REVIEW CROSSWALK FOR RESIDENCY TRAINING IN
OSTEOPATHIC FAMILY MEDICINE
AND MANIPULATIVE TREATMENT
Includes appendix III rural guidelines, if applicable
PROGRAM DIRECTOR INSTRUCTIONS:
 Complete charts A through F
 Prepare program documentation, curriculum, and evaluation documents where noted (items in red)
 Organize all documentation in a binder, numbered and labeled sequentially per standards
INSPECTOR INSTRUCTIONS:
 Mark each standard as met or not met

Use the Comments sections to fully explain any standards that are not met
Glossary of Terms
Program Documents
Curriculum
Evaluation documents
Program Director (PD)
Residents
Chart Review
Facility Evaluation
Program:
Program Number:
Review Date:
Site Reviewer’s Name (print)
Site Reviewer’s Signature
Program Director’s Signature
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 1
Action
On site review of written material prepared by the program that documents compliance
On site review of written curriculum materials that describe specific program elements
Documentation of evaluation of residents and faculty
On site interview with the Program Director to confirm educational activities
On site interview with the current residents to confirm educational activities
On site review to verify comprehensive charting, supervision, and integration of omm
On site review of educational facilities to verify compliance
Date
Date
Date
Chart A Trainee History
(note number of trainees in each year)
OGME Year
Five Years Previous
Four Years Previous
Three Years Previous
Two Years Previous
Last Year
Current Year
OGME-1
OGME-2
OGME-3
OGME-4
OGME-5
Chart B: Resident Data
(complete for all current residents)
Resident Name
OGME Year
1
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Page 2
2
Current AOA
Member
COMLEX Passed
3
I
II
IIPE
III
Y
N
Current
ACOFP
Member
Y
N
Completed AOAapproved OGME-1
Year
Y
N
Chart C: Family Medicine Faculty Data
(complete for all family physicians actively involved in the program)
Name
Degree
AOBFP
Certification
Date
ABFM
Certification
Date
Certificaton
current
(Y/N)
Annual time spent in
residency activities
(teaching, precepting,
administration, scholarship)
Chart D: Inpatient Facility Data
(complete for all facilities utilized for inpatient training)
Facility Name
Adult
Med/Surg
Pediatrics
Newborn
Critical Care
Surgery
Obstetrics
Emergency Medicine
Chart E: Ambulatory Continuity Facility Data
(complete for all sites utilized for family medicine ambulatory continuity training)
Facility Name
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Page 3
Supervisor
Annual Number of Patient
Encounters
Annual Number of Patient
Encounters Provided by Residents
Chart F
Rotation Block Diagram
(complete for all block or longitudinal experiences)
OGME 1
Rotation
Number of
Weeks/hours
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Page 4
OGME 2
Rotation
Number of
Weeks/hours
OGME 3
Rotation
Number of
Weeks/hours
4.1
The institution must have an organized department or section of Family Medicine.
 Program Documents
(organizational chart)
1
 CHART A
1
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
The institution shall maintain a minimum program size of six filled Family Medicine
residents. This will be calculated as a five year rolling average.
a. Residencies operating in conjunction with an ACGME family medicine
residency must maintain a minimum program size of at least six filled total
Family Medicine residents (D.O. and M.D.)
b. Residencies operating in conjunction with combined programs in integrated
family medicine/neuromusculoskeletal medicine or family
4.2
medicine/emergency medicine must maintain a minimum number of at least
six family medicine residents (family medicine plus integrated family
medicine/neuromusculoskeletal medicine plus family medicine/emergency
medicine).
c. Residencies must utilize electronic health records (EHR) for the inpatient
and outpatient sites, or a plan in place with a target date for the
implementation of an EHR system.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
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Page 5
Not Met
Met
Not Met
STANDARD
IV. Institutional Requirements
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Facility Evaluation
1
 Facility Evaluation
1

1
Site Reviewer Comments (Must describe not met and any commendations):
The primary training facilities shall be located in geographic proximity so as to allow
for efficient functioning of the educational program.
Program Director Comments (REQUIRED):
A.4.2
Site Reviewer Comments (Must describe not met and any commendations):
B. Hospitals
The program must utilize at least one hospital where family physicians have admitting
privileges. At a minimum, hospital training resources shall include:
a.
Adult inpatient.
b.
Critical care.
B.4.1
c.
Surgery.
d.
Obstetrics.
e.
Emergency medicine.
f.
Newborn care.
g.
Pediatrics.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
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Page 6
CHART D
Not Met
Met
Met
Not Met
STANDARD
A. Facilities
The institution shall ensure that training facilities are organized to support patient
A.4.1
care activities by family medicine faculty and family medicine residents.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Interview Program
Director
1
 Facility Evaluation
 CHART E
1
 Facility Evaluation
1
Site Reviewer Comments (Must describe not met and any commendations):
D. Ambulatory Continuity of Care Site
The institution must provide a minimum of one osteopathic family medicine training
D.4.1
site.*Essential Standard
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Multiple sites may be utilized only if all sites fully meet the standards set forth in this
document.
Program Director Comments (REQUIRED):
D.4.2
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 7
Not Met
Met
Met
Not Met
STANDARD
C. Extended Care Facilities
The program must utilize at least one extended care facility where family medicine
C.4.1
residents can care for patients under supervision by residency faculty.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Facility Evaluation
1
 Chart Review of
resident’s ambulatory
continuity charts
1
Site Reviewer Comments (Must describe not met and any commendations):
A professional medical records system that provides for quality assurance and quality
improvement processes must be utilized. At a minimum this shall include:
a.
