Peltier Wendy Larson
Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Neurologist. 2004 Mar;10(2):97-101. doi: 10.1097/01.nrl.0000118324.67025.4f.
The Accreditation Council for Graduate Medical Education (ACGME) Core Competency project for graduate medical education was developed in the late 1990s and is now being implemented in residency programs across all specialties. Program directors and residents in neurology are seeking national guidance in how to adjust educational curricula and establish new evaluation tools that meet ACGME standards.
This review summarizes the competency movement and outlines specific guidelines and resources for neurology programs including national efforts underway through the American Academy of Neurology (AAN), Neurology Residency Review Committee, and other subspecialty organizations. Resident and program director concerns for implementation are highlighted, with a focus on use of national resources and established evaluation tools.
All neurology programs must comply with new requirements generated by the competencies that will require significant time and energy for program directors. An effective approach to implementation involves careful review of existing evaluation tools established by other subspecialties and expansion of reliable tools used already in place in most programs such as the mock oral board and RITE In-Training Examination. The individual program director is encouraged to monitor resources nationally through the AAN Program Director's Consortium and locally through institutional projects which can incorporate neurology residents.
研究生医学教育认证委员会(ACGME)的研究生医学教育核心能力项目于20世纪90年代末制定,目前正在各专业的住院医师培训项目中实施。神经病学专业的项目主任和住院医师正在寻求关于如何调整教育课程以及建立符合ACGME标准的新评估工具的全国性指导。
本综述总结了能力运动,并概述了神经病学项目的具体指南和资源,包括美国神经病学学会(AAN)、神经病学住院医师评审委员会及其他亚专业组织正在开展的全国性工作。突出了住院医师和项目主任对实施工作的担忧,重点是国家资源的利用和既定评估工具。
所有神经病学项目必须遵守能力要求产生的新规定,这将需要项目主任投入大量时间和精力。一种有效的实施方法包括仔细审查其他亚专业建立的现有评估工具,并扩展大多数项目已经使用的可靠工具,如模拟口试和住院医师在职考试(RITE)。鼓励各项目主任通过AAN项目主任联盟在全国范围内监测资源,并通过可纳入神经病学住院医师的机构项目在当地进行监测。