The ACGME Outcome Project in ophthalmology: practical recommendations for overcoming the barriers to local implementation of the national mandate

Andrew G Lee; Thomas Oetting; Hilary A Beaver; Keith Carter; Task Force on the ACGME Competencies at the University of Iowa Department of Ophthalmology

doi:10.1016/j.survophthal.2009.04.004

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The ACGME Outcome Project in ophthalmology: practical recommendations for overcoming the barriers to local implementation of the national mandate

Journal article

Peer reviewed

The ACGME Outcome Project in ophthalmology: practical recommendations for overcoming the barriers to local implementation of the national mandate

Andrew G Lee, Thomas Oetting, Hilary A Beaver, Keith Carter and Task Force on the ACGME Competencies at the University of Iowa Department of Ophthalmology

Survey of ophthalmology, Vol.54(4), pp.507-517

07/2009

DOI: 10.1016/j.survophthal.2009.04.004

PMID: 19539838

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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.

Curriculum - standards

Guidelines as Topic

Education, Medical, Graduate - standards

Ophthalmology - standards

United States

Humans

Educational Measurement

Internship and Residency - standards

Clinical Competence - standards

Ophthalmology - education

Program Evaluation

Competency-Based Education

Details

Title: Subtitle: The ACGME Outcome Project in ophthalmology: practical recommendations for overcoming the barriers to local implementation of the national mandate
Creators: Andrew G Lee - Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Thomas Oetting
Hilary A Beaver
Keith Carter
Task Force on the ACGME Competencies at the University of Iowa Department of Ophthalmology
Resource Type: Journal article
Publication Details: Survey of ophthalmology, Vol.54(4), pp.507-517
Publisher: United States
DOI: 10.1016/j.survophthal.2009.04.004
PMID: 19539838
ISSN: 0039-6257
eISSN: 1879-3304
Language: English
Date published: 07/2009
Academic Unit: Otolaryngology; Ophthalmology and Visual Sciences
Record Identifier: 9983806374702771

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