The Clinical Competency Committee (CCC) Information current as

The Clinical Competency Committee (CCC) Information current as

The Clinical Competency Committee (CCC) Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Goals How do we assess for Milestones? What does the ACGME expect for CCCs? How can CCCs work? Information current as of December 2, 2013

2013 Accreditation Council for Graduate Medical Education (ACGME) Milestone Assessment A desire for objective methods of assessment and provide better feedback Provide a process for early identification of residents that are having difficulties A desire to encourage innovation Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Milestones Assessment

Several evaluators are better than one Size, composition, frequency, workflow may have to vary and is difficult to regulate Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Clinical Competency Committee V.A.1.b) There must be a written description of the responsibilities of the Clinical Competency (Core)

Committee. ACGME Common Program Requirements Approved: February 7, 2012; Effective: July 1, 2013 Approved focused revision: June 9, 2013; Effective: July 1, 2013 Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Clinical Competency Committee V.A.1. The program director must appoint the Clinical Competency Committee.(Core) V.A.1.a) At a minimum the Clinical Competency Committee must be composed of three members of the program faculty.(Core)

V.A.1.a).(1) Others eligible for appointment to the committee include faculty from other programs and nonphysician members of the health care team.(Detail) ACGME Common Program Requirements Approved: February 7, 2012; Effective: July 1, 2013 Approved focused revision: June 9, 2013; Effective: July 1, 2013 Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Clinical Competency Committee V.A.1.b).(1) The Clinical Competency Committee should: V.A.1.b).(1).(a) review all resident evaluations semi- annually; (Core) V.A.1.b).(1).(b) prepare and assure the reporting of Milestones evaluations of each resident semi-annually to ACGME; and, (Core) V.A.1.b).(1).(c) advise the program director regarding

resident progress, including promotion, remediation, and dismissal.(Detail) ACGME Common Program Requirements Approved: February 7, 2012; Effective: July 1, 2013 Approved focused revision: June 9, 2013; Effective: July 1, 2013 Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Clinical Competency Committee How the CCC does its work may be decided by the Program Director Subcommittees Assigning residents to faculty members for pre-review

Pre-review work will vary Some CCCs meet more than twice a year Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Clinical Competency Committee The program directors role on the CCC The program coordinators role on the CCC Residents and fellows cannot be members of the CCC Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME)

Reporting the Milestones V.A.1.b).(1).(b) prepare and assure the reporting of Milestones evaluations of each resident semiannually to ACGME (Core) Milestones are reported directly through ADS Reporting windows are: November 1-December 31 May 1-June 15 Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Clinical Competency Committee Operative Performance Rating

Scales Mock Orals Nursing and Ancillary Personnel Evaluations OSCE Peer Evaluations Information current as of December 2, 2013 Self

Evaluations End-ofRotation Evaluations ITE Case Logs Unsolicited Comments Sim Lab Clinical Competency

Committee Assessment of Milestones Student Evaluations Clinic Workplace Evaluations Patient/ Family Evaluations 2013 Accreditation Council for Graduate Medical Education (ACGME)

What Should a CCC Do First? Learn your specialty Milestones Posted on acgme.org Decide how to assess the Milestones If necessary, identify new evaluation tools from program director associations, societies, colleges Faculty members should: Discuss definitions and narratives Agree on the narratives Learn about assessment tools

Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME) Summary How do we assess for Milestones? What does the ACGME expect for CCCs? How can CCCs work? Information current as of December 2, 2013 2013 Accreditation Council for Graduate Medical Education (ACGME)

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