Program Performance in the Next Accreditation System (NAS): Results of the 2015–2016 Annual Data Review

Byrne, Lauren M.; Miller, Rebecca S.; Philibert, Ingrid; Ling, Louis J.; Potts, John R.; Lieh-Lai, Mary; Nasca, Thomas J.

doi:10.4300/jgme-d-17-00320.1

Cited by 5 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Change in the world of GME was compounded by the introduction of the duty hour requirements at about the same time [53]. The ACGME has moved further along the path of competency-based training with the introduction of milestones as a focus of the new accreditation system (NAS) [54, 55]. Competencies also have been linked to Entrustable Professional Activities [56].…”

Section: Discussionmentioning

confidence: 99%

Medical education today: all that glitters is not gold

2019

View full text Add to dashboard Cite

Background The medical education system based on principles advocated by Flexner and Osler has produced generations of scientifically grounded and clinically skilled physicians whose collective experiences and contributions have served medicine and patients well. Yet sweeping changes launched around the turn of the millennium have constituted a revolution in medical education. In this article, a critique is presented of the new undergraduate medical education (UME) curricula in relationship to graduate medical education (GME) and clinical practice. Discussion Medical education has changed and will continue to change in response to scientific advances and societal needs. However, enthusiasm for reform needs to be tempered by a more measured approach to avoid unintended consequences. Movement from novice to master in medicine cannot be rushed. An argument is made for a shoring up of biomedical science in revised curricula with the beneficiaries being nascent practitioners, developing physician-scientists --and the public. Conclusion Unless there is further modification, the new integrated curricula are at risk of produce graduates deficient in the characteristics that have set physicians apart from other healthcare professionals, namely high-level clinical expertise based on a deep grounding in biomedical science and understanding of the pathologic basis of disease. The challenges for education of the best possible physicians are great but the benefits to medicine and society are enormous.

show abstract

Section: Discussionmentioning

confidence: 99%

Medical education today: all that glitters is not gold

2019

View full text Add to dashboard Cite

show abstract

“…96 In recent years, pathology programs have been busy adapting to current trends in graduate medical education, including competency-based education (six ACGME competencies), milestones, the rise of postresidency fellowships, and maintenance of certification. [97][98][99][100] In undergraduate medical education, the pathology course encompassing general and systems pathology occupied a pivotal role in the Flexnerian two-pillar model of medical education. 21,22 Pathology education became strongly influenced by Stanley Robbins' textbook, first published in 1957, which linked anatomic pathology to pathophysiology and clinical correlation and had a vibrant writing style.…”

Section: Undergraduate and Graduate Medical Educationmentioning

confidence: 99%

The Texas Society of Pathologists: molded by the legacy of pathology and focused on excellence in medicine for 100 years and beyond

Buja

2020

Baylor University Medical Center Proceedings

View full text Add to dashboard Cite

In 1921, 16 Texas pathologists gathered in Dallas, Texas, to found the Texas Society of Pathologists (TSP). The TSP is now the oldest state pathology society in the USA with continuity traced back to its founding 100 years ago. This article aims to both commemorate the TSP centennial and to provide context for the remarkable success of the society. The article takes a look back and a look forward from 1921. The look back focuses on the development of the field of pathology and the maturation of medicine and pathology in the USA and Texas. The look forward encompasses developments in science, technology, American health care policy, and medicine that have impacted Texas pathologists and influenced proactive initiatives of the TSP. The review of the life and times of the TSP highlights the importance of leaders and leadership in shaping outcomes. Complexities and uncertainties of the contemporary health care scene point to the need for continued strong leadership. The successful past century and hopeful future of the TSP are inextricably linked to the guiding principle of the TSP, which is a focus on continual striving for excellence in medicine. KEYWORDS Health care policy; history; Texas society of pathologists "I have great respect for the past. If you don't know where you've come from, you don't know where you are going."-Maya Angelou (1928-2014) "Of necessity an historical account must be largely biographical. Men and their books have built pathology. Yet without a point of view which takes account of the major social movements of general history, no real conception of the historical development of any subject is possible."-Esmond R. Long, MD (1890-1979) "If I have seen further than others, it is by standing upon the shoulders of giants."-Isaac Newton (1642-1726)

show abstract

“…Data reviewed by the RCs include program characteristics, participating teaching sites, changes in faculty and program leadership, resident and faculty attrition, faculty and resident scholarly activity, the annual ACGME Resident/ Fellow and Faculty Surveys, resident clinical and case log experience, and program-level performance on the certification examinations of the American Board of Medical Specialties member boards. 2 Upon annual review of these data, the RCs issue an updated accreditation status to each program. RCs may request a progress report if they identify potential problems or request a site visit.…”

Section: Introductionmentioning

confidence: 99%

Reasons for Data-Prompted Site Visits: Field Staff Findings and Review Committee Decisions

Caniano

Martinez

Nace

et al. 2021

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background A major component of the ACGME's Next Accreditation System (NAS) is the annual review of key performance indicators by each review committee (RC) for all programs under its oversight. The RC may request a site visit that is data-prompted for either a full review of all common and specialty-specific program requirements or a focused review of specific concerns for programs identified as underperforming. Objective The aims of this study were to: (1) identify the reasons that RCs requested data-prompted site visits; (2) describe the findings by accreditation field representatives as reflected in their site visit reports; and (3) summarize the accreditation decisions of RCs that followed the data-prompted site visits (DPSVs). Methods RC letters to programs informing them of a DPSV, site visit reports, and RC letters with accreditation decisions were reviewed for all programs having DPSVs from 2015 to 2020. Results DPSVs were performed in 312 programs, including 59 hospital-based, 122 medical-based, and 131 surgery-based programs; 214 programs had a single DPSV, and 98 programs had repeat DPSV. The most frequent reason that RCs requested a DPSV was noncompliance on the annual ACGME Resident/Fellow Survey. Notification of a DPSV prompted a change in program director in 7% of programs in the single DPSVs group and 57% of programs in the repeat DPSVs group. Surgery-based programs in the single and repeat DPSVs groups were more likely to receive an unfavorable accreditation status. The majority of programs in the single DPSVs group (78%) and repeat DPSVs group (70%) had a status of continued accreditation as of March 2020. Conclusions Noncompliance on the Resident/Fellow survey was the most frequent reason that RCs requested a DPSV. The majority of programs in the single and repeat DPSV groups achieved a favorable accreditation status.

show abstract

Program Performance in the Next Accreditation System (NAS): Results of the 2015–2016 Annual Data Review

Cited by 5 publications

References 2 publications

Medical education today: all that glitters is not gold

Medical education today: all that glitters is not gold

The Texas Society of Pathologists: molded by the legacy of pathology and focused on excellence in medicine for 100 years and beyond

Reasons for Data-Prompted Site Visits: Field Staff Findings and Review Committee Decisions

Contact Info

Product

Resources

About