Clinical Competency Committee (CCC)
A required committee responsible for reviewing resident and fellow performance and making milestone determinations semiannually.
Definition
The Clinical Competency Committee (CCC) is an ACGME-required committee composed of at least three program faculty members. The CCC is responsible for reviewing all resident and fellow assessment data — including direct observation assessments, procedure logs, faculty evaluations, and multi-source feedback — and making semiannual milestone determinations for each trainee. The CCC also identifies residents who may be struggling and recommends remediation when needed.
Why it matters for your program
The CCC is the engine of a program's assessment system. A well-functioning CCC makes defensible, evidence-based milestone determinations that can withstand scrutiny during accreditation reviews or legal challenges. A poorly functioning CCC — one that meets briefly, relies on subjective impressions, or rarely differentiates among residents — creates significant accreditation and legal risk.
Related terms
Milestones
Competency-based developmental markers that describe what residents and fellows are expected to achieve at defined stages of training.
Program Evaluation Committee (PEC)
A required committee responsible for overseeing program quality, conducting the annual program evaluation, and driving continuous improvement.
Faculty Development in GME
Structured programs and activities designed to improve the teaching, assessment, leadership, and professional skills of GME faculty.
Direct Observation
The practice of faculty directly watching a resident perform a clinical skill or procedure and providing structured feedback based on that observation.
Related Service
Faculty Development Programs
Ashley Wood, PhD helps programs navigate clinical competency committee (ccc) requirements with director-level expertise from HCA Healthcare and Vanderbilt.
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