Development of Competency Teaching
and Assessment for the Subspecialty
Fellowships of Internal Medicine:
Infectious Diseases at Albert
Einstein College of Medicine and
Montefiore Medical Center
June 20,2005
Grace Minamoto, M.D.
Fellowship Educational Committee for
Infectious Diseases
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Joan Casey, M.D.
Marta Feldmesser, M.D.
Grace Minamoto, M.D.
Simone Saltzman, M.D.
Jonathan Shuter, M.D.
David Stein, M.D.
Fellows
How can we translate what we already do
into competency teaching and
assessment?
How can the fellows and faculty
understand how the curriculum teaches
the competencies?
Competencies
• Reword the ACGME descriptions in terms of
the subspecialty
• Decide how each of your curriculum
components helps teach the competencies
ACGME Outcome Project: Toolbox of
Assessment Methods
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Record review
Chart stimulated recall
Global rating
360 degree evaluation instrument
Observed structured clinical exam (OSCE)
Case logs
Portfolios
Written exam
Standardized patient exams
Curriculum Components:
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ID Consultation Service
Clinical conferences
Case presentations
Research conferences
Basic science conferences
Journal club
Introductory lecture series
I.D. Clinic
Microbiology rotation
Parasitology clinic
STD Course
Infection Control meetings
Antibiotic subcommittee meetings
Annual hospital in-service
On-line ethics-in-research course
Biostatistics and study design course
AECOM Microbiology course teaching
Research project
Competency 1: Patient Care in I.D.
TEACHING
ASSESSMENT
ID Consultation Services
ID Clinic
Global evaluation
Consultation logs
Case presentation logs and
evaluations
Observed Consultation
exercise
Competency 2: Medical Knowledge in I.D.
TEACHING
ASSESSMENT
ID Consultation services
Case presentations
Conferences (clinical, research,
basic science, journal club)
ID Curriculum lectures
Microbiology rotation
STD course
Parasitology clinic
Research project
Global evaluation
Consultation logs
Case presentation logs and
evaluations
In-service exam (ID Board review
modules)
Journal club presentation
evaluations
Microbiology course completion
STD course completion
Research presentation
evaluation
Competency 3: Practice-Based Learning
and Improvement in I.D.
TEACHING
ASSESSMENT
I.D. Consultation Services
Clinical Conferences
Case presentations
Journal Club
I.D. Clinic
AECOM microbiology course
teaching
Global evaluation
Case presentation logs
Clinic QI assessments; QI
projects
Case presentation evaluations
Journal club presentation
evaluations
Biostatistics/study design
course completion
Research evaluations
AECOM course teaching
evaluation
Research presentation
evaluations
Competency 4: Interpersonal and
Communication Skills in I.D.
TEACHING
ASSESSMENT
I.D. consultation services
I.D. clinic
Global evaluation
Observed consultation
exercise
360 degree evaluation in
clinic setting
Competency 5: Professionalism in I.D.
TEACHING
ASSESSMENT
I.D. consultation services
I.D. clinic
Annual hospital in-service
On-line ethics-in-research
course
Global evaluation
Observed consultation
exercise
360 degree evaluation in
clinic setting
Completion of annual
hospital in-service
Completion of on-line ethicsin-research course
Competency 6: System-Based Practice in
I.D.
TEACHING
ASSESSMENT
I.D. consultation services
Clinical conference
I.D. clinic
Microbiology rotation
Infection control in-service and
meetings
Antibiotic subcommittee
meetings
Annual hospital in-service
Global evaluation
Consultation logs
Case presentation logs
360 degree evaluation in clinic
setting
Completion of microbiology
rotation
Participation in infection control
meetings
Participation in antibiotic
subcommittee meetings
Completion of annual hospital inservice
Competency Teaching and Assessment
Requires:
• Faculty and fellow familiarity with competencies
• Time commitment by faculty to develop and
reassess evaluations
• Evaluations that have internal consistency and
inter-rater reliability
• Time commitment by faculty to formally evaluate
fellows in multiple components of the curriculum
• Time commitment by other health professionals
in working sphere of fellows