Addressing the new competencies for residents' surgical training

Gary Dunnington, Reed G. Williams

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

In July 2001 the Accreditation Council for Graduate Medical Education (ACGME) charged U.S. residency training programs to implement a curriculum and evaluation plan covering six competencies. The authors describe the curriculum and evaluation strategy of the first surgical training program developed to meet the competencies, and list each competency and the teaching method and measurement instruments used. Implementation began July 1, 2001, and the program was fully operational on July 1, 2002. Meeting the curriculum challenges required modification of the existing curriculum and the addition of new instructional units. Nine additional evaluation instruments were needed. The largest investment was in planning and implementation, a one-time development cost. Staff workload increased by 252 hours; this is expected to be a continuing annual requirement. Faculty workload increased by two hours per resident and each resident's workload increased by 112 hours per year (2.3 hours per week). The transition was smoother than expected. Faculty and residents' buy-in was crucial. Faculty and residents were alerted to upcoming changes at the beginning of the year in a grand rounds presentation on the ACGME competencies and the approach to meeting requirements. Updates were presented periodically. The authors recommend that residency programs engaged in similar efforts make effective use of instruments developed elsewhere and collaborate with other programs rather than develop everything locally. The program's benefits include time savings and the availability of validity data and norms to inform decision making on residents' and program progress.

Original languageEnglish (US)
Pages (from-to)14-21
Number of pages8
JournalAcademic Medicine
Volume78
Issue number1
StatePublished - Jan 1 2003
Externally publishedYes

Fingerprint

Curriculum
Workload
resident
Graduate Medical Education
Accreditation
workload
Internship and Residency
curriculum
accreditation
Teaching Rounds
training program
Education
evaluation
graduate
measurement method
Decision Making
Teaching
teaching method
savings
education

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Addressing the new competencies for residents' surgical training. / Dunnington, Gary; Williams, Reed G.

In: Academic Medicine, Vol. 78, No. 1, 01.01.2003, p. 14-21.

Research output: Contribution to journalArticle

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