Regulatory changes coming for Common Program requirements

Nov 07, 2018

As the year ends, I wanted to highlight some regulatory changes that come into effect in the coming year. Several important Common Program Requirements will be subject to citation in July 2019, and we are nearing that deadline. Many of these are requirements that should be fulfilled in conjunction with the sponsoring institution, and fall in the areas of patient safety, quality improvement and well-being.

Some highlights include:

  1. VI.A.1.a). (2) Programs must provide formal educational activities that promote patient safety-related goals, tools and techniques
  2. VI.A.1.a). (3). (b) Residents must participate as team members in real and/or simulate interprofessional clinical patient safety activities, such as root cause analysis
  3. VI.A.1.b). (2). (a) Residents must receive data on quality metrics and benchmarks related to their patient populations
  4. VI.A.1.b). (3). (a) Residents must have the opportunity to participate in interprofessional quality improvement activities.
  5. VI.A.1.b). (3). (a). (i) This should include activities aimed at reducing health care disparities.
  6. VI.C.1.e). (3) The program, in partnership with its sponsoring institution, must: provide access to confidential, affordable mental health assessment, counseling and treatment, including access to urgent and emergent care 245 hours a day, seven days a week.

One other important change in the CPRs for Psychiatry is that scholarly activity will have a less restrictive definition such that multiple forms of scholarship by faculty, not just peer-reviewed publications, will be included. There are also changes in the eligibility for fellowship programs beginning July 1, such that AOA, ACGME-I Advanced Specialty Accredited Programs or RCPSC or CFPC Canadian Accredited Programs are eligible for training in ACGME Accredited Fellowships. There are also clarifications or new requirements regarding the need for lactation rooms, rest facilities, pain management education and training in end-of-life conversations.

Many of these new requirements have been the subject of AADPRT workshops at the annual meeting and workgroups within the organization, and the work product is available on the website. For example, in the Virtual Training Office you can peruse meeting materials from 2018 and find a PDF of a presentation called “The New face of Diversity Education”, or, in the 2017 meeting materials a “Quality Improvement Curriculum”. Several clicks away you can find a “Stress Management and Resiliency Training” model curriculum in the Model Curriculum tab on the website. We have charged the Wellness Task Force with compiling the resources they identified during their work and will be providing a link to these on the website.

The AADPRT list serv remains an extraordinary source of information and support from other training directors. We can help each other by sharing ideas and resources when fellow members ask questions. In addition, we have regular calls with the RC leadership to ask for clarification about issues you bring to AADPRT leadership and publish the results of these calls. Such access and open communication are both unusual and extremely helpful when navigating the regulatory maze. We are in this together!