Institution Responsibilities: Internal Review Process

The ACGME requires that each accredited program undergo an Internal Review (IR) mid-point between their last site visit and the next site visit.  The date that the IR must be presented to the GMEC is outlined in the accreditation letter. The Internal Review process is managed by GME Administration. 

 

An Internal Review is a way for programs to start preparing for their ACGME Site Visit.  Items reviewed include competency-based curriculum and evaluation tools, review of past citations and their resolution as well as various other requirements.  Peer selected trainees are interviewed to confirm whether the program is meeting the requirements or if assistance is needed to address concerns. 

  

Programs are notified by GME Administration 6 months in advance to schedule the IR.  The program director, at least one key faculty member directly involved in the program, program coordinator and peer selected trainees from each level of training are required to attend the IR.  The Department Chair may also be asked to attend in certain circumstances.