V.C._Program Evaluation and Improvement

V.C.1. The program director must appoint the Program Evaluation Committee
(PEC). (Core)
V.C.1.a) The Program Evaluation Committee:
V.C.1.a).(1) must be composed of at least two program faculty members and should include at least one resident; (Core)
V.C.1.a).(2) must have a written description of its responsibilities; and,
(Core)

V.C.1.a).(3)should participate actively in:
V.C.1.a).(3).(a)planning, developing, implementing, and evaluating educational activities of the program; (Detail)
V.C.1.a).(3).(b) reviewing and making recommendations for
revision of competency-based curriculum goals and objectives; (Detail)
V.C.1.a).(3).(c)addressing areas of non-compliance with ACGME
standards; and, (Detail)
V.C.1.a).(3).(d) reviewing the program annually using evaluations
of faculty, residents, and others, as specified below.
(Detail)

V.C.2. The program, through the PEC, must document formal, systematic evaluation of the curriculum at least annually, and is responsible for rendering a written, annual program evaluation. (Core)
The program must monitor and track each of the following areas: V.C.2.a) resident performance; (Core)
V.C.2.b) faculty development; (Core)
V.C.2.c) graduate performance, including performance of program graduates on the certification examination; (Core)
V.C.2.d)program quality; and, (Core)
V.C.2.d).(1) Residents and faculty must have the opportunity to evaluate the program confidentially and in writing at least annually, and (Detail)
V.C.2.d).(2) The program must use the results of residents' and faculty
members' assessments of the program together with other program evaluation results to improve the program. (Detail)
V.C.2.e)progress on the previous year's action plan(s). (Core)
V.C.3. The PEC must prepare a written plan of action to document initiatives to improve performance in one or more of the areas listed in section V.C.2., as well as delineate how they will be measured and monitored. (Core)
V.C.3.a) The action plan should be reviewed and approved by the teaching faculty and documented in meeting minutes. (Detail)