Kane Kathleen, Weaver Kevin, Barr Gavin, Quinn Shawn, Goyke Terrence, Smith Amy, Yenser Dawn, Kane Bryan
J Am Osteopath Assoc. 2018 Jun 1;118(6):410-415. doi: 10.7556/jaoa.2018.085.
The Emergency Medicine Milestones Project, developed by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Emergency Medicine, includes competence targets for residents to attain and, ultimately, to exceed American Osteopathic Association and ACGME expectations for residents. The authors sought to use the clinical pathologic conference (CPC) format in their institutions' Emergency Medicine Milestones Project to provide measurable residency academic and faculty development outcomes. The CPC is an event in which a resident presents an unknown case to a discussant in advance of a didactic session to demonstrate an organized approach and decision-making rationale to a differential diagnosis. Feedback forms included the assessment of resident discussants from the perspective of level-5 Milestone achievements in particular. Developing an internal CPC competition with a dedicated core faculty coordinator who provides skill development for both resident and faculty presentation has proven successful. Such a competition can document the level-5 achievements for senior residents, be a source of faculty development, and increase peer-reviewed academic output.
由毕业后医学教育认证委员会（ACGME）和美国急诊医学委员会共同开展的急诊医学里程碑项目，包含住院医师需要达成的能力目标，最终目标是超越美国骨科协会和ACGME对住院医师的期望。作者试图在其机构的急诊医学里程碑项目中采用临床病理讨论会（CPC）的形式，以提供可衡量的住院医师学术和教师发展成果。CPC是这样一个活动：住院医师在教学会议之前向一位讨论者展示一个未知病例，以展示对鉴别诊断的有条理的方法和决策依据。反馈表尤其包括从5级里程碑成就的角度对住院医师讨论者的评估。开展一场内部CPC竞赛，由一位专门的核心教员协调员为住院医师和教员的展示提供技能培养，已证明是成功的。这样的竞赛可以记录高年级住院医师的5级成就，成为教员发展的一个来源，并增加经过同行评审的学术产出。
