|Education and Training for the New ACGME Competencies
ACGME mandates that residents develop competencies
in six areas to the level expected of a new practitioner.
To accomplish this, residency programs must define the specific
knowledge, skills, and attitudes that are necessary, and provide
educational experiences as required in order for their residents
to demonstrate competency in each of the following areas:
Two of these competencies are new to most programs.
- Patient care
- Medical knowledge
- Practice-based learning and improvement
- Interpersonal and communication skills
- Systems-based practice
- Systems-based Practice: Residents must demonstrate
their knowledge of the environmental context and health
care systems within which they function. The scope of
systems-based practice includes
- familiarity with financing structures, the organization
and capacities of provider entities and delivery systems;
- tools and techniques for controlling costs and allocating
- systems for improving the quality of care; and
- the roles and contributions of other professionals
in caring for individual patients and populations.
Residents must use their knowledge of system resources
to provide care that is of optimal value.
- Practice-based Learning and Improvement: Residents
must know and apply scientific methods and analytic tools
to improve their patient care practices. They must be
- locate and appraise scientific evidence and clinical
studies related to their patients' health problems;
- apply information about the panels and populations
from which their patients are drawn;
- use information technology including online resources;
- analyze practice experience in order to perform
systematic improvement activities.
Quality improvement, evidence-based medicine, and informatics
are among the content areas that fall within this competency.
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