Figure 1.

Legend: Bow-Tie Framework for CCC process. A wide range of data are collected and interpreted from three important perspectives: the resident, the coach-advocate, the program advocate. These unique perspectives on the data are kept in balance through data sharing and defined processes validating each perspective. Pre-work leads to an efficient, focused process during the CCC meeting. Conclusions are communicated in the form of both modified learning plans to support the development of each resident and Milestone predictions that promote downstream adjustment of the learner’s path.