A system for documentation of structural examinations and OMM
treatments.
D.4.4
b.
A mechanism to identify each patient’s primary care physician.
c.
Chronic medication lists.
d.
Problem lists.
e.
Health maintenance flow sheets.
f.
Chronic disease management flow sheets.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
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Page 8
Not Met
Met
Met
Not Met
STANDARD
Each must be organized to support resident continuity of care training with a
designated panel of patients. At a minimum each site must provide the following:
a.
Defined space for waiting area, examination rooms, resident’s office,
laboratory, business office.
b.
OMM capability.
D.4.3
c.
On site procedural capability including: blood sugar, throat culture or rapid
strep screen, urinalysis, office microscopy, EKG, spirometry, and screening
audiometry.
d.
Minor surgery capability.
e.
Online access to reference sources.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Facility Evaluation
1
 Interview Residents
3
 Interview Residents
1
Site Reviewer Comments (Must describe not met and any commendations):
Faculty must be available in appropriate numbers to ensure that residents always have
readily available on site supervision.
Program Director Comments (REQUIRED):
D.4.6
Site Reviewer Comments (Must describe not met and any commendations):
Support staff must be available in appropriate numbers to ensure efficient patient
care.
Program Director Comments (REQUIRED):
D.4.7
Site Reviewer Comments (Must describe not met and any commendations):
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Page 9
Not Met
Met
Met
Not Met
STANDARD
The economic aspect of the site must be self-contained and patterned after that of a
private practice. At a minimum this shall include:
a.
Appointments.
D.4.5
b.
Statements.
c.
Billing functions.
d.
Resident specific economic data
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
D.4.8
Patient care visits at the continuity of care site must be predominantly by
appointment. An urgent care center may not be utilized for this portion of the
training
 Interview Program
Director
1

Facility Evaluation
1

Interview Program
Director
Interview Residents
1
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
The continuity of care training site may be located in proximity with a multi-specialty
site provided the operations are separate.
Program Director Comments (REQUIRED):
D.4.9
Site Reviewer Comments (Must describe not met and any commendations):
While interdisciplinary training in ambulatory sites is encouraged, the presence of
other learners in the program (fellows, nurse practitioners, physician assistants, etc.)
D.4.10
must not interfere with the appointed residents' unencumbered supervision and
education as per CMS resident teaching guidelines and these standards
Program Director Comments (REQUIRED):

Site Reviewer Comments (Must describe not met and any commendations):
Site Reviewer Section IV. Recommendations
Total Points for Section IV ________ out of 18
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Page 10
Not Met
Met
Not Met
STANDARD
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Chart F
1
 Curriculum
1
 Didactic Schedule
2
 Interview Residents
1
Site Reviewer Comments (Must describe not met and any commendations):
The program shall have a written curriculum that defines rotation and longitudinal
time requirements. All areas of the curriculum shall have written educational
objectives and evaluation methodologies.
Program Director Comments (REQUIRED):
A.5.2
Site Reviewer Comments (Must describe not met and any commendations):
The program must provide residents with regularly scheduled lectures, conferences,
workshops or educational activities. Didactics shall be available for an average of at
least five hours per week.
Program Director Comments (REQUIRED):
A.5.3
Site Reviewer Comments (Must describe not met and any commendations):
Residents shall become competent to meet family medicine group call responsibilities
through supervised opportunities to function in on-call situations
Program Director Comments (REQUIRED):
A.5.4
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 11
Not Met
Met
Met
Not Met
STANDARD
V. Program Requirements and Content
A. Program Requirements
A.5.1
The residency training must be thirty-six months in duration.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Program Documents
1
 Program Documents
1
 Interview Program
Director
1
 Program Documents (if
applicable)
1
Site Reviewer Comments (Must describe not met and any commendations):
The program shall maintain a 90% pass rate (three year rolling average) on the
AOBFP certifying examination.
Program Director Comments (REQUIRED):
A.5.6
Site Reviewer Comments (Must describe not met and any commendations):
From the start of the OGME-1, the physician will have up to six years to complete
the program requirements
Program Director Comments (REQUIRED):
A.5.7
Site Reviewer Comments (Must describe not met and any commendations):
Pilot or demonstration programs and/or projects will be considered. All such
projects must be approved in advance by the ACOFP Committee on Education and
A.5.8
Evaluation (CEE). Proposals must demonstrate equivalent training to the basic
program as outlined in this document.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
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Page 12
Not Met
Met
Met
Not Met
STANDARD
The program shall maintain a participation rate of 90% in the AOBFP certification
A.5.5
examination within a five year period after completion of training. The rate will be
calculated from the time of the previous inspection.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Program Documents (if
applicable)
1
Site Reviewer Comments (Must describe not met and any commendations):
B. Curriculum Requirements
Continuity of Care Training
Continuity of care must be taught as a core value of osteopathic family medicine.
a. Each resident is expected to maintain continuity of care for his/her patients when
such patients require hospitalization or consultation with other health care providers.
