Investigating the Roles and Impact of Clinical Competency Committees in Graduate Medical Education: A Narrative Review.

Although Clinical Competency Committees (CCCs) were implemented to facilitate the goals of competency-based medical education, implementation has been variable, and we do not know if and how these committees affected programs and assessment in graduate medical education (GME). To explore the roles CCCs fulfill in GME and their effect on trainees, faculty, and programs. We conducted a narrative review of CCC primary research with the following inclusion criteria: all articles must be research in nature, focused on GME and specifically studying CCCs, and published in English language journals from January 2013 to November 2022.

A multispecialty ethnographic study of clinical competency committees (CCCs).

Purpose: Clinical competency committees (CCCs) assess residents' performance on their specialty specific milestones, however there is no 'one-size fits all' blueprint for accomplishing this. Thus, CCCs have had to develop their own procedures. The goal of this study was to examine these efforts to assist new programs embarking on this venture and established programs looking to improve their CCC practices and processes.

Stages of Milestones Implementation: A Template Analysis of 16 Programs Across 4 Specialties.

Background: Since 2013, US residency programs have used the competency-based framework of the Milestones to report resident progress and to provide feedback to residents. The implementation of Milestones-based assessments, clinical competency committee (CCC) meetings, and processes for providing feedback varies among programs and warrants systematic examination across specialties.

Objective: We sought to determine how varying assessment, CCC, and feedback implementation strategies result in different outcomes in resource expenditure and stakeholder engagement, and to explore the contextual forces that moderate these outcomes.

What resources do clinical competency committees (CCCs) require to do their work? A pilot study comparing CCCs across specialties.

Purpose: Although a growing literature describes how clinical competency committees (CCCs) make decisions about trainees' clinical performance, little is known about the resources these committees need to perform their work. In this pilot study, we examined key characteristics of CCC processes across generalist and surgical specialties. This study intended to clarify topic areas for further investigation.

How do clinical competency committees use different sources of data to assess residents' performance on the internal medicine milestones?A mixed methods pilot study.

Purpose: This study examines how Clinical Competency Committees (CCCs) synthesize assessment data to make judgments about residents' clinical performances.

Methods: Between 2014 and 2015, after four six-month reporting periods to the Accreditation Council for Graduate Medical Education (ACGME), 7 of 16 CCC faculty at Rush University Medical Center completed questionnaires focused on their perspectives about rating residents on their achievement of the milestones and participated in a focus group. Qualitative data were analyzed using grounded theory.