIR EDUCATIONAL ACTIVITIES IN THE REQUIRED SURGICAL LOG 12

FORMAT. 13

7.3 SURGICAL LOGS MUST BE RECORDED FROM SURGERY PERFORMED AT THE 14

BASE AND AFFILIATE SITES, AND MUST BE REVIEWED AND VERIFIED SEMI-15

ANNUALLY BY THE PROGRAM DIRECTOR. 16

7.4 THE SURGICAL LOGS MUST DOCUMENT THE FULFILLMENT OF THE 17

REQUIREMENTS OF THE PROGRAM, DESCRIBING THE SCOPE, VOLUME, 18

AND VARIETY AND PROGRESSIVE RESPONSIBILITY OF THE RESIDENT. 19

7.5 The residents must submit an annual resident report THE YEAR-END ANNUAL 20

SURGICAL LOG to the AOCOO-HNS PROGRAM DIRECTOR within thirty (30) days 21

of completion of each training year. 22

7.6 THE CURRICULUM MUST ADVANCE RESIDENTS’ KNOWLEDGE OF THE 23

BASIC PRINCIPLES OF RESEARCH THROUGH SCHOLARLY ACTIVITY. 24

SCHOLARLY ACTIVITY IS REQUIRED OF ALL RESIDENTS DURING THEIR 25

TRAINING. SCHOLARLY ACTIVITY ENTAILS CONTRIBUTION TO 26

KNOWLEDGE THAT IS AVAILABLE TO THE DISCIPLINE OF 27

OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY OR ITS SUBSPECIALTY 28

AREAS. TO BE RECOGNIZED AS SCHOLARLY THE PROJECT MUST BE 29

SHARED WITH PEERS AND SUBJECT TO PEER REVIEW. EACH RESIDENT IS 30

REQUIRED TO OBTAIN 3 POINTS BY THE COMPLETION OF THEIR FOURTH 31

YEAR OF TRAINING. PROJECTS WITH THEIR POINT VALUES ARE TO BE 32

APPROVED BY THE PROGRAM DIRECTOR IN ADVANCE OF COMPLETION 33

AND SUBMITTED ON THE PROGRAM DIRECTOR’S ANNUAL REPORT (SEE 34

APPENDIX II FOR PROJECT AND POINT RECOMMENDATIONS). THE 35

SPONSORING INSTITUTION AND PROGRAM SHOULD ALLOCATE 36

ADEQUATE EDUCATIONAL RESOURCES TO FACILITATE RESIDENT’S 37

INVOLVEMENT IN SCHOLARLY ACTIVITY. 38

7.7 The residents must attend a minimum of 70 percent of all meetings as directed by the 39

program director. 40

7.8 The residents must participate in hospital committee meetings as directed by the program 41

director. 42

(10)

7.9 The residents must participate each year in the annual Resident In-Service Examination. 1

7.10 The residents must maintain certification in advanced cardiac life support throughout the 2

residency. 3

7.11 The residents must attend the AOCOO-HNS Annual Clinical Assembly or another 4

AOCOO-HNS continuing education program once during the training program. 5

7.12 The resident must maintain a current e-mail address and provide it to the AOCOO-HNS 6

upon entering the program. 7

7.13 The resident must complete a suitable home study course approved by the program director 8

during the OGME-2, OGME-3, and OGME-4 training years. Documentation of the entire 9

home study course is required by the end of the OGME-4 year of training. The residents 10

must review the home study course in a group fashion, and to review it twice during the 11

training program. 12

VIII – EVALUATION

13

8.1 The faculty and residents must evaluate the program and curriculum annually to ensure that 14

it is consistent with the current goals of the program and further address, at minimum: 15

aggregate performance on the annual Resident In-Service Examination; pass rates on the 16

AOBOO-HNS certification examination; resident retention rates in the program; percent of 17

graduates completing the program in 60 months; placement of graduates and professional 18

accomplishments of graduates. 19

8.2 All evaluations must be signed by the person completing the evaluation, the program 20

director and the resident. 21

8.3 The program director or a designee must meet with the resident semiannually to review and 22

document the resident’s progress. 23

8.4 At the end of each training year, the program director, with faculty input, must determine 24

whether each resident has the necessary qualifications to progress to the next training year or 25

be considered training/program complete. 26

8.5 At the end of each training year, the program director and the resident must complete and 27

send an Annual Report to the AOCOO-HNS within thirty (30) days of completion of each 28

training year. The annual report consists of: the resident segregated totals (Logs), the 29

program directors report, the professional paper, the home study verification, and in-service 30

exam scores. Delinquent annual reports will not be reviewed until a delinquency fee is paid 31

as determined by the AOCOO-HNS ’s administrative policies. 32

8.6 The resident must prepare an annual professional paper during the OGME 2, OGME 3, and 33

OGME 4 years of training that is either an original contribution or a case report. Original 34

contributions must document original clinical or applied research. Case reports must 35

document unusual clinical presentations with newly recognized or rarely reported features. 36

