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Understanding the Clinical Competency Committee (CCC) in the Next Accreditation System (NAS)

Learn about the Clinical Competency Committee (CCC) in the Next Accreditation System (NAS) and how it impacts resident evaluations. Discover the role, function, and importance of CCC in ensuring program quality. Be prepared for the transition and stay informed to navigate the accreditation changes effectively.

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Understanding the Clinical Competency Committee (CCC) in the Next Accreditation System (NAS)

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  1. NAS, CCC & You Amy Kern Department of Medicine October 8, 2013

  2. Next Accreditation System • Phase 1 took effect July 1, 2013 • Phase 2 will go into action July 1, 2014 • This transition is your time to make your voice heard with your PD! • Be informed – what info/format will the ACGME require? http://www.acgme-nas.org • How can you help?

  3. CCC – What? • Clinical Competency Committee (CCC) • Review of each trainee’s aggregate performance • Formal grievance process for residents • Ensures adverse evaluations are addressed by program • Committee members = expert evaluators & faculty liaisons

  4. CCC– Who? • Chair (generally not PD) • Diverse faculty who work with residents • May include you! • The Coordinator’s Role: • Schedule meetings & prepare materials • Keep minutes (contact me for examples) • Academic due process – summarized, not verbatim • CONFIDENTIALITY & legal issues

  5. CCC– When & Where? • When: • ACGME will require semi-annual reporting in NAS • Most likely entered by us via WebADS • Suggested frequency: monthly to quarterly • Where: • Hopefully somewhere with comfy chairs – some pilot programs reported taking 1+ hour/resident

  6. CCC– Why? • Consensus – Nobody wants to be the bad guy • Group helps differentiate isolated situations from patterns • Can also identify weaknesses in the program itself

  7. CCC– Our Experience • Medicine RRC first required CCC’s in 2007 • “Problem” focused • Need to figure out mechanism for NAS/milestone semi-annual review of each resident

  8. CCC& Milestones • The 6 core competencies have been expanded to specialty-specific milestones • How do milestones fit into the CCC? • CCC oversees each resident’s progress • Recommends further intervention when necessary • Will dictate progression through the program with NAS

  9. CCC& Evaluations • Theory: Don’t have to use milestones as your eval questions • Different approaches • Entrustable professional activities (EPA’s) • Curricular milestones • Reporting milestones • E-value is entering the curricular and reporting milestones to make eval creation easy

  10. NAS & You • My Advice: • Get to know your requirements • Try to think ahead about the information flow • Don’t get complacent – site visits can be triggered any time

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