1. 0 Competency-based Programs in Graduate Medical Education David F. Altman, M.D., M.B.A. Visiting Professor of Medicine and Assistant Dean Keck School of Medicine and Chief Medical Officer LAC+USC Healthcare Network October 21, 2004

2. 1 Accrediting Organizations for Graduate Medical Education are Reexamining Their Standards Accreditation Council for Graduate Medical Education (ACGME) Outcomes Project part of a broad reexamination of medical education. Emphasis on a program’s actual accomplishments through assessment of program outcomes Six competencies developed cover many areas of importance to high quality patient care

3. 2 Assessing the actual accomplishments of a program requires a different set of questions: 1. Do the residents achieve the learning objectives set by the program? 2. What evidence can the program provide that it does so? 3.How does the program demonstrate continuous improvement in its educational processes?

4. 3 The ACGME has identified six critical, core competencies Patient CareMedical KnowledgeProfessionalismSystems-based PracticePractice-based Learning and improvementInterpersonal and Communication Skills

5. 4 The implementation of the new programs is taking place in phases. Initial effort -- Programs develop assessment tools that are increasingly valid, reliable, and useful measures of competency-based educational objectives. Programs will ultimately be expected to show evidence of how educational outcomes data are used to improve individual resident and overall program performance.