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How Do Emergency Medicine Residency Programs Structure Their Clinical Competency Committees? A Survey
Author(s) -
Doty Christopher I.,
Roppolo Lynn P.,
Asher Shellie,
Seamon Jason P.,
Bhat Rahul,
Taft Stephanie,
Graham Autumn,
Willis James
Publication year - 2015
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.12804
Subject(s) - graduate medical education , accreditation , medicine , milestone , program director , medical education , attendance , voting , descriptive statistics , family medicine , core competency , management , political science , economics , statistics , mathematics , archaeology , politics , law , history
Background The Accreditation Council for Graduate Medical Education ( ACGME ) recently has mandated the formation of a clinical competency committee ( CCC ) to evaluate residents across the newly defined milestone continuum. The ACGME has been nonproscriptive of how these CCC s are to be structured in order to provide flexibility to the programs. Objectives No best practices for the formation of CCC s currently exist. We seek to determine common structures of CCC s recently formed in the Council of Emergency Medicine Residency Directors ( CORD ) member programs and identify unique structures that have been developed. Methods In this descriptive study, an 18‐question survey was distributed via the CORD listserv in the late fall of 2013. Each member program was asked questions about the structure of its CCC . These responses were analyzed with simple descriptive statistics. Results A total of 116 of the 160 programs responded, giving a 73% response rate. Of responders, most (71.6%) CCC s are chaired by the associate or assistant program director, while a small number (14.7%) are chaired by a core faculty member. Program directors ( PD s) chair 12.1% of CCC s. Most CCC s are attended by the PD (85.3%) and selected core faculty members (78.5%), leaving the remaining committees attended by any core faculty. Voting members of the CCC consist of the residency leadership either with the PD (53.9%) or without the PD (36.5%) as a voting member. CCC s have an average attendance of 7.4 members with a range of three to 15 members. Of respondents, 53.1% of CCC s meet quarterly while 37% meet monthly. The majority of programs (76.4%) report a system to match residents with a faculty mentor or advisor. Of respondents, 36% include the resident's faculty mentor or advisor to discuss a particular resident. Milestone summaries (determination of level for each milestone) are the primary focus of discussion (93.8%), utilizing multiple sources of information. Conclusions The substantial variability and diversity found in our CORD survey of CCC structure and function suggest that there are myriad strategies that residency programs can use to match individual program needs and resources to requirements of the ACGME . Identifying a single protocol for CCC structure and development may prove challenging.