| Title | The ACGME Outcome Project in Ophthalmology: Practical Recommendations for Overcoming the Barriers to Local Implementation of the National Mandate. | | Author(s) | Lee AG, Oetting T, Beaver HA, Carter K | | Institution | Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa; Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, Iowa; Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa; H. Stanley Thompson Neuro-ophthalmology Clinic, University of Iowa Hospitals and Clinics, Iowa City, Iowa; Department of Ophthalmology, The Methodist Hospital, Houston, Texas and the Task Force on the ACGME Competencies at the University of Iowa Department of Ophthalmology( *). | | Source | Surv Ophthalmol 2009 July - August; 54(4):507-517. | | Abstract | The Accreditation Council for Graduate Medical Education (ACGME) Outcome project is a well-defined, 10-year, ambitious national mandate to improve resident education through the teaching and assessing of six general competencies (i.e., patient care, medical knowledge, professionalism, interpersonal and communication skills, practice-based learning and improvement, and systems-based practice). Over the past 5 years a Task Force at the University of Iowa has deployed 10 major competency assessment tools: 1) the University of Iowa residency curriculum; 2) direct observation using the Ophthalmic Clinical Exercise (OCEX); 3) journal club; 4) multi-source evaluation; 5) a modified Dreyfus scale faculty global evaluation form; 6) the Iowa Cataract surgical curriculum; 7) the Iowa Ophthalmic Laser curriculum; 8) traditional written and oral examinations; 9) self reflection exercises and projects; and 10) learner portfolio. We report our 5-year experience with an implementation matrix for translating the national ACGME mandate into local compliance. We identify the barriers encountered by our Task Force in local implementation and propose practice solutions based upon our experience for overcoming the cultural, institutional, financial, and other barriers to success. We hope that our institutional work and experience will stimulate other programs to participate more fully in the ACGME Outcomes Project. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19539838 |
|
