Acad Med. 2024 Apr 1;99(4):419-423. doi: 10.1097/ACM.0000000000005464. Epub 2023 Sep 25.
Systematically investigating annual Accreditation Council for Graduate Medical Education (ACGME) Resident/Fellow Survey results by directly gathering trainee feedback could uncover training program problems and clarify misunderstandings as they arise, leading to faster corrective actions and program improvement.
The Focus Group Forum (FGF) was created based on the utilization-focused evaluation approach to systematically gather comprehensive, high-quality, actionable trainee feedback on specific annual ACGME survey results and involve trainees in program improvement (Henry Ford Hospital, 2021). Trainees from programs with survey results indicating <80% compliance within several content areas were invited to attend FGF sessions. During FGF sessions, neutral moderators experienced in conducting focus groups and creating psychologically safe spaces and neutral scribes gathered trainee feedback on survey results through structured, iterative discussions and an anonymous electronic polling system. Summaries of FGF findings were created, combined with actual annual ACGME survey data, and used to develop recommended corrective actions and monitoring plans.
In 2021, 6 training programs had survey results below the institution's compliance threshold for 4-8 of the 9 content areas. Of the 180 trainees (from the 6 programs) invited to attend an FGF session, 79 (44%) participated. Five key issues were identified: misinterpretation of several survey questions, lack of knowledge of institutional policies and procedures, perceived inability to share feedback with faculty, feelings of being overwhelmed with administrative duties, and lack of sufficient protected time for educational activities and requirements.
The authors are developing an FGF process for faculty so that all stakeholders have a voice regarding annual ACGME survey results. They are also improving scheduling processes so that feedback from experienced trainees who are leaving the institution will not be missed and developing longer-term processes for tracking outcomes since time for implementing corrective actions before the next ACGME survey is limited.
通过直接收集学员反馈，系统地调查年度住院医师规范化培训评估委员会（ACGME）住院医师/研究员调查结果，可以发现培训计划存在的问题，并在出现问题时澄清误解，从而更快地采取纠正措施和改进计划。
根据以利用为中心的评估方法，创建了焦点小组论坛（FGF），以系统地收集关于特定年度 ACGME 调查结果的全面、高质量、可操作的学员反馈，并让学员参与计划改进（亨利福特医院，2021 年）。邀请调查结果显示几个内容领域的合规率低于 80%的计划的学员参加 FGF 会议。在 FGF 会议期间，经验丰富的中性主持人进行焦点小组讨论，并营造心理安全的空间，中性记录员通过结构化、迭代讨论和匿名电子投票系统收集学员对调查结果的反馈。创建 FGF 调查结果摘要，结合实际年度 ACGME 调查数据，用于制定建议的纠正措施和监测计划。
2021 年，6 个培训计划在 9 个内容领域中的 4-8 个领域的调查结果低于机构的合规标准。在受邀参加 FGF 会议的 180 名学员（来自 6 个计划）中，有 79 名（44%）参加了会议。确定了 5 个关键问题：对几个调查问题的误解、对机构政策和程序缺乏了解、认为无法与教师分享反馈、感到被行政职责压得喘不过气来、以及缺乏足够的受保护时间用于教育活动和要求。
作者正在为教师开发 FGF 流程，以便所有利益相关者都能对年度 ACGME 调查结果发表意见。他们还在改进日程安排流程，以确保不会错过即将离开机构的有经验学员的反馈，并开发跟踪结果的长期流程，因为在下次 ACGME 调查之前实施纠正措施的时间有限。
