Implementation of Nephrology Subspecialty Curricular Milestones
| Autor: | James D. Oliver, Kevin C. Abbott, Christina M. Yuan, Lisa K. Prince, Robert Nee |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Medical knowledge
Medical education business.industry Graduate medical education Interpersonal communication Hospitals Military Subspecialty United States Accreditation Objective assessment Education Medical Graduate Nephrology Schema (psychology) Milestone (project management) Humans Medicine Clinical Competence Curriculum Educational Measurement Fellowships and Scholarships business Goals |
| Zdroj: | American Journal of Kidney Diseases. 66:15-22 |
| ISSN: | 0272-6386 |
| DOI: | 10.1053/j.ajkd.2015.01.020 |
| Popis: | Beginning in the 2014-2015 training year, the US Accreditation Council for Graduate Medical Education (ACGME) required that nephrology Clinical Competency Committees assess fellows' progress toward 23 subcompetency "context nonspecific" internal medicine subspecialty milestones. Fellows' advancement toward the "ready for unsupervised practice" target milestone now is tracked in each of the 6 competencies: Patient Care, Medical Knowledge, Professionalism, Interpersonal Communication Skills, Practice-Based Learning and Improvement, and Systems-Based Practice. Nephrology program directors and subspecialty societies must define nephrology-specific "curricular milestones," mapped to the nonspecific ACGME milestones. Although the ACGME goal is to produce data that can discriminate between successful and underperforming training programs, the approach is at risk to produce biased, inaccurate, and unhelpful information. We map the ACGME internal medicine subspecialty milestones to our previously published nephrology-specific milestone schema and describe entrustable professional activities and other objective assessment tools that inform milestone decisions. Mapping our schema onto the ACGME subspecialty milestone reporting form allows comparison with the ACGME subspecialty milestones and the curricular milestones developed by the American Society of Nephrology Program Directors. Clinical Competency Committees may easily adapt and directly translate milestone decisions reached using our schema onto the ACGME internal medicine subspecialty competency milestone-reporting format. |
| Databáze: | OpenAIRE |
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