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ACGME Outcome Project Update:

Phase III and Beyond





CREOG Competency Task Force



March 2007

CREOG Competency Task Force





Diane M. Hartmann, MD, Chair University of Rochester

Jessica Bienstock, MD, MPH Johns Hopkins University

Mary Ciotti, MD University of California, Davis

Dee Fenner, MD University of Michigan

Tina Foster, MD, MPH Dartmouth University

Lee Learman, MD, PhD University of California, San Francisco

Rebecca McAlister, MD Washington University

Mark Woodland, MS, MD Drexel University

ACGME Outcome Project



 Overview









Diane M. Hartmann, MD

ACGME Outcome Project:

What’s New?

 All RRC Development Courses

completed

 New Institutional Requirements

 New Common Program

Requirements

 New Common PIF

 ACGME Resident Portfolio Project

ACGME Outcome Project:

New Institutional Requirements

(effective 7/07)







I.B.5.b.

“The Sponsoring Institution must ensure that

program directors have sufficient support and

protected time to effectively carry out their

educational and administrative responsibilities

to their respective programs.”

ACGME Outcome Project:

New Institutional Requirements

(effective 7/07)



IV.4.

“The internal review should assess each program’s:

e. Effectiveness in providing learning experiences that

lead to achievement of educational outcomes in

ACGME general competencies;

f. Effectiveness in using evaluation tools and outcome

measures to assess a resident’s level of competence

in each of the ACGME general competencies;

g. Effectiveness in linking educational outcomes with

program improvement.”

ACGME Outcome Project:

Common Program Requirements

(effective 7/07)







New specific language in sections IV. (Educational

Program) and V. (Evaluation) about teaching and

Assessment of the 6 competencies

ACGME Outcome Project:

Evaluations for most programs

should include:



 Global assessments

 In-training exams

 Focused assessments (surgical,

medical, communication)

 Professional associate/patient

assessments

 Methods to record attainment of PBLI,

SBP skills

ACGME Outcome Project:

New Common PIF (effective 7/07)







 Will align requirements and PIF

 Asks specific questions about core

competency teaching, assessment

and faculty development

Competency Methods of Evaluation Evaluator(s)

Global evaluation of Faculty attending

competency-based physicians

Patient Care objectives



Observed history & Teaching attending on

physical using a the general inpatient

checklist service



Review of clinic and Clinic preceptors and

procedure logs Program Director,

respectively



Global evaluation of Faculty attending

competency-based physicians

Example response Medical Knowledge objectives

demonstrating Observation of a Program Director,

Journal Club with Associate Program

substantial predetermined criteria Director and Adolescent

compliance as for assessment Attending



suggested by American Board of

Pediatrics In-Training

Scores determined by

Board but PD discusses

Pediatrics Examination scores and study plan

with residents



Practice-based Global evaluation of Faculty attending

learning & competency-based physicians

Improvement objectives



Review of a quality Faculty expert in QI who

improvement activity serves as mentor for

with predetermined resident QI projects

criteria for assessment



Documented Self- Resident

assessment



Annual documented Resident with mentor

learning plans guidance



Observation and Primary care faculty

documentation of

teaching skills using a

checklist

Cont‟d







Competency Methods of Evaluation Evaluator(s)

Interpersonal & Global evaluation of Faculty attending

Communication Skills competency-based physicians

objectives

Example response

Evaluation by patients Patients, nurses and

demonstrating and allied health other support staff in

professionals using a continuity clinic, PICU

substantial checklist and NICU

compliance as Professionalism Global evaluation of Faculty attending

competency-based physicians

suggested by objectives

Pediatrics Evaluation by patients Patients, nurses and

and allied health other support staff in

professionals continuity clinic, PICU

and NICU

Systems-Based Global evaluation of Faculty attending

Practice competency-based physicians

objectives

Review of written Faculty expert in

reflections managed care who

teaches this segment of

curriculum

Review of a system Director of PICU and M

errors activity using & M activities and

predetermined criteria Program Director

Other helpful resources for assessment

from Pediatrics:

http://www.acgme.org/acWebsite/downloads/RRC_progReq/320pedSubs01012007.pdf

See pages 21-25

ACGME Outcome Project:

What’s Next?

 Reconciliation of Common and

Specialty Program Requirements and

PIF

 More web-based reporting

 Common wording for citations among

specialty review committees

 More consistency among specialty

review committees

WebADS



Program

Common

Requirements

Specialty Specific Resident Surveys

Institutional

Common

Common

Specialty Specific

Specialty Specific RRC Accreditation

Decisions & Citations



Common



Specialty Specific



PIF Site Visitor’s Survey



Common Common



Specialty Specific Specialty Specific

ACGME Outcome Project:

What‟s Next?



 Resident Portfolio Project

Learning Portfolio

ACGME Style





A learning portfolio can be used to support reflective

Learning and practice, to document assessments and

To provide evidence for program and institutional

Accreditation decisions. . .It may eventually facilitate

Individual physician credentialing by various agencies;

e.g., certifying boards, licensing authorities and

Hospital credentialing committees.

