Application
Welcome to the FM AIRE Application Preview
This page provides a preview of the application you’ll need to complete to apply for participation in FM AIRE, a GME Innovation pilot sponsored by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Family Medicine (ABFM).
The FM AIRE program explores the outcomes of four-year family medicine residency training and time-variable training extending beyond the traditional 36 months.
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FM-AIRE Application Preview
* Title of innovation proposal:
* Residency Program Name:
Instructions
The FM-AIRE application portal will guide you through the process of proposing an innovative pilot to enhance family medicine residency education.
Application Overview
- Estimated time commitment: 35-40 hours depending upon resource availability and institutional design stage
- Key steps:
- Review eligibility criteria and frequently asked questions found on the FM AIRE and ACGME websites
- Prepare a draft proposal in collaboration with program faculty and institutional leadership
- Prepare required supplemental documentation
- Answer each required question and upload required documentation
- Submit draft for feedback for a low stakes review
- Revise and submit final application
Proposal Guidelines
A strong FM-AIRE proposal will:
- Ground the innovations in sound educational and care delivery principles
- Focus on linking educational design and competency based medical education with GME outcomes
- Describe the proposed methods and evaluation plan in sufficient detail
- Reflect thoughtful approaches that are grounded in the needs of learners and social accountability of the community
- Detail specific waivers of the ACGME FM Residency Program Requirements and ACGME Institutional Requirements
Using the Online Application
- Navigate the application: Scroll through each section to view the content. The application saves as you go. Simply click out of any field to save your progress and return later.
- Draft and save responses: The portal allows you to save draft responses and return to the application later.
- Upload required and optional supplemental documents: when prompted, click “Choose File” to select and upload the document as a PDF.
- Submit a draft for feedback. If desired, click “Submit as Draft” to notify the FM-AIRE program manager that you would like a pre-submission review and feedback. They will contact you to schedule a review session.
- Submit your final application: When you have completed all section and uploaded all required documents, click “Submit” on the bottom action bar. You will receive an email confirmation of your submission.
Submission and Review Process
- FM-AIRE program managers will conduct an initial review of submission.
- ACGME and ABFM reviewers will assess proposal and identify any components needing clarification or revision.
- If needed, applicants will receive feedback and have the opportunity to revise their proposals.
- The ACGME FM Review Committee and ABFM will make final approval decision.
- Applicants will be notified of the final status of their proposal.
Section I. Applicant Sponsoring Institution and Residency Program Information
2
* Which applications pathway best describes your innovation?
3
* Residency Program Number:
4.A
* Program Director Name
4.B
* Program Director Email Address:
4.C
* Program Director Phone Number:
5
* Current Program Accreditation Status
6
* What year was residency program established?
7
* What City/Cities and State is the residency program located?
8
* List program citations and/or areas of improvement and explain how each area has been addressed
9
* Do you plan a change to your residency compliment?
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* What is your current compliment of residents?
11
* What is your proposed compliment of residents?
12
* Number of residents proposed per class currently.
13
* Number of FM-AIRE residents proposed per class
14
* When do you plan to have residents start the pilot?
15
* Sponsoring institution name:
15.A
* Sponsor institution Designated Institutional Official (DIO) name:
15.B
* Sponsoring Institution DIO Email Address:
15.C
* Sponsoring Institution DIO Phone Number:
15.D
* Sponsoring institution accreditation status:
16
* Project manager/faculty/lead champion (if not the program director) name:
If you have different leads for different tracks/areas of concentration/fellowship, please list them all.
17
* Title of project manager/project champion (if not the program director):
18
Internal evaluation point of contact (if not the project champion/program director):
19
* Primary point of contact name:
19.A
* Email address of point of contact (if not the program director):
19.B
* Telephone number of point of contact (if not the program director):
20
* What fellowships are currently available in the program?
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* What fellowships will be available in the proposed innovation?
22
* What sources of financial support will be used to support the extension of residency training?
Section II. Innovation Description and ACGME Innovation Waivers
In this section you will be asked to upload supplemental materials that help describe your proposed innovation. These are
required elements of your proposal Sample templates are provided for reference. Contact us for more information if needed
23
* Describe the innovation, including changes or improvements from the current training process and what competencies will
be gained?
23.A
* Upload a diagram highlighting key design features using this template
24
* What problem(s) in health and healthcare do you envision that the graduates from the new curriculum will address?
Describe specifically how the proposed innovation and added competencies of the graduates will address the systemic
health care needs of the community and the communities that graduates will serve? Incorporate existing baseline data and why GME innovation is important to addressing these problems.
24.A
* Why are these problems important for both the nation and for your program and community in particular?
25
* How will you track graduates and their outcomes?
Describe current and projected process to track GME outcomes of your innovations, particularly the use of data and insight
from the program’s graduates to help to identify the innovation’s strengths and weaknesses.
26
* Describe the program evaluation approach and measures (including educational, workforce, patient, and care delivery),
including tracking outcomes of graduates, that will be used to demonstrate over time how the innovation improved
outcomes.
Upload a table of measures using this template
27
* Describe the specific curriculum changes.
