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The Clinical Competency Committee(CCC)
Goals
How do we assess forMilestones?Whatdoesthe ACGMEexpect for CCCs?HowcanCCCs work?
Milestone Assessment
Adesire for objective methods ofassessment and provide better feedbackProvide a process for early identification of residents that are having difficultiesA desireto encourageinnovation
Milestones Assessment
Several evaluators are betterthan oneSize, composition,frequency, workflowmay have to vary andis difficultto regulate
Clinical Competency Committee
V.A.1.b) There must be a written description of the responsibilities of the Clinical Competency Committee.(Core)
ACGME Common Program RequirementsApproved: February 7, 2012; Effective: July 1, 2013Approved focused revision: June 9, 2013; Effective: July 1, 2013
Clinical Competency Committee
V.A.1. The program director must appoint the Clinical Competency Committee.(Core)V.A.1.a) At a minimum the Clinical CompetencyCommittee mustbe composed of three membersof theprogramfaculty.(Core)V.A.1.a).(1) Others eligible for appointment to thecommitteeinclude faculty from other programs andnon-physicianmembers of the health care team.(Detail)
ACGME Common Program RequirementsApproved: February 7, 2012; Effective: July 1, 2013Approved focused revision: June 9, 2013; Effective: July 1, 2013
Clinical Competency Committee
V.A.1.b).(1) The Clinical Competency Committee should:V.A.1.b).(1).(a) review all resident evaluations semi- annually;(Core)V.A.1.b).(1).(b) prepare and assure the reporting of Milestones evaluations of each resident semi-annually to ACGME; and,(Core)V.A.1.b).(1).(c) advise the program director regarding resident progress, including promotion, remediation, and dismissal.(Detail)
ACGME Common Program RequirementsApproved: February 7, 2012; Effective: July 1, 2013Approved focused revision: June 9, 2013; Effective: July 1, 2013
Clinical Competency Committee
How the CCC does its work may be decided by the ProgramDirectorSubcommitteesAssigning residents to faculty members for pre-reviewPre-review work will varySome CCCs meet more than twice a year
Clinical Competency Committee
The program director’s role on the CCCThe program coordinator’s role on the CCCResidents and fellowscannotbe members of the CCC
Reporting the Milestones
V.A.1.b).(1).(b) prepare and assure the reporting ofMilestonesevaluations of each resident semi-annuallytoACGME(Core)Milestones are reported directly through ADSReporting windows are:November 1-December 31May 1-June 15
Clinical Competency Committee
ClinicalCompetencyCommittee
End-of-RotationEvaluations
Peer Evaluations
SelfEvaluations
Case Logs
Student Evaluations
Patient/Family Evaluations
Operative Performance Rating Scales
Nursing and Ancillary Personnel Evaluations
Assessment of Milestones
ClinicWorkplaceEvaluations
Mock Orals
OSCE
ITE
SimLab
UnsolicitedComments

WhatShould a CCC Do First?
Learn your specialtyMilestonesPosted on acgme.orgDecide how toassess the MilestonesIf necessary, identify new evaluation tools fromprogram director associations,societies, collegesFaculty members should:Discuss definitions and narrativesAgree on the narrativesLearn about assessment tools
Summary
How do we assess for Milestones?What does the ACGME expect for CCCs?How can CCCs work?

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