Abstract
Plagued with low In-Training Exam scores despite dedicated faculty and residents, the University of Miami
Department of Anesthesiology was faced with meeting the new ACGME Outcomes based assessment. We
changed our curriculum (lectures based on faculty preference presented to all CA levels simultaneously) to
a goals-based one where each Clinical Anesthesia year group received didactics and skills training based on
American Board of Anesthesiology objectives. By focusing on precise concepts and skills required at each
level we improved ITE scores, resident participation in didactics, and satisfaction for both residents and
faculty.