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Welcome

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AGENDA- Learning Collaborative Session 3December 7 3:00-4:30pm (EST)

Welcome- Review Agenda and Action Items Health Center Report Outs- 3min each

Launch Date, Where are you in the process? Major success/challenges

Program Curriculum -Curriculum Mapping -Academic Affiliations

Applications and Interviews Moodle Discussion Board Action Period Items

Next Session:-Program Staffing- Roles & Responsibilities-Program Curriculum

ACADEMIC AFFILIATIONS

4

Curriculum Development

Session 4: Mapping content

5

Plan going forward

• Session 3: Elements of your curriculum

• Session 4: Mapping content

• Session 5: Organizing the curriculum into a cohesive whole

• Session 6: Evaluation of the learner

• Session 7: Evaluation of the program

• Session 8: Crosswalking the curriculum and evaluation

• Session 9: Feedback loops and QI for revising the curriculum and evaluation

Your outcome for this session Describe how to map a curriculum

NP Standard 2: Curriculum5 Required Elements and 8 Competencies

Elements• 1. clinical-based care and

patient care experiences;• 2. regularly scheduled didactic

sessions;• 3. systems based learning and

quality improvement;• 4. population-based health

focus;• 5. leadership and professional

development, especially in inter-professional practice.

• Competencies• 1. patient care;• 2. knowledge for practice;• 3. practice-based learning and

improvement;• 4. interpersonal and

communication skills;• 5. professionalism;• 6. systems-based practice;• 7. interprofessional collaboration;• 8. personal and professional

development.

Review…• Program objectives v. Learner Outcomes• Curriculum • Clinical, Didactic, Evaluation of the Learner• Domains/subdomains (competencies) • KSAs• Schedule in hours• Resources

DRIVERS LEADERSHIP/BOARD/FINANCES

MARKETING, RECRUITMENT

CURRICULUM

Domains/subdomainsSpace/equipment Space/equipmentPoliciesPatients DIDACTIC

Preceptors Faculty

EVALUATION OF LEARNER SCHEDULE EVALUATION OF LEARNER

REMEDIATION OF LEARNER REMEDIATION OF LEARNER

ACCCREDITATION GRADUATES WHO FULFILL YOUR MISSION

CLINICALTOPICS/KSAs

MISSION

Program goals/objectives

Learner outcomes/competencies

You have a pile of pieces. Start separating them into groups.

Have a small team start to put them together.

Build from the outside in, or the inside out.

Every site will have a different looking puzzle because every site has different resources and patient populations.

We asked you to ask yourself:1. How/why did you decide on “primary care clinic?”2. What happens in primary care clinic?3. What does your resident need to know to care for

these patients?4. What does your resident need to know how to do to

care for these patients?5. What values, attitudes, behaviors do you want your

resident to demonstrate? Knowledge (know), Skills (do), Attitude

(behave)

One way of doing it: Start with the competencies

Competency/Domain: • Patient Care: Provide patient-centered care that is compassionate,

valued, appropriate and effective for the treatment of health problems and the promotion of health.

• Learner outcome: Provide appropriate and effective care for adult patients with DIABETES that is compassionate and consistent with patient preferences.

• Topics in subdomain: diagnostics, procedures, clinical decision-making, history and physical, management of treatment plan

• What is didactic, what is clinical? Other?

Diagnostics Procedures

Knowledge

Attitude Attitude

Clinical Decision-making History and Physical

Knowledge Management of treatment plan Knowledge

Attitude Knowledge Attitude

Attitude

KnowledgeSkillsSkills

Skills

Skills

Skills

HEALTH PROBLEMDIABETES

History and Physical

Knowledge

AttitudeSkills

Patient-centered care: Health problem: diabetesTopic: History and physical

KnowledgeDescribe components of a patient history:Review of systemsFamily historyScreeningsPresenting problemsEtc.

Skills

Perform a head-to-toe physical exam, incl. cardiovascular,pulmonary, abdominal, mini-mental status, etc.Communicate effectively with patients…..

AttitudesCommit to having respect for patient dignity, privacy, confidentiality, and autonomy

A little sidebar before we continue….• Have you done a needs assessment for your population?• What is the standard of care for a history and physical in

your setting with your patients?• For example: Do you always ask sexual history? Drug and

alcohol history? Do you always screen for depression? Do a mini-mental status? Housing? Access to food?

• Do you have a standard of care for certain populations: transgender, rural, homeless, HIV, diabetes?

• Use your standard of care when you develop your KSAs.

History and Physical

Knowledge

Attitude: Commit to respect….Skills: Communicate effectively….

Skills: Communicate effectively: That’s from the Competency: 4. Interpersonal and Communication Skills: Communicate effectively with patients….across a broad range of backgrounds

Attitude: Commit to respect: That’s from the Competency: 4. Professionalism: Demonstrate a commitment to compassion, integrity, and respect for others

One learner outcome has mapped to at least three domains/competencies

1. Patient-centered care2. Knowledge for practice3. Practice Based

Learning and Improvement

4. Interpersonal and Communication Skills

5. Professionalism6. Systems-based

Practice7. Inter-professional

Collaboration8. Personal and

Professional Development

Repeat process with other topics• Which of the Topics’ KSAs belong in didactic?

