Essential component of nas are the milestones basis is to track development in the 6 competencies
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Essential component of NAS are the MILESTONES Basis is to track development in the 6 competencies PowerPoint PPT Presentation


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Milestones. Essential component of NAS are the MILESTONES Basis is to track development in the 6 competencies Dreyfus Model: Novice Advanced beginner Competent Proficient Expert Master. Milestones. RRC Boards P.D.’s Residents. Milestones Developed By. Milestones.

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Essential component of NAS are the MILESTONES Basis is to track development in the 6 competencies

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Essential component of nas are the milestones basis is to track development in the 6 competencies

Milestones

  • Essential component of NAS are the MILESTONES

  • Basis is to track development in the 6 competencies

  • Dreyfus Model:

    • Novice

    • Advanced beginner

    • Competent

    • Proficient

    • Expert

    • Master


Essential component of nas are the milestones basis is to track development in the 6 competencies

Milestones

  • RRC

  • Boards

  • P.D.’s

  • Residents

Milestones Developed By


Essential component of nas are the milestones basis is to track development in the 6 competencies

Milestones

Develop by December 2012

Submission to ACGME 2013 & 2014

Milestones Will Supplement,

Not Replace Existing Assessment Tools

Timeline:


Essential component of nas are the milestones basis is to track development in the 6 competencies

Could you present your experience with the Milestones?


Essential component of nas are the milestones basis is to track development in the 6 competencies

The Orthopaedic Surgery Milestones

I. Martin Levy, MD

Program Director

Professor of Clinical

OrthopaedicSurgery


The milestones are coming h ere

The Milestones areComingHere


The only thing we have to fear is fear itself and spiders and maybe the milestones

The only thing we have to fear is FEAR ITSELF…and spiders…and maybe the milestones


So we gathered our chiefs of service

So we gathered our Chiefs of Service.


Essential component of nas are the milestones basis is to track development in the 6 competencies

Like everyone else, we took our toolbox and started to figure out ways to recognize a competent resident.


We developed goals and objectives for each service

We developed goals and objectives for each service.


This was not the easy part

This was not the easy part.

But we ended up with a handbook.


Essential component of nas are the milestones basis is to track development in the 6 competencies

While doing our G&O’s, we started playing with technical milestones. We called them Index Procedures. We began using these Index Procedures as a way to assess achievement of independence.


Essential component of nas are the milestones basis is to track development in the 6 competencies

I brought these IP’s to CORD’s Technical Competency Committee. During these discussions I became aware of the ACGME Milestone Project.


Essential component of nas are the milestones basis is to track development in the 6 competencies

“A good plan violently executed now,is better than a perfect plan executed next week.”

George S. Patton Jr.


Essential component of nas are the milestones basis is to track development in the 6 competencies

While not ecstatic over the knowledge that index procedures were going to morph into the more complex milestones, COS familiarity with IP’s and G&O’s made the transition less painful…for me.


Essential component of nas are the milestones basis is to track development in the 6 competencies

Dr. Nasca wrote his article, NAS became a household word and the the Milestone Project arrived at our doorstep.


Essential component of nas are the milestones basis is to track development in the 6 competencies

We were fortunate that the Orthopaedic Knowledge Base and Patient Care milestones were prescriptive and organized by subspecialty.


Each chief of service was asked to review their service specific milestones and discuss feasibility

Each Chief of Service was asked to review their service specific milestones and discuss feasibility.


Essential component of nas are the milestones basis is to track development in the 6 competencies

They have successfully

created a curriculum

that supports the

knowledge base and develops the required surgical techniques and clinical skills.


Gets a real t ime review for applicable milestones only and these are uploaded

Gets a real time review

For applicable Milestones only

And these are uploaded

Each resident on a service


Clinical competency committee c c c

Clinical Competency Committee (C.C.C.)

Core faculty

Program director-

Chief resident

Evaluate milestones & early warning

Track progress of residents

Faculty development

Include

Function

Purpose

  • Reduce potential bias

  • Performance measure

  • Decision making by multiple people

  • Evaluate 360° assessments

Function


So we identified our clinical competency committee

So we identified our Clinical Competency Committee.


Essential component of nas are the milestones basis is to track development in the 6 competencies

The C.C.C. was thrilled.


From the c c c each resident receives

From the C.C.C. each resident receives:

  • Summative evaluation

  • Twice a year

  • And these are uploaded


Essential component of nas are the milestones basis is to track development in the 6 competencies

At this early stage, and with what is at stake, I believe the only way to insure reliable input, is by meeting regularly with my Chiefs of Service.


Thank you

Thank you


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