ACGME Outcome Project



 Patient Care, Surgery









Dee Fenner, MD

Surgical Skills

Current PIF



Web Accreditation Data System (Web ADS)



 Provide a brief description of two things you have

done since your last review that have most improved

your teaching or assessment of the General

Competencies.

Anticipated 2007

“New PIF”









“Prove to us that you are

confident that residents can

do the standard procedures

needed to graduate.”

Teaching Methods



Clinical Teaching

 Teaching that occurs in the clinic, EDs, ORs, laboratories, or other

medical settings and addresses issues related to residents‟ current patient

cases or clinical responsibilities.



Clinical Experiences

 Direct, hands-on clinical or patient care activities. This may include

surgery, patient exams, the reading of radiographs and preparation of

pathology assays.



Performance Feedback

 Information provided to a resident that describes what (s)he has done well

or poorly and provides specific guidance as to how performance might be

improved.

Teaching Methods



High-Tech Simulators/Simulations

 3-dimensional, high tech, computerized devices

that represent human anatomy and physiological

responses (simulators) are used by residents to

learn procedures and operations. Or realistic

patient care scenarios are generated using high

tech/virtual reality devices (simulations). Residents

engage in the scenario as in real life to learn or

apply clinical or teamwork skills.

Anatomic or Animal Models

 Non-computerized, 3-dimensional devices that

replicate the properties of human anatomical

structures are used by residents to learn

procedures.

Assessment Methods



 Focused Observation and Evaluation -

Supervisor/attending observation of individual

resident-patient encounters, operations, specimen

preparation, etc., and concurrent (same day)

evaluation



 High Tech Simulators/Simulations - Residents'

performance of procedures on a high-tech

simulator (e.g., Harvey) is evaluated; this may

involve built-in evaluation by the simulator or

observation and concurrent evaluation.

Methods



 Anatomic or Animal Models -

Residents' performance of procedures

on non-computerized, 3-dimensional

models that replicate the properties of

human anatomical structures is

observed and evaluated concurrently



 Review of Case or Procedure Log -

Review of number of cases or

procedures performed and comparison

against minimum numbers required

Identify Key Procedures

University of MI

HO – 1 Cases

 Midline episiotomy repair

 Cesarean Section

 Diagnostic laparoscopy/TL



HO- 2 Cases

 Operative Hysteroscopy

 First trimester OB USN and GYN USN

 Endometrial Biopsy (Office)

 Sonohysteroscopy (Office)

Identify Key Procedures

HO-3 Cases

 Abdominal Hysterectomy

 Operative Laparoscopy/Ovarian Cystectomy

 IUD insertion (Mirena or Cu) (Office)

 Office hysteroscopy



HO-4 Cases

 Vaginal Hysterectomy

 TVT

 Total laparoscopic hysterectomy

 Urogyn Office Assessment

Sample Procedure Form

Surgical Competency

Ob/Gyn - UCSF





Evaluator: Date:

Resident: PGY: 1 2 3 4



Rotation:

Diagnosis:



Procedure: Cesarean Delivery

Operative Checklist

Rating X = not seen or indicated 1 = performed but poorly

Key: 0 = not performed but indicated 2 = performed correctly



1. Describe indication for cesarean delivery X 0 1 2

2. Select appropriate skin incision X 0 1 2

3. Separate fascia from abdominal muscle X 0 1 2

Office/Urogyn Evaluation

Rotation:

Diagnosis:

Rating X = not seen or indicated 1 = performed but poorly

Key: 0 = not performed but indicated 2 = performed correctly





Procedure: Urogynecology Assessment - POP-Q, PVR, Review Diary, Simple Cystometry

Procedure Checklist

1. Describe the symptoms of SUI and Urge Inc. X 0 1 2

2. Understands associated risks and contraindications

3. Explains procedure to the patient/ counseling X 0 1 2

4. Perform POP -Q - all points, assess Kegel X 0 1 2

5. Fill in grid X 0 1 2

6. Detrimine prolapse stage X 0 1 2

7. Clean Urethra X 0 1 2

8. Insert Catheter (obtain PVR) X 0 1 2

9. Fill bladder and assess first urge and capacity. X 0 1 2

10. Perform supine and standing stress test X 0 1 2

11. Perform supine and standing stress test X 0 1 2

12. Diary: Determine functional capacity, number voids, avg. X 0 1 2

13. Evaluate incontinence episodes and type of leakage X 0 1 2



Strengths:



Suggestions for Improvement:



Evaluator Signature:



Resident Signature:

Summary





 Must have a documented assessment of

surgical competency.

 OR

 Simulation

 Models

 “Validate numbers”

ACGME Outcome Project



 Interpersonal & Communication Skills









Jessica Bienstock, MD, MPH

Residents must be able to demonstrate

interpersonal and communication skills that

result in effective information exchange and

teaming with patients, their patients families,

Interpersonal and Communication Skills

and professional associates.







