Table 5.
Alignment of Proposed Framework with ACGME Core Requirements for Residents and Fellows
| ACGME section | Residency requirement | Fellowship requirement | Description of requirement | Corresponding framework component |
|---|---|---|---|---|
| IV.A.2 | ● | ● | Competency-based goals and objectives for each educational experience designed to promote progress on a trajectory to autonomous practice | Early introduction of advocacy curriculum with some support for competency progression |
| IV.A.4.a) | ● | Residents must be provided with protected time to participate in core didactic activities | Learner-centric with protected time for trainee engagement | |
| IV.B.1.f).(1).(c) | ● | Advocating for quality patient care and optimal patient care systems | Action-oriented with connection to patient care | |
| IV.D.1.b) | ● | ● | The program, in partnership with its Sponsoring Institution, must allocate adequate resources to facilitate resident/fellow and faculty involvement in scholarly activities | Learner-centric and educator-friendly curriculum with protected time for both |
| VI.C.1.a) | ● | ● | Efforts to enhance the meaning that each resident/fellow finds in the experience of being a physician, including […] promoting progressive autonomy and flexibility | Learner-centric with connection to physician identity |
| VI.C.1.e) | ● | ● | Attention to resident/fellow and faculty member burnout | Learner-centric with connection to physician identity |
| VI.E.2 | ● | ● | Opportunity to work as a member of effective interprofessional teams | Overarching culture supportive of collaboration |
| VI.A.1.b).(1).(a) | ● | ● | Residents/fellows must receive training and experience in […] understanding of healthcare disparities | Core content and topics |
|
II.A.4.a).(2) [Background and Intent] |
● | ● | The mission of institutions participating in graduate medical education is to improve the health of the public. Each community has health needs that vary based on location and demographics. Programs must understand the social determinants of health of the populations they serve and incorporate them in the design and implementation of the program curriculum, with the ultimate goal of addressing these needs and health disparities | Action-oriented with inclusion of community-focused efforts; core content and topics; evaluation of community impact |