The pandemic has only served to highlight the critical importance of accelerating the movement to an outcomes-based medical educational system. The ACGME recognizes that traditional time-based or volume-based measures may not be fully achievable during this academic year as a result of the disruption caused by the pandemic. As a result, the ACGME is strongly encouraging each program to use the core principles of CBME to make informed decisions about advancement and graduation. The ACGME recognizes that educational experiences may be modified or disrupted through alternative forms of education such as virtual learning, deployment to another clinical rotation or activity (e.g., ICU, ED, wards, telemedicine), or by missing a traditionally required rotation.  

 

The ACGME is encouraging programs to build on the CBME-based principles and activities that have grown over the years. These principle should be used to support an entrustment decision-making process that determines whether a resident or fellow is ready to progress to the next stage in his or her professional careerr.  “Entrustment decision-making” focuses on the conscientiousness, trustworthiness, discernment, and competence of the resident or fellow.  Entrustment is grounded in the patient and educational outcomes that a graduate can deliver on the Quadruple Aim. The Quadruple Aim simultaneously improves patient experience of care, population health, and health-care provider work life, while lowering per capita cost. The demonstration of conscientiousness, trustworthiness and discernment supports confidence in assessment outcomes.  

 

This session will provide an overview of the key principles being promoted in the U.S. during the pandemic and their implications for future work in assessment.

 

 

成果導向醫學訓練：全球大流行疫情之衝擊