TAGME ACTUAL FINALS QUESTIONS AND
ANSWERS SURE A+
✔✔Clinical Competency Committee (CCC) - ✔✔A required body comprising three or
more members of the active teaching faculty that is advisory to the program director and
reviews the progress of all residents or fellows in the program.
✔✔Clinical Learning Environment Review (CLER) Program - ✔✔An ACGME program
designed to provide US teaching hospitals, medical centers, health systems, and other
clinical settings affiliated with ACGME-accredited Sponsoring Institutions with periodic
feedback in Focus Areas specific to the safety of the clinical learning environment.
✔✔CLER Site Visit - ✔✔A visit conducted by the CLER Field Representative that
includes interviews with faculty members, program directors, residents and/or fellows,
participating site personnel, institutional leadership, and other selected staff members,
and the review of institutional documentation, as needed, to assess the effectiveness of
the Sponsoring Institution and its participating sites in managing the integration of GME
in the six CLER Focus Areas specific to the safety of the clinical learning environment.
✔✔Common Program Requirements - ✔✔The ACGME requirements that apply to all
specialties and sub-specialties with the exception of those sub-specialties that have
adopted the One-Year Common Program Requirements. These requirements are
denoted by bold text within the specialty- and sub-specialty-specific Program
Requirement documents.
✔✔Competencies - ✔✔Specific knowledge, skills, behaviors, and attitudes in the
following domains: patient care and procedural skills; medical knowledge; practice-
based learning and improvement; interpersonal and communication skills;
professionalism; and systems-based practice.
✔✔Complaint - ✔✔An allegation that a Sponsoring Institution or program is non-
compliant with accreditation or recognition requirements.
, ✔✔Complement - ✔✔The maximum number of residents or fellows approved by a
Review Committee per year and/or per program based upon availability of adequate
resources.
✔✔Conditional Independence - ✔✔Graded, progressive responsibility for patient care
with defined oversight.
✔✔Consortium - ✔✔An association of two or more organizations, hospitals, or
institutions that have come together to pursue common objectives (e.g., graduate
medical education)
✔✔Designated institutional official (DIO) - ✔✔The individual in a Sponsoring Institution
who has the authority and responsibility for all of that institution's ACGME-accredited
programs.
✔✔Didactic - ✔✔Systematic instruction by means of planned learning experiences.
✔✔Clinical and Educational Work Hours - ✔✔All clinical and academic activities related
to the program; patient care (inpatient and outpatient); administrative duties relative to
patient care; the provision for transfer of patient care; time spent on in-house call; time
spent on clinical work done from home; and other scheduled activities, such as
conferences. These hours do not include reading, studying, research done from home,
and preparation for future cases.
✔✔Extraordinary circumstance - ✔✔A situation or event that significantly alters the
ability of a Sponsoring Institution and its programs to support resident/fellow education.
(See ACGME policies 21.00)
✔✔Faculty - ✔✔The group of individuals (both physician and non-physician) assigned
to teach and supervise residents/fellows.
✔✔Core faculty - ✔✔All physician faculty members in a specialty program who have a
significant role in the education of resident/fellows and who have documented
qualifications to instruct and supervise. Core faculty members devote at least 15 hours
per week to resident education and administration. All core faculty members should
evaluate the competency domains; work closely with and support the program director;
assist in developing and implementing evaluation systems; and teach and advise
residents.
✔✔Fatigue mitigation - ✔✔Methods and strategies for learning to recognize and
manage fatigue to support physician/caregiver well-being and safe patient care
(strategic napping; judicious use of caffeine; availability of other caregivers; time
management to maximize sleep off-duty; learning to recognize the signs of fatigue, and
self-monitoring performance and/or asking others to monitor performance; remaining
active to promote alertness; maintaining a healthy diet; using relaxation techniques to
ANSWERS SURE A+
✔✔Clinical Competency Committee (CCC) - ✔✔A required body comprising three or
more members of the active teaching faculty that is advisory to the program director and
reviews the progress of all residents or fellows in the program.
✔✔Clinical Learning Environment Review (CLER) Program - ✔✔An ACGME program
designed to provide US teaching hospitals, medical centers, health systems, and other
clinical settings affiliated with ACGME-accredited Sponsoring Institutions with periodic
feedback in Focus Areas specific to the safety of the clinical learning environment.
✔✔CLER Site Visit - ✔✔A visit conducted by the CLER Field Representative that
includes interviews with faculty members, program directors, residents and/or fellows,
participating site personnel, institutional leadership, and other selected staff members,
and the review of institutional documentation, as needed, to assess the effectiveness of
the Sponsoring Institution and its participating sites in managing the integration of GME
in the six CLER Focus Areas specific to the safety of the clinical learning environment.
✔✔Common Program Requirements - ✔✔The ACGME requirements that apply to all
specialties and sub-specialties with the exception of those sub-specialties that have
adopted the One-Year Common Program Requirements. These requirements are
denoted by bold text within the specialty- and sub-specialty-specific Program
Requirement documents.
✔✔Competencies - ✔✔Specific knowledge, skills, behaviors, and attitudes in the
following domains: patient care and procedural skills; medical knowledge; practice-
based learning and improvement; interpersonal and communication skills;
professionalism; and systems-based practice.
✔✔Complaint - ✔✔An allegation that a Sponsoring Institution or program is non-
compliant with accreditation or recognition requirements.
, ✔✔Complement - ✔✔The maximum number of residents or fellows approved by a
Review Committee per year and/or per program based upon availability of adequate
resources.
✔✔Conditional Independence - ✔✔Graded, progressive responsibility for patient care
with defined oversight.
✔✔Consortium - ✔✔An association of two or more organizations, hospitals, or
institutions that have come together to pursue common objectives (e.g., graduate
medical education)
✔✔Designated institutional official (DIO) - ✔✔The individual in a Sponsoring Institution
who has the authority and responsibility for all of that institution's ACGME-accredited
programs.
✔✔Didactic - ✔✔Systematic instruction by means of planned learning experiences.
✔✔Clinical and Educational Work Hours - ✔✔All clinical and academic activities related
to the program; patient care (inpatient and outpatient); administrative duties relative to
patient care; the provision for transfer of patient care; time spent on in-house call; time
spent on clinical work done from home; and other scheduled activities, such as
conferences. These hours do not include reading, studying, research done from home,
and preparation for future cases.
✔✔Extraordinary circumstance - ✔✔A situation or event that significantly alters the
ability of a Sponsoring Institution and its programs to support resident/fellow education.
(See ACGME policies 21.00)
✔✔Faculty - ✔✔The group of individuals (both physician and non-physician) assigned
to teach and supervise residents/fellows.
✔✔Core faculty - ✔✔All physician faculty members in a specialty program who have a
significant role in the education of resident/fellows and who have documented
qualifications to instruct and supervise. Core faculty members devote at least 15 hours
per week to resident education and administration. All core faculty members should
evaluate the competency domains; work closely with and support the program director;
assist in developing and implementing evaluation systems; and teach and advise
residents.
✔✔Fatigue mitigation - ✔✔Methods and strategies for learning to recognize and
manage fatigue to support physician/caregiver well-being and safe patient care
(strategic napping; judicious use of caffeine; availability of other caregivers; time
management to maximize sleep off-duty; learning to recognize the signs of fatigue, and
self-monitoring performance and/or asking others to monitor performance; remaining
active to promote alertness; maintaining a healthy diet; using relaxation techniques to
