What does the current literature report regarding the use of the Accreditation Council for Graduate Medical Education core competencies in otolaryngology residency training?
In this systematic review of 104 studies, nonclinical core competencies were reported fewer times than clinical core competencies. Multiple studies addressed more than 1 core competency, and 6 addressed all 6 core competencies.
Increased emphasis is needed on nonclinical core competencies, including professionalism, interpersonal and communication skills, and systems-based practices in otolaryngology residency training curriculum.
To date, there have been no reports in the current literature regarding the use of the Accreditation Council for Graduate Medical Education (ACGME) core competencies in otolaryngology residency training. An evaluation may help educators address these core competencies in the training curriculum.
To examine the quantity and nature of otolaryngology residency training literature through a systematic review and to evaluate whether this literature aligns with the 6 core competencies.
A medical librarian assisted in a search of all indexed years of the PubMed, Embase, Education Resources Information Center (via EBSCOhost), Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Methodology Register), Thomson Reuters Web of Science (Science Citation Index Expanded, Social Sciences Citation Index Expanded, Conference Proceedings Citation Index–Science, and Conference Proceedings Citation Index–Social Science and Humanities), Elsevier Scopus, and ClinicalTrials.gov databases to identify relevant English-language studies. Included studies contained original human data and focused on otolaryngology resident education. Data regarding study design, setting, and ACGME core competencies addressed were extracted from each article. Initial searches were performed on May 20, 2015, and updated on October 4, 2016.
In this systematic review of 104 unique studies, interpersonal communication skills were reported 15 times; medical knowledge, 48 times; patient care, 44 times; practice-based learning and improvement, 31 times; professionalism, 15 times; and systems-based practices, 10 times. Multiple studies addressed more than 1 core competency at once, and 6 addressed all 6 core competencies.
Conclusions and Relevance
Increased emphasis on nonclinical core competencies is needed, including professionalism, interpersonal and communication skills, and systems-based practices in the otolaryngology residency training curriculum. A formal curriculum addressing nonclinical core competencies should be integrated into otolaryngology residency training.
Faucett EA, Barry JY, McCrary HC, Saleh AA, Erman AB, Ishman SL. Otolaryngology Resident Education and the Accreditation Council for Graduate Medical Education Core Competencies: A Systematic Review. JAMA Otolaryngol Head Neck Surg. 2018;144(4):360–370. doi:10.1001/jamaoto.2017.3163
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: