The Clinical Competency Committee (CCC)

Information current as of December 2, 2013 ©2013 Accreditation Council for Graduate Medical Education (ACGME)

The Clinical Competency Committee

(CCC)


Goals

How do we assess for Milestones? What does the ACGME expect for

CCCs? How can CCCs work?


Milestone Assessment

A desire for objective methods of assessment and provide better feedback

Provide a process for early identification of residents that are having difficulties

A desire to encourage innovation


Milestones Assessment

Several evaluators are better than one

Size, composition, frequency, workflow may have to vary and is difficult to regulate


Clinical Competency Committee

V.A.1.b) There must be a written description of the responsibilities of the Clinical Competency Committee.(Core)

ACGME Common Program RequirementsApproved: February 7, 2012; Effective: July 1, 2013 Approved focused revision: June 9, 2013; Effective: July 1, 2013



V.A.1. The program director must appoint the Clinical Competency Committee.(Core)

V.A.1.a) At a minimum the Clinical Competency Committee must be composed of three members of the program faculty.(Core)

V.A.1.a).(1) Others eligible for appointment to the committee include faculty from other programs and non-physician members of the health care team.(Detail)



Clinical Competency CommitteeV.A.1.b).(1) The Clinical Competency Committee should:

V.A.1.b).(1).(a) review all resident evaluations semi-annually; (Core)

V.A.1.b).(1).(b) prepare and assure the reporting of Milestones evaluations of each resident semi-annually to ACGME; and, (Core)

V.A.1.b).(1).(c) advise the program director regarding resident progress, including promotion, remediation, and

dismissal.(Detail)




How the CCC does its work may be decided by the Program Director

Subcommittees Assigning residents to faculty members for

pre-review Pre-review work will vary Some CCCs meet more than twice a year



The program director’s role on the CCC

The program coordinator’s role on the CCC

Residents and fellows cannot be members of the CCC


Reporting the Milestones

V.A.1.b).(1).(b) prepare and assure the reporting of Milestones evaluations of each resident semi-annually to ACGME (Core)

Milestones are reported directly through ADS

Reporting windows are: November 1-December 31 May 1-June 15




End-of-Rotation

Evaluations

Peer Evaluations

SelfEvaluations

Case Logs

Student Evaluations

Patient/ Family

Evaluations

Operative Performance

Rating Scales

Nursing and Ancillary

Personnel Evaluations

Assessment of Milestones

Clinic Workplace Evaluations

Mock Orals

OSCE

ITESimLab

UnsolicitedComments


What Should a CCC Do First?

Learn your specialty Milestones Posted on acgme.org

Decide how to assess the Milestones If necessary, identify new evaluation tools from

program director associations, societies, colleges Faculty members should:

Discuss definitions and narratives Agree on the narratives Learn about assessment tools


Summary

• How do we assess for Milestones?• What does the ACGME expect for

CCCs?• How can CCCs work?

Documents

The Clinical Competency Committee (CCC)