The length of the annual professional paper shall be of publishable quality, at least 1500 37

words, double-spaced, and with references required for all material derived from the works 38

of others. The annual paper shall be submitted to the AOCOO-HNS Council of Medical 39

Education as part of the annual report. 40

8.7 In lieu of one (1) paper, the resident may submit one (1) of the following alternatives: 41

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RES. NO. 05 – COPT 04/15 – For Public Comment Page 11

1. Poster presentation at the AOCOO-HNS annual clinical assembly, which has been 1

reviewed and approved by the program director. The poster must be submitted to the 2

AOCOO-HNS Council of Medical Education with picture(s) of the poster and an 3

outline of the contents. 4

2. Provide documentation of satisfactory completion of a university level statistics course 5

taken in the current or prior year. The statistics course must be approved by the 6

AOCOO-HNS Council of Medical Education. 7

Or 8

In place of two annual papers, residents may do a substantive research project during the 9

OGME 2-4 years of training. To participate in such research, the resident must submit 10

an outline of the research project with the first year annual report, and the completed 11

research project with the second year annual report. The completed research project 12

must be submitted to the AOCOO-HNS Council of Medical Education in a publishable 13

format. In all instances research projects must be approved and monitored by the 14

program director. 15

Institutional Review Board (IRB) or Ethics Committee approval for any research 16

involving human or animal subjects must be obtained prior to the institution of research. 17

Additionally, all research must meet all local, state and federal regulations. 18

8.5 Residents’ identities in faculty evaluations must remain confidential. 19

8.6 Program Directors and Faculty performance must be reviewed on an annual basis. 20

8.7 Information provided by residents must be included as part of the assessment of faculty 21

performance. 22

8.8 The program must have a remediation policy for residents who are performing at an 23

unsatisfactory level. 24

8.9 All newly approved residency training programs will be given a maximum of thirty six (36) 25

months continuing approval following the first inspection which occurs twelve (12) months 26

after the first resident begins the program. 27

28 29

(12)

APPENDIX ONE: ACCREDITATION

1 2

THE COUNCIL OF MEDICAL EDUCATION (C.O.M.E.) OF THE AMERICAN 3

OSTEOPATHIC COLLEGES OF OPHTHALMOLOGY AND OTOLARYNGOLOGY-HEAD 4

AND NECK SURGERY (AOCOO-HNS) IS THE BODY WHICH RECOMMENDS ITS 5

RESIDENCY PROGRAMS FOR ACCREDITATION TO THE AMERICAN OSTEOPATHIC 6

ASSOCIATION (AOA). THE C.O.M.E. HAS THE RESPONSIBILITY OF MAINTAINING 7

THE STANDARDS OF TRAINING BY WHICH ALL OTOLARYNGOLOGY/FACIAL 8

PLASTIC SURGERY RESIDENCY TRAINING PROGRAMS CAN BE MEASURED. 9

ACCREDITED INSTITUTIONS AND PROGRAMS AGREE TO, AND MUST MEET OR 10

EXCEED THE STANDARDS SET FORTH IN THE AOA BASIC DOCUMENTS AND THE 11

AOCOO-HNS OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY BASIC STANDARDS 12

