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How Do Emergency Medicine Residency Programs Structure Their Clinical Competency Committees? A Survey.

Christopher I Doty1, Lynn P Roppolo2, Shellie Asher3

  • 1Department of Emergency Medicine, University of Kentucky, Lexington, KY.

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Summary
This summary is machine-generated.

Clinical Competency Committees (CCCs) show significant structural diversity across residency programs. This variability suggests multiple effective strategies exist for meeting Accreditation Council for Graduate Medical Education (ACGME) requirements.

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Area of Science:

  • Medical Education
  • Graduate Medical Training
  • Program Evaluation

Background:

  • The Accreditation Council for Graduate Medical Education (ACGME) mandates Clinical Competency Committees (CCCs) for resident evaluation.
  • ACGME guidelines allow flexibility in CCC structure, leading to varied program implementations.

Purpose of the Study:

  • To survey the Council of Emergency Medicine Residency Directors (CORD) member programs regarding their CCC structures.
  • To identify common and unique organizational approaches to CCC formation.

Main Methods:

  • A descriptive study utilizing an 18-question survey distributed to CORD member programs.
  • Analysis of survey responses using simple descriptive statistics.

Main Results:

  • A 73% response rate (116/160 programs) was achieved.
  • Most CCCs are chaired by associate/assistant program directors (71.6%) and include program directors (85.3%) and core faculty (78.5%) in attendance.
  • CCCs primarily focus on milestone summaries (93.8%), with varied meeting frequencies (quarterly: 53.1%, monthly: 37%).

Conclusions:

  • Significant variability exists in CCC structure and function across residency programs.
  • Multiple strategies can be employed by programs to meet ACGME requirements.
  • A single, standardized protocol for CCC development may be challenging to establish.