Kirk Lynne M
Tex Med. 2016 Feb 1;112(2):54-7.
The Accreditation Council for Graduate Medical Education has implemented a new accreditation system for graduate medical education in the United States. This system, called the Next Accreditation System, focuses on more continuous monitoring of the outcomes of residency training, and for high-quality programs, less on the detailed processes of that training. This allows programs to innovate to best meet the needs of their trainees and communities. This new system also reviews the clinical learning environment at each institution sponsoring graduate medical education, focusing on professionalism, trainee supervision, duty hour and fatigue management, care transitions, and integration of residents into patient safety and health care quality. This Next Accreditation System is too new to fully assess its outcomes in better preparing residents for medical practice. Assessments of its early implementation, however, suggest we can expect such outcomes in the near future.
毕业后医学教育认证委员会已在美国实施了一种新的毕业后医学教育认证体系。这个体系称为下一代认证体系，它更侧重于对住院医师培训结果进行持续监测，对于高质量项目，较少关注培训的详细过程。这使得各项目能够进行创新，以最好地满足学员及其所在社区的需求。这个新体系还会对每个开展毕业后医学教育的机构的临床学习环境进行评估，重点关注职业素养、学员监督、值班时长与疲劳管理、医疗交接，以及住院医师融入患者安全和医疗质量工作的情况。下一代认证体系尚新，还无法全面评估其在让住院医师更好地为医疗实践做准备方面的成效。不过，对其早期实施情况的评估表明，我们有望在不久的将来看到这样的成效。
