Learning Objectives
   • Clarify the critical role of the CCC in the assessment system
   • Identify strengths and weaknesses of the current CCC structure 
   and process
   • Capitalize on opportunities to improve the quality of the CCC 
   structure and process
   • Identify potential threats to the CCC structure and process
   • Create some first steps towards quality improvement (QI) of the 
   CCC structure and process- i.e. an “action plan”
  What is the “Job” of the CCC?
    The Clinical Competency Committee should:
    • Review all resident evaluations semi-annually; (Core) 
    • Prepare and ensure the reporting of Milestones evaluations of 
      each resident semi-annually to ACGME;  (Core) 
    • Advise the program director regarding resident progress, including 
      promotion, remediation, and dismissal. (Detail)"
    (ACGME, Internal Medicine Program Requirements)
  Role of CCC in the Assessment System
    “The CCC serves several purposes, for the program director, the 
    program itself, the faculty, the residents/fellows, the ACGME, and 
    the specialty. The ultimate purpose is to demonstrate our 
    accountability as medical educators to the public, that our graduates 
    will provide high quality, safe care to our patients and maintain the 
    standards of the health care system.”
    (Andolsek et al. ACGME CCC Guidebook)
   What Do CCCs Do?  A Lot!
                                       Make 
                                       Make 
                                      sense of 
                                      sense of 
                                       data
                                       data
                                              Identify 
                              Provide         Identify 
                              Provide         needed 
                              feedback        needed 
                              feedback         data
                                               data
                                                  Identify 
                           Track      MAKE        Identify 
                           Track      MAKE       curriculum 
                           learning JUDGEMENTS   curriculum 
                           learning JUDGEMENTS    issues
                                                  issues
                                              Identify 
                              Advise          Identify 
                              Advise         assessment 
                               PD            assessment 
                               PD             issues
                                              issues
                                      Work as a 
                                      Work as a 
                                       group
                                       group
  Engaging the CCC
   • Beyond the ACGME’s definition, CCCs can be involved in specific 
   tasks: e.g.
    –Identifying curriculum gaps
    –Curriculum mapping
    –Providing feedback  to residents
    –Providing feedback to core faculty
    –Annual program evaluation