Improving Genetics Education in Graduate and Continuing Health Professional Education Workshop Summary (2015) / Chapter Skim
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4 Graduate Health Professional Education and Post-Graduate Training
4 Graduate Health Professional Education and Post-Graduate Training
Pages 33-44
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From page 33... ...
• The following core competencies are emphasized in post graduate residency or fellowship training: patient care skills, clinical knowledge, practice-based learning and improvement, communication skills, professionalism, and systems-based practice.
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From page 34... ...
Its mission, Weiss said, is to "improve health care by assessing and advancing the quality of resident physicians' education through accreditation." In the United States, roughly 110,000 to 120,000 people are taking part in residency programs accredited by ACGME. These training programs must address six core competencies: patient care and technical skills; medical knowledge; practice-based learning and improvement; interpersonal and communication skills; professionalism; and systems-based practice.
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From page 35... ...
The milestones "are probably even more important for residency programs because they can help guide curriculum development," he said. "They can help target individual residents for specific needs and improvement for the underperformers." Medical centers and institutions that sponsor residency or fellowship programs must undergo a learning environment review every 18 to 24 months, examining six focus areas: patient safety, supervision, professionalism, health care quality and health care disparities, duty hours and fatigue management, and transitions of care.
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From page 36... ...
In 2009 the American Pharmacists Association convened a workshop to discuss the role of the pharmacist in using clinical pharmacogenetic data to direct patient care by effectively using electronic health records to exchange relevant health data among 1 See http://www.fda.gov/drugs/scienceresearch/researchareas/pharmacogenetics/ucm083 378.htm (accessed November 12, 2014)
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From page 37... ...
. Disseminated to health care professionals and students through a train-thetrainer program, the PharmGenEd project makes shared curriculum modules, video seminars, and relevant journal articles available online through its website (https://pharmacogenomics.ucsd.edu)
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From page 38... ...
. DRIVING PHYSICIAN LEARNING THROUGH THE BOARD CERTIFICATION EXAMS Certifying boards define a discipline through certification, they track trends in medical knowledge application, and they provide assessment, which can also drive learning, said Rebecca Lipner, the senior vice president for evaluation, research, and development at the American Board of Internal Medicine (ABIM)
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From page 39... ...
Among the key features of these exams, Lipner said, are that they assess the core knowledge that a physician "should know and carry around in their head without looking it up" and that they emphasize content that reflects current best clinical practices, which, Lipner noted, "might be changing out from under us." The starting point for ABIM's pro-active process to fit applicable content into the certification exam is a "practice analysis" or job analysis. This is a systematic procedure for collecting practice-related information -- usually through a survey using a questionnaire developed out of research and input from focus groups and subject-matter experts -- and defining the knowledge base in the discipline.
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From page 40... ...
ABIM is also planning to provide individual physicians more detailed feedback on areas for improvement relative to responses for specific content, Lipner said. The aggregate performance results will be shared with medical specialty societies in order to identify the areas of strength and weakness in the group of physicians completing residency training in order to assist quality improvement within education programs.
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From page 41... ...
Clinical practice guidelines are also helpful for new practitioners, Bazan said, especially guidelines with algorithms that direct decision making. "Case studies are [another]
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From page 42... ...
He also suggested that one strategy for spreading genomics knowledge into residency programs might be to encourage collaboration between faculty and residents on experiential projects. Bruce Blumberg said that at Kaiser Permanente a similar issue arose related to efforts to provide medical residents with education about quality improvement.
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From page 43... ...
GRADUATE HEALTH PROFESSIONAL EDUCATION 43 Assessment is a chief driver of learning, and at times a new body of information must enter a field of practice. The critical challenge, Lipner said, is determining which persuasive sources to trust in terms of which new information is critical to assimilate.
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