Competency-based Programs in Graduate Medical Education

1
Competency-based Programs in Graduate Medical
Education

• David F. Altman, M.D., M.B.A.
• Visiting Professor of Medicine
• and Assistant DeanKeck School of Medicine
• and
• Chief Medical Officer
• LACUSC Healthcare Network
• October 21, 2004

2
Accrediting Organizations for Graduate Medical
Education are Reexamining Their Standards

• Accreditation Council for Graduate Medical
  Education (ACGME) Outcomes Project part of a
  broad reexamination of medical education.
• Emphasis on a programs actual accomplishments
  through assessment of program outcomes
• Six competencies developed cover many areas of
  importance to high quality patient care

3
Assessing the actual accomplishments of a program
requires a different set of questions

• 1. Do the residents achieve the
  learningobjectives set by the program?2. What
  evidence can the program providethat it does
  so?3.How does the program demonstratecontinuous
  improvement in its educational processes?

4
The ACGME has identified six critical, core
competencies

• Patient CareMedical KnowledgeProfessionalism
  Systems-based PracticePractice-based Learning
  and improvementInterpersonal and Communication
  Skills

5
The implementation of the new programs is taking
place in phases.

• Initial effort -- Programs develop assessment
  tools that are increasingly valid, reliable, and
  useful measures of competency-based educational
  objectives.
• Programs will ultimately be expected to show
  evidence of how educational outcomes data are
  used to improve individual resident and overall
  program performance.