Clinical? Other?• Where are the overlaps with other

domains/competencies?• You will use the same language over and over again,

which is what you want to do• Evaluation of the learner will flow from these• Start with a big whiteboard or sheet of paper and

start mapping

Another way of doing it: Start with the clinical rotations and map outcomes to

competencies

• Provide appropriate and effective care for adult primary care patients that is compassionate and consistent with patient preferences. Details of what that means and looks like: KSAs

• Communicate effectively with patients….. Details of what that means and looks like: KSAs

• Commit to having respect for patient dignity, privacy, confidentiality, and autonomy Details

• Collaborate effectively with peers…..• Demonstrate professional behavior and values…..• Contribute to improvement of patient care….

One learner outcome has mapped to at least six domains/competencies

1. Patient-centered care2. Knowledge for practice3. Practice Based

Learning and Improvement

4. Interpersonal and Communication Skills

5. Professionalism6. Systems-based

Practice7. Inter-professional

Collaboration8. Personal and

Professional Development

Map it in excel: start filling in the blanksAdult primary careContent areas Knowledge Skills Attitude Learner activitiesClinical topics/conditions:*History/physical*Diagnostics*Clinical Decision-making*Procedures*Management of treatment planCommunication skills w/ patients, peers, familiesCollaboration with peersProfessionalismPractice-based learning/QI

No matter where you start, you will cover the same ground.

Let’s look at the post-doc psychology programs…

….The program requires that all residents demonstrate an advanced level of professional psychological competencies, skills, abilities, proficiencies, and knowledge in the following content areas:(a) Theories and effective methods of psychological assessment, diagnosis, and interventions;(b) Consultation, program evaluation, supervision, and/or teaching;(c) Strategies of scholarly inquiry;(d) Organization, management, and administration issues pertinent to psychological service delivery and practice, training, and research;(e) Professional conduct, ethics and law, and other standards for providers of psychological services; and(f) Issues of cultural and individual diversity that are relevant to all of the above.

Let’s look at the post-doc psychology programs…

• Start with a list of topics/diagnoses: depression, anxiety, personality disorder, etc.

• Or with a list of rotations: individual adult, individual child/teen, group, family

• Or with a list of treatment modalities: cognitive behavioral therapy, dialectical behavior therapy

• Learner outcome: the resident will provide care to adult patients with depression that is evidence-based and culturally sensitive….

Example: diagnosis of major depressive episode

Theories Assessments

Knowledge

Attitude Attitude

Differential diagnosis Interventions

Knowledge Management of treatment plan Knowledge

Attitude Knowledge Attitude

Attitude

Skills

Skills

KnowledgeSkills Skills

DIAGNOSIS:DEPRESSION

Skills

Example from AvenalTopic Knowledge Skills Attitudes

Behavioral Health – Depression/anxiety/domestic violence/substance abuse questionnaire.

Pharmacology H&P/past referrals/ exams/assessments /manage treatment plan

CompassionEmpathy

Chronic conditions – Basic 5—DM, HTN, COPD, CAD, CHF

Pharmacology H&P/past referrals/ exams/assessments /manage treatment plan

Patience

Possible schedule from Central CityDay Monday Tuesday Wednesda

yThursday Friday

AM Precepted Clinic (Preceptor #1)

Specialty Rotation

Meetings/Didactics (IM res, ECHO)

Precepted Clinic (Preceptor #3)

Mentored vs. Precepted Clinic

PM Precepted Clinic (Preceptor #2)

Specialty Rotation or Community Site

Didactics/CME/ Admin Time

Precepted Clinic (Preceptor #4)

Mentored vs. Precepted Clinic

Just start somewhere!!Questions?

Assignments:1. List of topics: KSAs for selected topics2. Possible schedule: include hours3. Write learner outcomes for one clinical rotation;

cover as many competencies as you can4. Write a learner outcome for one didactic session

Application Process• How will applications be submitted?

Electronically, hardcopy or both• Who will applications go to?• What is the cut off date for accepting applications?• How will they be reviewed once they come in?• What is the timeline for review for selection

committee?

Process Suggestions• Keep a record of inquiries – contact to remind to apply• Create a checklist of application requirements

Post on website for applicants – keep a listing for program Application, CV, essay, letters of recommendation

Create checklist for each candidate

• Once your process in finalized - post the process to your website or webpage – clear, transparent process for candidates

Selecting Candidates to Interview• Decision on criteria to assess your candidates

• CHCI Criteria: Quality of education, clinical experience, linguistic skills, commitment to underserved placement, intangibles

• Further define these criteria for those reviewing and assessing candidates

• Choose your Selection Committee• Include a variety of roles in your organization – leadership, clinical and

operational leadership, potential preceptors, HR, etc.• Develop process for your selection committee to review, score,

and discuss candidates

Example Scoring Grid

Example Postdoc Psychology Residency Scoring Grid

Other Considerations for Interviews• How many candidates to invite?

• Invite more than you want to accept• CHCI invites double the amount of candidates for available slots • Program with 2 to 3 slots should invite 4 to 6

• Set and post your interview dates on your website

• Decide on how you will hold interviews • In person, virtually or both

Other Considerations for Interviews• *For Post doc psychology programs-be familiar with APA

requirements• APPIC resources available: Webinars on Postdoctoral Selection/Application

Education Resources

• Develop Interview schedule- (tour, presentation, HR participation, Interview agenda)

• Provide detailed interviewing information to applicants

• Provide timeline of next steps to candidates

Questions?

Action Period Items1. Curriculum Development

• List of topics: KSAs for selected topics• Possible schedule: include hours• Write learner outcomes for one clinical rotation; cover as many

competencies as you can• Write a learner outcome for one didactic session

2. Post on Discussion forum (new topic or reply) Share successes/challenges

3. Submit a Draft of an Application4. Submit Monthly Report Next Session

January 11th