title: Navigating the Next Accreditation System: A Dashboard for the Milestones.
abstract: BACKGROUND
  In July 2014, all residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) were enrolled in a new system called the Next Accreditation System. Residency programs may not be clear on how best to comply with these new accreditation requirements. Large amounts of data must be collected, evaluated, and submitted twice a year to the council's Web-based data collection system. One challenge is that the new "end-of-rotation" evaluations must reflect specialty-specific milestones, on which many faculty members are not well versed. Like other residency programs, we tried to address the challenges using our local resources.
  
  
  METHODS
  We used our existing electronic goals and objectives for each rotation coupled with appropriate end-of-rotation evaluations reflecting the specialty-specific milestones through a process of editing and mapping.
  
  
  RESULTS
  Data extracted from these evaluations were added to an interactive dashboard that also contained evaluations on additional program-specific modifiers of residents' performance. A resident's final overall performance was visually represented on a plot graph. The novel dashboard included features to save evaluations for future comparisons and to track residents' progress during their entire training. It proved simple to use and was able to reduce the time needed for each resident evaluation to 5 to 10 minutes.
  
  
  CONCLUSIONS
  This tool has made it much easier and less challenging for the members of our Clinical Competency Committee to start deliberation about each resident's performance.
authors.affiliation: Residency Program Director at Arrowhead Regional/Kaiser Fontana Medical Centers in CA. samir.d.johna@kp.org.
authors.forename: Samir
authors.initials: S
authors.lastname: Johna
authors.affiliation: General Surgery Resident at the Arrowhead Regional/Kaiser Fontana General Surgery Residency Program in CA. bjwoodwa@gmail.com.
authors.forename: Brandon
authors.initials: B
authors.lastname: Woodward
mesh_terms: D000068:Accreditation / Q000458:organization & administration* / Q000592:standards; D002983:Clinical Competence / Q000592:standards*; D003625:Data Collection / Q000379:methods / Q000592:standards; D004503:Education, Medical, Graduate / Q000592:standards*; D004521:Educational Measurement / Q000592:standards*; D006801:Humans; D007396:Internship and Residency / Q000592:standards*