Internal Analysis: Distinctive Competencies, Competitive Advantage ...
The New ACGME Competencies for Internal Medicine.
Transcript of The New ACGME Competencies for Internal Medicine.
![Page 1: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/1.jpg)
The New ACGME Competencies for Internal Medicine
![Page 2: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/2.jpg)
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
![Page 3: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/3.jpg)
The six general competencies:
Patient Care
Medical Knowledge
Professionalism
Systems-based Practice
Practice-based Learning and Improvement
Interpersonal and Communication Skills
![Page 4: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/4.jpg)
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.
![Page 5: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/5.jpg)
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.
![Page 6: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/6.jpg)
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
![Page 7: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/7.jpg)
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
![Page 8: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/8.jpg)
Interpersonal and Communication Skills
Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals
![Page 9: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/9.jpg)
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.
![Page 10: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/10.jpg)
Professionalism
Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
![Page 11: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/11.jpg)
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.
![Page 12: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/12.jpg)
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
![Page 13: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/13.jpg)
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.
![Page 14: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/14.jpg)
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
![Page 15: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/15.jpg)
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
![Page 16: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/16.jpg)
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.”
![Page 17: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/17.jpg)
Medical Professionalism
National focus on defining and measuring professionalism
[Hundert]
![Page 18: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/18.jpg)
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
![Page 19: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/19.jpg)
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
![Page 20: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/20.jpg)
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
![Page 21: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/21.jpg)
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”
![Page 22: The New ACGME Competencies for Internal Medicine.](https://reader035.fdocuments.in/reader035/viewer/2022081513/56649e665503460f94b6148f/html5/thumbnails/22.jpg)
Learning Medical Professionalism:
The “Hidden Curriculum”
Role models
Life-long learning/ self reflection