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Illuminating Graduate Medical Education Outcomes in Order to Improve Them
Debra F Weinstein1, George E Thibault
1D.F. Weinstein is associate professor of medicine, Harvard Medical School, and vice president for graduate medical education, Partners HealthCare, Boston, Massachusetts. G.E. Thibault is president, Josiah Macy Jr. Foundation, New York, New York.
Summary
Improving physician training through graduate medical education (GME) requires clear goals and consistent outcome measurement. A consensus supports using GME data for better education and policy, despite implementation challenges.
Area of Science:
- Medical Education
- Health Policy
- Physician Training
Background:
- Graduate Medical Education (GME) is critical for physician development and health outcomes.
- Current GME lacks clearly defined goals and consistent outcome metrics.
- Optimizing GME is essential for enhancing the nation's physician workforce.
Purpose of the Study:
- To address the need for clarified goals and consistent metrics in GME.
- To report on a workshop discussing the measurement of GME outcomes.
- To advocate for the professional responsibility of measuring and reporting GME outcomes.
Main Methods:
- Discussion of a National Academies of Sciences, Engineering, and Medicine (NASEM) workshop held in October 2017.
- Analysis of participant consensus on using GME outcomes data.
- Identification of implementation challenges for GME metric collection.
Main Results:
- Strong consensus among diverse participants to utilize GME outcomes data for educational improvement and policy development.
- Identified challenges include defining meaningful metrics, administrative burden, privacy concerns, and institutional variability.
- The need for a national approach to GME outcome measurement was highlighted.
Conclusions:
- Measuring and reporting GME outcomes is a necessary professional responsibility.
- Recommendations include creating a national data inventory and a pilot program for common metrics.
- A neutral convener, like NASEM, is suggested to advance this national effort.
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