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Implementing the Core Competencies: An Example

Implementing the Core Competencies: An Example. Ellen Cosgrove, MD Summers Kalishman, PhD & the Phase 2 Planning Group: Clark Hansbarger, MD, Renate Savich, MD, Craig Timm, MD. Communicating your credibility. Examine your own operation: Who is on the CME Advisory committee?

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Implementing the Core Competencies: An Example

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  1. Implementing the Core Competencies: An Example Ellen Cosgrove, MD Summers Kalishman, PhD & the Phase 2 Planning Group: Clark Hansbarger, MD, Renate Savich, MD, Craig Timm, MD

  2. Communicating your credibility • Examine your own operation: Who is on the CME Advisory committee? What is the agenda? Routine accreditation of programs…or strategic discussions of cutting edge issues? 2. Fill a real need

  3. UNM Needed: Comprehensive review of required clerkships To improve assessment in the required clerkships To incorporate the competencies into UME

  4. Interventions that “Work” • Sequenced, multifaceted activities • Educational materials • Conferences with participant action • Local opinion leaders • Audit & feedback Mazmanian & Davis JAMA 2002

  5. Putting theory into Practice Designing faculty development as a sequenced, multifaceted activity

  6. FD/ CME Similarities • Results from prior activity evaluation • Requests for topics • Traditional surveys

  7. FD CME

  8. Curriculum change Teaching as skill assessment New drug, device, procedure Showcase faculty or institutional service ContentFD CME

  9. Student performance on USMLE/ school exams AMA grad survey/ Focus groups/ course evals Population health indicators (DOH, CDC) Pt. Interviews/ surveys Chart review Outcome measuresFD CME

  10. The Goals Faculty from all departments identify common problems Faculty from 7 departments agree to adopt a common evaluation approach across all required clerkships Faculty agree to address competencies

  11. Interventions that “Work” • Sequenced, multifaceted activities • Educational materials • Conferences with participant action • Local opinion leaders • Audit & feedback Mazmanian & Davis JAMA 2002

  12. Components • Conference notebook: (2 weeks in advance) “audit & feedback” results survey results literature requested by participants • Retreat included: national ‘thought leaders’ reflecting on UNM data interactive groups led by local opinion leaders measurable results: action & timelines • Follow-up with Clerkship coordinators

  13. OUTCOMES ANALYSIS From sequenced, multifaceted CME events to …. CHANGES in PRACTICE

  14. OUTCOMES Comprehensives changes in assessment adopted • RIME scheme adopted to describe level of mastery of the clinical role (Pangaro Acad Med Nov 1999) • OSCE to assess clinical skills, effective 8/2003 across all clerkships

  15. OUTCOMES • Objectives task force to merge MSOP, ACGME competencies • Clerkship directors commit to develop specific competencies for each required clerkship

  16. Enhanced CME Credibility • The activity had specific, measurable outcomes • The activity was a success—as defined by participants and administration • CME was designated to design and coordinate UNM strategic planning

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