Residents are expected to:

1. create and sustain a therapeutic and ethically sound relationship

with patients

2. use effective listening skills and elicit and provide information

using effective nonverbal, explanatory, questioning, and writing

skills

3. work effectively with others as a member or leader of a health

care team or other professional group

ACGME

Teaching Interpersonal and

Communication Skills



Content Setting

 Clinical teaching

 Communication with

 Role modeling

Patients and Families

 Case based teaching



 Interactive workshops or

seminars using role-

plays

Teaching Oral Communication Skills







 Med Teams

 Team training for all staff on L&D

 Didactics and role playing exercises

 Continuing assessment of skills through

Professional Associate Questionnaires

Teaching Oral Communication



 Standardized Communication Exercises

 Consent & Disclosure

 Breaking Bad News

 C-FAC form



 Frequency

 SCE = 3 scenarios/yr

Assessing Oral Communication Skills

 360º Assessment

 Professional Associate Questionnaire

 Patient Assessment of Communication Skills (Patient Satisfaction

Questionnaire)

 Evaluation by

• Medical Students

• Junior Residents

• Senior Residents & Faculty





 Frequency

 Patient Assessment – 3 per ½ day clinic

 Professional Assessment – Every rotation (q 6 wks)

Assessing Interpersonal and

Communication Skills



Content Setting

 Scholarly  Grand Rounds

communication  Presenting

lectures/seminars/

conferences

 Writing abstracts



 Presenting a

poster

 Scholarly articles

Oral Communication



 Evaluation of Grand Rounds Talks

 Evaluation of M&M Conference



 6-8 evaluations over the course of 4 yrs

 45 evaluations per presentation

Teaching Written Communication

Skills





 Didactic session on “How & What to

Chart & Dictate – Effective Medical

Communication”

 Developed by Residents/Faculty/Patient

Safety Nurse

Assessment of Written

Communication



 Charts reviewed by Patient Safety Nurse

 Legibility

 Completeness

 Feedback & suggestions for improvement provided



 Publications

 Book Chapters

 Abstracts & Papers

 1 on 1 mentoring / editing from faculty

Medical Records





 Weekly report produced by medical

records dept and sent to Chair‟s office

 >5 records not dictated results in an e-

mail to the resident and, if not corrected

immediately, a note to their learning

portfolio

Summary

Interpersonal & Communication Skills







 Valid tools have been developed

 Need to use multiple tools & repeat

assessments

 Need input from more than just your faculty

ACGME Outcome Project



 Professionalism







Mary Ciotti, MD

Professionalism



 Resident must demonstrate professionalism as

manifested through a commitment to carrying

out professional responsibilities adherence to

ethical principles and sensitivity to a diverse

patient population



 Professional behavior

 Ethical principles

 Cultural competence

Professionalism

Professional Behavior-Education



 Clinical teaching

 Expectations and measures

 Case based teaching

 Mentoring

 Role modeling

 Role plays and clinical vignettes

Professionalism

Professional Behavior-Evaluation





 Global assessment

 360 degree evaluation

 Patient evaluation

 OSCE

 Portfolio

 Self reflection

PROFESSIONAL ASSOCIATE QUESTIONNAIRE



The Department of OBG places a high value on impersonal skills and humanistic health care. In order to assess these qualities in our housestaff

we are asking you to complete this form for the resident named below. We are interested in your perception of their behavior during their last

rotation relationship with other professionals and with patients and family members.



Resident Name________________________________Date_____________________



 Please indicate the clinical setting you have interacted with the resident ___Labor and Delivery___ Clinic_____Inpatient

 On average how many clinical observations did you have of the resident? 20 _____

 Professional role: □Nurse □ Resident □Attending □Med. Student □ Other_______________



Unsatis Satisfa Excelle Unable

factory ctory nt assess

1. Communication Co mmunicates clearly, is willing to answer questions and provide explanations, willing to listen to patients 1 2 3 4 5 6 7 8 9

and families

Consistently demonstrates willingness to listen to nursing and allied staff 1 2 3 4 5 6 7 8 9

2. Respectfulness Treats others with respect does not demean or make others feel inferior, Provides equitable care to patients, 1 2 3 4 5 6 7 8 9

uses respectful language when discussing patients, is sensitive to cultural needs of patients.

Consistently courteous and receptive to nursing and allied health staff, acknowledges and respects roles of 1 2 3 4 5 6 7 8 9

other health care professionals in patient care.

3. Compassion Is kind to patient and families, appreciates patients and families special needs, and accepts inconvenience 1 2 3 4 5 6 7 8 9

when necessary to meet the needs of the patient, consistently attentive to details of patient comfo rt

4. Reliability Co mpletes and fulfills responsibilit ies, responds promptly when on call or when paged, assists and fills in for 1 2 3 4 5 6 7 8 9

other when needed.

5.Honesty/Integrity Knows limits of ability and asks for help when appropriate, is honest and trustworthy, does not falsify 1 2 3 4 5 6 7 8 9

informat ion, co mmitted to ethical principles

6. Responsibility Accepts responsibility (does not blame others or the system), co mmitted to self-assessment, responds to 1 2 3 4 5 6 7 8 9

feedback, co mmitted to excellence and self- learn ing.

