Table 1 PGME accreditation structured according to Sinek’s Golden Circle
Accreditation | Former systems | Current system | Future system | |||
|---|---|---|---|---|---|---|
1966 | 1999 | 2004 - present | 2018 | |||
Why | Primary objectives | Quality of PGME | +− | + | ++ | ++ |
Quality of health care | − | − | +− | + | ||
Secondary objectives | Standardization | ++ | ++ | ++ | +− | |
Coaching | − | − | − | +− | ||
Self-evaluation | − | − | +− | ++ | ||
Accountability | − | +− | + | ++ | ||
What | PGME quality domains | Quality of education | + | + | ++ | ++ |
Residency performance | − | − | + | ++ | ||
Quality of physician practice | − | − | +− | ++ | ||
How | Quality management approach | Quality assurance | +− | + | ++ | +− |
Quality improvement | − | − | − | ++ | ||
Quality control | − | − | − | + | ||
Who | Actors’ responsibilities | Resident | − | +− | ++ | ++ |
Clinical educator(s) | ++ | + | + | + | ||
Organization | − | +− | +− | ++ | ||
Accreditor | ++ | + | + | +− | ||