The resident must maintain participation in the decisions involving the health of the
patient.
b. For those patients unable to visit the continuity of care site, training opportunities
B.5.1
must be provided for the resident to gain experience in home care and care in longterm care facilities.
c. No rotation or discipline or other duties are to interfere with the intent or
implementation of the continuity of care experience portion of the residency..
d. The delineation of, and opportunity for, progressive resident responsibility for
patient management over the continuum of the program shall be provided.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
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Page 13


Interview Residents
Interview Program
Director
1
Not Met
Met
Met
Not Met
STANDARD
Residents must have ready access to specialty-specific and other appropriate reference
A.5.9
material in print and/or electronic format. Electronic medical literature databases
with search capabilities shall be available.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE

Interview Residents

Facility Evaluation
1
1
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
b. For a given resident the continuity of care experience may be at no more than two
sites. Each site must meet all facility requirements and all continuity educational
requirements as outlined in these standards.
Program Director Comments (REQUIRED):
B.5.2 b

Facility Evaluation
1
Site Reviewer Comments (Must describe not met and any commendations):
c. If the residency program elects to use two sites, the resident may be assigned to
both sites simultaneously or each site for at least twelve consecutive months during
B.5.2 c
OGME-2 and OGME-3. During OGME-1, the continuity experience must be at a
single site.
Program Director Comments (REQUIRED):
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Page 14
 Interview Program
Director
1
Not Met
Met
Met
Not Met
STANDARD
The major focus of the training program must be on providing comprehensive
B.5.2
primary care for patients in the ambulatory continuity of care setting including the
following:
a. An AOBFP-certified physician who supervises the osteopathic portion in the clinic
is required, but on a day-to-day basis, the residents may also be periodically overseen
B.5.2 a
by an American Board of Family Medicine-certified physician.
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
d. The patient population of the continuity of care site should include a variety of
patients’ in terms of age, gender, and ethnicity.
Program Director Comments (REQUIRED):
B.5.2 d
 Chart Review
1
Site Reviewer Comments (Must describe not met and any commendations):
e. Each resident shall be assigned a designated panel of patients.
i. The resident shall be responsible, under supervision, for the health care needs of
their assigned panel of patients.
 Interview Residents
B.5.2 e
ii. The resident must be clearly identified as the health care provider for the panel.
 Chart Review
iii. As the skill and proficiency of the resident improves, an increasing daily patient load
is expected.
Program Director Comments (REQUIRED):
1
Site Reviewer Comments (Must describe not met and any commendations):
B.5.2 f
f. The three year continuity of care site experience must include at least 1,650 patient
visits throughout the continuum of the residency program, and must meet a minimum
 Program Documents
of the following cumulative continuity clinic patient visits before a resident can
(Review current
advance to the next year of training or graduate:
OGME-1: 150 continuity patient visits.
OGME-2: 650 continuity patients visits.
OGME-3: 1,650 continuity patient visits..
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Page 15
volumes, visit count to
date)
 Chart E
3
Not Met
Met
Not Met
STANDARD
Site Reviewer Comments (Must describe not met and any commendations):
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Site Reviewer Comments (Must describe not met and any commendations):
B.5.2 g
g. Residents must see patients in the continuity of care site for a minimum of forty
weeks per year.

Interview Program
Director
 Program Documents
(Resident schedules)
3
 Interview Residents
 Chart Review
1
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
B.5.3
The ambulatory care experience must train residents to be both productive and
efficient in a primary care setting. At a minimum this must include:
a. Appropriate utilization of osteopathic principles and manipulative treatment.
b. Diagnose and manage medical and surgical conditions.
c. Perform office procedures.
d. Incorporate preventive measures.
e. Provide patient education.
f. Provide counseling.
g. Coordinate care.
h. Manage consultations.
i. Exposure to telephone visits and/or e-visits.
j. Electronic health records, or maintenance of complete paper chart records while
awaiting implementation of an EHR system..
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 16
Not Met
Met
Not Met
STANDARD
Program Director Comments (REQUIRED):
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Site Reviewer Comments (Must describe not met and any commendations):
Osteopathic Manipulative Medicine
The program must train residents in the clinical application of osteopathic
manipulative medicine.
At a minimum this must include:
a. Clearly defined mechanism to measure and document competency in OMM.
B.5.4
b. Training in outpatient and inpatient settings.
c. Didactic instruction and hands on training.
d. Exposure to multiple treatment modalities.
e. Documentation of OMM in the medical record.
f. Coding and reimbursement.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Inpatient Medicine
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 17
 Evaluation documents
 Chart Review of
ambulatory patients and
inpatients cared for by
residents to verify
appropriate application
of OMM
 Interview Residents
1
Not Met
Met
Not Met
STANDARD
Program Director Comments (REQUIRED):
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Chart Review of
inpatients cared for by
residents
 Interview Residents
 Interview Program
Director
1
 Chart F
1
 Interview Residents
1
Site Reviewer Comments (Must describe not met and any commendations):
Emergency Medicine
The program must provide at least eight weeks or two months of training in
B.5.6
emergency medicine, including at least four weeks or one month of training during
the OGME-1 year.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
B.5.7
At a minimum emergency medicine training shall include:
a. Didactic and clinical training.
b. Triage emergency patients of all ages.
c. Certification in ACLS.
d. Stabilize and provide initial treatment for medical emergencies.
e. Stabilize and provide initial treatment for surgical emergencies.
f. Stabilize and provide initial treatment for psychiatric emergencies.
g. Stabilize and provide initial treatment for pediatric emergencies.
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 18
Not Met
Met
Met
Not Met
STANDARD
The program must train residents to competently manage hospitalized patients.