7. Altruism Places patients needs at the forefront of care. 1 2 3 4 5 6 7 8 9

8. Advocate An advocate for patient needs, effectively accesses and coordinates resources to optimize patient care, seeks 1 2 3 4 5 6 7 8 9

to find and correct system causes of medical error.



Please provide comments concerning the resident’s relationships with patients, families and other healthcare professionals

Patient Satisfaction Questionnaire



Please complete the following questionnaire about your recent visit with your doctor.

Your answers will be confidential.



Name of Physician ____________________________Date _______________________







HOW IS THIS DOCTOR AT……… Poor Fair Good Excellent





Telling you everything; being truthful, upfront and frank;

not keeping things from you that you should know



Greeting you warmly: calling you by the name you prefer;

being friendly never crabby or rude



Treating you like you’re on the same level: never talking

down to you or treating you like a child



Letting you tell your story: listening carefully: asking

thoughtful question: not interrupting you while you are

talking



Showing interest in you as person; not acting bored or

ignoring what you have to say



Warning you during the physical exam about what he/she is

going to do and why: telling you what he/she finds



Discussing options with you: asking you opinion: offering

choices and letting you help decide what to do: asking what

you think before telling you what to do



Encouraging you to ask question: answering them clearly:

never avoiding your questions or lecturing you



Explaining what you need to know about your problems,

how and why they occurred and what to expect next



Using words you can understand when explaining your

problem and treatment: explaining any technical medical

terms in plain language.



Comments:







Project Professionalism- ABIM - 1999

360 degree evaluation



Nursing staff







Peers Students



Resident









Faculty Self

PRAIS E CARD



To: Faculty

Fro m Program Director

Re: Praise card about Performance of Resident



Please comp lete and submit this card to me when you wish to praise the performance and/or profess ional

behavior of a resident. This info rmation will be conveyed to the physician and noted in the departmental file.



Name of Physician:_________________ PGY_______________Date__________________



My praise about the performance of this physician is based on his/her demonstration of exceptional ability in the

following:



Please (X)

______Clin ical Judgement _____Professionalism

______Clin ical Skills _____Humanistic qualities

______Medical Knowledge _____Team management

______Communication Skills _____Team leadership

______Teaching ______Research

Co mments:







Name:________________________________ Phone_______________________

Behavior-specific



 Punctuality

 Appearance

 Honesty/Trust

 accountability /trustworthiness

 Compulsiveness

 Responsibility/Sense of Duty

 Response to Criticism

 Initiative

 Self regulation /ability to self assess

 Respect for others

 Interprofessional relationship

Reflection



 Critical Incident

 Concern card

Remediation-How?



 Behavior identified

 Discussed at teaching committee

 Plan made

 Discussion with resident

 Plan developed/Desired outcome determined

 Self reflection

 Portfolio

 Meetings set

 Follow up

Professionalism

Ethics based practice-Education







 Clinical teaching

 Case based teaching/reading/discussion

 Ethics committee

 Ethics lecture/case interactive session/

 Humanistic seminars-self reflection

 Mentoring/Role modeling

Professionalism

Ethics Based practice-Evaluation







 Simulation cases OSCE

 360 degree evaluation

 Portfolio/Self reflection exercise

 Patient evaluation

Cultural Competence





 Clinical teaching

 Cased based teaching

 Interactive workshops

 Lecture/conference/seminar

 Institutional initiative

 Role modeling

 Mentoring

Professionalism

Cultural competence-Evaluation





 360 degree evaluation

 Portfolio

 Self reflection

 OSCE

 Patient evaluation

Evaluating professionalism

Assessment of Program





 Professionalism climate

 Evaluation of environment from students,

and visiting resident/interns

 Feedback from Faculty

 Feedback from residents re:

environment and education while on a

service

ACGME Outcome Project



 Practice-Based Learning & Improvement









Lee Learman, MD, PhD

C. Practice-based Learning

and Improvement





1. Self-assessment and life-long learning



2. Quality improvement



3. Evidence-based practice



4. Teaching skills

1. Self-assessment & LLL



 Mentorship, including mentor selection,

faculty development, mentoring process

and topics.

 Identify specific ways in which the

program fosters self-reflection, self-

assessment and practice improvement

for residents.

 Use of individualized learning plans for

residents.

Mentoring Roles: 1 person or 3?





 Academic Progress (summative)

 semi-annual meetings, advancement,

disciplinary issues, etc.

 Career Development (formative)

 coach, advocate, professional society

sponsor, advisor for career decisions

 Research Mentor

 specifically skilled to help with project

Self-reflection, Self-assessment

An Evaluation Warehouse





Reflection is scored as

evidence of practice-

based learning &

Resident receives, improvement

instructions and selects

experience





Discusses reflection

Reflects and

with mentor

summarizes

Reflection Assignments





 Select one experience that taught you the most about

[insert name of competency]

• Critical appraisal of the literature

• Practice improvement

• Communication, professionalism, SBP, etc…

 Write a short letter for each reflection

• Detailed vignette, linkage to past/future

 Provide evidence of learning

• Journal club review or clinical topic review log

• Practice or systems improvement project

• Note from a patient or colleague

Scoring „Rubric‟



more

superficial



1. Lists evidence of progress from experience





2. Evaluates evidence of progress from experience





3. Monitors evidence of progress



deeper



Professional Development of Reflective Ability. (Davis, personal communication).

