TAGME Resident Evaluation, Milestones, and CCC/PEC Operations

Question 1

Under ACGME requirements, the Clinical Competency Committee (CCC) must meet at minimum:

Accepted Answer

Prior to residents' semi-annual evaluations, to advise the program director on each resident's Milestone progress

Answer

The ACGME requires the CCC to meet prior to residents' semi-annual evaluations so it can review all resident evaluations, determine Milestone levels, and advise the program director. This drives the twice-yearly Milestone reporting cycle.

Question 2

What is the minimum number of faculty members required to compose the Clinical Competency Committee (CCC)?

Accepted Answer

Three faculty members appointed by the program director

Answer

ACGME Common Program Requirements specify that the CCC must include at least three members of the program faculty. The program director appoints the members and may participate, but the committee must have a minimum of three faculty.

Question 3

How frequently must programs report Milestone evaluations for each resident to the ACGME?

Accepted Answer

Semi-annually (twice per year)

Answer

Programs must submit Milestone evaluations for each resident to the ACGME twice per year—typically in June and December. This semi-annual reporting allows the ACGME and program to track resident progress toward specialty-specific outcomes.

Question 4

When a resident's Milestone progress indicates deficiencies, the ACGME requires programs to:

Accepted Answer

Document a specific intervention or remediation plan with benchmarks, and provide the resident with notice and the opportunity to respond

Answer

ACGME requirements mandate that remediation be documented with clear benchmarks and timelines, and that residents receive due process including notification and the opportunity to respond. Immediate termination without process violates both ACGME requirements and standard employment due process.

Question 5

The Program Evaluation Committee (PEC) differs from the Clinical Competency Committee (CCC) primarily in that the PEC:

Accepted Answer

Evaluates the quality of the overall educational program through the Annual Program Evaluation (APE), not individual resident performance

Answer

The PEC conducts the Annual Program Evaluation (APE), examining the program's curriculum, faculty, resources, and outcomes to identify strengths and areas for improvement. The CCC focuses on individual residents' performance and Milestone attainment. These are complementary but distinct functions.

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME Resident Evaluation, Milestones, and CCC/PEC Operations