Swing Susan R, Clyman Stephen G, Holmboe Eric S, Williams Reed G
J Grad Med Educ. 2009 Dec;1(2):278-86. doi: 10.4300/JGME-D-09-00010.1.
The Outcome Project requires high-quality assessment approaches to provide reliable and valid judgments of the attainment of competencies deemed important for physician practice.
The Accreditation Council for Graduate Medical Education (ACGME) convened the Advisory Committee on Educational Outcome Assessment in 2007-2008 to identify high-quality assessment methods. The assessments selected by this body would form a core set that could be used by all programs in a specialty to assess resident performance and enable initial steps toward establishing national specialty databases of program performance. The committee identified a small set of methods for provisional use and further evaluation. It also developed frameworks and processes to support the ongoing evaluation of methods and the longer-term enhancement of assessment in graduate medical education.
The committee constructed a set of standards, a methodology for applying the standards, and grading rules for their review of assessment method quality. It developed a simple report card for displaying grades on each standard and an overall grade for each method reviewed. It also described an assessment system of factors that influence assessment quality. The committee proposed a coordinated, national-level infrastructure to support enhancements to assessment, including method development and assessor training. It recommended the establishment of a new assessment review group to continue its work of evaluating assessment methods. The committee delivered a report summarizing its activities and 5 related recommendations for implementation to the ACGME Board in September 2008.
成果项目需要高质量的评估方法，以便对被认为对医生执业至关重要的能力达成情况做出可靠且有效的判断。
毕业后医学教育认证委员会（ACGME）在2007 - 2008年召集了教育成果评估咨询委员会，以确定高质量的评估方法。该机构选择的评估将形成一个核心集合，可供某一专业的所有项目用于评估住院医师的表现，并朝着建立全国性的专业项目表现数据库迈出初步步伐。委员会确定了一小部分方法供临时使用和进一步评估。它还制定了框架和流程，以支持对方法的持续评估以及毕业后医学教育评估的长期改进。
委员会构建了一套标准、应用这些标准的方法以及用于审查评估方法质量的评分规则。它开发了一种简单的成绩单，用于显示每项标准的评分以及所审查的每种方法的总体评分。它还描述了一个影响评估质量的因素评估系统。委员会提议建立一个协调的国家级基础设施，以支持评估的改进，包括方法开发和评估者培训。它建议成立一个新的评估审查小组，以继续其评估评估方法的工作。委员会于2008年9月向ACGME董事会提交了一份报告，总结其活动及5项相关实施建议。
