REQUESTS FOR CHANGES IN RESIDENT COMPLEMENT



Requests for Changes in Resident Complement

Review Committee for Urology

ACGME

This specialty approves:

• Increases in resident complement

• Complement by year and total

A permanent decrease in resident complement requires prior approval of the designated institutional official (DIO), and must be reported to the Review Committee through the ACGME’s Accreditation Data System (ADS). An educational rationale will be required. Requests for increases will require additional documentation and DIO approval prior to Review Committee review.

To officially initiate a change in the approved resident complement, programs must log into ADS and select “Complement Change” under “Change Requests” from the menu on the right-hand side of the screen. All complement change requests will be electronically sent to the DIO for approval. After the DIO has approved the complement change request, the materials submitted in ADS are forwarded to the Review Committee for review and a final decision. Programs will be notified by the Review Committee’s Executive Director upon final decision by the Review Committee.

Programs must hold a status of continued accreditation to be considered for a complement increase. Programs with a status of continued accreditation with warning, initial accreditation, initial accreditation with warning, or probationary accreditation are not eligible for an increase. A site visit may be required for complement change requests, depending on the details of the request.

The following documents/information will be required to complete a request for an increase in complement (instructions are also provided in ADS):

• Educational rationale for change

• Key faculty-to-resident ratio

• Major changes in the program since its last review

• Response to previous citations

• Current block diagram

• Proposed block diagram

• Case Log Report (Program and Resident) for most recent graduates

• Institutional Operative Data for the most recent academic year (Use the Institutional Case Report Form available on the Review Committee page on the ACGME website.)

All institutional cases for each participating site for the most recently completed academic year must be included. (Do not limit cases to those in which a resident has participated.) Refer to the document "Urology CPT Codes" document on the Urology page for the CPT codes for each listed procedure category. Limit the report on institutional cases to the number of patients in each category, not the number of billable procedures, as the latter would artificially inflate the number of available cases.

| |Site #1 |Site #2 |Site #3 |Site #4 |Site #5 |

|ADULT UROLOGY | | | | | |

|Transurethral resection | | | | | |

|TRUS/prostate biopsy | | | | | |

|Scrotal/inguinal surgery | | | | | |

|Urodynamics (participate and interpret) | | | | | |

|Total Adult Urology | | | | | |

|Endourology/Stone Disease | | | | | |

|Ureteroscopy | | | | | |

|Percutaneous renal | | | | | |

|TOTAL Endourology/Stone Disease | | | | | |

|Laparoscopy | | | | | |

|Reconstruction | | | | | |

|Penile/incontinence | | | | | |

|Urethra | | | | | |

|Female | | | | | |

|Intestinal diversion | | | | | |

|TOTAL Reconstruction | | | | | |

|Oncology | | | | | |

|Prostate | | | | | |

|Bladder | | | | | |

|Retroperitoneal | | | | | |

|Kidney | | | | | |

|TOTAL Oncology | | | | | |

|PEDIATRIC UROLOGY | | | | | |

|Endoscopy | | | | | |

|Hydrocele/hernia | | | | | |

|Orchiopexy | | | | | |

|Major | | | | | |

|Hypospadias | | | | | |

|Ureter | | | | | |

|TOTAL Pediatric Urology | | | | | |

|Miscellaneous/Unclassified | | | | | |

|TOTAL Reportable, non-tracked procedures/Site | | | | | |

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