At a minimum this must include:
a. Management of acute and chronic illness.
b. Appropriate consultation.
B.5.5
c. Coordination of care.
d. Manage transfer of care to and from the primary care setting.
e. Produce comprehensive medical records.
f. Utilization management and discharge planning.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Site Reviewer Comments (Must describe not met and any commendations):
Internal Medicine
The program must provide at least thirty-two weeks or eight months of clinical
training in internal medicine disciplines, including at least eight weeks or two months
B.5.8
of general inpatient internal medicine experiences during the OGME-1 year. This
requirement can be met by either inpatient internal medicine or inpatient family
medicine service.
Program Director Comments (REQUIRED):
 Chart F
1
 Chart F
 Interview residents
1
Site Reviewer Comments (Must describe not met and any commendations):
At a minimum internal medicine training must include:
a. Twenty-four weeks or six months of inpatient experience.
B.5.9
b. Four weeks or one month of training in critical care medicine.
c. Didactic and clinical training.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 19
Not Met
Met
Not Met
STANDARD
Program Director Comments (REQUIRED):
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Interview Residents
 Interview Program
Director
 Chart F
1
 Interview Residents
1
Site Reviewer Comments (Must describe not met and any commendations):
The training program must provide an opportunity for the residents to develop
competency in:
B.5.11
a. The management of hospitalized adult patients.
b. Cooperative management of patients with sub-specialists colleagues.
c. Pre-operative medical evaluation.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 20
Not Met
Met
Met
Not Met
STANDARD
Internal medicine training shall include exposure to the following sub-specialties, in
either inpatient or outpatient settings through either formal rotations or as part of
other inpatient or outpatient patient care experiences:
At a minimum this must include:
a. Allergy and immunology.
b. Cardiology.
c. Dermatology.
d. Endocrinology.
B.5.10
e. Gastroenterology.
f. Hematology.
g. Infectious diseases.
h. Nephrology.
i. Neurology.
j. Oncology.
k. Pulmonology.
l. Rheumatology.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 21
 Chart F
1
 Interview Residents
1
 Interview Residents
1
 Interview Residents
1
Not Met
Met
Met
Not Met
STANDARD
Women’s Health
The program must provide at least twelve weeks or three months of training in
B.5.12
women's health, including at least four weeks or one month of training during the
OGME-1 year.
At a minimum training in women's health must include:
a. Didactic and clinical training experience.
b. Gender specific health care needs of women.
B.5.13
c. Domestic violence identification and prevention.
d. Gynecology.
e. Obstetrics.
f. Breast Disease.
The gynecological portion of this training experience shall include both ambulatory
and in-hospital patient care.
At a minimum this shall include:
a. Family planning.
B.5.14
b. Preventive medicine.
c. Management of the abnormal PAP smear.
d. Disorders of menstruation.
e. Gynecological infections.
The dedicated obstetrical portion of this training experience shall include both
ambulatory and in-hospital patient care.
At a minimum this shall include:
B.5.15
a. Prenatal care.
b. Labor and delivery.
c. Postnatal care.
d. Medical complications of pregnancy.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Chart F
1
 Interview Residents
1
 Chart F
1
 Interview Residents
 Chart F
1
Site Reviewer Comments (Must describe not met and any commendations):
Surgery
The program must provide at least sixteen weeks or four months of training in
B.5.18
surgical disciplines, including at least four weeks or one month of general inpatient
surgery training during the OGME-1 year.
At a minimum this shall include:
a. Preoperative and post-operative care.
b. Training in the following sub-specialties, which may be ambulatory or inpatient.
B.5.19
c. Ophthalmology.
d. Orthopedics.
e. Urology.
f. ENT.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 22
Not Met
Met
Met
Not Met
STANDARD
Pediatric and Adolescent Medicine
The program must provide at least sixteen weeks or four months of training in
B.5.16
pediatrics and adolescent medicine, including at least four weeks or one month of
training during the OGME-1 year.
At a minimum this shall include:
a. Care of the newborn.
b. Ambulatory pediatrics.
B.5.17
c. Well childcare.
d. Care of hospitalized children.
e. Emergency care of children.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
B.5.20
The program must provide at least 100 hours or 1 month of training in the
care of the geriatric patient. This is in addition to training that occurs through
the residents’ continuity of care patient panel, general internal medicine
rotations or nursing home continuity of care experience.
At a minimum this shall include:
a. Physiological changes of aging.
b. Pharmacokinetics in the elderly.
B.5.21
c. Functional assessment of the elderly.
d. Extended care facility management.
e. Hospice.
f. Home care.
Program Director Comments (REQUIRED):
 Chart F
1
 Interview Residents
1
Site Reviewer Comments (Must describe not met and any commendations):
Behavioral Medicine
The program must include training in behavioral science. At a minimum this shall
include:
a. Psychiatric and psychological diagnoses common to family medicine.
b. The treatment of substance abuse.
B.5.22
c. Didactic instruction and clinical experiences.
d. Interviewing skills.
e. Counseling skills.
f. Psychopharmacology.
g. Physician well being.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 23
 Interview Program
Director
 Interview Residents
2
Not Met
Met
Not Met
STANDARD
Geriatrics
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Chart F
1
B.5.24
This training shall include:
a. Debt management.
b. Retirement planning.
c. Financial planning.
d. Disability insurance.
e. Medical liability insurance.
f. Risk management.
g. Coding.
h. HIPAA requirements in the ambulatory setting.
i. OSHA requirements for private practices.
j. Clinical performance/outcomes data.
k. Payer mix and practice overhead management.
l. Personnel management.
m. Contract review and negotiation.
