A new perspective on
resident and education
The Flexner revolution continues…
Flexner report on medical education
Medical error makes lay press headlines: Institute of Medicine
The Market demands quality & cost effectiveness: The “45/55” problem
The new paradigm train is on its way to your hometown
The context: old
perspective:
The “academic triad”
Balancing the mission: Clinical
Balancing the mission: Research
Balancing the mission: Education
What is the original mission of academics…what is our core mission?
Alarming trends in program directors in ophthalmology
Pyramid of competence:
Old perspective
Sample escalating competence pyramid
Curriculum:
….Who’ s on first…
Sample learning objective pyramid (stratified by year)
Who is ACGME?....Depending on your perspective
Accreditation Council for Graduate Medical Education (ACGME) competencies
The solutions are right beneath our eyes
Matrix matching tools to competencies
ACGME:
What is the matrix?…what will your answer be??….
Education train is
here
Be on it or under it….