UCSF Adaptation

1. Describes encounter only.

more

superficial 2. Unsupported opinions about lessons learned.



3. Superficial justification of lessons learned.



4. Discussion well-supported with examples of

challenges, techniques and lessons learned.



5. Analyzes factors from experience that contribute

to progress.



6. Justifies strategies used and evidence for

deeper effectiveness.

Learman LA, O‟Sullivan P. Does Reflective Ability Grow with Experience and Vary

by Skill? Oral presentation. AAMC Annual Meeting 2006.

Depth of Reflection: Description



• This was a valuable learning experience to

me to not only have continuity of care . .

.but also to develop patient-physician

relationship with her (Communication

skills).

• Based on the articles reviewed we knew that

there was insufficient data to make reliable

conclusions about maternal morbidity and

mortality (Critical appraisal skills).

Depth of Reflection: Analysis



• My natural inclination was to feel frustrated and

defensive when this patient was so angry with me from

the beginning, and I know I can be more empathetic

(Communication skills).

• This was one of the first times that I felt there was so

much discrepancy that there was no right answer. This

was also the first time the way I managed this topic in

practice changed so much after reviewing the evidence.

This experience further solidified the importance of

continuing evidence-based practice when I leave my

training (Critical appraisal skills).

Individualized Learning Plans



 Setting: semi-annual meeting

 Procedure: in advance the resident . . .

• reviews the evaluation data

• completes reflection exercises

• defines strengths and improvement goals in each area

of competency

 Feedback: mentor makes sure assessment and

learning goals are appropriate

 Product: 6-month learning plan

2. Quality Improvement



 List the activities in which residents

actively participate to learn and apply QI

principles, and identify those who

oversee these activities.

 Example of a QI activity/project that

residents have been involved: its

development, goal, implementation, and

evaluation of success.

Active Participation in QI



 Leads M&M presentations using a

systematic approach

 Unit, department or hospital QI meetings

 Mentored project evaluating current

quality indicators or an intervention to

improve them, e.g.:

 C/S rate, surgical site infection rate

 Post-operative pain management

 Pap smear and mammogram ordering

3. Evidence-based Practice



 How are residents taught to examine

their current patient care practices in the

context of scientific evidence and how

does the program instill this skill as a

habit of practice?

 Use a specific clinical example to

illustrate how the program meets this

requirement.

PBLI: Evidence-based

Practice

CREOG

Clinical Topic Review Log Competency





Task Force

Name ___________________________________





Role (Student/Resident)_____________________

Date

Do you plan

Search Terms, to change

Access Resources (MeSH headings, your

Clinical (MedLine, Cochrane, Methods of Limiting Level of practice?

Question (s) Textbook, on-line ref) Literature etc.) Evidence What was learned How?









I Large randomized trials with clear-cut results (and low

risk of error)

II Small randomized trials with uncertain results (and

moderate to high risk of error)

III Nonrandomized trials with concurrent or

contemporaneous controls

IV Nonrandomized trials with historical controls

V Case series with no controls

Modified by UCSF Ob/Gyn from the

Critical Appraisal Exercise (PBLI) CREOG Competency Task Force





Name of Presenter _____________________________________________





Date _____________________________







Clinical Search Strategy and Search Terms Magnitude of Expected Effect Level of

Question(s) (MedLine, Cochrane, Textbook, on-line ref) (e.g. # needed to treat for benefit & harm) Evidence*





What was learned Do you plan to change your practice? How?





*LEVEL OF EVIDENCE

GOOD Large randomized trials with clear-cut results (and low risk of error)

FAIR Small randomized trials with uncertain results (and moderate to high risk of error)

or nonrandomized trials with concurrent or contemporaneous controls

POOR Nonrandomized trials with historical controls or case series with no controls





Goal Met



1 - Refined question to be clinically focused and relevant  Yes  No



2 - Used logical, focused search strategy  Yes  No



3 - Summarized findings into clinically relevent metric (e.g. NNT)  Yes  No

4 - Considered health policy implications of findings (e.g. feasibility, cost, harms)  Yes  No



5 - Discussed limitations of current evidence  Yes  No



6 - Discussed areas of future research  Yes  No







Evaluator ____________________________________ Signature _______________________________

4. Teaching Skills



 Describe how residents learn teaching

skills, opportunities for teaching, and

how the residents‟ skills are assessed,

including specific tools if used.

 Indicate (yes/no) whether residents

participate in the teaching of other

Ob/Gyn residents, residents in other

specialties, medical students, nurses,

other medical personnel.