 Curriculum plan
1
B.5.25
The program must utilize actual practice financial data to teach the principals of
office practice management. At a minimum this must include resident specific
practice data from the continuity of care training site.
 Program Documents
 Interview Residents
1
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 24
Not Met
Met
Met
Not Met
STANDARD
Practice Management
The program must provide at least 100 hours or one month of structured educational
B.5.23
experiences in practice management.
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Chart F
 Interview Residents
1
 Interview Residents
1
Site Reviewer Comments (Must describe not met and any commendations):
Diagnostic Imaging
There must be a structured curriculum to train the resident in Diagnostic Imaging. At
a minimum this shall include:
B.5.27
a. Didactic and clinical experiences.
b. Utilization of appropriate radiographic studies.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 25
Not Met
Met
Met
Not Met
STANDARD
Sports Medicine
The program must provide at least 50 hours or two weeks of training in Sports
Medicine. This is in addition to time spent in the continuity of care ambulatory site
and is separate from an orthopedics rotation.. At a minimum this must include:
a. Pre-participation assessment.
B.5.26
b. Didactic and clinical experiences.
c. Management of uncomplicated sports related injuries.
d. Rehabilitation of athletic related injuries.
e. Injury prevention/training.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 26
 Interview Program
Director
 Interview residents
1
Not Met
Met
Met
Not Met
STANDARD
Procedural Medicine
The program must have defined mechanisms to train residents to competency in the
following procedures:
a. Joint injections
b. Biopsy of dermal lesions.
c. Excision of subcutaneous lesions.
d. Incision and drainage of abscess.
e. Cryosurgery of skin.
f. Curettage of skin lesion.
g. Laceration repair.
B.5.28
h. Endometrial biopsy.
i. Office microscopy.
j. Splinting.
k. EKG interpretation.
l. Office spirometry.
m. Toenail removal.
n. Defibrillation.
o. Removal of cerumen from ear canal.
p. Endotraceal intubation.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Chart F
 Interview Program
Director
1
 Chart F
1
Site Reviewer Comments (Must describe not met and any commendations):
Electives
There shall be a minimum of 16 weeks or four months and a maximum of 28 weeks
B.5.30
or seven months of supervised electives available to all residents during the course of
the residency.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 27
Not Met
Met
Met
Not Met
STANDARD
Community Medicine
The program must provide 50 hours or two weeks of documented training in
community medicine.
This shall include time spent in any of the following experiences:
a. Occupational health.
b. Mental health agencies.
c. Community based screening programs.
B.5.29
d. Public health agencies.
e. Community health centers.
f. Free clinics.
g. Drug and alcohol treatment centers.
h. School health programs.
i. Homeless shelters.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Curriculum plan
1
Site Reviewer Comments (Must describe not met and any commendations):
Patient Safety and Quality Improvement
The program must provide training in patient safety and quality improvement. At a
minimum this shall include:
a. Identification and analysis of inpatient and ambulatory measures of quality.
B.5.32
b. Utilization of quality measurements to improve patient care.
c. Participation in at least one national or regional quality improvement registry:
d. Training in the principles of the Patient Centered Medical Home (PCMH).
e. Training in Transitions of Care to ensure patient safety.
Program Director Comments (REQUIRED):
 Interview Program
Director
 Program Documents
(examples of residency
quality improvement
projects)
Site Reviewer Comments (Must describe not met and any commendations):
Site Reviewer Section V. Recommendations
Total Points for Section V ________ out of 54
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 28
1
Not Met
Met
Met
Not Met
STANDARD
Disease Prevention and Wellness
The program must provide training in disease prevention and wellness promotion.
Utilizing didactic and clinical experiences residents shall become competent in:
a. Selection, critique, and implementation of evidence based practice guidelines.
B.5.31
b. Provision of immunizations for adult, adolescent, and pediatric patients.
c. Selection and interpretation of screening tests.
d. Counseling patients to promote weight loss, exercise, and smoking cessation.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Interview Program
Director
1
 Program Documents
1
 Program Director C.V.
1
 Program Documents (if
applicable)
1
 Program Documents
(letter of approval)
1
Site Reviewer Comments (Must describe not met and any commendations):
B. Qualifications
In addition to meeting all Program Director qualifications stipulated in the AOA
Basic Documents, the Program Director must meet the following qualifications:
a. At least three years of family medicine experience (not including time as a resident).
b. Current board certification in Osteopathic Family Medicine and Manipulative
B.6.1
Treatment by the American Osteopathic Board of Family Physicians.
c. Member in good standing of the American College of Osteopathic Family
Physicians.
d. Active staff membership in the department of family medicine or its equivalent.
e. Engaged in patient care as a family physician.
A new Program Director of a residency with more than twelve approved slots shall
fulfill one of the following:
a. Have served as Program Director of another residency for no less than three years,
B.6.2
or
b. Have served as Associate Program Director of a full-time faculty member of a
residency for no less than three years.
A new Program Director must be approved by the AOA upon recommendation of
B.6.3
the ACOFP Committee on Education and Evaluation.
