A new model for accreditation of residency programs in internal medicine.
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.
Goroll
Allan H
AH
Massachusetts General Hospital, Ambulatory Care Center, and Harvard Medical School, Boston, Massachusetts 02114, USA. ahgoroll@partners.org
Sirio
Carl
C
Duffy
F Daniel
FD
LeBlond
Richard F
RF
Alguire
Patrick
P
Blackwell
Thomas A
TA
Rodak
William E
WE
Nasca
Thomas
T
D000068:Accreditation; D002568:Certification; D003162:Competency-Based Education / Q000592:standards*; D004502:Education, Medical, Continuing / Q000592:standards; D004521:Educational Measurement / Q000592:standards; D006801:Humans; D007388:Internal Medicine / Q000193:education* / Q000592:standards; D007396:Internship and Residency / Q000592:standards*; D008004:Licensure; D017145:Models, Educational; D005791:Patient Care / Q000592:standards; D014481:United States