Self-Study
A required, ongoing process of program evaluation and improvement that forms the foundation of ACGME's next accreditation system.
Definition
The ACGME Self-Study is a structured, evidence-based process in which a program systematically evaluates its own performance against accreditation requirements and its own stated goals. It is not a one-time document but an ongoing cycle of assessment, identification of areas for improvement, action, and evaluation of results. Programs are expected to maintain a continuous self-study process and demonstrate its outcomes during site visits.
Why it matters for your program
The self-study process is central to how ACGME now evaluates programs. Programs that have a robust, documented self-study process fare significantly better in site visits because they can demonstrate self-awareness and a culture of continuous improvement. Programs that treat the self-study as a checkbox exercise rather than a genuine process are typically identified during site visits.
Related terms
ACGME Accreditation
The formal process by which the Accreditation Council for Graduate Medical Education evaluates and recognizes residency and fellowship programs.
Annual Program Evaluation (APE)
A required yearly review of a residency or fellowship program's performance, conducted by the Program Evaluation Committee.
Clinical Competency Committee (CCC)
A required committee responsible for reviewing resident and fellow performance and making milestone determinations semiannually.
Program Evaluation Committee (PEC)
A required committee responsible for overseeing program quality, conducting the annual program evaluation, and driving continuous improvement.
Related Service
ACGME Compliance Consulting
Ashley Wood, PhD helps programs navigate self-study requirements with director-level expertise from HCA Healthcare and Vanderbilt.
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