The Clinical Competency Committee (CCC)

1. The Clinical Competency Committee (CCC)

2. Goals • How do we assess for Milestones? • What does the ACGME expect for CCCs? • How can CCCs work?

3. 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

4. Milestones Assessment • Several evaluators are better than one • Size, composition, frequency, workflow may have to vary and is difficult to regulate

5. 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 Requirements Approved: February 7, 2012; Effective: July 1, 2013 Approved focused revision: June 9, 2013; Effective: July 1, 2013

6. Clinical Competency Committee 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) ACGME Common Program Requirements Approved: February 7, 2012; Effective: July 1, 2013 Approved focused revision: June 9, 2013; Effective: July 1, 2013

7. Clinical Competency Committee V.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) ACGME Common Program Requirements Approved: February 7, 2012; Effective: July 1, 2013 Approved focused revision: June 9, 2013; Effective: July 1, 2013

8. Clinical Competency Committee 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

9. Clinical Competency Committee • 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

10. 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

11. Clinical Competency Committee Self Evaluations Case Logs Mock Orals End-of-Rotation Evaluations Operative Performance Rating Scales Unsolicited Comments ITE Sim Lab Student Evaluations Nursing and Ancillary Personnel Evaluations Clinic Workplace Evaluations Clinical Competency Committee OSCE Patient/ Family Evaluations Peer Evaluations Assessment of Milestones

12. 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

13. Summary • How do we assess for Milestones? • What does the ACGME expect for CCCs? • How can CCCs work?