Hernandez Raquel G
1Johns Hopkins All Children's Hospital,Johns Hopkins Medicine,St. Petersburg,Florida,United States of America.
Cardiol Young. 2016 Dec;26(8):1459-1464. doi: 10.1017/S1047951116002444.
The development of new graduate medical education programmes provides both opportunities and challenges. Efforts to address physician workforce shortages as well as a realisation that curricula need to be updated to adjust to our rapidly changing healthcare environment have resulted in more educators considering the "how to" and "what's new" of programme development. Understanding the Next Accreditation System, an accreditation system introduced by the Accreditation Council of Graduate Medical Education in 2012, is critical to the success of new as well as existing residency and fellowship programmes. Although many educators are aware of the general rational for the Next Accreditation System, an in-depth understanding of the meaning of Next Accreditation System is necessary from an experiential and theoretical perspective to be able to successfully launch new programmes and moves towards accreditation. A new paediatric categorical residency programme and a new paediatric surgical programme were developed at our institution immediately following the implementation of Next Accreditation System. We provide a series of insights and perspectives based on our experience relative to what priorities we saw outlined from both the programmatic and the institutional perspective to have our graduate medical education programmes reviewed for accreditation. During this discussion, the following objectives are outlined: to overview the Next Accreditation System as a framework and priorities, to discuss the opportunities and challenges that may exist in developing new programmes, and to discuss future directions in the evaluation of trainees and assessment of training competency. Although challenges are outlined, we hope to relay the continued excitement and opportunities that exist relative to enhancing training curricula for future graduate medical education programme builders.
新的毕业后医学教育项目的发展既带来了机遇，也带来了挑战。为解决医生劳动力短缺问题所做的努力，以及认识到课程需要更新以适应快速变化的医疗环境，促使越来越多的教育工作者思考项目开发的“如何做”和“新内容”。了解毕业后医学教育认证委员会于2012年引入的认证体系——下一代认证体系，对于新的以及现有的住院医师培训和专科培训项目的成功至关重要。尽管许多教育工作者了解下一代认证体系的总体理念，但从实践和理论角度深入理解其含义，对于成功推出新项目并迈向认证是必要的。在实施下一代认证体系后，我们机构立即开发了一个新的儿科分类住院医师培训项目和一个新的儿科外科项目。我们根据自身经验，就从项目和机构角度确定的哪些优先事项可使我们的毕业后医学教育项目接受认证审查，提供了一系列见解和观点。在本次讨论中，概述了以下目标：将下一代认证体系作为一个框架和优先事项进行概述，讨论开发新项目可能存在的机遇和挑战，以及讨论学员评估和培训能力评估的未来方向。尽管列出了挑战，但我们希望向未来毕业后医学教育项目建设者传达在加强培训课程方面持续存在的兴奋点和机遇。
