Developing a Cultural Consensus Analysis Based on the Internal Medicine Milestones (M-CCA)

Area of Science:

• Medical Education
• Anthropology
• Competency-Based Assessment

Background:

• National task forces define resident training competencies.
• Cultural Consensus Analysis (CCA) identifies shared cultural values and potential conflicts.
• Existing frameworks for assessing resident performance require refinement.

Purpose of the Study:

• To adapt Cultural Consensus Analysis (CCA) for evaluating internal medicine residency training milestones.
• To develop a simplified assessment tool based on national competencies.
• To explore the utility of CCA in assessing the six-competency model for resident training.

Main Methods:

• A national task force identified key developmental milestones for resident training.
• The 38 identified domains were converted into active statements.
• Cultural Consensus Analysis (CCA) was applied, reducing statements to 12 through summarization and simplification, creating the M-CCA.

Main Results:

• A 12-item Cultural Consensus Analysis (CCA) tool, the M-CCA, was successfully developed from 38 initial domains.
• The M-CCA simplifies complex training competencies into a manageable format.
• The developed tool requires further validation for its intended application.

Conclusions:

• The M-CCA offers a novel approach to assessing internal medicine resident training competencies.
• This method has the potential to evaluate the established six-competency model.
• Further validation is necessary to confirm the M-CCA's reliability and utility in residency education.