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美国毕业后医学教育认证委员会(ACGME)年度麻醉住院医师和研究员计划审查:持续改进的“成绩单”模式。

Accreditation Council for Graduate Medical Education (ACGME) annual anesthesiology residency and fellowship program review: a "report card" model for continuous improvement.

机构信息

Department of Anesthesiology, College of Medicine, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

BMC Med Educ. 2010 Feb 8;10:13. doi: 10.1186/1472-6920-10-13.

DOI:10.1186/1472-6920-10-13
PMID:20141641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2830223/
Abstract

BACKGROUND

The Accreditation Council for Graduate Medical Education (ACGME) requires an annual evaluation of all ACGME-accredited residency and fellowship programs to assess program quality. The results of this evaluation must be used to improve the program. This manuscript describes a metric to be used in conducting ACGME-mandated annual program review of ACGME-accredited anesthesiology residencies and fellowships.

METHODS

A variety of metrics to assess anesthesiology residency and fellowship programs are identified by the authors through literature review and considered for use in constructing a program "report card."

RESULTS

Metrics used to assess program quality include success in achieving American Board of Anesthesiology (ABA) certification, performance on the annual ABA/American Society of Anesthesiology In-Training Examination, performance on mock oral ABA certification examinations, trainee scholarly activities (publications and presentations), accreditation site visit and internal review results, ACGME and alumni survey results, National Resident Matching Program (NRMP) results, exit interview feedback, diversity data and extensive program/rotation/faculty/curriculum evaluations by trainees and faculty. The results are used to construct a "report card" that provides a high-level review of program performance and can be used in a continuous quality improvement process.

CONCLUSIONS

An annual program review is required to assess all ACGME-accredited residency and fellowship programs to monitor and improve program quality. We describe an annual review process based on metrics that can be used to focus attention on areas for improvement and track program performance year-to-year. A "report card" format is described as a high-level tool to track educational outcomes.

摘要

背景

美国毕业后医学教育认证委员会(ACGME)要求对所有获得 ACGME 认证的住院医师和研究员培训计划进行年度评估,以评估计划质量。评估结果必须用于改进计划。本文档描述了一种在进行 ACGME 授权的年度计划审查时用于评估获得 ACGME 认证的麻醉学住院医师和研究员培训计划的指标。

方法

作者通过文献回顾确定了各种评估麻醉学住院医师和研究员培训计划的指标,并考虑将其用于构建计划“报告卡”。

结果

用于评估计划质量的指标包括美国麻醉师协会(ABA)认证的成功、年度 ABA/美国麻醉师协会在培训考试中的表现、模拟口头 ABA 认证考试的表现、学员学术活动(出版物和演讲)、认证地点访问和内部审查结果、ACGME 和校友调查结果、全国住院医师匹配计划(NRMP)结果、离职面谈反馈、多样性数据以及学员和教师对计划/轮转/教师/课程的广泛评估。结果用于构建“报告卡”,提供计划绩效的高级别审查,并可用于持续质量改进过程。

结论

需要进行年度计划审查,以评估所有获得 ACGME 认证的住院医师和研究员培训计划,以监测和提高计划质量。我们描述了一个基于指标的年度审查流程,这些指标可用于关注改进领域并跟踪计划绩效逐年变化。“报告卡”格式被描述为跟踪教育成果的高级工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ba/2830223/863301de63ee/1472-6920-10-13-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ba/2830223/863301de63ee/1472-6920-10-13-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ba/2830223/863301de63ee/1472-6920-10-13-1.jpg

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