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A New Model for Accreditation of Residency Programs in Internal Medicine
Abstract
A renewed emphasis on clinical competence and its assessment has grown out of public concerns about the safety, efficacy, and accountability of health care in the United States. Medical schools and residency training programs are paying increased attention to teaching and evaluating basic clinical skills, stimulated in part by these concerns and the responding initiatives of accrediting, certifying, and licensing bodies. This paper, from the Residency Review Committee for Internal Medicine of the Accreditation Council for Graduate Medical Education, proposes a new outcomes-based accreditation strategy for residency training programs in internal medicine. It shifts residency program accreditation from external audit of educational process to continuous assessment and improvement of trainee clinical competence.
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“Despite significant investment, we struggled to pragmatically ensure all three components of entrustment – direct observation, feedback, and reflective practice – were fully integrated into the coaching program, with direct observation posing a unique logistic challenge [3,50].”
Citations
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References 15 · Cited by 94
Research works printed but not linked: 3
- Spady WG, 1993, Journal of Curriculum and Supervision, 8, 354
- 2003, Acad Med, 78, 112
- Bell HS, 1997, Fam Med, 29, 701
Metadata
- Authors
- Goroll, A. H., Sirio, C., Duffy, F. D., LeBlond, R. F., Alguire, P., Blackwell, T. A., Rodak, W. E., Nasca, T., & and the Residency Review Committee for Internal Medicine
- Affiliations
- University of Iowa (US)
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2004-06-01
- Volume
- 140
- Issue
- 11
- Pages
- 902-909
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2154216709
- Cited by
- 94
- References
- 15
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 4 · 2014: 5 · 2013: 8 · 2012: 1
- FWCI
- 11.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Keywords
- residency program accreditation, internal medicine residency, clinical competence assessment, trainee assessment, Residency Review Committee, Accreditation Council for Graduate Medical Education, graduate medical education
- MeSH terms
- Accreditation, Certification, Competency-Based Education, Education, Medical, Continuing, Educational Measurement, Patient Care, Humans, Internal Medicine, Internship and Residency, Licensure, United States, Models, Educational
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