Clinical Competency Committee (CCC)

Purpose

In accordance with the ACGME regulations 2013, a Clinical Competency Committee (CCC) has been formed (ACGME 2013 Core Requirement). The CCC will serve as an early warning system if a fellow fails to progress as expected in the training program, and will assist in early identification and move toward improvement and remediation. To make consensus decisions on the progress of each fellow in the program.

Policy Statement

The members of a CCC have responsibility for:

  1. Determining fellows’ progression on the educational Milestones
  2. Making recommendations on promotion and graduation decisions
  3. Recommending remediation or disciplinary actions to the program director
    1. The committee may make the following recommendations:
      1. No further action necessary
      2. Letter of concerns with specific terms and remediation recommendations
      3. Probation with specific terms and remediation recommendations
      4. May be with or without extension of time at level of training
      5. Termination
      6. Delay or denial of promotion or board recommendation

Committee Responsibilities

Evaluation and Reporting:

The CCC shall meet on a semi-annually basis in June and December of every academic year and:

  1. Review all fellows’ evaluations by all evaluators semi-annually at each PGY level
  2. Preparing and assure the reporting of Milestones evaluations of each fellow semi-annually to ACGME
  3. Making recommendations to the program director for –
    1. promotion
    2. remediation
    3. dismissal

The PD will used the CCC recommendations as part of the fellows’ semi-annual review.

Administrative Responsibilities:

The CCC will meet on an ad hoc basis to:

  1. Develop and manage systems for evaluation of fellows from multiple sources (e.g., faculty, peers, patients, self, other professional staff).
  2. Manage a faculty advisor system to provide fellow mentorship and feedback about performance at least semi-annually.

These meetings should –

  1. Guide curriculum development
  2. Develop evaluation tools