The Program Evaluation Committee and its Role

Manuel A. Eskildsen, MD, MPH

Fellowship Directors Pre-Conference

May 14, 2015

Objectives

• Understand the role of the PEC• Discuss the elements of the Annual

Program Evaluation• Discuss best practices among different

programs

Program Evaluation Committee

• Key element of the Next Accreditation System (NAS)

• New committee formed with a goal of continuous quality improvement for the program

• Key role is yearly systematic curriculum evaluation

Guidelines

• Must have at least two faculty members, and at least one fellow

• Must have a written description of its responsibilities

Roles

Annual Program Evaluation

• PEC’s only required output• Focuses on areas ACGME requires for the

PEC• Serves as a QI tool for the program

Areas of Interest

• Resident performance• Faculty development• Graduate performance, including board

performance• Program quality

Action Plan

• Documents initiatives to improve performance

• Also includes progress on previous year’s action plan

Our Experience at Emory

• PEC started in July 2013• Included most of the members of our

previous fellowship committee• Added one of our fellows on rotating basis• Agreed to meet quarterly to discuss

program issues in 4 key areas

Our Experience at Emory

• PEC started in July 2013• Included most of the members of our

previous fellowship committee• Added one of our fellows on rotating basis• Agreed to meet quarterly to discuss

program issues in 4 key areas• Used template from Emory for description

Areas of Focus

• NAS requirements on milestones and how they fit in our curriculum

• Lack of systematic assessments • Absence of graduate tracking through

surveys

Mapping our Curriculum

• Needed to match curricular milestones to our didactic curriculum

• Match reporting milestones to:– Rotations– Assessments

New Assessments

• New OSCE• In-training exam• Developed new mini-CEXs:

– Depression– Falls– Pressure ulcers– Cognitive impairment– Goals of care discussion– General

Plan of Action for 2015-16

• Faculty development sessions• Development of a new QI curriculum• Converting long-term care teaching rounds

to curriculum on medical direction• New consult rotation

Discussion Questions with your Neighbors

1. Share CCC practices that have worked well at your program.

2. Identify 1 challenge your program faced, and share the solution you devised.