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  1. Article ; Online: A Plumb Fit.

    Harrison, Michael F / Rooney, Kevin / Jaskulka, Bradley

    Clinical practice and cases in emergency medicine

    2017  Volume 1, Issue 4, Page(s) 278–279

    Language English
    Publishing date 2017-10-18
    Publishing country United States
    Document type Case Reports
    ISSN 2474-252X
    ISSN (online) 2474-252X
    DOI 10.5811/cpcem.2017.9.35222
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Assessment methods and resource requirements for milestone reporting by an emergency medicine clinical competency committee.

    Goyal, Nikhil / Folt, Jason / Jaskulka, Bradley / Baliga, Sudhir / Slezak, Michelle / Schultz, Lonni R / Vallee, Phyllis

    Medical education online

    2018  Volume 23, Issue 1, Page(s) 1538925

    Abstract: Background: The Accreditation Council for Graduate Medical Education (ACGME) introduced milestones for Emergency Medicine (EM) in 2012. Clinical Competency Committees (CCC) are tasked with assessing residents on milestones and reporting them to the ... ...

    Abstract Background: The Accreditation Council for Graduate Medical Education (ACGME) introduced milestones for Emergency Medicine (EM) in 2012. Clinical Competency Committees (CCC) are tasked with assessing residents on milestones and reporting them to the ACGME. Appropriate workflows for CCCs are not well defined.
    Objective: Our objective was to compare different approaches to milestone assessment by a CCC, quantify resource requirements for each and to identify the most efficient workflow.
    Design: Three distinct processes for rendering milestone assessments were compared: Full milestone assessments (FMA) utilizing all available resident assessment data, Ad-hoc milestone assessments (AMA) created by multiple expert educators using their personal assessment of resident performance, Self-assessments (SMA) completed by residents. FMA were selected as the theoretical gold standard. Intraclass correlation coefficients were used to analyze for agreement between different assessment methods. Kendall's coefficient was used to assess the inter-rater agreement for the AMA.
    Results: All 13 second-year residents and 7 educational faculty of an urban EM Residency Program participated in the study in 2013. Substantial or better agreement between FMA and AMA was seen for 8 of the 23 total subcompetencies (PC4, PC8, PC9, PC11, MK, PROF2, ICS2, SBP2), and for 1 subcompetency (SBP1) between FMA and SMA. Multiple AMA for individual residents demonstrated substantial or better interobserver agreement in 3 subcompetencies (PC1, PC2, and PROF2). FMA took longer to complete compared to AMA (80.9 vs. 5.3 min, p < 0.001).
    Conclusions: Using AMA to evaluate residents on the milestones takes significantly less time than FMA. However, AMA and SMA agree with FMA on only 8 and 1 subcompetencies, respectively. An estimated 23.5 h of faculty time are required each month to fulfill the requirement for semiannual reporting for a residency with 42 trainees.
    MeSH term(s) Accreditation ; Adult ; Advisory Committees ; Clinical Competence ; Educational Measurement/methods ; Emergency Medicine/education ; Female ; Health Resources ; Humans ; Male ; Middle Aged
    Language English
    Publishing date 2018-10-30
    Publishing country United States
    Document type Journal Article
    ISSN 1087-2981
    ISSN (online) 1087-2981
    DOI 10.1080/10872981.2018.1538925
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: WIREd for Milestones.

    Goyal, Nikhil / Vallee, Phyllis A / Folt, Jason / Jaskulka, Bradley / Baliga, Sudhir / Nagarwala, Jumana / Slezak, Michelle

    Journal of graduate medical education

    2016  Volume 8, Issue 3, Page(s) 445–446

    MeSH term(s) Education, Medical, Graduate ; Emergency Medicine ; Evaluation Studies as Topic ; Humans ; Internship and Residency/organization & administration ; Software
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2578612-X
    ISSN 1949-8357 ; 1949-8349
    ISSN (online) 1949-8357
    ISSN 1949-8349
    DOI 10.4300/JGME-D-15-00638.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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