What changes can a program make now to accommodate the change in philosophy of GME accreditation represented by the Outcome Project?
A7: Without exception, all Program Requirements now include reference to the need for goals and objectives as well as evaluation of the residents and the program. Likewise, many Program Requirements already include references to the General Competencies, although the language may vary somewhat from the minimum language approved by the ACGME in September 1999. Therefore, in some sense, if programs have carefully planned their curricula in alignment with existing Program Requirements, they may already be moving in the direction of a competency-based curriculum! The additional critical step, however, is linking assessment with specific learning objectives. For example, if one objective of the cardiology rotation is to distinguish pathologic from functional murmurs, one component of the evaluation of that rotation should include assessment and documentation of this skill. Programs should ask themselves whether or not they are completing this important assessment step right now and, in turn
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