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Science of health care delivery milestones for undergraduate medical education
BACKGROUND: The changing healthcare landscape requires physicians to develop new knowledge and skills such as high-value care, systems improvement, population health, and team-based care, which together may be referred to as the Science of Health Care Delivery (SHCD). To engender public trust and co...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572071/ https://www.ncbi.nlm.nih.gov/pubmed/28841874 http://dx.doi.org/10.1186/s12909-017-0986-0 |
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author | Havyer, Rachel D. Norby, Suzanne M. Leep Hunderfund, Andrea N. Starr, Stephanie R. Lang, Tara R. Wolanskyj, Alexandra P. Reed, Darcy A. |
author_facet | Havyer, Rachel D. Norby, Suzanne M. Leep Hunderfund, Andrea N. Starr, Stephanie R. Lang, Tara R. Wolanskyj, Alexandra P. Reed, Darcy A. |
author_sort | Havyer, Rachel D. |
collection | PubMed |
description | BACKGROUND: The changing healthcare landscape requires physicians to develop new knowledge and skills such as high-value care, systems improvement, population health, and team-based care, which together may be referred to as the Science of Health Care Delivery (SHCD). To engender public trust and confidence, educators must be able to meaningfully assess physicians’ abilities in SHCD. We aimed to develop a novel set of SHCD milestones based on published Accreditation Council for Graduate Medical Education (ACGME) milestones that can be used by medical schools to assess medical students’ competence in SHCD. METHODS: We reviewed all ACGME milestones for 25 specialties available in September 2013. We used an iterative, qualitative process to group the ACGME milestones into SHCD content domains, from which SHCD milestones were derived. The SHCD milestones were categorized within the current ACGME core competencies and were also mapped to Association of American Medical Colleges’ Entrustable Professional Activities (AAMC EPAs). RESULTS: Fifteen SHCD sub-competencies and corresponding milestones are provided, grouped within ACGME core competencies and mapped to multiple AAMC EPAs. CONCLUSIONS: This novel set of milestones, grounded within the existing ACGME competencies, defines fundamental expectations within SHCD that can be used and adapted by medical schools in the assessment of medical students in this emerging curricular area. These milestones provide a blueprint for SHCD content and assessment as ongoing revisions to milestones and curricula occur. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12909-017-0986-0) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5572071 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-55720712017-08-30 Science of health care delivery milestones for undergraduate medical education Havyer, Rachel D. Norby, Suzanne M. Leep Hunderfund, Andrea N. Starr, Stephanie R. Lang, Tara R. Wolanskyj, Alexandra P. Reed, Darcy A. BMC Med Educ Research Article BACKGROUND: The changing healthcare landscape requires physicians to develop new knowledge and skills such as high-value care, systems improvement, population health, and team-based care, which together may be referred to as the Science of Health Care Delivery (SHCD). To engender public trust and confidence, educators must be able to meaningfully assess physicians’ abilities in SHCD. We aimed to develop a novel set of SHCD milestones based on published Accreditation Council for Graduate Medical Education (ACGME) milestones that can be used by medical schools to assess medical students’ competence in SHCD. METHODS: We reviewed all ACGME milestones for 25 specialties available in September 2013. We used an iterative, qualitative process to group the ACGME milestones into SHCD content domains, from which SHCD milestones were derived. The SHCD milestones were categorized within the current ACGME core competencies and were also mapped to Association of American Medical Colleges’ Entrustable Professional Activities (AAMC EPAs). RESULTS: Fifteen SHCD sub-competencies and corresponding milestones are provided, grouped within ACGME core competencies and mapped to multiple AAMC EPAs. CONCLUSIONS: This novel set of milestones, grounded within the existing ACGME competencies, defines fundamental expectations within SHCD that can be used and adapted by medical schools in the assessment of medical students in this emerging curricular area. These milestones provide a blueprint for SHCD content and assessment as ongoing revisions to milestones and curricula occur. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12909-017-0986-0) contains supplementary material, which is available to authorized users. BioMed Central 2017-08-25 /pmc/articles/PMC5572071/ /pubmed/28841874 http://dx.doi.org/10.1186/s12909-017-0986-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Havyer, Rachel D. Norby, Suzanne M. Leep Hunderfund, Andrea N. Starr, Stephanie R. Lang, Tara R. Wolanskyj, Alexandra P. Reed, Darcy A. Science of health care delivery milestones for undergraduate medical education |
title | Science of health care delivery milestones for undergraduate medical education |
title_full | Science of health care delivery milestones for undergraduate medical education |
title_fullStr | Science of health care delivery milestones for undergraduate medical education |
title_full_unstemmed | Science of health care delivery milestones for undergraduate medical education |
title_short | Science of health care delivery milestones for undergraduate medical education |
title_sort | science of health care delivery milestones for undergraduate medical education |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572071/ https://www.ncbi.nlm.nih.gov/pubmed/28841874 http://dx.doi.org/10.1186/s12909-017-0986-0 |
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