The Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties and its member boards introduced the six domains of physician competency in 1999. This initiated a national dialogue concerning the elements of competency of the physician, and incorporation of these elements into the framework of evaluation of residents and fellows, as well as the educational programs within which they are trained. The next step in this process will be the ACGME’s Next Accreditation System, which the authors describe in this commentary. Recognizing that there are already developments in the assessment of medical education that will influence future models of accreditation, the authors consider some of these innovations and discuss how they may shape the next accreditation system after the Next Accreditation System.
Dr. Nasca is chief executive officer, Accreditation Council for Graduate Medical Education, Chicago, Illinois, and professor of medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Dr. Weiss is senior vice president for patient safety and institutional accreditation, Accreditation Council for Graduate Medical Education, Chicago, Illinois, and professor of clinical medicine, Division of General Medicine and Center for Healthcare Studies, Feinberg School of Medicine at Northwestern University, Chicago, Illinois.
Dr. Bagian is the director of the Center for Healthcare Engineering and Patient Safety, and professor of anesthesiology and engineering, Medical School and College of Engineering, University of Michigan, Ann Arbor, Michigan.
Dr. Brigham is senior vice president for education, Accreditation Council for Graduate Medical Education, Chicago, Illinois, and associate professor of medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Editor’s Note: This is a commentary on Asch DA, Nicholson S, Srinivas SK, Herrin J, Epstein AJ. How do you deliver a good obstetrician? Outcome-based evaluation of medical education. Acad Med. 2014;89:24–26.
Funding/Support: None reported.
Other disclosures: None reported.
Ethical approval: Reported as not applicable.
Disclaimer: The opinions expressed in this article are solely those of the authors and do not necessarily represent the views of the Accreditation Council for Graduate Medical Education, Jefferson Medical College, Northwestern University, or University of Michigan.
Correspondence should be addressed to Dr. Nasca, 515 N. State St., Suite 2000, Chicago, IL 60654; telephone: (312) 755-5051; e-mail: firstname.lastname@example.org.