Suzanne M. Allen, M.D., M.P.H. Vice Dean for Academic, Rural and
Suzanne M. Allen, M.D., M.P.H. Vice Dean for Academic, Rural and Regional Affairs University of Washington School of Medicine Big Sky Faculty Development Conference March, 2015 Medical education overview Definitions Future directions in medical education AMA + AAMC ACGME (27 RC’s) LCME Medical School Premedical MCAT AMCAS AAMC ACCME Certification Continuing + MOC Medical Education Residency + Fellowship USMLE NBME ABMS (24 Boards) International Medical Graduates Medical Practice Licensure + MOL FSMB NRMP ECFMG 70 Medical Boards Slide from 2010 Presentation at AAMC Annual Meeting by Deborah Powell. Competent - The ability to do something well, successfully or efficiently. Merriam-Webster and Oxford dictionaries Competencies are the measurable or observable knowledge, skills, abilities, and behaviors critical to successful job performance. Washington State Human Resources website Milestones - an important point in the progress or development of something : a very important event or advance Merriam- Webster Dictionary Milestones - competency-based developmental outcomes (e.g., knowledge, skills, attitudes, and performance) that can be demonstrated progressively by residents and fellows from the beginning of their education through graduation to the unsupervised practice of their specialties ACGME EPA – Entrustable Professional Activity – routine professional live activities of physicians based on their specialty and subspecialty Ten Cate & Scheele This figure was originally published in Miller GE, The Assessment of Clinical Skills/Competencies/Performances. Acad Med 1990;Sept;65(9 suppl):S63-S67. Copyright Wolters Kluwer 1990. Reprinted with permission. Transitioning away from seat time, in favor of a structure that creates flexibility, allows students to progress as they demonstrate mastery of academic content, regardless of time, place, or pace of learning. US Department of Education website ACGME competencies - introduced to better define what physicians should know and be able to do 1. Medical Knowledge 2. Patient Care 3. Professionalism 4. Interpersonal and Communication Skills 5. Practice-based Learning and Improvement 6. Systems-based Practice: system improvement ACGME introduced as part of accreditation in 2013/2014 Each specialty and sub-specialty developed own milestones http://www.acgme.org/acgmeweb/tabid/43 0/ProgramandInstitutionalAccreditation/Nex tAccreditationSystem/Milestones.aspx Entrustable professional activities (EPA)– essential professional work that defines a discipline Pediatrics included EPAs in the milestones Internal Medicine working on EPAs Society of Teachers of Family Medicine working on EPAs for family medicine LCME requires educational objectives that are based in outcomes valued by the profession AAMC has proposed EPAs for undergraduate medical education – 13 EPAs https://members.aamc.org/eweb/upload/Cor e%20EPA%20Curriculum%20Dev%20Guide.pdf Adopted ACGME competencies Partnered in development of milestones for each specialty Future use of competencies in maintenance of certification AMA + AAMC ACGME (27 RC’s) LCME Medical School Premedical MCAT AMCAS AAMC ACCME Certification Continuing + MOC Medical Education Residency + Fellowship USMLE NBME ABMS (24 Boards) International Medical Graduates Medical Practice Licensure + MOL FSMB NRMP ECFMG 70 Medical Boards Slide from 2010 Presentation at AAMC Annual Meeting by Deborah Powell. Questions?
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