FOR POSTDOCTORAL TRAINING THROUGHOUT THEIR ENTIRE PERIOD OF 13

ACCREDITATION. 14

15

THE RESIDENCY PROGRAM DIRECTOR IS THE CENTRAL FIGURE IN THE 16

ACCREDITATION PROCESS. A PROGRAM DIRECTOR MUST COMMIT TO 17

COMPLIANCE WITH THE BASIC STANDARDS FOR RESIDENCY TRAINING IN 18

OPHTHALMOLOGY. HE/SHE IS RESPONSIBLE FOR AMASSING AND SUBMITTING 19

THE REQUIRED DATA TO THE C.O. M.E. THE ACCURACY AND VERACITY OF THIS 20

INFORMATION IS CRITICAL TO THE ACCREDITATION PROCESS. THE C.O.M.E. 21

RETAINS THE AUTHORITY TO RECOMMEND TO THE AOA ACCEPTANCE OR 22

DENIAL OF ACCREDITATION, CALL FOR A FOCUSED SITE VISIT, OR PLACE A 23

PROGRAM ON PROBATION IF THE STANDARDS ARE NOT BEING MET. 24

25

RESIDENCY TRAINING PROGRAMS DEMONSTRATE COMPLIANCE WITH THE 26

BASIC STANDARDS AND ON-GOING QUALITY IMPROVEMENT THROUGH THE 27

FOLLOWING: 28

29

1. SELF-STUDY EVALUATION OF THE PROGRAM USING APPROPRIATE 30

CROSSWALK, AND CONDUCTED BY FACULTY, RESIDENTS, AND 31

SPONSORING INSTITUTION AND OPTI. 32

2. DELINEATION OF FINDINGS AND RECOMMENDATIONS FROM THIS SELF-33

STUDY FOR SELF-IMPROVEMENT. 34

3. SUBMISSION TO THE C.O.M.E. REPORTS OF ON-SITE EVALUATIONS, MID-35

CYCLE REVIEWS, ANNUAL REPORTS AND ANY OTHER REQUESTED 36

INFORMATION IN A TIMELY MANNER AND MEETING ALL PUBLISHED 37 DEADLINES. 38 39 40 41 42 43

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RES. NO. 05 – COPT 04/15 – For Public Comment Page 13

APPENDIX TWO: SCHOLARLY ACTIVITY POINT RECOMMENDATIONS

1 2

• 3 POINTS FOR A PUBLISHED ARTICLE IN A PEER REVIEW JOURNAL 3

• 2 POINTS FOR AN UNPUBLISHED ARTICLE REQUIRING IRB APPROVAL 4

• 2 POINTS FOR PRESENTING A WORKSHOP AT A NATIONAL MEETING 5

• 1 POINT FOR PRESENTING A LECTURE AT A NATIONAL MEETING 6

• 1 POINT FOR PRESENTING A POSTER AT A NATIONAL MEETING 7

• 1 POINT FOR A NON-PUBLISHED PAPER CONFORMING TO THE PAPER 8

REQUIREMENTS 9

• 1 POINT FOR COMPLETION OF A COURSE IN STATISTICS, WRITING SKILLS, 10

EDITORIAL COURSES OR RESEARCH SKILLS COURSE 11

12 13 14

(14)

APPENDIX THREE: PAPER REQUIREMENTS

1 2

IN ORDER FOR A NON-PUBLISHED PAPER TO CONFORM TO THE CURRENT PAPER 3

REQUIREMENTS IT MUST MEET THE FOLLOWING LIST OF REQUIREMENTS. 4

• ABSTRACT MUST BE WELL WRITTEN, INCLUDE KEY WORDS AND DEFINE 5

THE SCOPE OF THE PAPER 6

• THE GENERAL STRUCTURE OF THE PAPER MUST INCLUDE: 7

O 1500 WORDS OR MORE (EXCLUDING THE BIBLIOGRAPHY) 8

O CORRECT USE OF LANGUAGE 9

O CORRECT PUNCTUATION 10

O PROPER FOOTNOTING 11

O APPROPRIATE USE OF CHARTS, GRAPHS, FIGURES, TABLES OR 12

PHOTOGRAPHS 13

O TYPE-WRITTEN OR COMPUTER FORMATTED 14

O ADHERES TO RECOMMENDED FORMAT FOR TYPE OF PAPER 15

CHOSEN 16

O BIBLIOGRAPHY PROPERLY WRITTEN AND ANNOTATED 17

O APPROPRIATE CONTACT MADE WITH IRB IF APPLICABLE 18

• ORIGINALITY OF CONTENT MUST BE DEMONSTRATED IN THE 19

FOLLOWING: 20

o INTRODUCTION AND ABSTRACT 21

o CLEARLY DEFINED OBJECTIVES OF THE PAPER 22

o LITERATURE REVIEW AND REFERENCES APPROPRIATE IN SCOPE 23

AND NUMBER FOR PAPER’S SUBJECT 24

o ACCURATE REPORTING OF CASE FINDINGS INCLUDING THE 25

COLLECTED DATA. 26

o DISCUSSION DEMONSTRATES CRITICAL COMMENT, REFLECTS AN 27

INTERPRETATION OF DATA, CROSS-REFERENCES LITERATURE, 28

SHOWS MASTERY OF SUBJECT AND DEMONSTRATES DIRECTION FOR 29

READER 30

o RESULTS FOR DATA COLLECTION APPROPRIATELY ANALYZED AND 31

CLEARLY ARTICULATED. 32

o PAPER PRESENTS GOOD EVIDENCE FOR CONCLUSIONS DRAWN 33

o CONCLUSION CONCISE, CLEAR AND RELEVANT 34

o PAPER OFFERS NEW PARADIGM OR SHOWS NEW DIRECTION FOR 35

READER (I.E., WAS THIS AN IMPORTANT STUDY? IS THERE A TAKE-36

HOME MESSAGE?) 37

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