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Next Accreditation System

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...
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
John H Choe, Christopher L Knight, Rebekah Stiling, Kelli Corning, Keli Lock, Kenneth P Steinberg
The Next Accreditation System requires internal medicine training programs to provide the Accreditation Council for Graduate Medical Education (ACGME) with semiannual information about each resident's progress in 22 subcompetency domains. Evaluation of resident "trustworthiness" in performing entrustable professional activities (EPAs) may offer a more tangible assessment construct than evaluations based on expectations of usual progression toward competence. However, translating results from EPA-based evaluations into ACGME milestone progress reports has proven to be challenging because the constructs that underlay these two systems differ...
July 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Jeffrey E Janis, Nicholas B Vedder, Christopher M Reid, Amanda Gosman, Karen Mann
BACKGROUND: The transition to the Next Accreditation System is well underway, and a shift toward competency-based assessment in the form of milestones is now the standard. A significant effort has been completed by the Plastic Surgery Milestones Working Group to develop specific milestones and assessment tools for plastic surgery training. METHODS: The history of the development toward competency-based assessment was reviewed. Data regarding the trends and regulations associated with board certification and the role of maintenance of certification were reviewed...
April 2016: Plastic and Reconstructive Surgery
Emily Mathias, Usha Sethuraman
The role of resident and fellow trainees in patient-centered improvement processes is critical to a health care system's success. There is a growing impetus to incorporate patient safety and quality improvement into the educational framework of physicians in training. As part of the Next Accreditation System, practice-based learning and improvement and systems-based practice domains mandate that residents and fellows be assessed on their ability to enhance the quality of care and advocate for patient safety...
April 2016: Pediatric Clinics of North America
Daniela Giardino, Rita Mingarelli, Tiziana Lauretti, Antonio Amoroso, Lidia Larizza, Bruno Dallapiccola
BACKGROUND: The aim of this study was to collect information about 2011 genetic activities in Italy, with the purpose of providing guidance to the national health systems in order to improve genetic services. METHODS: A web-based survey was carried out to achieve the information. RESULTS: Data were collected from 268 macrostructures hosting 517 services and employing 3246 persons. About 295,000 cytogenetic, 35,000 immunogenetic and 263,000 molecular genetic analyses of 902 genes were recorded...
2016: BMC Health Services Research
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