Teaching Residents to Teach



 New intern orientation

 Resident core lectures, retreats

 Institutional programs, “fellowships”

 CREOG/APGO Resources

 REFEREE

 Resident Workshops

 Observation and feedback

 Workshops

 Real-time

Resident Educators/Faculty Educators:

Recommendations for Educational Excellence

(REFEREE)

Resident Educators/Faculty Educators: Recommendations for Educational

Excellence (REFEREE) is a new program that is being developed by the

Committee on Resident Education in Obstetrics and Gynecology (CREOG) and

the Association of Professors in Gynecology and Obstetrics (APGO).



The first module in this highly interactive online program is a course on how to

provide feedback. It includes virtual situations where the user, who may be a

resident, medical student, fellow, or faculty member, reviews interactions and

techniques presented in slice-of-life scenarios. Options are provided for answering

questions, giving input, challenging assumptions, and suggesting solutions.

REFEREE provides answers or suggestions for improvement to the user, and then

moves on to new scenarios for learning as previous ones are mastered.



Planning is underway to secure funding for additional modules.



http://www.ja-online.com/referee

.

CREOG LEADERSHIP WORKSHOP FOR

RESIDENTS

The purpose of this program is to equip senior residents with the knowledge and

skills necessary to serve as leaders and exemplary teachers for the residents and

medical students for whom they are responsible. It is expected that by the end of the

program participants will have learned general principles of leadership and education,

as well as specific tips for immediate practice and application.



TOPICS TO BE COVERED

• Role of the Resident

• Establishing Climate

• Physician as a Coach

• Clinical Teaching Skills

• Leadership/Working Styles

• Creating Productive Teams

• Best Practices

• Teaching in the Ambulatory Setting

• Giving Feedback on Performance

• Conflict Resolution: Acting as a liaison between faculty and residents

• Preparing for Life after Residency-Practice and Fellowship issues addressed

University of California, San Francisco

OB-Gyn Clerkships



Analysis of Educator Performance



Evaluation Type: Medical Student of Resident

Time Period: 11/24/2006 to 02/24/2007

Time Period Type: Request Date

Report Date: 02/24/2007



Expanded View To Educator Comments To Time Series



Question ID Question Zero Count Applicable Answers Mean Scale Std

Conveyance of Information

29551 Convey information clearly. 0 116 4.72 1 to 5 0.54

Teaching Enthusiasm

Provide enthusiastic and stimulating

29552 teaching. 0 116 4.72 1 to 5 0.54

Approachability

29553 Be approachable and available. 1 115 4.72 1 to 5 0.54

Direction and Feedback

29554 Provide direction and feedback. 6 110 4.55 1 to 5 0.66

Caring/Ethical Behaviors

29556 Model caring and ethical behavior. 1 115 4.87 1 to 5 0.34

Cultural Sensitivity

29557 Model culturally sensitive patient care. 8 108 4.89 1 to 5 0.32

Promotion of Critical Thinking

29558 Promote critical thinking. 3 113 4.6 1 to 5 0.58

Observation

My preceptor/attending observed me with

29559 patients 12 104 4.55 1 to 5 0.67

Treat me with Respect



29560 I was treated with respect by this individual 0 116 4.91 1 to 5 0.35

Treat Others with Respect

I observed others (students, residents, staff,

patients) being treated with respect by this

29561 individual 0 116 4.9 1 to 5 0.38

Teaching Skills, Overall

29562 Overall teaching effectiveness. 2 114 4.67 1 to 5 0.56

UCSF Academy of Medical Educators TOP Observation Form: Lecture/Seminar

NAME: _____________________________________ OBSERVER: _________________________________

TOPIC: _____________________________________________________________________________________

FOCUS OF OBSERVATION (discuss w/ mentee in advance): __________________________________________

____________________________________________________________________________________________



INTRODUCTION OBSERVATIONS

1. Introduced topic, stated objectives, offered preview.

2. Gained attention and motivated learning.

3. Established climate for learning and for participation

BODY OF LECTURE OBSERVATIONS



1. Presented 3-5 main points in clear and organized fashion.

2. Provided supporting materials, examples, and summaries

3. Content level

4. Effectively used visuals, handouts, and/or demonstartions. Include AV

problems (if any), effective use of slides (set stage for each slide,

focused audience on important parts of slides), use of pointer.

5. Varied presentations (used blackboard, slides, visuals)

6. Transitions between topics

CONCLUSION OBSERVATIONS

1. Summarized major principles, key points without introducing new

materials.

2. Provided closure or stimulated further thought

TEACHER DYNAMICS OBSERVATIONS

1. Exhibited enthusiasm and stimulated interest in content.

2. Used appropriate voice, gestures, movement, and eye contact.

Avoidance of unconscious use of repeated words (eg “um”,

“ok”).

3. Encouraged active participation.

4. Used questions to stimulate thought and discussion.

5. Response to questions (repeated or rephrased question, concise

answer).

