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Next Accreditation System

Terri B Feist, Julia L Campbell, Julie A LaBare, Donald L Gilbert
Despite major changes in US Graduate Medical Education, from Core Competencies (2002) to the Next Accreditation System (2012), few studies have evaluated the role of the Residency Coordinator in program accreditation. This role may be especially challenging in child neurology, which involves separate, accredited child and adult neurology residencies. The present study of Child Neurology Program Coordinators evaluated workforce factors and first-year implementation of new training requirements. The response rate was 65% (48/74)...
January 1, 2016: Journal of Child Neurology
Anthony A Donato, Richard Alweis, Suzanne Wenderoth
BACKGROUND: As the next phase in the roll-out of Next Accreditation System, US residency programs are to develop Clinical Competency Committees (CCCs) to formally implement outcome-based medical education objectives in the resident assessment process. However, any changes to an assessment system must consider balancing formative and summative tensions, flexibility and standardization tensions, fairness and transparency to learners, and administrative burden for faculty. OBJECTIVES/METHODS: In this article, one program discusses the approach one internal medicine residency took to create a developmental model CCC...
2016: Journal of Community Hospital Internal Medicine Perspectives
Lisa G Criscione-Schreiber, Calvin R Brown, Kenneth S O'Rourke, Howard A Fuchs, Chaim Putterman, Irene J Tan, Joanne Valeriano-Marcet, Evelyn Hsieh, Sarah Zirkle, Marcy B Bolster
OBJECTIVE: Measurement is necessary to gauge improvement. U.S. training programs have not previously used shared standards to assess trainees' mastery of the knowledge, skills, and attitudes necessary to practice rheumatology competently. In 2014, the Accreditation Council for Graduate Medical Education (ACGME) Next Accreditation System (NAS) began requiring semi-annual evaluation of all medicine subspecialty fellows on 23 Internal Medicine Subspecialty Reporting Milestones. Since these Reporting Milestones are not subspecialty-specific, Rheumatology Curricular Milestones were needed to guide rheumatology fellowship training programs and fellows on the training journey from Internist to Rheumatologist...
November 11, 2016: Arthritis Care & Research
Sandeep Sahay, Lana Melendres-Groves, Leena Pawar, Hector R Cajigas
Pulmonary Hypertension (PH) is a chronic, progressive, life threatening disease that requires multidisciplinary expert care. To facilitate this expert, multidisciplinary care, the PH association established a network of pulmonary hypertension care centers (PHCC) with special expertise in pulmonary hypertension (PH), particularly pulmonary arterial hypertension (PAH), to raise the overall quality of care and outcomes in patients with this life-threatening disease across the United States (US). Since the inception of PHCC in September 2014, till date thirty-five centers have been accredited in the US...
November 3, 2016: Chest
Anders Buchard, Marie-Louise Kampmann, Lena Poulsen, Claus Børsting, Niels Morling
The HID-Ion AmpliSeq™ Identity Panel is a next-generation sequencing assay with 90 autosomal and 34 Y-chromosome SNPs that are amplified in one PCR step and subsequently sequenced using the Ion Personal Genome Machine (Ion PGM™) System. This assay was validated for relationship testing in our ISO 17025 accredited laboratory in 2015. Here, the essential parts of the validation report submitted to the Danish Accreditation Fund are presented. A total of 100 unrelated Danes were typed in duplicates and the locus balance, heterozygote balance (Hb) and noise levels were analysed in detail...
October 6, 2016: Electrophoresis
Eric J Wright, Rohit K Khosla, Lori Howell, Gordon K Lee
BACKGROUND: Comprehensive aesthetic surgery training continues to be a challenge for residency programs. Our residency program developed a rhinoplasty-based objective structured clinical examination (OSCE) based upon validated methods as part of the residency education curriculum. We report our experience with the rhinoplasty-based OSCE and offer guidance to its incorporation within residency programs. METHODS: The encounter involved resident evaluation and operative planning for a standardized patient desiring a rhinoplasty procedure...
