Next Accreditation System (NAS) : 새로운 레지던트 프로그램 인증 기준

(출처 : http://www.residencysecrets.com/2013/05/28/the-next-accreditation-system-its-impact-on-feedback-evaluation/)

"기본적으로 역량중심 교육과정과 지금까지 해오던 방식의 차이점은, 

여기서 '역량'이라는 단어가 의미하는 바가 대중의 요구, 그리고 더 나은 의료 결과라는 점입니다. 

따라서 의사는 이러한 것을 실제로 할 수 있어야 하기 때문에

각 임상과는 이 목표를 어떻게 달성할 수 있을 것인가를 생각해야 합니다. 

또한 학생들이 질문하는 방법을 익히고, 연구 논문을 읽는 방법을 익히는데 도움을 줄 교수들도 필요합니다. 

이는 단순히 강의를 해주는 것이 아니라 '어떻게 생각해야 하는가'를 가르치는 것입니다."

"학생들은 이것이 환자중심적 의료로의 변화라는 것을 이해해야 합니다. 

의료전달체계가 빠르게 변호하고 있기 때문에 우리 의사들은 사고를 유연하게 가져가야 할 필요가 있습니다. 

앞으로는 학생을 선발할 때도 

그 학생의 학문적 능력 뿐만 아니라 

좋은 의사가 되기 위해 필요한 자질에 대해서도 눈여겨 봐야 할 것입니다."

“Basically, the difference between competency-based education and the way we have always done it is that competency means that what the public needs, good health outcomes, is what a physician should actually be able to do, and each specialty has to decide how to achieve this,And we need faculty members who can help students learn how to ask questions or read a research article. It’s not about giving them a lecture but teaching them how to think.”

“For the student, this is not just about change, but it focuses greater attention on patient-centered care,” Aschenbrener said. “With the rapid changes seen today in the health care delivery system, we need physicians with cognitive flexibility. As for admitting students into medical school,we need to continue paying attention to academic ability, but we also need to consider the other attributes that make a good physician.”

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MEDICAL RESIDENCY PROGRAMS are about to undergo substantial changes in the ways the physicians of tomorrow are trained. 

Beginning in July, the Accreditation Council for Graduate Medical Education (ACGME) will implement the Next Accreditation System to oversee training residents in 7 specialties

The aims of the new system are to “enhance the ability of the peer-review system to prepare physicians for practice in the 21st century, to accelerate the ACGME’s movement toward accreditation on the basis of educational outcomes, and to reduce the burden associated with the current structure and process-based approach” (Nasca TJ et al. N Eng J Med. doi:10 .1056/NEJMsr1200117 [published online March 15, 2012]).

The ACGME was founded in 1981 when the graduate medical education environment faced 2 major stresses: 

Variability in the quality of resident education 

and the emerging formalization of subspecialty education.

Acknowledging the new stresses, the ACGME pushed for the Next Accreditation System. Under this approach, each medical residency program accredited by the ACGME will have to demonstrate that its residents have the core competencies and clinical skills to provide quality patient care and the ability to respond to ongoing developments in health care delivery.

To measure such competencies, each specialty is developing educational milestones

Changes in resident training mean changes in the teaching of medical students as well

“Basically, the difference between competency-based education and the way we have always done it is that competency means that what the public needs, good health outcomes, is what a physician should actually be able to do, and each specialty has to decide how to achieve this,And we need faculty members who can help students learn how to ask questions or read a research article. It’s not about giving them a lecture but teaching them how to think.”

“For the student, this is not just about change, but it focuses greater attention on patient-centered care,” Aschenbrener said. “With the rapid changes seen today in the health care delivery system, we need physicians with cognitive flexibility. As for admitting students into medical school,we need to continue paying attention to academic ability, but we also need to consider the other attributes that make a good physician.”

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JAMA. 2013 May 22;309(20):2085-6. doi: 10.1001/jama.2013.3943.

Residencies roll out new training system.

Mitka M.

PMID:

 

23695458

 

[PubMed - indexed for MEDLINE]