Presentation on theme: "Steve Craig, MD & Danny Takanishi, MD and Members of the TY Milestones Working Group."— Presentation transcript:
Steve Craig, MD & Danny Takanishi, MD and Members of the TY Milestones Working Group
Background: ACGME Outcome Project: Milestone Development Phase Use of Milestones in the ACGME’s Next Accreditation System TY Milestones Development Process Summary of TY Milestones Working Group Progress Review of TY Medical Knowledge Milestone Next Steps in TY Milestones Development Questions for Panel
Susan Swing, PhD ~ ACGME Annual Educational Conference ~ March 2, 2012
Late 2010: ACGME asked Steve Craig (CTYPD) + Danny Takanishi (TYRC) to co-chair Working Group Early 2011 call for interested TYPDs to apply Co-Chairs & ACGME staff selected core working group (other applicants to serve as advisory group) Arranged first TY Milestones Working Group Meeting in Chicago May 3-4, 2011
Co-Chairs: Steve Craig & Danny Takanishi CTYPD Members: Matt Short, Cathy Nace, Marko Jachtorowycz At-Large Members: Nikhil Goyal, Ernest Moritz, Ethan Natelson, Mukta Panda Additional TYRC Member: Robert Bing-You Resident Member : Karolyn Wanat Staff Support: Steve Nestler, Linda Thorsen
Overview of ACGME Milestones Project provided Discussed Goals + Desired Work Product Reviewed Organizational Framework Reviewed Milestones Work from Other Specialties (especially IM, Pediatrics, General Surgery) Began Milestone Development for Patient Care & Medical Knowledge competencies
Milestones Developmental Decisions Competence observed in performance → Articulate milestones in behavioral language Multiple evaluation approaches needed → Link milestones to general evaluation strategies “Competence” is tricky along the education continuum → Expectation at end of PGY-1 Year: safe to enter independent practice?
We are the only one-year residency training program We do not typically produce graduates ready for unsupervised practice Need TY milestones to be equivalent to preliminary year training milestones (e.g. Medicine + Surgery) Need TY milestones to be accepted by categorical specialty programs that our graduates enter Need milestones to be achievable and measurable in shortened one year training period
Three Meetings to Date May 3-4, 2011 : Orientation, Organization, Review of other specialty’s milestones, Work on Patient Care (PC) + Medical Knowledge (MK) milestones October 13-14, 2011 : Worked on milestones for other 4 competencies (reviewed Expert Panel’s work) + refined PC & MK Milestones March 1, 2012 : Refined milestones for all 6 competencies: PC, MK, ICS, PBLI, Prof, SBP March/April 2012 : Assessment instruments for milestones considered
Milestones for all 6 competencies Possible assessment tools that can be used for each milestone Tomorrow morning’s workshop will review current draft of all the milestones + recommended assessment tools Split into 5 groups: Share input with Working Group members who will lead each group
Will briefly review Medical Knowledge milestone today Discuss format used for milestones + how assessment tools identified Tomorrow morning’s workshop: Split into 5 groups to review other milestones Working Group Members will lead each of 5 groups Seek input, comments, suggestions about individual milestones and recommended assessment tools
Milestone Construct: Articulate in behavioral language Key assessment points Beginning of Training ( Novice ) After 6 Months of Training ( Advanced Beginner ) End of TY Training ( Competent ) End of Categorical Training ( Proficient ) Practicing Physician ( Expert ) Assessment Methods / Tools (See Handout)
Synthesize feedback on milestones draft from this workshop + from recent TYRC review Advisory Group to review milestones draft Arrange for Categorical Residency Program Reps to review milestones draft TY Milestones Working Group will meet to finalize milestones based on this input Work with ACGME staff and TY RRC to finalize milestone reporting mechanism for TY programs
Faculty development to increase understanding of the 6 competency domains Introduce principles of CBME: culture shift to criterion-referenced assessment Begin structuring competency committee(s) Composition? How many? Determine how to assess resident milestone performance Determine how to compile/synthesize assessments When milestones are available Begin to align assessment tools Discuss expected performance at different levels
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