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 29
Not Met
Met
Met
Not Met
STANDARD
VI. Program Director/Faculty
A. Program Director
Each program must have a single Program Director who is compensated by the
institution to devote a minimum of 1,200 hours per year to residency training
A.6.1
activities. This may include time spent in teaching, supervising, program
administration, and/or scholarly activities. * Essential Standard
The Program Director or physician faculty designee must attend the annual ACOFP
A.6.2
Program Directors Workshop on a yearly basis. However, at a minimum, the
residency program director must attend this conference on an every-other-year basis.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Program Documents ( if
applicable)
1
 Program Documents ( if
applicable)
1
 Program Documents
(job description)
3
 Program Documents
 (job description)
1
 Program Documents
 (job description)
1
Site Reviewer Comments (Must describe not met and any commendations):
C. Responsibilities
The Program Director must have sole responsibility and authority for the educational
C.6.1
content and conduct of the residency. The Program Director's authority in directing
the residency program must be defined in the program documents of the institution.
In addition to meeting all Program Director responsibilities stipulated in the AOA
Basic Documents, the Program Director's responsibilities shall include:
a. Leading the family medicine faculty in developing, scheduling, and evaluating all
C.6.2
educational experiences.
b. Selection and evaluation of program faculty.
c. Ensuring proper supervision during all educational experiences.
The Program Director or physician faculty designee must submit, one (1) Board
quality question, and have accepted, one In-Service Examination question each
C.6.3
academic year in an area assigned by the ACOFP CEE In-Service Examination
Committee.
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 30
Not Met
Met
Met
Not Met
STANDARD
Program Directors may be approved by the Executive Committee of the CEE on an
interim basis for a maximum of 18 months, with re-evaluation after that period for a
B.6.4
maximum of three years on an interim basis in geographic areas where a fully
qualified Program Director is not immediately available.
Program Director approved on an interim basis must meet the following minimal
qualifications:
a. Current board certification from the American Osteopathic Board of Family
B.6.5
Physicians (AOBFP) or the American Board of Family Medicine (ABFM).
b. Member in good standing of the American College of Osteopathic Family
Physicians (ACOFP) or American Academy of Family Physicians (AAFP).
c. Minimum of three years of post-residency clinical practice experience.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Site Reviewer Comments (Must describe not met and any commendations):
D. Family Medicine Residency Faculty
All programs regardless of the number of residents must have a minimum of two
D.6.1
family physician faculties including the Program Director.
The faculty, as a group, shall provide and teach a comprehensive spectrum of patient
D.6.2
care, including but not limited to: women’s health, adult medicine and pediatrics.
There must be at least one full-time equivalent (FTE) family physician for each six
residents in the program.
A faculty member is considered full-time based on time devoted to residency-related
D.6.3
activities (teaching as a clinical preceptor, administration, scholarship). Any of the
D.6.4
following methods may be utilized to determine FTE status:
a. 24 hours/week.
b. 1,200 hours/year.
c. 100 hours/month.
There shall not be greater than 1:4 supervisor-to-resident ratio per CMS rules and
D.6.5
ACOFP basic standards.
There must be residency faculty with admitting privileges in the hospital(s) where the
D.6.6
residents' patients are hospitalized.
The family family medicine program faculty faculty shall, as a group, be qualified to
D.6.7
teach all required procedures as listed in this document.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 31
 CHART C
2
 CHART C
2
 CHART C
2
 Interview Program
Director
 Interview Program
Director
 Interview Program
Director
1
1
1
Not Met
Met
Not Met
STANDARD
Program Director Comments (REQUIRED):
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Program Documents
1
 Chart E
 Interview Program
Director
1
 Interview Residents
 Interview Program
Director
1
Site Reviewer Comments (Must describe not met and any commendations):
F. Faculty Research and Scholarly Activity
The faculty as a whole must demonstrate involvement in scholarly activity. At a
minimum this must include the following:
a. Participation in clinical discussions and conferences.
F.6.1
b. Participation in national and regional professional societies, particularly through
presentations and publications.
c. Participation in research, especially projects that are funded following peer review.
d. Provision of guidance and support to residents involved in research.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 32
Not Met
Met
Met
Not Met
STANDARD
E. Qualifications
In addition to meeting all faculty qualifications stipulated in the AOA Basic
Documents, family medicine faculty members shall:
a. Hold a current licensed to practice medicine in the state in which the training is
E.6.1
located.
b. Be certified in family medicine.
c. Commit specific time to patient care, independent of supervision of residents.
The supervising family physician faculty member responsible for the residents’
ambulatory continuity of care experience must:
E.6.2
a. Be a member of the ACOFP or AAFP.
b. Be board certified by the AOBFP or ABFM
c. Have a reporting relationship to the Program Director.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
G.6.1
The program must have a designated residency program coordinator.
 Interview Program
Director
1
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Site Reviewer Section VI. Recommendations
Total Points for Section VI ________ out of 25
VII. Resident Requirements
A. Appointment of Residents
In addition to meeting all residency requirements stipulated in the AOA Basic
Documents, all residents shall:
A.7.1
a. Become and remain members of the ACOFP throughout the residency.
b. Have completed an AOA-approved OGME-1 year prior to appointment to an
OGME-2 position.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 33
 CHART B
1
Not Met
Met
Not Met
STANDARD
G. Residency Support Staff
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Program documentation
1
 Listing of scholarship
from most recently
graduated residents
1
Site Reviewer Comments (Must describe not met and any commendations):
C. Research and Scholarly Activity Responsibilities
The participation of each resident in a scholarship activity is required. This
requirement can be met by participation in or completion of any of the following:
a. Resident research projects within the department of family medicine.
b. Institutional or regional research programs in which family physicians are actively
C.7.1
involved.
c. Author an original paper on a health-care related topic.
d. Presentation at a state, regional, or national meeting.
e. Authoring a grant.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Site Reviewer Section VII. Recommendations
Total Points for Section VII ________ out of 3
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 34
Not Met
Met
Met
Not Met
STANDARD
B. Resident Responsibilities
During the training program, the resident must:
a. Follow the schedule set forth by the Program Director.
b. Complete all assignments in the time frame specified by the Program Director or
preceptor.
