How changing quality management influenced PGME accreditation: a focus on decentralization and quality improvement
| Autor: | Fedde Scheele, Emma Paternotte, Kiki M. J. M. H. Lombarts, Nesibe Akdemir, Bas Schreuder |
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| Přispěvatelé: | APH - Quality of Care, Center for Evidence Based Education, Other Research, IOO |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Medical education
Quality management 020205 medical informatics media_common.quotation_subject education lcsh:Medicine Documentation 02 engineering and technology Decentralization Accreditation Postgraduate medical education Education 03 medical and health sciences 0302 clinical medicine Self-evaluation 0202 electrical engineering electronic engineering information engineering Humans Medicine Quality (business) 030212 general & internal medicine health care economics and organizations Netherlands media_common Vision document lcsh:LC8-6691 lcsh:Special aspects of education business.industry lcsh:R International comparisons General Medicine Quality Improvement Quality Education Medical Continuing business Quality assurance Certification and Accreditation Program Evaluation Research Article |
| Zdroj: | BMC medical education, 17(1). BioMed Central BMC Medical Education, 17(1). BioMed Central BMC Medical Education Akdemir, N, Lombarts, K M J M H, Paternotte, E, Schreuder, B & Scheele, F 2017, ' How changing quality management influenced PGME accreditation : a focus on decentralization and quality improvement ', BMC Medical Education, vol. 17, no. 1, pp. 98 . https://doi.org/10.1186/s12909-017-0937-9 BMC Medical Education, Vol 17, Iss 1, Pp 1-9 (2017) |
| ISSN: | 1472-6920 |
| DOI: | 10.1186/s12909-017-0937-9 |
| Popis: | BACKGROUND: Evaluating the quality of postgraduate medical education (PGME) programs through accreditation is common practice worldwide. Accreditation is shaped by educational quality and quality management. An appropriate accreditation design is important, as it may drive improvements in training. Moreover, accreditors determine whether a PGME program passes the assessment, which may have major consequences, such as starting, continuing or discontinuing PGME. However, there is limited evidence for the benefits of different choices in accreditation design. Therefore, this study aims to explain how changing views on educational quality and quality management have impacted the design of the PGME accreditation system in the Netherlands.METHODS: To determine the historical development of the Dutch PGME accreditation system, we conducted a document analysis of accreditation documents spanning the past 50 years and a vision document outlining the future system. A template analysis technique was used to identify the main elements of the system.RESULTS: Four themes in the Dutch PGME accreditation system were identified: (1) objectives of accreditation, (2) PGME quality domains, (3) quality management approaches and (4) actors' responsibilities. Major shifts have taken place regarding decentralization, residency performance and physician practice outcomes, and quality improvement. Decentralization of the responsibilities of the accreditor was absent in 1966, but this has been slowly changing since 1999. In the future system, there will be nearly a maximum degree of decentralization. A focus on outcomes and quality improvement has been introduced in the current system. The number of formal documents striving for quality assurance has increased enormously over the past 50 years, which has led to increased bureaucracy. The future system needs to decrease the number of standards to focus on measurable outcomes and to strive for quality improvement.CONCLUSION: The challenge for accreditors is to find the right balance between trusting and controlling medical professionals. Their choices will be reflected in the accreditation design. The four themes could enhance international comparisons and encourage better choices in the design of accreditation systems. |
| Databáze: | OpenAIRE |
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