Accreditation Guidelines - Philippine College of Geriatric Medicine - PCGM
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PHILIPPINE COLLEGE OF GERIATRIC MEDICINE

A component society of the Philippine College of Physicians & the

Philippine Academy of Family Physicians

"Setting the standards in geriatric education, training and practice”

 

 

General Objectives of the Fellowship Program in Geriatric Medicine

 

To train Postgraduate Fellows in Geriatric Medicine for a competent and compassionate practice of

Geriatric Medicine.  At the end of the 2 year fellowship, they should be qualified and are expected to pass the Philippine Subspecialty Board in Geriatric Medicine (PSBGM) examination.

 

Requirements for a Geriatric Medicine Fellowship Program

 

1.       Department of Health category of a General or Specialty Hospital Level 3. Level 2 category maybe allowed for new applicants into the program.  (Department of Health Administrative Order No. 2012 - 0012; Subject: Rules and Regulations Governing the New Classification of Hospitals and other Health Facilities in the Philippines. A General Hospital is a hospital that provides services for all kinds of  illnesses, diseases, injuries, or deformities. A level 3 hospital is a teaching and/or training hospital with accredited residency training programs for physicians in the four (4) major specialties, namely: Medicine, Pediatrics, Obstetrics and Gynecology, and Surgery.)

 

2.       Minimum of 2-Year Program in Geriatric Medicine

 

3.       Minimum of (2) fellows per program

 

4.       Minimum of (3) training core faculty; the Department Chair and Training Officer must be PCGM Diplomates / Fellows of good moral character and of good standing status in the PCGM and in their respective primary specialties; must not occupy the same positions in other institutions; the other training faculty must at least be PCGM Diplomates of good moral character and of good standing status in the PCGM and in their primary specialties; there should be at least 1 faculty for a maximum of 3 postgraduate fellows; 1 core faculty must serve as a research faculty.

 

5.       The support of the Institution for the Residency Training Program shall be evident: salary, stipend or honorarium, accommodation and other benefits for the postgraduate fellows; salary, stipend or honorarium and CME for the training core faculty; financial and manpower support for research; new and updated facilities.

 

6.       Minimum case loads:

a.       Acute care: at least 100 cases (admissions + co-managements) per 2-year program per postgraduate fellow

b.      Chronic residential care: at least 10 patients for at least a year of follow-up per POST-GRADUATE FELLOW per 2-year program

c.       Outpatient: at least 200 OPD cases with at least 20 patients seen regularly for at least 1 year

d.      Home care: at least 10 unique home care patients per POST-GRADUATE FELLOW per 2-year program

e.      Day care: at least 10 group sessions per 2 year program per POST-GRADUATE FELLOW

f.        Comprehensive Geriatric Assessment: at least 200 assessments for entire 2 year program per postgraduate fellow

g.       Family conference: at least attended 20 family conferences and conducted/moderated at least 2 per year per POST-GRADUATE FELLOW

 

7.       Graduated Competencies / Rotation / Duties and Responsibilities

a.       The Subspecialist Geriatrician Competencies are explained in a separate document.

b.      The Duties and Responsibilities must be aligned and congruent with the Competencies. The institution must determine the Duties and Responsibilities.

c.       The required areas of rotation/settings for care  for each POST-GRADUATE FELLOW are as follows:

                                                               i.      acute care

                                                             ii.      chronic residential care

                                                            iii.      home care

                                                           iv.      outpatient care

                                                             v.      day care

 

8.       There shall be a variety of teaching and learning activities.

a.       Daily Admitting / Bedside Rounds

b.      Conferences: (weekly / monthly)

                                                               i.      Grand Rounds with Primary Specialty

                                                             ii.      Case Management Conference

                                                            iii.      Mortality / Morbidity in Geriatrics

                                                           iv.      Journal Report

                                                             v.      Research Series

                                                           vi.      Lecture Series on Geriatrics and Gerontology

c.       There shall be a minimum of (2) training core faculty / consultants in attendance to the conferences.

d.      There shall be frequent training core faculty/consultant to resident interactions; interactions shall be documented thru SOAP progress notes in the patients' charts and resident's personal logbook.

 

9.       Evaluation Process

a.       for the Performance of the POST-GRADUATE FELLOW:

                                                               i.      The criteria for evaluation of performance and decision for promotion shall be clearly stated and discussed with the residents upon entry into the program.

                                                             ii.      POST-GRADUATE FELLOWs should keep a training portfolio, logging patients seen in each settings of care, attendance in conferences and trainings

                                                            iii.      The residents shall undergo frequent formative evaluation with substantial feedback.

                                                           iv.      The summative evaluation of the residents for each year shall be scheduled and strictly followed. The results of the evaluation shall be discussed individually; remedial measures shall be instituted for unsatisfactory performances; recognition shall be given for outstanding performances.

b.      For the trainors and program

                                                               i.      There should be a process for the evaluation of the trainors and the program by the POST-GRADUATE FELLOWs

 

10.   Outputs / Gains (Indicators of Performance)

a.       Entry Requirements for the POST-GRADUATE FELLOWs

                                                               i.      Pass diplomate exam or at least written exam of primary specialty

                                                             ii.      Provide the following:

1.       Endorsement by the department chair/training officer

2.       Certificate of training

3.       PRC license and certificate of registration

4.       Medical school diploma and TOR

b.      There should be tools for evaluation of the POST-GRADUATE FELLOW for every learning activity

c.       Overall evaluation of the POST-GRADUATE FELLOW will be made for promotion purposes every year.  This should be submitted to the PSBGM every year, together with the list of POST-GRADUATE FELLOWs per year level.

 

11.   Research

a.       The POST-GRADUATE FELLOW should finish at least 1 of the following:

                                                               i.      Descriptive study (presented or published)

                                                             ii.      Prospective study (presented or published)

                                                            iii.      Meta-analysis (published)

                                                           iv.      Other research equivalent (e.g. published Patient education booklet)

 

Provision for Revision of These Guidelines

                These guidelines are set forth with the provision possible revision by future Boards, with the overall aim of maintaining and improving the standards of accreditation of training institutions providing Geriatric Medicine training programs.

 

Future Directions for Accreditation Requirements and Process

1.       Fellows-in-training exams at the end of the 1st year including in-training OSCE

2.       Multi-source feedback (to include other stakeholders e.g. nurses, patients, peers)

3.       Accreditation of other training tracks

a.       Other specialties

b.      Modular/Blended learning

c.       OPD based only

d.      Community-based

 

 

 

 

                                                                                                                DORIS MARIEBEL D. CAMAGAY, MD, FPCGM

                                                                                                                President, PCGM 2015-2016