Resources Relevant to the Implementation
of Core ACGME-Required Competencies


Module III
    System-based practice
          Resources




Additional Resources
      
A number of resources are available concerning systems-based practice. For those wanting more information on the subject, some selected additional resources are presented.

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ACGME The ACGME has compiled annotated references covering many aspects of systems-based practice.

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ACP Journal Club The ACP Journal Club identifies evidence-based articles about managed care, cost-effective care, and group visits . As with most strategies used to search the literature, citations retrieved as a result of a search of key words will produce articles that may or may not be relevant to the question at hand.

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Association of American Medical Colleges
(AAMC)
The AAMC has composed a Graduate Medical Education Core Curriculum to assist programs in meeting the ACGME requirements. The Core Curriculum consists of five domains that map to the ACGME core competencies, including systems-based practice.

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Clerkship Directors
in Internal Medicine (CDIM)
The Clerkship Directors in Internal Medicine offer a curriculum guide that focuses on general clinical core competencies. One of these competencies, continuous improvement in systems of medical practice, includes specific objectives that are related to the ACGME competency of systems-based practice.

While these objectives were written primarily for use in undergraduate medical education, they may be useful in residency and fellowship training.

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American College
of Physicians, American Society
of Internal Medicine
(ACP-ASIM)
The ACP-ASIM offers a Resource Guide to Curriculum Development. In it, they identify a number of competencies for the management of the quality of health care and competencies for the management of medical practice that may be useful for defining more specific elements of systems-based practice.

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American Medical Association
(AMA)
The AMA site provides general legal information related to a number of issues for physicians. Issues relevant to the competency of systems-based practice include:

     business and management issues
          • a model managed care agreement
          • annotated model physician employment agreement
          • professional liability insurance
          • the National Practitioner Data Bank
          • alternative dispute resolution

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