Residency and fellowship training programs are expected to regularly evaluate the effectiveness of all aspects of the program. We do this primarily through a documentation process known as the Annual Program Evaluation (APE). As the name implies, each program must review the curriculum a minimum of once per year. Components assessed during the APE include resident performance, faculty development, and graduate performance; aggregated data must be studied, improvement plans created, and the previous year’s plan & results reviewed.
The Program Evaluation Committee (PEC) facilitates the APE. Each PEC consists of at least two faculty members and at least one resident; the committee’s responsibilities include reviewing the program’s goals and progress toward achieving them and guiding ongoing program improvement.
The Clinical Competency Committee (CCC) is appointed by the program director and reviews resident progress at least twice per year as the evidence mechanist for a consensus evaluation of milestone progression. In addition to providing individual residents with insight as to their progress, the CCC can detect opportunities for program improvement earlier than the APE would reveal; if multiple residents are not meeting a particular milestone, the committee could decide to revise the curriculum to address that area.
On a micro-scale, we perform data collection and report results daily as part of our daily management system. We track metrics within five key pillars. On a more holistic scale, our director of educational outcomes supervises systemic research initiatives to determine best practices.