On February 22, 2012 the ACGME announced that it is changing how residency training will be followed and assessed with the introduction of the Next Accreditation System (NAS). The NAS is structured around 6 core areas of competency: patient care, medical knowledge, practice-based learning and improvement, systems-based practice, professionalism, and interpersonal skills and communication. The NAS consists of milestone questions that are specific to each medical specialty and were designed specifically by practicing professionals within that specialty. Along with these evaluations, residency programs will also be required to develop and publish their own learning outcomes. Over time this process will ensure that the residency programs are meeting each objective and will lead to improved training for each resident and program.
These milestones questions will be implemented initially in July 2013 with 7 specialties (emergency medicine, internal medicine, neurological surgery, orthopaedic surgery, pediatrics, diagnostic radiology, and urological surgery). In July 2014 all residency programs, which consists of 27,000 residents, will be required to perform these evaluations and report their outcomes biannually. Given the breadth of information that needs to be collected and managed on a biannual basis, accurate collection methods, analysis, and record retention are needed. While this could add a significant amount of administrative burden to residency programs, AgileMedicine, along with a major metropolitan Emergency Medicine residency program, has developed a new system for managing milestone evaluations called GME Pulse. This software allows residency programs to manage trainees, collect assessments on mobile devices and tablets, such as the iPad and Microsoft Surface, and instantly generate competency-based metrics about performance. For more information or to register, download our brochure or visit http://www.gmepulse.com.