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Table 2 A sample working framework for accreditation based on patient care and health system outcomes

From: Effective accreditation in postgraduate medical education: from process to outcomes and back

  Learning outcomes Patient/patient care outcomes Health system outcomes
Developed economies Residency/fellowship completion rates
In-training examination performance
Licensing and certification examination performance (initial and re-examination)
Surveys of program graduates
Ability to care for patients with a variety of common diagnoses and conditions
Quality of care for groups of patients with acute, chronic, and lifestyle-related diseases and conditions
Complication rates for procedures
Patient-reported outcomes (patient experience of care)
Cost effectiveness in patient management
Health care costs as a percentage of gross domestic product
Patient access to care
Population health indicators
Potentially, practice location and scope of practice for graduates
Developing economies Training program completion rates
Physicians who received their graduate medical education locally
Subspecialty physicians trained abroad who return to practise in the country
Licensing and board examination performance
Surveys of program graduates
Ability to care for patients with a variety of common diagnoses and conditions
Quality of care for patients with acute and chronic conditions
Complication rates for procedures
Patient-reported outcomes (patient experience of care)
Cost-effectiveness in patient management
Patient access to care
Population health indicators
Potentially, practice location and scope of practice for graduates