ACGME Conference Report on Milestones from Stanford

Report
The ACGME Annual Educational
Conference
After just one
Margarita
Be sure you can trust
those you ask for help
back to your room
A long night, a few drinks, all
you want to do is go to sleep,
then this starts…
Millstones
http://med.stanford.edu/gme/GME_Community.html
What Should a CCC Do First?
Understand their specialty Milestones
(Posted on acgme.org)
 Decide how to assess the Milestones –
Program Evaluation Strategy
 If necessary, identify new evaluation tools
from program director associations,
societies, colleges

NAS and Milestones and YOU
• The program coordinator will play a crucial
role in developing, implementing and
collecting data on x and reporting of milestone
evaluation tools to the CCC
Managing it all…
U - R - IT!
• Understanding RRC program requirements
• Requirements applied to evaluation
methods/process
• Implementing new evaluation system
•
2+2=4
(2+2)*4=16
• Tracking completion and accuracy (outliers)
for data aggregation
Implementing Assessment Tools to validate Milestones
• Evaluation systems
– Milestone-based/EPAs (Entrustable Professional Activities)
– Rotation-specific
– Patient handovers
– Define evaluator groups (faculty, staff,
patients)
– Set up and timing of delivery systems
4. Tracking and Reporting…
• Start with the end in mind:
– CCC biannual reporting windows to ACGME
• November 1- December 31 / May 1 - June 15
• Back track and set calendar events for:
– Periodic monitoring of evaluation completion
– Running aggregate reports and reviewing
milestone evaluation data
– Reviewing case logs, learning portfolios, duty
hours
Pulling the Data Together
End-ofRotation
Evaluations
Clinical Skills
Assessment
Nursing and
Staff / Techs
Evaluations
Quality
Improvement
Activities
Sim
Lab
Clinical Competency
Committee
Progress on Milestones
In-service
training
exams
Safety
Incident
Reports
Case
Logs
Patient/
Family
Evaluations
A milestone from General Surgery
Pulling the Data Together
End-ofRotation
Evaluations
Clinical Skills
Assessment
Nursing and
Staff / Techs
Evaluations
Quality
Improvement
Activities
Sim
Lab
Clinical Competency
Committee
Progress on Milestones
In-service
training
exams
Safety
Incident
Reports
Case
Logs
Patient/
Family
Evaluations
A milestone from General Surgery
Managing it all:
How will I pull this off?
The Toolbox
Creating a Resident Performance Profile Goals to
support your CCC
Resident performance data that is:
• Comprehensive
• Consolidated / Aggregated
• Easy for CCC to identify strengths, areas for
improvement, opportunities for
advancement
Creating a Resident Performance Profile
Step 1 – Defining what to track
Evaluations
Milestone End of Rotation (Total)
Medical Knowledge
Patient Care
Interpersonal & Communication Skills
Professionalism
Systems-Based Practice
Practice-Based Learning & Improvement
More tools…
Leveraging Resident Management System
(RMS)Tools, if Available
• RMSs – becoming more feature rich
• Curriculum
– Goals and Objectives and learning outcomes by
rotation
– Teaching and Assessment methodologies
• Evaluation tool development
– Sharing between programs and institutions
He was so lonely he needed his comfort blanket
Links to other sessions’ slides I attended…
• Katie’s Presentation Slides
http://www.acgme.org/acgmeweb/Portals/0/PDFs/2014AEC-Presentations/BR11.pdf
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/122
*****
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/187 ****
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/215
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/216
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/119
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/217
• hthttps://quickstart.quickmobile.com/cms/resources/render/3698/1/131
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/184
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/247
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/248
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/53
• https://quickstart.quickmobile.com/cms/resources/render/3698/1/54
• http://med.stanford.edu/gme/GME_Community.html ******

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