Speakers

Dr. Eric Holmboe, MD, Ph.D.

Senior Vice President of the ACGME (Accreditation Council for Graduate Medical Education)

Speaker's Biography

Dr. Holmboe is the Chief Research, Milestone Development, and Evaluation Officer, Milestones Department. He is also Professor Adjunct of Medicine at Yale University, Adjunct Professor at the Uniformed Services University of the Health Sciences, and Adjunct Professor at the Northwestern University Feinberg School of Medicine.

He served as the Associate Program Director, Yale Primary Care Internal Medicine Residency Program, and as the Director of Student Clinical Assessment, Yale School of Medicine. Before joining Yale in 2000, he served as Division Chief of General Internal Medicine at the National Naval Medical Center. He also previously served as a medical student clerkship director and residency training officer at the Portsmouth Naval Medical Center. Dr. Holmboe retired from the US Naval Reserves in 2005. From 2009 to 2014, he served as the Chief Medical Officer at ABIM.

His research interests include interventions to improve the quality of care and methods in evaluating clinical competence. His professional memberships include the American College of Physicians (ACP), where he is a Master of the College, the Society of General Internal Medicine (SGIM), and the Association of Medical Education in Europe (AMEE). He is an Honorary Fellow of the Royal College of Physicians in London, the Royal College of Physicians and Surgeons in Canada, and an Honorary Fellow of the Academy of Medical Educators.

Dr. Holmboe is a graduate of Franklin and Marshall College and the University of Rochester School of Medicine. He completed his residency and chief residency at Yale-New Haven Hospital and was a Robert Wood Johnson Clinical Scholar at Yale University.  

Topic

Medical Education in the Post-pandemic Era

Abstract

The pandemic placed extraordinary pressure on health professions education globally. As of May, 2021, some countries are still experiencing suffering severe and ongoing challenges, while others are experiencing unexpected spikes despite robust public health policy. To date, the U.S. educational and healthcare system experienced four major waves of COVID-19 over a 15 month period. Many acts of courage have and continued to occur at U.S. academic healthcare centers.

Disruptions caused by the pandemic highlighted the critical importance of accelerating the movement to an outcomes-based medical educational system in the United States. For example, traditional time-based (e.g. number of months in specific specialty rotations) or volume-based (e.g. number of procedures) measures were not fully achieved during the 2020-21 academic year for many residents and fellows. The ACGME also recognized that educational experiences were modified or disrupted through alternative forms of education such as virtual learning, deployment to another clinical rotation or activity (e.g., ICU, ED, wards, telemedicine), or by missing a traditionally required rotation. As a result, the ACGME is strongly encouraging graduate medical education (GME) program to use the core principles of CBME to make informed decisions about advancement and graduation. The GME community must learn from these pandemic disruptions to identify and address key gaps in curricular design and assessment.

The ACGME is advancing its focus on outcomes-based education by encouraging programs to advance CBME-based principles and activities, especially in creating more robust programs of assessment. Lessons learned from the pandemic should be used to support transformation toward an entrustment decision-making process that rigorously and validly determine whether a resident or fellow is ready to progress to the next stage in his or her professional career. Entrustment decision-making is grounded in the integrating patient and educational outcomes to help ensure a graduate can deliver on the Quadruple Aim that simultaneously improves patient experience of care, population health, and health-care provider work life, while lowering per capita cost.

This session will provide an overview of the key principles being advanced in the U.S. around outcomes-based education and their implications for moving transformation of medical education forward.