IV.D. Scholarship
Medicine is both an art and a science. The physician is a humanistic scientist who care for patients. This
requires the ability to think critically, evaluate the literature, appropriately assimilate new knowledge, and practice lifelong learning. The program and faculty must create an environment that fosters the acquisition of such skills through resident participation in scholarly activities. Scholarly activities may include discovery, integration, application, and teaching.
IV.D.1.a) The program must demonstrate evidence of scholarly activities consistent with its mission(s) and aims. (Core)
IV.D.1.b) The program, in partnership with its Sponsoring Institution, must allocate adequate resources to facilitate resident and faculty involvement in scholarly activities. (Core)
The Review Committee may further specify.
IV.D.1.c) The program must advance residents knowledge and practice of the scholarly approach to evidence-based patient care. (Core)
Background and Intent: The scholarly approach can be defined as a synthesis of teaching, learning and research with the aim of encouraging curiosity and critical thinking based on an understanding of physiology, pathophysiology, differential diagnosis, treatments, treatment alternatives, efficiency of care, and patient safety. While some faculty members are responsible for fulfilling the traditional elements of scholarship through research, integration, and teaching, all faculty members are responsible for advancing residents' scholarly approach to patient care.
Elements of a scholarly approach to patient care include:
Asking meaningful questions to stimulate residents to utilize learning resources to create a differential diagnosis, a diagnostic algorithm, and treatment plan
Challenging the evidence that the residents use to reach their medical decisions so that they understand the benefits and limits of the medical literature
When appropriate, dissemination of scholarly learning in a peer-reviewed manner (publication or presentation)
Improving resident learning by encouraging them to teach using a scholarly approach.
IV.D.2. Faculty Scholarly Activity
IV.D.2.a) Among their scholarly activity, programs must demonstrate accomplishments in at least three of the following domains: (Core)
-Research in basic science, education, translational science, patient care, or population health
-Peer-reviewed grants
-Quality improvement and/or patient safety initiatives
-Systematic reviews, meta-analyses, review articles, chapters in medical textbooks, or case reports
-Creation of curricula, evaluation tools, didactic educational activities, or electronic educational materials
-Innovations in education
IV.D.2.b) The program must demonstrate dissemination of scholarly activity within and external to the program by the following methods:
Background and Intent: For the purposes of education, metrics of scholarly activity represent one of the surrogates for the program’s effectiveness in the creation of an environment of inquiry that advances the residents' scholarly approach to patient care. The Review Committee will evaluate the dissemination of scholarship for the program as a whole, not for individual faculty members, for a five-year interval, for both core and non-core faculty members, with the goal of assessing the effectiveness of the creation of such an environment. The ACGME recognizes that there may be differences in scholarship requirements between different specialties and between residencies and fellowships in the same specialty.
IV.D.2.b).(1) faculty participation in grand rounds, posters, workshops, quality improvement presentations, podium presentations, grant leadership, non-peer-reviewed print/electronic resources, articles or publications, book chapters, textbooks, webinars, service on professional committees, or serving as a journal reviewer, journal editorial board member, or editor; (Outcome)
IV.D.2.b).(2) peer-reviewed publication. (Outcome)
IV.D.3. Resident Scholarly Activity
IV.D.3.a) Residents must participate in scholarship. (Core)
The Review Committee may further specify.
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