Use of an institutional template for annual program evaluation and improvement: benefits for program participation and performance.

Journal Article (Journal Article)

PURPOSE: The Accreditation Council for Graduate Medical Education (ACGME) expects programs to engage in ongoing, meaningful improvement, facilitated in part through an annual process of program assessment and improvement. The Duke University Hospital Office of Graduate Medical Education (OGME) used an institutional practice-based learning and improvement strategy to improve the annual evaluation and improvement of its programs. METHODS: The OGME implemented several strategies including the development and dissemination of a template for the report, program director and coordinator development, a reminder and tracking system, incorporation of the document into internal reviews, and use of incentives to promote program adherence. RESULTS: In the first year of implementation (summer 2005), 27 programs (37%) submitted documentation of their annual program evaluation and improvement to the OGME; this increased to 100% of programs by 2009. A growing number of programs elected to use the template in lieu of written minutes. The number of citations related to required program review and improvement decreased from 12 in a single academic year to 3 over the last 5 years. CONCLUSION: Duke University Hospital's institutional initiative to incorporate practice-based learning and improvement resulted in increased documentation, greater use of a standardized template, fewer ACGME-related citations, and enhanced consistency in preparing for ACGME site visits.

Full Text

Duke Authors

Cited Authors

  • Andolsek, KM; Nagler, A; Weinerth, JL

Published Date

  • June 2010

Published In

Volume / Issue

  • 2 / 2

Start / End Page

  • 160 - 164

PubMed ID

  • 21975613

Pubmed Central ID

  • PMC2930309

Electronic International Standard Serial Number (EISSN)

  • 1949-8357

Digital Object Identifier (DOI)

  • 10.4300/JGME-D-10-00002.1


  • eng

Conference Location

  • United States