Requests for Changes in Resident Complement

Requests for Changes in Resident Complement

Review Committee for Ophthalmology

ACGME

This specialty approves:

· Increases and decreases in resident complement

· Complement by year and total

Requests for changes in resident complement require prior approval of the Designated Institutional Official (DIO) and must be submitted through ADS.

To officially initiate a change in the approved resident complement, programs must log into ADS and under the Program tab, select Complement Change from the right pane. All complement change requests will be electronically sent to the DIO for approval as required by the Institutional Requirements except when permanent changes are requested during site visit preparation (the DIO approval is provided via signature on the Program Information Form). After the DIO has approved the complement change request, the materials submitted in ADS are forwarded to the Review Committee (RC) for review and a final decision. You will be notified by the RC Executive Director upon final decision by the RC.

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 complement change request (instructions also provided in ADS):

· Educational rationale for change

· Key faculty/resident ratio

· Major changes in the program since its last review

· Response to previous citations

· Current block diagram

· Proposed block diagram

· Resident case logs

· Institutional data

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 "Ophthalmology CPT Codes" document on the Ophthalmology page for the CPT codes for each listed procedure category. Limit the report of 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 /
Cataract
Phacoemulsification
Non-phacoemulsification ECCE
TOTAL Cataract
Other Cataract
Other cataract/IOL Surgery
Anterior vitrectomy
TOTAL Other Cataract
Laser Surgery
YAG capsulotomy
Laser trabeculoplasty
Laser iridotomy
Panretinal laser photocoagulation
Focal laser photocoagulation
Cyclodestructive procedures
Other glaucoma lasers (incl iridoplasty)
TOTAL Laser Surgery
Corneal Surgery
Keratoplasty
Conjunctival procs/Pterygium excision
Other cornea
TOTAL Cornea Surgery
Keratofractive Surgery
Incisional procedures
Laser procedures
Other (keratorefractive)
TOTAL Keratorefractive Surgery
Strabismus
Any muscle surgery
Other strabismus
TOTAL Strabismus
Glaucoma
Filtering procedures
Shunting procedures
Other glaucoma
TOTAL Glaucoma
Retinal Vitreous
RRD repair
Posterior vitrectomy (Pars Plana)
TOTAL Retinal Vitreous
Other Retinal
Cryotherapy
Vitreous tap/inject
Other retina
TOTAL Other Retinal
Oculoplastic and Orbit
Eye removal and implant
Lacrimal surgery
Other orbital surgery (e.g., orbitotomy)
Eyelid laceration / canalicular repair
Chalazia excision
Tarsorrhaphy
Ptosis repair
Entropion / ectropion repair
Blepharoplasty / reconstruction
Temporal artery biopsy
Other oculoplastic surgery
TOTAL Oculoplastic and Orbit
Globe Trauma
Corneal / corneoscleral laceration, globe rup
Intraocular foreign body
Other globe trauma (e.g., ant chamber washout)
TOTAL Globe Trauma