 Dr. Mifflin, who I think essentially needs no introduction, he'll be talking about the accreditation which I'm sort of looking forward to after all the after all the stuff we went through to get interviewed and everything else it'll be nice to hear what's going on. I think Barbara and that's not happening so I said well I'll tell people how the accreditation side review went and I don't know Jeff were you gonna apologize yeah and anybody who wants more food after that beautiful graphic presentation some strawberry yogurt over there so we had our accreditation site review two weeks ago and we had a site visitor who was a retired pediatric orthopedist fellowship director and residency director in New York and so he'd done that quite a few years so he was actually the three times that I've been through this he was probably the person who was most you know kind of closest to what we actually do and really kind of understood residency and somewhat surgical subspecialty and as many of you know there have been a lot of changes in kind of the oversight governments if you will of kind of how residency there's the pendulum is really swinging still swinging towards a lot higher level of scrutiny and regulation hoops that we have to jump through and I think people used to be able to just it was kind of the good old boys network where you know we have a good residency and everybody knows it's good and you know I've known him forever and yeah I'd send my kid to his residency program any day you know that kind of thing well those days are over and so as the the residents and faculty know we've been preparing for this basically since our last accreditation review which was five years ago we received a four-year accreditation last time but it takes a while for everything to get processed so essentially it was five years and then we have an internal review the internal the hospital the medical school GME graduate medical education program or education office monitors the residency programs as well because they're accredited based on how the residency programs do so we really didn't have any major issues at our internal review two years ago and that went off very successfully but we had several we have three citations from our previous accreditation and one of the probably the only real concerning one is that we are we're really low our program is really low comparatively in the country and certain glaucoma procedures and there are variety of reasons for that mostly being that we have a comparatively we have a very we don't have a inner city hospital type experience where there are a lot of patients who have horrible glaucoma that's not to care of until end stage so there are a variety of reasons and to make a long story short that was really our main concern we've really done a lot better and improving our glaucoma numbers we're still pretty low we're still in some areas like glaucoma laser between the fifth and 10 percentile so so anyway that's just that's an on that's a work in progress and I think Candin and Snow Candin are really trying to both glaucoma fellows this year trying to work on improving that experience and being a little more proactive in issues that we were concerned about it was one of those things sometimes it's anybody who's been any any through any kind of regulatory process will understand that sometimes it's a guess what I'm thinking type thing and you try to give all this documentation and then they find something that they felt wasn't well documented but our program was cited on ethics and advocacy which actually our program is very strong and so our site reviewer felt very comfortable with our comprehensive response to those citations from our previous accreditation and that was pretty much a non-issue at our site review. The site reviewer didn't find any document everything he asked for we were able to provide him so it was a very favorable review and he mentioned press so we're hopeful that we'll get a fight so the process is not really just dependent on the site reviewer he's just verifying that what we wrote down in our information that we submit to the committee is actually he saw evidence of that while he was here and so the way the process works is there's a review committee of I think there's only one about seven members mostly program directors there's one resident who will actually review our and so two of the committee members will actually review our program and then that we're not sure we're going to find out if we're on the the committee only meets twice a year and the next meeting is in October so we're not sure if we'll be on the just give feedback to the residents who met with the site visitor I think he appreciated he felt like the residents were open and honest but he felt like you weren't trying to you know snow and same thing for the faculty again just want to express my appreciation for all the faculty and residents especially fellows too for helping gather all of this documentation and as we go forward I think our challenge really is a residency is to kind of efficiently respond to this increase regulatory push and use it to our advantage and I really think since I've been the program director since about 2003 I've seen a lot of improvements in our residency because of this it's not necessarily a negative and many of the improvements have come from residents suggestions more of the residents can become involved in the process so if there's a requirement or a you know as you get your kind of your outline for your next rotation and things don't seem to make sense or if you see a way that things can be improved especially in documenting and achieving the goal of becoming better trained please let us know and give that feedback to your one of the challenges that we have is we're all really busy this is a really good residency program and we're all busy kind of independently and our spheres overlap a little bit and sometimes we just don't you know kind of see the forest for the trees and so we do appreciate feedback Dr. Petty of course is gonna be a great resource he for those of you who don't know most of you do but he's he's the kind of associate program director now in his fellowship program will be part of our faculty at a full-time educator basically so his whole role for our residency program is going to be teaching and administrative improvement I can't can't not give a special thanks to Jason too for his kind of trying to walk that fine wire at the VA of trying to please and I think things are moving in but I'd be happy to answer any questions our review is very favorable we're very hopeful for a five-year accreditation I think Jeff has an announcement yeah so that it's mostly for residents you're right this is a we are doing a retreat this year and we actually we're going to head up to snowbird at towards the end of September and it all right so there's a follow-up street it's snowbird the lunch at snowbird condos that's where the residents will be staying there's there's group lodging there although a lot of them are electing to have private rooms hoping for a romantic you know getaway weekend with their spouses for faculty interested the Cliff Lodge is offering special pricing for that weekend for you it's $99 it's more or less so all residents are required all faculty are invited spouses children are welcome to come up and it's kind of going to be a pretty flexible weekend for the faculty just in terms of when you guys can and sort of can't come up because I know it's hard to commit a whole weekend of this but basically Friday evening we're all going to get together and this is all faculty spouses welcome we're actually so the residents can be there with their spouses we're gonna have some sort of child care available for that and then the next morning is just residents only Dr. Hoffman is the baby sitter yes we didn't want to tell everyone that because they might not bring their children to spend time with him but the next morning is really residents only and we have some really good activities for them and then in the afternoon we'll have a lunch faculty are welcome to come to that faculty are welcome for kind of the early afternoon session then after that it's October Fest weekend it's the weekend of the 24th which and then the evening we'll kind of re-gather just to you know have some sort of activity nothing terribly any questions yeah the dates finalized unless I hear again all faculty are welcome understand that wouldn't be able to necessarily make it for the whole weekend but any parts would be nice and really really really a special gigantic thank you goes out to the fellows who are helping to cover call that weekend so residents will be made available for their for the fellow sakes this won't just be a big weekend party we actually have some really valuable activities team-building leadership training that it's really gonna be beneficial thank you or to say yes when we ask