Berend Mets MD, PhD, FRCA Eric A Walker Professor and Chair Department of Anesthesiology A Model for Implementing ACGME Competencies within a Department

Implementation of ACGME Competencies Challenge Opportunity Vision Translation into Action Vision without action is a daydream! Action without vision is a nightmare!

The Challenge Implementation of ACGME Competencies: The Challenge “Programs will be expected to show evidence of how educational outcome data is used to improve individual resident and overall program performance”

Implementation of ACGME Competencies: The Challenge “Programs must define the specific knowledge, skills and attitudes as well as provide educational experiences for their residents to demonstrate 6 General Competencies ”

The Challenge Implementation of ACGME Competencies: The Challenge 6 General Competencies Patient Care Medical Knowledge Interpersonal and Communication Skills Professionalism Systems-Based Practice Practice-Based Learning and Improvement

Implementation of ACGME Competencies: The Opportunity Anesthesiology Department: 35 Faculty + 45 Residents/Fellows Known for Excellence in Education Capitalize on Existing Expertise Align department around a cohesive educational goal

Implementation of ACGME Competencies: The Vision A Model Department of Anesthesiology Future Anesthesiology, Today! Attract Patients to the Institution! Improve and Advance Patient Health Through Research! Educating for Future Competence! A Springboard to Leadership!

Vision: Translation into Action It’s not how many ideas you have. It’s how many you make happen. (Accenture)

Implementation of ACGME Competencies: Process Set the goals Build the teams Provide Education/Information/Support Provide the focus (Retreat – 7 weeks later) Provide medium and forums for presentation and departmental updates

Implementation of ACGME Competencies: Process: Set the Goals Executive Committee Selected 4/6 competencies Identified team leaders Identified Retreat Focus (7/52) Identified what needed to be achieved at the retreat

Implementation of ACGME Competencies: Process: Build the Teams Faculty informed of vision “Educating for Future Competence” Faculty meeting outlined goals and structure of retreat (6/52) Faculty/Resident sign-up for teams of choice

Implementation of ACGME Competencies: Process: Provide Education/Information/Support Faculty and Residents: Brief lecture on competencies Invited Grand Rounds Speaker: National Expert (R. Patel, MD) Provided Toolbox and outline address for information Provided team leaders with coaching (Bob Marine) Goal Development

ACGME Outcomes Project

Implementation of ACGME Competencies: Process: Provide Education/Information/Support Faculty and Residents: Brief lecture on competencies Invited Grand Rounds Speaker: National Expert (R. Patel, MD) Provided Toolbox and outline address for information Provided team leaders with coaching (Bob Marine) Goal Development

Interpersonal and Communication Skills (Example) Patients FamiliesEffective Information Health ProfessionalsExchange and Teaming  GOALS: (1) Effective information exchange and teaming with patients in the Preoperative Clinic (2) (3)  OUTCOMES: (1) Improving patient satisfaction survey and comprehension of preoperative information given in CA 1, CA 2 and CA 3. (2) (3)  STRUCTURE/EDUCATION: (1) A.Develop script for preoperative conversation B.Develop evaluation tool C.Grand Rounds on “How to interview and obtain consent” (2) (3)  ACTION PLAN/ACCOUNTABILITY: (1) A. Dr. Y will develop a script by a specific date. B. Dr. Z will work with Bob Marine to develop an evaluation tool. (2) (3)

Implementation of ACGME Competencies: Process: Provide the Focus Retreat as a Goal Defined what a successful retreat would look like

7:30 AMContinental Breakfast 8:00 AM – 9:00 AM (Large Group)Initial Discussion & Team Formation 9:00 AM – 10:00 AM (Small Groups)Define 3 Goals for Competency Assessment 10:00 AM – 10:30 AM (Large Group)Presentation of Goals 10:30 AM – 10:45 AMBreak 10:45 AM – 11:45 AM (Small Groups)Define 2-3 Outcomes to be Measured 11:45 AM – 12:15 PM (Large Group)Presentation of Outcomes 12:15 PM – 1:15 PMLunch 1:15 PM – 2:15 PM (Small Groups)Define Educational Implementation (Existing or New) 2:15 PM – 2:45 PM (Large Group)Presentation of Educational Implementation 2:45 PM – 3:15 PMBreak 3:15 PM – 4:15 PM (Small Groups)Determine Evaluation and Initial Action Plans 4:15 PM – 4:45 PM (Large Group)Presentation of Evaluation and Action Plans 4:45 PMDeparture Structure of Retreat

Implementation of ACGME Competencies: Process: Provide medium and forums for presentation Chair’s Update – One Weekly Presentation Grand Rounds May 1, 2003 (15 minutes summaries) June 26, 2003

Implementation of ACGME Competencies: Summary Department-wide initiative Goal setting Constant mutual education and updates

A Model for Implementing ACGME Competencies within a Department