Assessment Across the Continuum: Aligning UME, GME and CME/CPD/MOC - - PowerPoint PPT Presentation

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Assessment Across the Continuum: Aligning UME, GME and CME/CPD/MOC - - PowerPoint PPT Presentation

Dec 11, 2022 185 likes •337 views

Assessment Across the Continuum: Aligning UME, GME and CME/CPD/MOC Robert Englander, MD, MPH Senior Director, Competency-based Learning and Assessment Association of American Medical Colleges CBME: Shifting the paradigm from fixed xed ti

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Assessment Across the Continuum: Aligning UME, GME and CME/CPD/MOC

Robert Englander, MD, MPH Senior Director, Competency-based Learning and Assessment Association of American Medical Colleges

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CBME: Shifting the paradigm from

fixed xed ti time me : variable riable out utcome

  • me

to

fixed xed ou

  • utc

tcome

  • me : variable

iable ti time me

Medical Education and training

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Step 1: Define the Outcomes

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The Vision

  • Physicians will spend their careers, from premed to exit

from practice, on a developmental trajectory building mastery in 8 domains of competence

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…Eight Domains of Competence

The Physici ician

Patient Care Medical Knowledge Interprofessional Collaboration Personal & Professional Development Systems-based Practices Practice-based Learning & Improvement Professionalism Interpersonal and Communication Skills

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…Eight Domains of Competence

The Physici ician

Patient Care Medical Knowledge Interprofessional Collaboration Personal & Professional Development Systems-based Practices Practice-based Learning & Improvement Professionalism Interpersonal and Communication Skills

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…Eight Domains of Competence

The Physici ician

Patient Care Medical Knowledge Interprofessional Collaboration Personal & Professional Development Systems-based Practices Practice-based Learning & Improvement Professionalism Interpersonal and Communication Skills

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Step 2-Define the performance levels = milestones

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ACGME Milestones Project

  • Have GME Milestones for all Specialties
  • Have milestones across the continuum for Pediatrics
  • Have extracted UME milestones from five of the core specialty

EPAs (IM, EM, Surgery, Psychiatry, and Pediatrics) using a backwards visioning process (or using the first two milestones in the case of pediatrics)

  • Implications for CPD/MOC?
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Step 3- The Next Major Hurdle: Assessment of Competence

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EPAs now established for:

  • Medical School (UME to GME transition)
  • Pediatric Residency (GME to practice transition)
  • Pediatric Subspecialties (Fellowship to practice transition)
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EPAs across the continuum

  • Entering Clerkship EPA:
  • Communicate information relevant to patient’s care with other

members of the health care team

  • Core EPA for Entering Residency:
  • Give or receive a patient handover to transition care responsibility
  • Pediatric and Subspecialty EPA:
  • Facilitate handovers to another healthcare provider either within or

across settings

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EPAs Across the Continuum

  • Core EPA for Entering Residency:
  • Prioritize a differential diagnosis following a clinical encounter
  • Recommend and interpret common diagnostic and screening tests
  • Enter and discuss orders/prescriptions
  • Pediatric EPAs
  • Manage patients with acute, common diagnoses in an ambulatory, emergency, or inpatient setting
  • Subspecialty EPAs
  • Manage patients with acute endocrine disorders in ambulatory, emergency or inpatient settings
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