Post on 18-Jan-2016
transcript
Essential component of NAS are the MILESTONES
Basis is to track development in the 6 competencies
Dreyfus Model:- Novice
- Advanced beginner
- Competent
- Proficient
- Expert
- Master
Milestones
RRC
Boards
P.D.’s
Residents
Milestones
Milestones Developed By
Develop by December 2012
Submission to ACGME 2013 & 2014
Milestones Will Supplement, Not Replace Existing Assessment Tools
Timeline:
Milestones
Could you present your experience with the Milestones?
The Orthopaedic Surgery Milestones
I. Martin Levy, MDProgram Director
Professor of ClinicalOrthopaedic Surgery
The Milestones
are ComingHere
The only thing we have to fear is FEAR ITSELF
…and spiders
…and maybe the milestones
So we gathered our Chiefs of Service.
Like everyone else, we took our toolbox and started to figure out ways to recognize a competent resident.
We developed goals and objectives for each service.
This was not the easy part.
But we ended up with a handbook.
While doing our G&O’s, we started playing with technical milestones. We called them Index Procedures. We began using these Index Procedures as a way to assess achievement of independence.
I brought these IP’s to CORD’s Technical Competency Committee. During these discussions I became aware of the ACGME Milestone Project.
“A good plan violently executed now,is better than a perfect plan executed next week.” George S. Patton Jr.
While not ecstatic over the knowledge that index procedures were going to morph into the more complex milestones, COS familiarity with IP’s and G&O’s made the transition less painful…for me.
Dr. Nasca wrote his
article, NAS became a
household word and the the Milestone Project
arrived at our doorstep.
We were fortunate that the Orthopaedic Knowledge Base and Patient Care milestones were prescriptive and organized by subspecialty.
Each Chief of Service was
asked to review their
service specific
milestones and discuss
feasibility.
They have successfullycreated a curriculum that supports the knowledge base and develops the required surgical techniques and clinical skills.
• Gets a real time review • For applicable Milestones only• And these are uploaded
Each resident on a service
Clinical Competency Committee (C.C.C.)
Core faculty
Program director-
Chief resident
Include
Function
Function
Evaluate milestones & early warning
Track progress of residents
Faculty development
Reduce potential bias
Performance measure
Decision making by multiple people
Evaluate 360° assessments
Purpose
So we identified our Clinical Competency Committee.
The C.C.C. was thrilled.
From the C.C.C. each resident receives:
• Summative evaluation• Twice a year• And these are uploaded
At this early stage, and with what is at stake, I believe the only way to insure reliable input, is by meeting regularly with my Chiefs of Service.
Thank you