PBLI Key Points





1. Self-assessment and life-long learning

• Mentorship, reflection, individualized learning plans





2. Quality improvement

• Active participant in supervised QI, specific project example





3. Evidence-based practice

• Examine patient care in the context of scientific evidence, specific

clinical example





4. Teaching skills

• Describe how teaching skills are learned and assessed (tools), list

who residents teach

ACGME Outcome Project



 Systems-Based Practice









Rebecca McAlister, MD

D. Systems-Based Practice





1. Teaching and Evaluation



Address how the elements of SBP are

TAUGHT by describing content and methods

of teaching.

SBP Content Areas



 Business of Medicine

 Medico-legal aspects of medicine

 Cost effectiveness

 Patient advocacy / patient safety

 Team building / team leading

 Root cause systems-based analysis of

error

Business of Medicine



 Billing and coding curriculum



 Practice management seminars



 HIPAA training

Medico-legal Aspects of OBGYN



 Risk management discussions/ mtgs



 Exercises in proper documentation/ charting/

dictations



 Mock depositions / trials



 Practice management discussions of types of

professional liability insurance

Cost Effectiveness



 Reference listings of costs of common:

 Drugs

 Tests

 Procedures





 Case based discussions of alternative tx

plans

Pt Advocacy / Pt Safety



 Didactic sessions on legislative efforts in

Women‟s Health issues



 Discharge planning with interdisciplinary teams



 JCAHO training



 Didactic sessions on physician fatigue /

sleepiness

Team Building / Leading





 Leadership skills for residents



 Discharge planning with interdisciplinary

teams



 Interdisciplinary conferences

Root Cause Analysis of Error

2. Reflective Practice





 Describe resident activity (in)

experimental learning to address

system-causes of error







 State who guides / supervises in this

activity

Critical Incident



 Hypothetical or real clinical scenarios



 Anonymous or personal involvement



 Analyze system based issues



 Devise safeguards to prevent



 Review by attending and place in portfolio

ANALYSIS OF MEDICAL ERROR



The resident is to identify an adverse patient outcome or a “near miss” event that

would have led to an adverse outcome. The resident then analyses the event from

a systems based approach, identifying the “latent” causes for error in the systems

that allowed the individuals involved to err. The resident then identifies possible

changes that could be made in the system to prevent a recurrence of a similar

adverse event. The resident may utilize a “fishbone” diagram to organize the

analysis of the medical error. The resident may either submit a written summary

of the above analysis to be included in the portfolio or present the analysis in a

departmental conference such as Morbidity and Mortality.



PROCESS PEOPLE



ADVERSE

PATIENT

OUTCOME

UNDERLYING

DRIVERS

COUNTERMEASURE



POLICIES ENVIRONMENT

ACGME Outcome Project



 Faculty Development and Evaluation









Mark Woodland, MS, MD

Outcomes Project

Faculty Education

 Program Level

 Program Annual Review

 Departmental Meetings

• Faculty Meetings

• Education Committee Meetings

• Resident Education Meetings

 Institutional Level

 GMEC Emphasis

 Internal Review Process

 Institutional Meetings

 Evaluation Tools Development & Utilization

Faculty Development Outcomes Project









 Why competency based education initiative?

 What is the outcomes project and how does it

affect us?

 How to we evaluate resident competency?

 How do we measure achievement of

competency?

 How do we change or modify our programs to

produce better outcomes?

 What are our next steps?

Example: Development of A

Competency Based Curriculum



 Work directly with our residents and faculty.

 Critically Assess each rotation/education

experience

 Developed a template for each rotation

 Re-organize goals and objectives in the 6 areas of

competency

 Developing assessment methods in achievement of

competency specific to goals an objectives

Resources from the ACGME Website







Educating Physicians for the 21st Century

“Educating Physicians for the 21st Century,” a series of five PowerPoint presentations with a Facilitator‟s Manual, is a new

educational resource from the Research and Education Department. The Facilitator‟s Manual contains speaker notes and

discussion questions to help Program Directors give these presentations during faculty meetings or educational retreats. If you

wish to provide feedback, click here.



Educating Physicians for the 21st Century - Introduction (web-based learning module)





Facilitator's Manual

 Module 1 - Introduction to Competency-Based Resident Education (PowerPoint)









Facilitator's Manual

 Module 2 - Practical Implementation of the Competencies (PowerPoint)



Facilitator's Manual

 Module 3 - Developing an Assessment System (PowerPoint)



Facilitator's Manual

Curriculum Template (MS Word)

 Module 4 - Developing a Competency-based Curriculum (PowerPoint)





Coming Soon:





Facilitator's Manual

 Module 5 - Educational Quality Improvement (PowerPoint)

ACGME Curriculum Template

Description of Rotation or Educational Experience

Insert brief description of rotation or educational experience

Include rotational goals

PATIENT CARE

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health

problems and the promotion of health. Residents are expected to:

Competencies

[Insert specialty specific requirements]

Objectives

Insert specialty specific requirements or insert measurable objectives that align with specialty specific curriculum

MEDICAL KNOLEDGE

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral

sciences, as well as the application of this knowledge to patient care. Residents are expected to:

Competencies

[Insert specialty specific requirements]

