Opportunities and Challenges: Residents’ Perspectives on the Next Accreditation System in Psychiatry

NAS is intended as a step towards the utopia of “value-based health care” that was taught to us in medical school, but of which we have seen far too little on the wards [2]. [...]a key value of the Milestones is identification of our individual areas of distinction and deficit. In theory, trainees in particularly egregious programs will not progress at the expected rate, and ACGME data collection will flag those outliers. In practice, every instrument is subject to user error, and there is no guarantee of accurate data collection.