accreditation council for graduate medical education · pdf fileaccreditation council for...
TRANSCRIPT
![Page 1: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/1.jpg)
Accreditation Council for Graduate Medical Education
ACGME Focus on Physician Well-Being :
Deepening our Commitment to Faculty, Learners, and Patients
![Page 2: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/2.jpg)
Disclosure• Senior Vice President, Education, ACGME
• Associate Professor of Medicine, Jefferson Medical College (volunteer)
• Senior Scholar, Department of Medical Education, University of Illinois at Chicago College of Medicine
• No conflicts of interest to report
• The ACGME receives no funds from any corporate entity other than accreditation fees related to ACGME accreditation services
• The Journal of Graduate Medical Education permits only advertizing of classified position in academic institutions
• The ACGME Annual Educational Conference is entirely self sufficient, has no external sponsors, advertisers, or displays, and uses no accreditation fee revenue for support
• ACGME International is a Not-for-Profit entity
![Page 3: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/3.jpg)
Our Mission
![Page 4: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/4.jpg)
“We improve health care and population health by assessing and advancing the quality of resident physicians' education through accreditation. ”
ACGME Mission Statement
![Page 5: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/5.jpg)
MASTERY
![Page 6: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/6.jpg)
Dreyfus Model
Novice
Advanced Beginner
Competent
Proficient
Expert
Master
![Page 7: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/7.jpg)
• Excellence in the safety and quality of care rendered to patients by residents today
• Excellence in the safety and quality of care rendered to patients by today’s residents in their future practice
• Excellence in professionalism through faculty modeling of:• The effacement of self-interest in a humanistic environment that
supports the professional development of physicians• The joy in curiosity, problem-solving, intellectual rigor, and
discovery• Commitment to the well-being of the residents, faculty
members, students, and all members of the health care team
The Learning and Working Environment
![Page 8: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/8.jpg)
Why now?
![Page 9: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/9.jpg)
A Deepening Awareness
![Page 10: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/10.jpg)
A few sobering realities:
![Page 11: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/11.jpg)
Medical Students at Orientation
Psychologically Healthier
Lotte N. Dyrbye, MD, MHPE, FACP
![Page 12: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/12.jpg)
• Depression
• Burnout
• Stress
• Empathy
• Compassion Lotte N. Dyrbye, MD, MHPC, FACP
![Page 13: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/13.jpg)
Resident and Fellow Suicides
![Page 14: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/14.jpg)
Practicing Physician Concerns
• Well-being• Burnout• Suicide
![Page 15: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/15.jpg)
Increasing National and International Attention
![Page 16: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/16.jpg)
![Page 17: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/17.jpg)
![Page 18: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/18.jpg)
![Page 19: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/19.jpg)
What to do?
![Page 20: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/20.jpg)
Why us?
![Page 21: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/21.jpg)
“Every system is perfectly designed to yield the result it produces.”
Paul Batalden
![Page 22: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/22.jpg)
Fundamental Transformative
Change
![Page 23: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/23.jpg)
“One definition of insanity is doing the same thing over and over again, but expecting different results.”
Rita Mae BrownSudden Death, 1983. p. 68
![Page 24: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/24.jpg)
The Next Phase
“Somebody has to do something,
Jerry Garcia The Grateful Dead
and it’s just incredibly patheticthat it has to be us.”
![Page 25: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/25.jpg)
Next Steps
![Page 26: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/26.jpg)
![Page 27: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/27.jpg)
Establishment of a Task Force
The ACGME has established a Task Force composed of Board Members, administration, and selected external experts/stake holders to work together to facilitate change in the following areas:
![Page 28: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/28.jpg)
ACGME Task Force
• Dinchen Jardine, MD*• Lyuba Konopasek, MD*• Kenneth Ludmerer, MD, MACP• Cristin McDermott, MD*• Christine Moutier, MD• Thomas Nasca, MD, MACP• Srijan Sen, MD, PhD• Deborah Simpson, PhD• Alison P. Smith, MPH, BSN, RN• James H. Taylor, Dman, MHA, MBA• Kevin Weiss, MD, MPH, MHSA• Edwin Zalneraitis, MD*• Rowen Zetterman, MD
• Carol Bernstein, MD, Co-Chair*• Timothy Brigham, PhD, MDiv, Co-
Chair*• Stanley Ashley, MD*• DeWitt Baldwin, MD*• Donald Brady, MD*• Peter Carek, MD, MS• Wallace Carter, MD*• Jordan Cohen, MD, MACP*• Lotte Dyrbye, MD, MHPE, FACP• Rhea Fortune• Helen Haskell, MA• Kari Hortos, DO*s of the Symposium
Planning Sub-Committee
*Members of the Symposium Planning Sub-Committee
![Page 29: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/29.jpg)
Task Force Mission
“To catalyze improvement in Physician Well-being through education, the development of strategies and the evaluation of results in the clinical and learning environment”
![Page 30: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/30.jpg)
Three Subcommittees
• Research• Education• Tools and resources
![Page 31: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/31.jpg)
Subcommittee Roles and Goals
• Research• Facilitate evidence-based research and decision-making• Advocacy role inside and outside GME• Disseminate materials and foster growth
• Education• Symposium development• Educate the GME community• Share educational resources
• Tools and Resources• Website development• Collect and “vet” submitted resources
