THCI's curriculum framework defines 10 domains comprising elements of health care and clinical practice that are important in today's environment. Several of these domains directly relate to the two ACGME competencies on Systems-based Practice and Practice-based Learning and Improvement.

For a complete description of THCI's curriculum, see the THCI Curriculum Framework. This framework is based on extensive analysis of the literature and a synthesis of nine national reports on physician competencies for the changing practice environment.

THCI has published the findings of this review of curriculum reports in the article:

A Synthesis of Nine Major Reports on Physicians' Competencies for the Emerging Practice Environment. Ralph Halpern, Mary Y. Lee, Philip R. Boulter, and Rosalie R. Phillips. Academic Medicine. June 2001;76(6):606-615.

Click here to read the abstract of the article.

To order a free reprint of the article, visit our online store.

The table below highlights the relationship between the THCI domains and the ACGME competencies of Systems-based Practice and Practice-based Learning and Improvement.

THCI Content Categories And Domains	ACGME General Competencies
	Practice-based Learning & Improvement	Systems-based Practice
Curriculum Category I: Health Care System Overview
Domain 1: Systems for Organizing and Financing Care
Curriculum Category II: Population-based Care
Domain 2: Caring for Panels and Populations
Domain 3: Screening and Prevention
Domain 4: Ethical Issues in Population-based Care
Curriculum Category III: Effective and Efficient Care
Domain 5: Clinical Care Management
Domain 6: Information Management and Technology
Curriculum Category IV: High-Quality and Patient-Centered Care
Domain 7: Quality Measurement and Improvement
Domain 8: Practitioner-Patient Communication
Curriculum Category V: Practice Management
Domain 9: Practice Management Systems and Operations
Domain 10: Teamwork and Leadership