28
* Describe how these changes will be integrated across all 4 years.
Describe in detail how “new” and “tradition” components of the curriculum will be sequenced and interleaved to provide graduates with added competencies not previously experienced in the program
29
* How will extra residency time be spent, and how will resident supervision be addressed?
Describe the FM AIRE experience using extra curricular time and how the resident will be assessed using concepts of
Competency Based Medical Education. Compare and contrast an FM AIRE resident experience from a non FM AIRE resident in the program
30
* Upload a new block diagram/program schedule using this template.
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* Upload a list and description of additional GME experiences/tracks using this template
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*Upload curricular competencies by competency area using this template
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* List the ACGME Requirements requiring a waiver including the Section reference paragraph and the reason for each
request. Include Program Requirements, Institutional and Fellowship Requirements
Section III. Competency Assessment and Clinical Learning Assessment
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* Describe how your program currently assesses competency across all six ACGME competencies?
35
* With a longer curriculum, describe what new competencies will the residents get upon completion of residency and how will
they be assessed?
36
Upload supporting tables or information that further documents your competency-based program of assessment for the FM
AIRE pilot. These may include tables, infographics, logic models, lists or diagrams.
37
* Describe how the new competencies will be assessed and a list of assessment tools/methods (Program of Assessment).
Upload a listing of assessments/tools by competencies using this template.
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* Describe how the program will address support for struggling learners and specific off ramping if necessary.
Reference competency-based principles such as coaching, cocreation of development plans, program elements of
remediation and off ramping from the innovation.
39
* Describe how the program will address learners that want to exit the innovation and how they will be reintegrated into
existing residency.
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*Describe how the innovation will assess and monitor the impact of the learning environment on those learners who are not
participating in the innovation but share the learning environment with those learners that do participate?
Section IV. Program Self Study, Performance Management & Program Evaluation
41
*Describe the faculty development approaches that will ensure that participating faculty members have the competencies to
achieve the goals of the innovations, support tracking of competency outcomes and use the assessment tools/methods
required for effective programmatic/faculty assessment. Describe in detail how “new” and “tradition” components of the curriculum will be sequenced and interleaved to provide graduates with added competencies not previously experienced in the program.
Describe the tempo and model for ongoing faculty development for those faculty directly involved in the innovation and the
ongoing engagement for non-core faculty. Describe how you’ll know the faculty development is working.
41.A
* Describe your possible evaluation plan by uploading a logic model using this template.
42
* While FM AIRE will utilize an external evaluator to systematically evaluate the new knowledge emerging from participating
programs, FM AIRE programs should be prepared to dedicate resources to support evaluation and learning.
Describe your possible evaluation plan and enabling activities within the program that will support evaluation including
specific research questions, evaluation governance, research instruments, data collection/analysis, internal subject matter
expertise and other resources.
42.A
* Upload a list and description of additional GME experiences/tracks using this template
43
* The ABFM is interested in evidence that will help it make the decision of whether to lengthen the required duration of family
medicine residencies.
What is your proposed evaluation plan, how might your evaluation plan help ABFM make that decision?
44
* Please also describe what you might need from the external evaluator to support the evaluation?
45
* Describe what strengths your program and innovation contribute to the FM AIRE collaborative and what would you need
from the collaborative?
Describe how your innovation and participation in the FM AIRE learning community will contribute to your program and
advance the knowledge of the participating community of FM AIRE programs.
45.A
* How would the success of your program’s innovation contribute to residency redesign in family medicine?
Section V. Attestations
46
*The application and support materials have been reviewed and approved by the Program Director which has the authority
and accountability for the overall program, including compliance with all applicable program requirements.
47
* The program director is committed to participating in residency redesign for the entire length of the FM AIRE pilot (minimum
5 years) in a fashion consistent with the needs of the community, the mission(s) of the Sponsoring Institution, and the
mission(s).
48
* I attest that the DIO and GMEC have approved this proposal and have committed adequate resources to the project plan and
will provide monitoring and oversight over time.
49
* A project management plan and project champion will be established to assure key project deliverables are planned for and
executed.
50
* Upload a signed DIO letter of support confirming approval of the GMEC on organizational letterhead.
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* The program director and/or DIO will notify the program sponsors and external evaluators if/when considering plans to
make major adjustments to the approved residency redesign or program leadership.
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* Upload a signed sponsoring institution letter of support from the CEO of the clinical learning organization on organizational
letterhead
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* Upload fellowship director letter of support (if applicable).
54
* The program will commit to send two or more leaders of the program to an annual FM AIRE collaborative meeting to share
data with participating programs, project sponsors and external evaluators.
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* The program will commit to engaging with program sponsors, participating programs, external evaluators in preparing
findings, publishing learnings in peer reviewed publication and learning events.
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* Do you understand that, in the typical case, participating residents will take their board examination after becoming board
eligible at the end of the fourth year of their training?
Residents participating in the extended training model will need to commit to this when joining the program. If
circumstances change, however, residents may take the family medicine examination earlier than the end of the fourth year,
provided they have completed the requirements of the family medicine residency, including the requirements for continuity
clinic, and the program documents competency in each of the 12 core outcomes.