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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
Module III Systems-based practice Example |
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| Example |
This module contains a large number of resources and materials. Training programs will vary considerably in the type and number of resources they choose to use. There is no one best way in which to use the materials contained in this module. As programs become familiar with the materials, it is likely that they will adapt resource use to align with specific program needs and abilities. To begin, it may be useful to have an example of a way in which to use the materials. This approach is not meant to prescribe what one should do but is meant to provide a comprehensive example of what one could do with these materials to meet the ACGME mandates. What follows is a description or example of how one actual program director might choose to use these materials. |
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| Step 1: The program director meets with new fellows to discuss the role of the ACGME competencies in the training program. Step 2: The program director meets with other GME program directors to consider curricular overlaps. In this example, the GME program directors decide to work together on a monthly Brown Bag series that will address issues related to the core competencies. Twice yearly, the competency addressed will be systems-based practice. Step 3: The program director introduces fellows to the assessment tools selected for use by the program. In this example, the adapted ABIM questions and the portfolio assessment have been selected for use. Portfolios are begun by having fellows create a learning plan, including goals and objectives, for some discrete period of time. In this example, the time period is six months. As an example, one fellow might identify learning goals related to knowledge of practice and delivery systems while another fellow might identify learning goals understanding the issues embedded in providing cost-effective care. Step 4. Fellows are expected to understand the interaction of their practices within the larger system. In this example, the Institute of Medicine reports To Err is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century are available for use. Fellows may choose to focus on one chapter as a springboard for discussion. Resource use, results, and reflection are documented in the portfolio. Step 5: Fellows are expected to understand the issues relating to the provision of cost-effective care. In this example, fellows may choose to participate as part of a working group tasked with exploring the notion of providing group care for asthma patients. They may choose to use the set of critical tools, including a worksheet comparing different models of group care and a Group Visit Starter Kit available from Improving Chronic Illness Care. Resource use, results, and reflection are documented in the portfolio. Step 6: Another group of fellows may choose to learn more about coding for patient care and reimbursement by using the Coding and Billing module available from the Managed Care Education Connection. Resource use, results, and reflection are documented in the portfolio.. Step 7: Fellows may an exercise such as “managed care competencies,” to explore the impact of the care model on patient care. Resource use, results, and reflection are documented in the portfolio. Step 8: Fellows are expected to advocate for patients within the health care system. They may choose to become more informed about how to do this by helping patients deal with issues such as appeal of denied services, and requests for coverage of non-formulary prescriptions. Resource use, results, and reflection are documented in the portfolio. Step 9: Every six months, faculty complete the adapted ABIM questions for each fellow. Results are tallied and documented. Step 10: Throughout each six month time period, fellows document experiences in their portfolios that align with their learning plan. Step 11: The program director meets with each fellow every six months to provide feedback from all assessment tools noted above as well as other sources of information. |
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| Return to Table of Contents | ||
| Return to Systems-based practice Overview | ||
| Return to Systems-based practice Assessments | ||
| Return to Systems-based practice Resources | ||
| Move forward to Professionalism Overview | ||
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