B.7.1
c. Keep a log of each procedure performed.
d. Participate in the annual ACOFP In-Service Exam.
e. Attend a minimum of one of the following: national ACOFP annual convention or
an AOA OMED, registered as an ACOFP Family Physician.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Evaluation Documents
1
 Evaluation Documents
1
 Evaluation Documents
1
 Evaluation Documents
1
Site Reviewer Comments (Must describe not met and any commendations):
B. Formative
There must be semi-annual written evaluations of the knowledge and competencies of
B.8.1
each resident. These evaluations shall be signed by the resident and by the Program
Director
Resident evaluations shall contain input from patients and from non-physician team
B.8.2
members
Performance on the ACOFP In-Service Examination will be reviewed with each
B.8.3
resident.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 35
Not Met
Met
Met
Not Met
STANDARD
VIII. Evaluation
A. Evaluation of Residents
The program shall maintain a permanent record of formative and summative
A.8.1
evaluations for each resident.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Interview Program
Director
1
 Interview Program
Director
1
 Evaluation Documents
1
 Evaluation Documents
1
 Interview Program
Director
1
Site Reviewer Comments (Must describe not met and any commendations):
D. Summative
The Program Director’s final summative evaluation of each resident who completes
the program shall include a review of the resident's competencies at the completion of
D.8.1
training and must verify that the resident has demonstrated sufficient professional
ability to practice competently and independently
The ACOFP Competency-Based Evaluation, or an equivalent, shall be a component
D.8.2
of the summative evaluation
In cases of early termination of a resident’s program, the Program Director shall
provide the resident with written documentation regarding which rotations, if any,
D.8.3
were completed satisfactorily. The AOA Postdoctoral Training Division and the
ACOFP shall be notified of the early termination
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 36
Not Met
Met
Met
Not Met
STANDARD
C. Promotion
Residents shall be advanced to positions of higher responsibility only on the basis of
C.8.1
evidence of their satisfactory and progressive professional growth.
The privilege of progressive authority and responsibility, conditional independence
and the supervisory role in patient care delegated to each resident must be assigned by
C.8.2
the Program Director with annual approval by the institution’s osteopathic graduate
medical education committee (OGMEC).
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Evaluation Documents
 Evaluation Documents
 Evaluation Documents
1
1
1
 Documentation of most
recent annual faculty
evaluations
 Interview residents
1
 Date of most recent
program evaluation
1
 Evaluation Documents
1
Site Reviewer Comments (Must describe not met and any commendations):
F. Evaluation of Program
The educational effectiveness of the program must be evaluated in a regular and
systemic manner.
a. This shall include review of curriculum and success in meeting the educational goals
and the learning needs of the residents.
b. It will also include a review of the teaching responsibilities of the faculty, the
availability of administrative and financial support, and of the availability of teaching
F.8.1
resources.
c. This evaluation shall examine the balance between education, scholarship, and
service.
d. The faculty must hold regular meetings to accomplish these reviews.
e. At least one resident representative should participate in these reviews.
f. The evaluation shall include a mechanism for anonymous written input from
residents regarding the program's effectiveness.
At the completion of each rotation, the resident shall evaluate the educational quality
F.8.2
of the rotation.
a. These evaluations shall be reviewed by the Program Director.
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 37
Not Met
Met
Met
Not Met
STANDARD
E. Evaluation of Faculty
E.8.1
All teaching faculty must be evaluated by residents.
E.8.2
At the completion of each rotation, the resident shall evaluate the rotation trainer(s).
E.8.3
These evaluations will be reviewed by the Program Director.
All family medicine teaching faculty must be evaluated annually.
a. This shall include evaluation of teaching ability, clinical knowledge, and
E.8.4
communication skills.
b. The evaluation shall include a mechanism for anonymous input by the residents.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
 Date of most recent
written review by the
Program Director
1
 Date of most recent
graduate survey
1
Site Reviewer Comments (Must describe not met and any commendations):
G. Evaluation of Patient Care
There must be a mechanism to formally evaluate the care provided by the residents
G.8.1
and faculty in both inpatient and outpatient settings.
There should be evidence that this information is used to improve education and
G.8.2
patient care.
Program Director Comments (REQUIRED):
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 38
 Residency quality
improvement projects
 Interview Program
Director
1
1
Not Met
Met
Met
Not Met
STANDARD
The Program Director shall prepare an annual written program review.
a. This shall note the program's compliance or non-compliance with these standards
F.8.3
and shall be reviewed by the institution's graduate medical education committee.
b. This review may be waived during a year in which the institution completes a
formal internal review.
Each program shall survey its graduates at least every three years.
a. Feedback on demographic and practice profiles, licensure and board certification,
F.8.4
the graduates' perception of the relevancy of training to practice and suggestions for
improved training and new areas of interest shall be obtained.
