Phitayakorn Roy, Levitan Nathan, Shuck Jerry M
Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio 44106, USA.
Acad Med. 2007 Jun;82(6):608-15. doi: 10.1097/ACM.0b013e3180556906.
The designated institution official (DIO) is responsible for monitoring all residency programs within an institution. Although program-evaluation tools have been developed for residency program directors to use, there are currently no such published evaluation tools for DIOs. This manuscript describes the development and implementation of a standardized, dimensional program report card for the more than 60 residency and fellowship programs at our institution. This report card measures the theoretical construct of residency program performance and is divided into four sections: (1) quality of candidates recruited, (2) the resident educational program, (3) graduate success, and (4) overall house officer satisfaction. Each section is measured by objective and subjective metrics that allow the DIO to record programmatic strengths and weaknesses. These results are confidentially shared with the residency program director and encourage a partnership between the DIO and the program director. It is difficult to provide concrete construct validity with this instrument. The process used to develop the report card seems valid. The authors recognize that this report card is a surrogate for each program's RRC's perception of quality. In the future, the authors hope to work closely with the Accreditation Council for Graduate Medical Education and/or the group on resident affairs of the Association of American Medical Colleges to set national benchmark criteria for acceptable residency program performance for each medical discipline. They hope that DIOs and program directors will be able to compare residency programs objectively and identify areas for improvement at a local and national level.
指定机构官员（DIO）负责监督机构内的所有住院医师培训项目。尽管已经开发了项目评估工具供住院医师培训项目主任使用，但目前还没有为DIO发布的此类评估工具。本文描述了为我们机构的60多个住院医师培训和专科培训项目开发并实施标准化、多维度项目报告卡的过程。该报告卡衡量住院医师培训项目表现的理论结构，分为四个部分：（1）招募候选人的质量，（2）住院医师教育项目，（3）毕业生成就，以及（4）住院医师总体满意度。每个部分通过客观和主观指标进行衡量，使DIO能够记录项目的优势和劣势。这些结果会保密地与住院医师培训项目主任分享，并鼓励DIO与项目主任建立合作关系。用这个工具很难提供具体的结构效度。开发报告卡的过程似乎是有效的。作者认识到，这份报告卡是各项目的住院医师评审委员会对质量认知的一种替代。未来，作者希望与毕业后医学教育认证委员会和/或美国医学院协会住院医师事务小组密切合作，为每个医学学科的住院医师培训项目表现设定全国可接受的基准标准。他们希望DIO和项目主任能够客观地比较住院医师培训项目，并确定地方和国家层面需要改进的领域。
