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What’s new in graduate medical education?*

  • Raquel G. Hernandez (a1) (a2)

The development of new graduate medical education programmes provides both opportunities and challenges. Efforts to address physician workforce shortages as well as a realisation that curricula need to be updated to adjust to our rapidly changing healthcare environment have resulted in more educators considering the “how to” and “what’s new” of programme development. Understanding the Next Accreditation System, an accreditation system introduced by the Accreditation Council of Graduate Medical Education in 2012, is critical to the success of new as well as existing residency and fellowship programmes. Although many educators are aware of the general rational for the Next Accreditation System, an in-depth understanding of the meaning of Next Accreditation System is necessary from an experiential and theoretical perspective to be able to successfully launch new programmes and moves towards accreditation. A new paediatric categorical residency programme and a new paediatric surgical programme were developed at our institution immediately following the implementation of Next Accreditation System. We provide a series of insights and perspectives based on our experience relative to what priorities we saw outlined from both the programmatic and the institutional perspective to have our graduate medical education programmes reviewed for accreditation. During this discussion, the following objectives are outlined: to overview the Next Accreditation System as a framework and priorities, to discuss the opportunities and challenges that may exist in developing new programmes, and to discuss future directions in the evaluation of trainees and assessment of training competency. Although challenges are outlined, we hope to relay the continued excitement and opportunities that exist relative to enhancing training curricula for future graduate medical education programme builders.

Corresponding author
Correspondence to: R. G. Hernandez, MD, MPH, Johns Hopkins All Children’s Hospital, Office of Medical Education, OCC Suite 608, 5th Street South, St. Petersburg, FL 33701, United States of America. Tel: 727 767 4106; Fax: 727 767 8804; E-mail:
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Presented at Johns Hopkins All Children’s Heart Institute Andrews/Daicoff Cardiovascular Programme International Symposium on Postgraduate Education in Pediatric and Congenital Cardiac Care, Saint Petersburg, Florida, United States of America, Thursday 11 February, 2016 and Friday 12 February, 2016.

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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1. RL Phillips Jr, A Bitton . Tectonic shifts are needed in graduate medical education to ensure today’s trainees are prepared to practice as tomorrow’s physicians. Acad Med 2014; 89: 14441445.

2. KD Holt , RS Miller , I Philibert , TJ Nasca . Patterns of change in ACGME-accredited residency programs and positions: implication for the adequacy of GME positions and supply of physicians in the United States. J Grad Med Educ 2014; 6: 399403.

3. TJ Nasca , I Philibert , T Brigham , TC Flynn . The next GME accreditation system–rationale and benefits. N Engl J Med 2012; 366: 10511056.

4. I Philibert , M Lieh-Lai , R Miller , JR Potts 3rd, T Brigham , TJ Nasca . Scholarly activity in the next accreditation system: moving from structure and process to outcomes. J Grad Med Educ 2013; 5: 714717.

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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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