Program Director Comments (REQUIRED):
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Total Points for Section VIII ________ out of 19
Site Reviewer Grid
Section
Number
IV.
V.
VI.
VII.
VIII.
Total
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 39
Total Met
Total Not
Met
Maximum Possible
18
54
25
3
19
119
Not Met
Met
Not Met
STANDARD
Site Reviewer Section VIII. Recommendations
Met
Not Met
Pre-Site Visit Current
Prior
(Program
Review Review
SUGGESTED
Director Self
(Site
DOCUMENTATION/ Value
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Additional Comments:
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 40
Review Plan
1. Receive and review Charts A-F prior to review
2. Review program documentation
3. Interview Program Director
4. Site review
5. Resident interview
6. Ambulatory chart review
7. Inpatient chart review
8. Exit interview with Program Director
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 41
Crosswalk for Appendix III – Rural Training Guidelines – for use only for ACOFP designated Rural Training Programs
STANDARD
Article 3 Curricular Requirements Specific to Rural Training Emphasis Osteopathic Family Medicine Residency Programs
Rural training programs may have training sites that are geographically distant from
 Program Description,
A.
1
Affiliation Agreements
the sponsoring institution.
B.
The continuity of care training site must be located at a rural site (non-urban, nonsuburban).
C.
The major focus must be on providing comprehensive primary care for patients in all
settings that exist in rural environments.
D.
The program must provide training in the management of critical care patients
including stabilization and transport.
E.
The program must have a defined curriculum to train residents that leads to
procedural competency in paracentesis, thoracentesis, chest tube placement, central
line placement, pericardiocentesis, and emergency tracheostomy.
F.
Opportunities for certification in, ATLS, ALSO, PALS, and NRP must be provided.
G.
Experience must be provided in diagnosis and management of common emergency
department cases to include major trauma.
H.
Additional exposure to geriatrics as experienced in a rural setting is required (home
service coordination, home visits, etc.)
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 42
 Onsite Inspection,
Facility Inspection,
Program Director
Interview
 Program Director
Interview, Resident
Interviews
 Program Description
 Chart D, Chart F,
Program Documents
 Interview Program
Director
 Interview residents
 Curriculum description
 Course completion
documentation,
curriculum description,
interview program
director and residents
 Chart D, Chart F,
Interview Program
Director, Interview
Residents
 Chart F, Program
Description, Interview
Program Director,
Interview Residents
3
2
1
1
2
1
1
Not
Met
Met
Not
Met
Met
Not
Met
Pre-Site Visit Current
Prior
(Program
Review
Review
SUGGESTED
(Site
DOCUMENTATION/ Value Director Self
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
STANDARD
I.
Training in the management of critical care patients, including ventilator management
must be provided.
 Chart D, Chart F,
Rotation Description,
Interview Program
Director and Residents
1
J.
The program must provide training to assure competency as a first assistant in the
surgical suite, conscious sedation, endoscopic procedures and office procedural skills.
 Program Description,
Procedure Logs
 Interview program
director and residents
1
K.
Training must be provided to assure competency in neonatal resuscitation, intubation,
venipuncture, arterial puncture, lumbar puncture, umbilical catheter placement,
newborn and infant stabilization, as well as indications for transport.
 Procedure logs
 Procedural training
curriculum description
and documentation of
training
 Interview program
director and residents
1
L.
The program must provide additional experience in obstetrics to include high-risk
emergency care, as well as obstetrical procedures of ultrasonography, outlet forceps,
and vacuum extraction.
 Procedure logs
 Rotation description
 Chart D
 Chart F
1
M.
Training in the gynecologic procedures dilation and curettage, cervical and
endometrial biopsy, and colposcopy must be provided and documented.
 Procedure logs
 Curriculum description
 Interview program
director and residents
1
N.
Experience in the basics of Occupational Medicine emphasizing the work types seen
in rural practice must be provided.
 Curriculum description
 Interview program
director and residents
1
Documented training in the ability to interpret acute condition plain radiographs is
required.
 Curriculum description
 Educational Conference
documentation
 Interview program
director and residents
1
O.
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 43
Not
Met
Met
Not
Met
Met
Not
Met
Pre-Site Visit Current
Prior
(Program
Review
Review
SUGGESTED
(Site
DOCUMENTATION/ Value Director Self
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
STANDARD
P.
Experience must be provided for athletic training, the role of the team physician,
fracture management (closed reduction, splinting, casting), reduction of dislocations,
and distant consultation/coordination with orthopedic surgeons.
Q.
Exposure to rural mental health systems and training in the diagnosis and
management of acute psychiatric emergencies must be provided and documented.
Program Director Comments:
Site Reviewer Comments (Must describe not met and any commendations):
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 44
 Proecdure logs
 Curriculum description
 Interview program
director and residents
 Affiliation agreements
 Curriculum description
 Interview program
director and residents
1
1
Not
Met
Met
Not
Met
Met
Not
Met
Pre-Site Visit Current
Prior
(Program
Review
Review
SUGGESTED
(Site
DOCUMENTATION/ Value Director Self
Study)
Reviewer)
INTERVIEWS FOR 1 - 3
VERIFYING
points
COMPLIANCE
Additional Comments:
Overall Impression:
Appendix
III
Total
Family Medicine Review Crosswalk – Effective 7/1/2015
Page 45
Total
Met
Total Not
Met
Maximum Possible
21