The Resident Growth Chart Project
More contextualized, quality learner feedback.
The Resident Growth Chart
The Resident Growth Chart (RGC) was developed to provide resident physicians with a visual trajectory of their progress. The RGC is an over-arching, holistic evaluation tool that represents the faculty’s shared mental model of growth over time. It is a collection of competency charts that spell out progressive expectations, in narrative form, for residents to strive for, and for faculty to “teach to”. Both the ACGME Milestones and The RGC are modeled after the Dreyfus and Dreyfus "Model of Skill Acquisition" and primed to help institutions adhere to this goal.
When a student advances from school to training, their growth charts go with them!
Across the Learning Continuum
The AAMC, AOA, ACGME, ACCME have joined the Coalition for Physician Accountability (COPA). In their August 2021 published report outlining a comprehensive improvement of the UME-GME transition, one of their main directives (Recommendation #9) is for medical education institutions to create shared outcomes language across their learning continuum from UME to GME to CME. The next paradigm shift in resident education is coming soon. Is your program ready?
Native iOS and Android App
The native iOS and Android App has the following features:
- Emphasizes right-then-and-there contextualized feedback over evaluation by anyone, to anyone.
- Home screen that indicates who you are working with this week, and archive of previous weeks.
- Feedback entry via dictation or keyboard.
- Narrative descriptors that translate to plot points on competency charts (in browser).
- A feed of all the feedback you've given, and you've received, filterable and searchable.
- A Handoff tool for faculty to provide insight to other faculty about a resident's academic needs.
- A Directory that indicates when the resident last received feedback from anyone.
Learners will have lifelong access to their feedback.
RGC on the Browser
Residents (and their Program Director and CCC), can view their own detailed growth charts through the browser. The charts are rich with layers of information including all feedback given, self-assessment, filterable down to the evaluators, groups of evaluators, clinical environments and other pertinent context. They serve as a biographical timeline to professional identity formation. This timeline can traverse the continuum of learning from UME to GME to CME if institutions so choose. The chart narratives are customizable, personal and map to the AAMC and ACMGE milestones, which can also be charted.
About the Founder
Dr. Rajiv John is a practicing internal medicine physician in the southeast Michigan area. He has been an assistant clinical professor for 7 years and served as an Associate Program Director for 3 years. His academic interests are in resident feedback and assessment, resident engagement in patient safety, and quality improvement curriculum development. Dr. John has presented on resident assessment at the national level, and continues to work on refining the medical trainee feedback process.