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MU Education Program for Resident Physicians Receives Three-Year Accreditation



The Accreditation Council for Graduate Medical Education (ACGME) has recognized significant improvement in the education program for resident physicians at the University of Missouri. As a result, the ACGME has awarded MU three years of continued accreditation and ended MU’s brief probation.

In April 2009, the ACGME placed the institutional administrative component of MU’s resident education program on probation for two years. The ACGME action was not associated with accreditation of individual residency and fellowship programs in MU medical departments and divisions, and it was not associated with the education of medical students.

Concerns cited by the ACGME involved the proper referencing of policy language in manuals, resident representation at meetings on campus, processes for reviewing and disseminating internal reports, and the level of resources and oversight associated with institutional administration of the residents’ daily work.

“MU immediately acted on the ACGME’s concerns by devoting significant attention and teamwork to making improvements,” said Jack Gay, MD, associate dean for graduate medical education. “The progress we made allowed us to have the probationary status lifted in only nine months. At the same time, the progress we made has become a permanent part of our institutional culture and is now engrained in our continuous quality improvement efforts.”

The ACGME’s concerns were based on its site visit to MU in February 2008. Since then MU has made the following improvements:

  • A new University of Missouri Health System was created in part to improve oversight and operation of the medical school, hospitals and clinics, and clinical departments involved in resident education. A new health system vice chancellor and medical school dean were appointed.
  • The medical school dean and the CEO of MU hospitals and clinics assumed personal oversight of the institutional resident education program office.
  • Additional graduate medical education resources allowed physician educators to be more involved with the administrative component of educating residents.
  • Non-physician staff members were given responsibility for tasks that do not hold appropriate educational value for residents.


As a result of these steps and others, MU met its goal of having the probationary status lifted in only nine months and receiving several years of continuous accreditation. The next ACGME institutional accreditation site visit for MU is scheduled for 2013.

“Medical school and hospital leaders, faculty members and resident physicians worked together as a team to address the ACGME’s concerns as thoroughly and quickly as possible,” Gay said. “All of us are committed to providing the highest quality education for resident physicians at MU.”
MU Health Magazine

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