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    Educational competency committees (ECCs) effectively evaluate graduate medical education programs, identifying needs and enhancing professional development. This process offers good value, with high accuracy and low cost.

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    Area of Science:

    • Graduate Medical Education
    • Program Evaluation
    • Accreditation Council for Graduate Medical Education (ACGME)

    Background:

    • ACGME mandates annual program evaluation and improvement for all graduate medical education programs.
    • Existing processes for program evaluation include institutional special reviews and oversight of annual program evaluations.

    Purpose of the Study:

    • To assess the value of establishing educational competency committees (ECCs).
    • ECCs were designed to integrate successful elements from institutional special reviews and annual program evaluation oversight.

    Main Methods:

    • ECCs utilized a standardized template to review annual program evaluations.
    • Results were aggregated into an institutional dashboard for comprehensive overview.
    • Cost-effectiveness, sensitivity, specificity, and predictive value were calculated by comparing ECC decisions with ACGME actions.

    Main Results:

    • Over three years, 32 ECCs reviewed 237 evaluations, requiring less time than traditional internal reviews.
    • ECCs identified 2.4%-9.8% of programs as "noncompliant" and 1.2%-14.6% with areas for improvement.
    • The ECC process demonstrated high accuracy (sensitivity: 83%-100%, specificity: 89%-93%) with a low cost of $280 per program.

    Conclusions:

    • ECCs effectively identify institution-wide needs, promote innovation, and foster best practices.
    • The ECC model provides significant value, evidenced by strong performance metrics and positive impact on professional development.