Clarification
of Instructions for the HRSA 100-1-D: Positions Approved, Positions
Recruited, and Positions Filled
Question:
When does the children’s hospital report a number of approved positions
for a program highlighted on the HRSA 100-1-D?
If the graduate
medical education program in your hospital is a rotation site and
it has a set number of approved slots by the accrediting organization,
please report that number as the number of “Approved Positions.”
If the children’s hospital is formally designated as a major participating
institution for an accredited GME program or if the children’s hospital
is a principal training site for an approved accredited training
program sponsored by another institution and annually offers a number
of positions for training in the approved program, the hospital
should report the number of positions approved for training. If
the children’s hospital is not designated as a major participating
institution or does not have a specified number of approved positions,
the hospital should report N/A in this column.
Question:
When does the children’s hospital report the number of positions
recruited to fill on the HRSA 100-1-D?
If the children’s
hospital is actively involved in any aspect of the recruitment
or selection of residents to come to the hospital for training,
the hospital should report the number of positions recruited to
fill. If the hospital is not actively involved in the selection
or recruitment of residents, the hospital should report N/A in this
column.
Question:
When does the children’s hospital report the number of positions
filled on the HRSA 100-1-D?
If the children’s
hospital has significant involvement in an approved program and
filled positions, it should report the number of positions filled.
Otherwise, report N/A.
Examples:
Children’s
Hospital substantially involved with the medical school and recruitment
of residents:
- Children’s
Hospital A is a rotation site and regularly trains all pediatrics
residents from XYZ Medical School’s ACGME-approved pediatrics
training program. The medical school is approved for 66 pediatrics
residents (all PGY years). Both the medical school and the children’s
hospital are involved in the recruitment of residents each year
and recruit 22 residents per year. All of the residents spend
more than 75 percent time training in the children’s hospital.
In addition to the pediatrics residents from XYZ medical school,
the children’s hospital serves as a training site for 10 more
pediatrics residents from other hospitals, but these residents
spend less than 75 percent of their time under the supervision
of Children’s Hospital Z. On form 100-1-D, the numbers to report
are:
Number
of Approved Positions (2007-2008) |
Number
of Recruited Positions (2007-2008) |
Number
of Approved Positions Filled (2007-2008) |
Number
of Residents Rotating through Programs (2007-2008) |
Number
of Trainees Spending ³ 75% under Children’s Hospital Supervision
(2007-2008) |
66 |
22 |
66 |
76 |
66 |
- Children’s
Hospital A also serves as a rotation site for XYZ Medical School’s
for an (adult) anesthesiology program sponsored by XYZ Medical
School each year, specifying that it has the capacity to provide
training for 12 positions. The Medical School has been approved
for 12 positions and together with the children’s hospital recruited
3 fellows for the most recent (2007-2008) academic year. All
12 positions of the approved positions have been filled for 2007-2008.
These fellows spend less than 75 percent of their training time
in the children’s hospital. In addition to the 12 fellows in
XYZ medical schools anesthesiology program, 44 other anesthesiology
residents from other programs spent some time training in Children
Hospital A during the academic year. In total, 56 anesthesiology
residents rotated through Children Hospital A in the academic
year. None of them spent more than 75 percent of their training
time in the hospital. On form 100-1-D, the numbers to report
are:
Number
of Approved Positions (2007-2008) |
Number
of Recruited Positions (2007-2008) |
Number
of Approved Positions Filled (2007-2008) |
Number
of Residents Rotating through Programs (2007-2008) |
Number
of Trainees Spending ³ 75% under Children’s Hospital Supervision
(2007-2008) |
12 |
3 |
12 |
56 |
0 |
Children’s
Hospital not substantially involved in the recruitment of residents
to the program:
Children’s Hospital
B serves as a rotation site for a family medicine program sponsored
by a local medical school. The children’s hospital is not involved
in selecting the residents. Six family medicine residents rotated
through the children’s hospital. None of the six spent 75 percent
of his or her training time in the children’s hospital. On form
100-1-D, the numbers to report are:
Number
of Approved Positions (2007-2008) |
Number
of Recruited Positions (2007-2008) |
Number
of Approved Positions Filled (2007-2008) |
Number
of Residents Rotating through Programs (2007-2008) |
Number
of Trainees Spending ³ 75% under Children’s Hospital Supervision
(2007-2008) |
NA |
NA |
NA |
6 |
0 |
|