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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