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Applies to all ACGME-accredited graduate medical education programs at Inova Fairfax Medical Campus, detailing PEC composition, meeting cadence, responsibilities, confidentiality of trainee/faculty assessments, documentation requirements, review materials (including ACGME surveys and duty hour compliance), and the annual reporting submission timeline to the DIO for GMEC review.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/pec-and-annual-program-evaluation-policy-updated-forms-7-9-18/248329/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/pec-and-annual-program-evaluation-policy-updated-forms-7-9-18/248329.png","ImageObject",442,249,{"name":88,"@type":89},"Taylor Morgan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-24","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who is responsible for appointing the Program Evaluation Committee (PEC) members?","Question",{"text":109,"@type":110},"Each Program Director appoints PEC members in accordance with ACGME requirements.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How often must the PEC convene for the Annual Program Evaluation (APE)?",{"text":114,"@type":110},"The PEC must meet at least annually to conduct the Annual Program Evaluation, with more frequent meetings strongly encouraged for continuous improvement.",{"name":116,"@type":107,"acceptedAnswer":117},"What must be submitted and by when each academic year?",{"text":118,"@type":110},"The Program Director must complete the Graduate Medical Education Annual Program Evaluation report, action plan, and SWOT analysis template, and submit them to the DIO for GMEC review no later than August 31.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},248329,1790195081,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":101,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":79},1099523885336,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","I. Purpose  \nTo establish a policy for all ACGME-accredited residency and subspecialty programs at Inova Fairfax Medical Campus detailing the systematic process for establishing a Program Evaluation Committee (PEC) and a process for conducting an Annual Program Evaluation (APE) of educational effectiveness.  \nII. Scope  \nThis policy will apply to all ACGME-accredited graduate medical education programs at Inova Fairfax Medical Campus.  \nIII. Program Evaluation Committee:  \nIn accordance with the ACGME, each Program Director must appoint members of the Program Evaluation Committee.  \nThe Program Evaluation Committee (PEC) must be composed of at least two program faculty members and should include at least one resident or fellow.  \nThe program is responsible for having a written description of the committee responsibilities.  \nWritten minutes of the meetings must be prepared and maintained by the program.  \nIV. PEC Responsibilities /Requirements  \nA. The committee must convene at least annually to conduct the Annual Program Evaluation (APE) . However, more frequent meetings are strongly encouraged to facilitate a process of continuous program improvement.  \nB. The PEC should actively participate in:  \ni. Planning, developing, implementing and evaluating educational activities of the program;  \nii. Planning, developing, implementing and evaluating resident wellness activities of the program;  \niii. Planning, developing, implementing and evaluating disparities in healthcare and/or cultural sensitivity awareness activities of the program;  \niv. Reviewing and making recommendations for revisions of competence-based curriculum goals and objectives;  \nv. Addressing areas of non-compliance with ACGME standards;  \nvi. Ensuring that residents and faculty have the opportunity to evaluate the program confidentially and in writing at least annually, as a measure of program quality  \nC. The PEC must ensure that the results of the residents’ and faculty members ’ assessments of the program together with other program evaluation results are used to improve the program. The program, through the PEC, must document formal, systematic evaluation of the curriculum at least annually, and is responsible for rendering a written Annual Program Evaluation (APE) as specified below.  \nD. The committee should review the following materials in evaluating the educational effectiveness of the teaching program (Annual Program Evaluation Planning Worksheet and SWOT analysis template attached):  \ni. Annual program evaluations by faculty (as stated above)  \nii. Annual program and rotation evaluations by trainees (as stated above)  \niii. Faculty evaluations by trainees  \niv. ACGME resident and faculty annual surveys  \nv. Previous Action Plan from prior annual review  \nvi. ACGME citations from last site visit/self-study (if applicable)  \nvii. Recommendations from last Special Review (if applicable)  \nviii. Didactic conference schedule, journal club, grand rounds, quality/safety meetings  \nix. Duty Hour compliance  \nx. Program Requirements/Common Program Requirements  \nxi. Written goals and objectives with advancement criteria  \nxii. Current Trainee performance: In-Training exams, Publications/Presentations, Quality/Safety initiatives, Procedure/case logs  \nxiii. Graduate Performance: Certification Exam results for first time takers, acceptance into fellowships, placement in employment upon graduation  \nxiv. Characteristics of matched applicants-NRMP report: USMLE scores, percent filled, ranks per position.  \nxv. Faculty Development Activities: Participation in faculty development activities, research and scholarly activities, quality and safety activities  \nxvi. Documentation of Housestaff participation: interdisciplinary training, wellness initiatives, and disparities in healthcare training  \nE. The program, through the PEC, must prepare and maintain a written plan of action to document initiatives to address any deficiencies or opportunities identified by the ann","cbCaimjEC08Dqn9X","https://ap.wps.com/l/cbCaimjEC08Dqn9X","pdf",93593,"English","# Purpose\n# Scope\n# Program Evaluation Committee (PEC)\n## PEC Responsibilities / Requirements\n### Annual meeting and participation expectations\n### Input sources for educational effectiveness review\n### Action plan and monitoring requirements\n### Annual report and submission timeline\n# Annual Program Evaluation Committee Planning Worksheet/Checklist","[{\"question\":\"Who is responsible for appointing the Program Evaluation Committee (PEC) members?\",\"answer\":\"Each Program Director appoints PEC members in accordance with ACGME requirements.\"},{\"question\":\"How often must the PEC convene for the Annual Program Evaluation (APE)?\",\"answer\":\"The PEC must meet at least annually to conduct the Annual Program Evaluation, with more frequent meetings strongly encouraged for continuous improvement.\"},{\"question\":\"What must be submitted and by when each academic year?\",\"answer\":\"The Program Director must complete the Graduate Medical Education Annual Program Evaluation report, action plan, and SWOT analysis template, and submit them to the DIO for GMEC review no later than August 31.\"}]","PEC and Annual Program Evaluation Policy - Updated Forms (7-9-18) | PDF",1789245432]