the new acgme competencies for internal medicine
TRANSCRIPT
The New ACGME Competencies for Internal Medicine
The New Competencies for Internal Medicine
ACGME Outcomes project
Applies to all disciplines
Implemented as of 7/1/02
New evaluation forms
New Learning Objectives
The six general competencies:
Patient Care
Medical Knowledge
Professionalism
Systems-based Practice
Practice-based Learning and Improvement
Interpersonal and Communication Skills
Patient Care
Patient Care: Residents are expected to provide patient care that is compassionate, appropriate andeffective for the promotion of health, prevention of illness, treatment of disease and at the end of life.
Medical Knowledge
Medical Knowledge: Residents are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and theeducation of others.
Practice-Based Learning and Improvement
Practice-Based Learning and Improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care
Practice-Based Learning and Improvement:
Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices. EBM, literature searching, information
technology, teaching
Interpersonal and Communication Skills
Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals
Interpersonal and Communication SkillsResidents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams.
Professionalism
Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
Professionalism
Residents are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession, and society.
Systems-Based Practice
Systems-Based Practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value
Systems-Based Practice
Systems-Based Practice: Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improveand optimize health care.
Systems-Based Practice
Understand, access and utilize the resources, providers and systems necessary to provide optimal careUnderstand the limitations and opportunities inherent in various practice types and delivery systems, and develop strategies to optimize care for the individual patientApply evidence-based, cost-conscious strategies to prevention, diagnosis, and disease managementCollaborate with other members of the health care team to assist patients in dealing effectively with complex systems and to improve systematic processes of care
Professionalism
Increasing emphasis in licensure
Like pornography- “easy to recognize but difficult to define”
How physicians meet their responsibilities to individual patients and to communities
Professionalism
ABIM- “comprises those attitudes and behaviors that sustain the interests of the patient above one’s own self interest…and entails altruism, accountability, commitment to excellence, duty and …respect for others.”
Medical Professionalism
National focus on defining and measuring professionalism
[Hundert]
Medical Professionalism:
Physicians subordinate their own interests to the interests of others
Physicians adhere to high moral and ethical standards
Physicians respond to societal needs
Medical Professionalism:
Physicians evidence core humanistic values, including honesty, integrity, caring and compassion, altruism and empathy, respect for others, and trustworthiness
Physicians demonstrate accountability for themselves and their colleagues
Medical Professionalism:
Physicians demonstrate a continuing commitment to excellence
Physicians demonstrate a commitment so scholarship and to advancing their field
Physicians reflect upon their actions and decisions
Medical Professionalism: Example of common pitfallsInappropriate expressions of anger at patients, families or other health care professionalsPublicly belittling patients, families or colleaguesDisrespect for patients because or their disease, lifestyle or backgroundCompromising care to “get out early”
Learning Medical Professionalism:
The “Hidden Curriculum”
Role models
Life-long learning/ self reflection