![Page 32: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/32.jpg)
To Recommend and Oversee a Process to Address Four Areas of Impact
• Education• Using ACGME Levers to influence Change• Ongoing Research• Collaborating across the continuum and
across professions to promote Culture/System Change
![Page 33: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/33.jpg)
B = f (P, E)Lewin’s Equation 1936
![Page 34: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/34.jpg)
Education• Building Awareness• Ongoing Dissemination• Building Website
• Videos• Slide sets• Communities of Learning
• Work with Task Force• Tool Kit(s)
• Annual Symposium• Annual Educational Conference (AEC)
![Page 35: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/35.jpg)
Series of SymposiumsEach building on the work of the
previous
![Page 36: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/36.jpg)
• Building Resilience• Fostering/ Nurturing Well-Being• Recognition• Intervention• Reduce Stigmatization• Help Grieving Communities Heal
![Page 37: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/37.jpg)
![Page 38: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/38.jpg)
Goals of the Symposium
![Page 39: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/39.jpg)
Symposium FormatNovember 17-18, 2015
• Invitational• Approximately 150 attendees from all facets of the GME
community• Format
• Lectures• Modified World Café Model• Small group work• Large group processing and discussions
![Page 40: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/40.jpg)
ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION
The ACGME Second Symposium on Physician Well-Being: Commitment to Change
NOVEMBER 29-DECEMBER 1,2016
![Page 41: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/41.jpg)
• ACGME– Board Members– Administration– Staff
• House of Medicine– The Continuum of Learning and Practice
• Other Healthcare Professionals• Friends and Family of Physicians• Learners• Interested/concerned others
Why?
![Page 42: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/42.jpg)
• Develop concrete action plan to address the issue of Physician Well-Being for:– Programs/Systems– Learners/Faculty
• Continue the national dialogue and forge collaborations among stakeholders to effect positive transformational change for Physician Well-Being
• Provide guidance to the ACGME on how best to utilize its unique “levers of influence” to effect positive transformational change
• Promote a scholarly approach to well-being interventions and innovations
GOALS OF THE SYMPOSIUM
![Page 43: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/43.jpg)
• Presentations• Panel Discussions• Small Group Work• Large Group Discussion• Reflective Dialogue• Modified Open Space Design• Electronic messaging capability for questions,
reflections, agenda setting• Commitment to Change
HOW
![Page 44: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/44.jpg)
Open-space Breakout Groups
• Innovation• Mental Health Services• Culture Change• Building a Comprehensive Well-being
Program• Workflow• Resilience
![Page 45: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/45.jpg)
Using ACGME Levers for Change
• CLER • Requirements • Baldwin Award
![Page 46: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/46.jpg)
ACGME Levers
The Clinical Learning Environment Review (CLER) • Dr. Kevin Weiss and his team are broadening the current
focus area “Fatigue Management, Mitigation, and Duty Hours” to Physician Well Being.
Accreditation Requirements• Common Program Requirements
• Revising and strengthening the Common Program Requirements in the area of well-being
![Page 47: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/47.jpg)
Ongoing Research
• Resident Survey Voluntary Questions• Studying the causes of resident death• Collaborating with others to stimulate
research in the field• Providing a forum for disseminating research
• AEC• Annual Wellness Symposium• Journal• Website
![Page 48: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/48.jpg)
Continuum CollaborationFocus of the next meeting of the Coalition for Physician Accountability
AAMC NBMEABMS NBOMEACCME Joint CommissionACGME CMSSAMA Public MembersAOA NursesECFMG Other health-care professionalsFSMBLCMEAACOM
![Page 49: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/49.jpg)
Continuum CollaborationNational Academy of Medicine (NAM)Institute on Medicine (IOM)
![Page 50: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/50.jpg)
What can you/we do?
![Page 51: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/51.jpg)
Let’s begin a conversation across
distance, culture, specialties, professions, etc.
![Page 52: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/52.jpg)
![Page 53: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/53.jpg)
Deepen OurCommitment to Faculty, Learners and Patients
![Page 54: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/54.jpg)
Think Globally
Act Locally
![Page 55: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/55.jpg)
We’re facilitating the setting of expectations…
You’re working on the ground to innovate, motivate, and transform:1. The faculty2. The journey of the learner3. The learning environment4. The experience of the patient
![Page 56: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/56.jpg)
![Page 57: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/57.jpg)
“If you think you’re too small to be effective, you have never been in bed with
a mosquito.”
Betty Reese (American officer and pilot)
![Page 58: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/58.jpg)
Never be afraid to try something new. Remember that amateurs built the ark,
and professionals built the Titanic.
Anonymous
![Page 59: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/59.jpg)
LaSalle D. Leffall, MD
![Page 60: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/60.jpg)
Awe
![Page 61: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/61.jpg)
Talmud
![Page 62: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/62.jpg)
![Page 63: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/63.jpg)
StayTuned
![Page 64: Accreditation Council for Graduate Medical Education · PDF fileAccreditation Council for Graduate Medical Education ... the clinical and learning environment ... AAMC NBME. ABMS NBOME](https://reader031.vdocuments.us/reader031/viewer/2022030509/5ab96f837f8b9aa6018de16e/html5/thumbnails/64.jpg)
Thank you