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Published on: February 16, 2011
Building a Better Clinical Competency Committee: A Multi-Institutional Approach to Improving the Quality of Resident
Nikita Khetan1, Emma Omoruyi1, Elizabeth Hanson2
1McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.
HCA Healthcare Journal of Medicine
|May 20, 2026
Summary
Appreciative Inquiry and Deliberate Practice improved pediatric resident feedback quality. This approach enhanced resident satisfaction and feedback assessment, positively impacting trainee growth in two programs.
Area of Science:
- Medical Education
- Graduate Medical Education
- Pediatric Residency Training
Background:
- Accreditation Council for Graduate Medical Education (ACGME) mandates pediatric faculty convene Clinical Competency Committees (CCCs) biannually.
- Challenges persist in standardizing CCC review processes and ensuring high-quality resident feedback.
- Appreciative Inquiry (AI) and Deliberate Practice (DP) offer a framework to enhance summative feedback quality.
Purpose of the Study:
- To evaluate the impact of integrating Appreciative Inquiry within a Deliberate Practice framework on the quality of Clinical Competency Committee (CCC) feedback for pediatric residents.
- To improve resident satisfaction with feedback and enhance the assessment of feedback quality.
Main Methods:
- A mixed-methods approach was employed, utilizing Appreciative Inquiry to develop surveys for residents and faculty.
- Deliberate Practice principles guided the assessment of feedback quality using the Task-Gap-Action (TGA) rubric.
- Resident satisfaction with CCC feedback was measured pre- and post-intervention.
Main Results:
- Resident survey response rates were 79% (pre) and 39% (post); faculty rates were 50-75%.
- AI-informed themes led to a new CCC feedback form aligned with milestone evaluations.
- Resident satisfaction improved, and mean TGA scores at UTHSA increased significantly from 2.5/9 to 8/9.
Conclusions:
- Appreciative Inquiry is a viable method for identifying learner and faculty needs in feedback processes.
- Collaborative implementation of AI within CCCs positively impacted resident feedback quality across two programs.
- The TGA rubric provided valuable insights into CCC feedback effectiveness for resident development.
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