Reflections on a Crisis in Graduate Medical Education: The Closure of Hahnemann University Hospital.

In June 2019, Hahnemann University Hospital (HUH) in Philadelphia became the largest U.S. teaching hospital to announce its closure and the closure of all of its graduate medical education (GME) programs, which displaced more than 550 residents, fellows, and other trainees.

Components of postgraduate competence: analyses of thirty years of longitudinal data.

Context: The conceptualisation and measurement of competence in patient care are critical to the design of medical education programmes and outcome assessment.

Objective: We aimed to examine the major components and correlates of postgraduate competence in patient care.

Methods: A 24-item rating form with additional questions about resident doctors' performance and future residency offers was used.

Use of critical incidents to develop a rating form for resident evaluation of faculty teaching.

Context: Monitoring the teaching effectiveness of attending physicians is important to enhancing the quality of graduate medical education.

Methods: We used a critical incident technique with 35 residents representing a cross-section of programmes in a teaching hospital to develop a 23-item rating form. We obtained ratings of 11 attending physicians in internal medicine and general surgery from 54 residents.

Do global rating forms enable program directors to assess the ACGME competencies?

Purpose: In 1999 the Accreditation Council for Graduate Medical Education (ACGME) mandated that GME programs require their residents to be proficient in six general competencies. The purpose of this study was to ascertain whether an existing global rating form could be modified to assess these competencies.

Method: A rating form covering 23 skills described in the ACGME competencies was developed.