September 2016: Archives of Plastic Surgery
Christoph Endrullat, Jörn Glökler, Philipp Franke, Marcus Frohme
DNA sequencing continues to evolve quickly even after > 30 years. Many new platforms suddenly appeared and former established systems have vanished in almost the same manner. Since establishment of next-generation sequencing devices, this progress gains momentum due to the continually growing demand for higher throughput, lower costs and better quality of data. In consequence of this rapid development, standardized procedures and data formats as well as comprehensive quality management considerations are still scarce...
September 2016: Applied & Translational Genomics
Amos Rodger Mwakigonja
BACKGROUND: The School of Medicine (SoM) is one among five at Muhimbili University of Health and Allied Sciences (MUHAS). It currently houses eight undergraduate and many post-graduate programmes. The Doctor of Medicine (MD) programme reported herein is the oldest having ten semesters (5 years) followed by a 1 year compulsory rotatory internship at a hospital approved by the Medical Council of Tanganyika (MCT). However, this training was largely knowledge-based and thus the need to shift towards competency-based education (CBE) and full modularization necessitated this study...
August 25, 2016: BMC Medical Education
Hardeep Singh, Gordon D Schiff, Mark L Graber, Igho Onakpoya, Matthew J Thompson
Diagnosis is one of the most important tasks performed by primary care physicians. The World Health Organization (WHO) recently prioritized patient safety areas in primary care, and included diagnostic errors as a high-priority problem. In addition, a recent report from the Institute of Medicine in the USA, 'Improving Diagnosis in Health Care', concluded that most people will likely experience a diagnostic error in their lifetime. In this narrative review, we discuss the global significance, burden and contributory factors related to diagnostic errors in primary care...
August 16, 2016: BMJ Quality & Safety
Shawn M Quinn, Charles C Worrilow, Deepak A Jayant, Blake Bailey, Eric Eustice, Jared Kohlhepp, Ryan Rogers, Bryan G Kane
BACKGROUND: The Accreditation Council for Graduate Medical Education's (ACGME) Milestones presumes graduating medical students will enter residency proficient at Milestone level 1 for 23 skills. The Next Accreditation System now includes Milestones for each postgraduate specialty, and it is unlikely that schools will document every emergency medicine (EM) applicant's EM-specific skills in their performance evaluation. OBJECTIVES: The goals of this research were to determine if assessment of the Milestones was feasible during a medical student clerkship and examine the proportion of medical students performing at Milestone level 1...
October 2016: Journal of Emergency Medicine
Michael C Johnson, Onno Schellekens, Jacqui Stewart, Paul van Ostenberg, Tobias Rinke de Wit, Nicole Spieker
BACKGROUND: In low- and middle-income countries (LMICs), patients often have limited access to high-quality care because of a shortage of facilities and human resources, inefficiency of resource allocation, and limited health insurance. SafeCare was developed to provide innovative health care standards; surveyor training; a grading system for quality of care; a quality improvement process that is broken down into achievable, measurable steps to facilitate incremental improvement; and a private sector-supported health financing model...
August 2016: Joint Commission Journal on Quality and Patient Safety
Kimberly Baker-Genaw, Maria S Kokas, Syed F Ahsan, Deborah Darnley-Fisch, Sean Drake, Nikhil Goyal, Kedar Inamdar, Vasilios Moutzouros, Deepak Prabhakar, Laurie Rolland, Roopina Sangha, Maria Shreve, Ann Woodward
BACKGROUND: Little is known about residents' performance on the milestones at the institutional level. Our institution formed a work group to explore this using an institutional-level curriculum and residents' evaluation of the milestones. OBJECTIVE: We assessed whether beginner-level milestones for interpersonal and communication skills (ICS) related to observable behaviors in ICS-focused objective structured clinical examinations (OSCEs) for postgraduate year (PGY) 1 residents across specialties...
July 2016: Journal of Graduate Medical Education
Sandra S Swantek, Susan M Maixner, Maria D Llorente, Josepha A Cheong, Laura Edgar, Christopher R Thomas, Iqbal Ahmed
OBJECTIVE: The Accreditation Council of Graduate Medical Education (ACGME) Milestone Project is the next step in a series of changes revamping the system of graduate medical education. In 2013 the ACGME completed the general psychiatry milestones. The ACGME then pursued creation of milestones for accredited psychiatric subspecialty fellowships. This article documents the work of the geriatric psychiatry subspecialty milestones work group. It reports the history and rationale supporting the milestones, the milestone development process, and the implications for geriatric psychiatry fellowship training...