Objectives

Insert specialty specific requirements or insert measurable objectives that align with specialty specific curriculum

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

Example: Implementation Competency

Assessment Tools

 Annual Program Evaluation

 Fully Implemented

 Global Assessment Tools

 Fully Implemented

 Focused Assessment Tools

 Partially Implemented

 360 Degree Assessment Tools

 Under Construction

 Partially Implemented

 Systems Based Feed Back Tools

 Partially Implemented

ACGME Curriculum Template

Description of Rotation or Educational Experience

Insert brief description of rotation or educational experience

Include rotational goals

PATIENT CARE

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health

problems and the promotion of health. Residents are expected to:

Competencies

[Insert specialty specific requirements]

Objectives

Insert specialty specific requirements or insert measurable objectives that align with specialty specific curriculum

MEDICAL KNOWLEDGE

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral

sciences, as well as the application of this knowledge to patient care. Residents are expected to:

Competencies

[Insert specialty specific requirements]

Objectives

Insert specialty specific requirements or insert measurable objectives that align with specialty specific curriculum

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

Introduction to Competency-Based

Residency Education









Joyce, 2006

Objectives

Upon completion of this module, Program Directors and

faculty will be able to:



State foundational concepts of the Outcome Project



State the requirements related to the general

competencies in the Common Program Requirements



Describe expectations of the Outcome Project timelines

What is Competency-based Education?



Competency-based education focuses on learner

performance (learning outcomes) in reaching specific

objectives (goals and objectives of the curriculum).

Developing an Assessment System





B. Joyce, PhD 2006

Objectives



 Identify components of an assessment system



 Identify important criteria for an assessment system



 Identify a set of assessment tools for use in your

program

Why assess?





Whatever we measure, we tend to improve





D. Leach

Practical Implementation of the

Competencies









B. Joyce, 2006

Objectives

• Identify examples of educational content in your

program for each of the competencies



• Identify settings currently used in your program

to teach each of the competencies



• Identify an educational improvement plan for

teaching the competencies

Developing A Competency-based

Curriculum



B. Joyce, Ph.D.

Objectives

• Develop a competency-based curriculum for a

rotation or educational experience



• Develop goals and objectives for the rotation or

educational experience



• Appreciate the importance of linking objectives

with assessment methods

Six Steps to Developing a Competency-

based Curriculum

1. Conduct needs assessment

2. Identify competencies addressed by this rotation

or experience

3. Write goals and objectives

4. Determine teaching methods

5. Determine assessment methods

6. Determine program improvement methods

Faculty Development



 We have found…..

 This is the most difficult issue for us to date.

 It has been important for us to address from both the

departmental and institutional level through…

• Internal Reviews

• GMEC Initiatives

• Institutional Initiatives

o 360 Degree Evaluation

• DrexelMed GME Journal

ACGME Outcome Project



 Portfolios – What Might We Expect from

the ACGME?









Tina Foster, MD, MPH

ACGME and Portfolios



 Moving ahead with design of web-based

portfolio

 Will start “alpha test” this spring – small

scale use in several specialties

 Will scale up following this to larger pool

of “beta test” sites

 As part of this team, I REALLY DO want

your input.

Why a Portfolio?



• Need to shift accreditation from process to

outcomes

• Need for developmental assessment

• Need for national assessment tools

• Need to reduce or at least understand burden

• Need to foster better conversation

• Need to collaborate with other organizations

• And TO FOSTER BETTER LEARNING (for

residents, programs, institutions, and RRCs)

So What Does All That Mean?



 One place for record of resident experience:

evaluations, case logs, other work. Portions of

record can move forward with resident after

completion of training.

 With a better record of what residents have

done and how they have demonstrated

competency, PDs can more easily assess their

program outcomes and DIOs their institutional

outcomes. RRCs can benefit from aggregated

data; aspects of portfolio could replace some of

PIF narrative

My Experience



 Primarily in an unusual combined Prev Med

residency, but many aspects generalizable to

our ob-gyn program

 Evaluations – similar benefits to other systems

 Collection of resident work and prompts for

reflection/evaluation – residents like having a

record of what they have done and appreciate

the feedback

 Threaded discussion/critical incidents can be

very powerful

Known Challenges



 No added burden – or if burden is added

here, where do we take it away?

 If we have to add a little burden…how do

we know it‟s worth it? What‟s the added

value?

 Link to post-residency activities will be

important - -this is a “lifelong” portfolio

PIF Section 998/999



 Mentoring – easy to show that residents have mentors; process

and level of activity visible

 Individualized learning plan can be aprt of portfolio; who looks

at it and when they are updated easy to see

 QI activities: demonstrated by QI learning activity in portfolio

 Evidence-based practice: ditto

 Teaching Skills: record of resident teaching activites; evaluation

and reflections

 Evaluation of professionalism: 360 instrument in portfolio

 Reflective practice: critical incidents or threaded discussion,

prompts for reflection in portfolio

 Work in interdisciplinary teams, errors and systems – “product”

in portfolio

 Evaluation distribution and collection

 Review of performance



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