The ACGME-I Effect

Elghul, Ashraf

doi:10.4300/jgme-d-16-00005.1

Cited by 4 publications

(5 citation statements)

References 2 publications

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“…This perception of improvement is consistent with previous reports on how ACGME-I accreditation can affect fellowship quality. 18,19 Nonetheless, in light of the scarcity of systematically acquired objective data that evaluate the impact of fellowship accreditation in low- and middle-income countries, acquiring such data will be included in the fellowship program processes in the future. Data elements to be collected will encompass competency-based assessments, adherence to policies, and scientific outputs.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Regional Pediatric Hematology/Oncology Fellowship Program in Guatemala

Moreira,

Garrido,

Rosado

et al. 2024

JCO Glob Oncol

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PURPOSE This study aimed to describe and assess the regional experience of a pediatric hematology/oncology fellowship program based in Guatemala. METHODS The Unidad Nacional de Oncología Pediátrica (UNOP) in Guatemala City, Guatemala, is the only hospital in Central America dedicated exclusively to childhood and adolescent cancer. To address the regional need for specialists, a fellowship program in pediatric hematology/oncology was launched in 2003. The UNOP fellowship program comprises 3 years of training. Although the program is based at UNOP, it also includes rotations locally and internationally to enhance clinical exposure. The curriculum is based on international standards to cover clinical expertise, research, professionalism, communication, and health advocacy. Trainees are selected according to country or facility-level need for pediatric hematologists/oncologists, with a plan for them to be hired immediately after completing their training. RESULTS Forty physicians from 10 countries in Latin America have completed training. In addition, there are currently 13 fellows from five countries in training. Of the graduates, 39 (98%) are now practicing in pediatric hematology/oncology in Latin America. Moreover, many of them have leadership positions within their institutions and participate in research, advocacy, and policy making. Graduates from the UNOP program contribute to institutions by providing care for an increasing number of patients with pediatric cancer. The UNOP program is the first pediatric hematology/oncology fellowship program in the world to be accredited by Accreditation Council for Graduate Medical Education-International, an international body accrediting clinical training programs. CONCLUSION The UNOP program has trained specialists to increase the available care for children with cancer in Latin America. This regional approach to specialist training can maximize resources and serve as a model for other programs and regions.

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Section: Discussionmentioning

confidence: 99%

Impact of a Regional Pediatric Hematology/Oncology Fellowship Program in Guatemala

Moreira,

Garrido,

Rosado

et al. 2024

JCO Glob Oncol

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“…Since the mid-20th century, international migration of physicians has received scholarly attention, with research often focused on patterns and impact. 1,2 Amid growing return migration due to evolving medical infrastructure in home nations 3 and interest in international standardization of medical education, 4,5 examining the experience of international medical graduates (IMGs) has the potential to shed light on differences and similarities in educational methods across nations. This may deepen our understanding of medical education internationally and in the United States.…”

Section: Introductionmentioning

confidence: 99%

Contrasting Residency Training in Japan and the United States From Perspectives of Japanese Physicians Trained in Both Systems

Heist

Torok

2019

Journal of Graduate Medical Education

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Background International medical graduates (IMGs) have significant exposure to clinical training in their home country, which provides opportunity for international comparison of training experiences. One relevant IMG population is Japanese physicians who have completed some training before entering residency programs in the United States and desire to improve medical education in Japan. Objective We examined Japanese IMGs' perceptions of the respective attributes of residency in the United States and Japan. Methods Individual semistructured interviews were conducted with 33 purposively sampled Japanese IMGs who had completed training. We used exploratory thematic analysis, iterative data collection, and thematic analyses with constant comparison. Results Comments were organized into 3 categories: (1) attributes of US residency preferable to Japanese residency; (2) attributes of residency training with no clear preference for the US or Japanese systems; and (3) attributes of Japanese residency preferable to US residency. Within each category, we matched themes to residency program requirements or culture of medical training. Main themes include high regard for Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements, with emphasis on efficient achievement of clinical competency through graded responsibility, contrasted with preference expressed for a Japanese training culture of increased professional commitment facilitated by a lack of work hour limits and development of broad clinician skills, including bedside procedures and radiology interpretation. Conclusions Japanese training culture contrasts with a US model that is increasingly focused on work-life balance and associated compartmentalization of patient care. These findings enhance our understanding of the global medical education landscape and challenges to international standardization of training.

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“…Since then, there have been marked improvements in clinical education and residency training outcomes. 2 The concept of competency-based medical education (CBME) has progressively evolved in the UAE, producing positive residency training outcomes and greater trainee and educator satisfaction. 2 At the same time, challenges have emerged in the residency programs in Abu Dhabi.…”

mentioning

confidence: 99%

“…2 The concept of competency-based medical education (CBME) has progressively evolved in the UAE, producing positive residency training outcomes and greater trainee and educator satisfaction. 2 At the same time, challenges have emerged in the residency programs in Abu Dhabi. Three critical areas for these programs include addressing burnout and promoting well-being in trainees, advancing assessment of residency graduates' competency through certification, and enhancing the quality and safety of patient care.…”

mentioning

confidence: 99%

“…7 The establishment of a UAE National Board Examination that is aligned with the ACGME-I educational framework will ensure standardization and rigor of residency training outcomes. 2 Another challenge is recruiting physicians who are board-certified in specialties critical to health care delivery. One example is the shortage of adolescent medicine physicians to care for patients and serve as faculty in ACGME-I accredited programs, which is critical given the rapid increase of the adolescent population in the UAE.…”

mentioning

confidence: 99%

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The ACGME-I Effect

Cited by 4 publications

References 2 publications

Impact of a Regional Pediatric Hematology/Oncology Fellowship Program in Guatemala

Impact of a Regional Pediatric Hematology/Oncology Fellowship Program in Guatemala

Contrasting Residency Training in Japan and the United States From Perspectives of Japanese Physicians Trained in Both Systems

Challenges and the Future of Residency Education in the UAE After ACGME-I Accreditation

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