September 2016: American Journal of Geriatric Psychiatry
David A Stewart, Justin Junn, Megan A Adams, Joanna L Spencer-Segal, Emily Perdoncin, Kerri Lopez, Christopher S Kim
OBJECTIVES: Patient safety event (PSE) reporting is a critical element for healthcare organizations that are striving for continuous quality improvement. Although resident physicians routinely provide the majority of direct patient care, the level of their participation in PSE reporting historically has been low. In addition, as part of the Accreditation Council for Graduate Medical Education's Next Accreditation System, the Clinical Learning Environment Review site visit assesses residents' engagement in PSE reporting at each accredited academic institution...
July 2016: Southern Medical Journal
David E Winchester, Thomas A Burkart, Calvin Y Choi, Matthew S McKillop, Rebecca J Beyth, Phillipp Dahm
OBJECTIVE: Training in quality improvement (QI) is a pillar of the next accreditation system of the Accreditation Committee on Graduate Medical Education and a growing expectation of physicians for maintenance of certification. Despite this, many postgraduate medical trainees are not receiving training in QI methods. We created the Fellows Applied Quality Training (FAQT) curriculum for cardiology fellows using both didactic and applied components with the goal of increasing confidence to participate in future QI projects...
June 2016: Critical Pathways in Cardiology
Rosanna Lacalamita, Antonio Quaranta, Maria Pia Trisorio Liuzzi, Aldo Nigro, Umberto Simonetti, Massimiliano Schirone, Ferruccio Aloè, Gianluca Capochiani, Genoveffa De Francesco, Cosimo Gadaleta, Domenico Galetta, Luciano Grammatica, Attilio Guarini, Vittorio Mattioli, Piero Milella, Antonio Moschetta, Patrizia Nardulli, Vincenza Nigro, Nico Silvestris, Angelo Paradiso
The National Cancer Institute of Bari (Istituto di Ricovero e Cura a Carattere Scientifico, IRCCS) has been involved since the conception of the project of the Italian Ministry for Health aimed to validate the applicability of the Organisation of European Cancer Institutes (OECI) accreditation and designation (A&D) model to the Network of Italian Cancer Centers, IRCCS, of Alleanza Contro il Cancro. The self-assessment phase of the Institute started in September 2013 and ended in June 2014. All documents and tools were transferred to the OECI A&D Board in June 2014 and a 2-day peer review visit was conducted in October 2014 by an international qualified audit team...
2015: Tumori
Kenneth R Gundle, Dayne T Mickelson, Doug P Hanel
INTRODUCTION: Orthopaedic surgery is one of the first seven specialties that began collecting Milestone data as part of the Accreditation Council for Graduate Medical Education's Next Accreditation System (NAS) rollout. This transition from process-based advancement to outcome-based education is an opportunity to assess resident and faculty understanding of changing paradigms, and opinions about technical skill evaluation. METHODS: In a large academic orthopaedic surgery residency program, residents and faculty were anonymously surveyed...
2016: Medical Education Online
Paul N Staats, Diane Davis Davey
No abstract text is available yet for this article.
April 2016: Cancer Cytopathology
Ronald G Amedee, Janice C Piazza
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) fully implemented all aspects of the Next Accreditation System (NAS) on July 1, 2014. In lieu of periodic accreditation site visits of programs and institutions, the NAS requires active, ongoing oversight by the sponsoring institutions (SIs) to maintain accreditation readiness and program quality. METHODS: The Ochsner Health System Graduate Medical Education Committee (GMEC) has instituted a process that provides a structured, process-driven improvement approach at the program level, using a Program Evaluation Committee to review key performance data and construct an annual program evaluation for each accredited residency...
2016: Ochsner Journal
Karen A Friedman, John Raimo, Kelly Spielmann, Saima Chaudhry
INTRODUCTION: Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard. METHODS: Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM) and Accreditation Council of Graduated Medical Education's (ACGME) 22 reportable milestones...
2016: Medical Education Online
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