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JAMA. 1998;279:1782.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The occurrence of an alleged egregious accreditation violation or a catastrophic institutional event that because of its urgency, must be addressed outside the established processes of the ACGME should be reported promptly to the Executive Director of the ACGME. Any component of the ACGME accreditation process having knowledge of such an occurrence, including residents in training or member organizations, has a responsibility to report the matter promptly and directly to the ACGME Executive Director who will initiate an investigation to determine credibility and degree of urgency of the matter. Whenever the Executive Director determines that the matter disclosed is of sufficient importance and urgency to require expedited action, the following process will be initiated:

First, the Executive Director will make direct contact with the appropriate responsible individuals and will request a formal and prompt response.

Second, the Executive Director will consult with a committee composed of the Executive Director, the . . . [Full Text of this Article]

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