What are “Desirable Physician Attributes”?
Criteria 6 of the Accreditation Council for Continuing Medical Education
(ACCME) Essential Areas and Their Elements requires that activities be
developed in the context of desirable physician attributes. What does
this mean? The term “physician attributes” is broad. For example, the
Accreditation Council for Graduate Medical Education (ACGME), American
Board of Medical Specialties (ABMS) and Institute of Medicine (IOM) each
have articulated competencies that they would like all physicians to
acquire.1 In 2003, the IOM proposed a set of five core competencies that
all health care professionals should possess and has recommended that
these be used as an overarching vision for all healthcare professional
education in the 21st century. Deficiencies in the quality of patient
care and safety, rapid changes in the healthcare environment, and
technological advances have all warranted a reform of education for
healthcare professionals. Although there are many other organizations
that have described abilities or competencies, we will focus on the
competencies from the three organizations (ACGME, ABMS, and IOM) stated
above.
Your planning team should be developing your activity around these core
competencies. Please note that your activity may address more than one
competency. For example, it may address the application of evolving
clinical knowledge to patient care, while also applying quality
improvement measures that identify errors in care. Or, is your activity
about systems-based practice? In other words, will your activity address
an awareness of a larger context and system for healthcare and the
ability to effectively call on system resources to provide optimal
patient care? Perhaps your activity incorporates interpersonal and
communication skills and addresses teaming with patients, their
families, and other health professionals to effectively share
information. It is important to remember that ninety percent of
physicians in the United States are involved in board certification and
are required to participate in maintenance of certification and
demonstrate that they’re participating in programs and educational
activities that are linked to a competency.1 Incorporating core
competencies not only satisfies the ACCME criteria, but provides an
advantageous service to your learners.
Below are a list of desirable physician attributes/competencies from the
ACGME/ABMS and IOM.
ACGME/ABMS CORE COMPETENCIES:2
- PATIENT CARE: Provide care that is compassionate, appropriate
and effective treatment for health problems and to promote health.
- MEDICAL KNOWLEDGE: Demonstrate knowledge about established and
evolving biomedical, clinical and cognate sciences and their
application in patient care.
- INTERPERSONAL AND COMMUNICATION SKILLS: Demonstrate skills that
result in effective information exchange and teaming with patients,
their families and professional associates (e.g. fostering a
therapeutic relationship that is ethically sound, uses effective
listening skills with non-verbal and verbal communication; working
as both a team member and at times as a leader).
- PROFESSIONALISM: Demonstrate a commitment to carrying out
professional responsibilities, adherence to ethical principles and
sensitivity to diverse patient populations.
- SYSTEMS-BASED PRACTICE: Demonstrate awareness of and
responsibility to larger context and systems of healthcare. Be able
to call on system resources to provide optimal care (e.g.
coordinating care across sites or serving as the primary case
manager when care involves multiple specialties, professions or
sites.
- PRACTICE-BASED LEARNING AND IMPROVEMENT: Able to investigate and
evaluate their patient care practices, appraise and assimilate
scientific evidence and improve their practice of medicine.
IOM:3
- PROVIDE PATIENT-CENTERED CARE: Identify, respect, and care about
patients' differences, values, preferences, and expressed needs;
listen to, clearly inform, communicate with, and educate patients;
share decision making and management; and continuously advocate
disease prevention, wellness, and promotion of healthy lifestyles,
including a focus on population health.
- WORK IN INTERDISCIPLINARY TEAMS: Cooperate, collaborate,
communicate, and integrate care in teams to ensure that care is
continuous and reliable.
- EMPLOY EVIDENCE-BASED PRACTICE: Integrate best research with
clinical expertise and patient values for optimum care, and
participate in learning and research activities to the extent
feasible.
- APPLY QUALITY IMPROVEMENT: Identify errors and hazards in care;
understand and implement basic safety design principles, such as
standardization and simplification; continually understand and
measure quality of care in terms of structure, process, and outcomes
in relation to patient and community needs; and design and test
interventions to change processes and systems of care, with the
objective of improving quality.
- UTILIZE INFORMATICS: Communicate, manage knowledge, mitigate
error, and support decision making using information technology.
References:
- Accreditation Council for Continuing Medical Education.
Desirable Physician Attributes. Available at:
http://education.accme.org/files/E105_20091120_transcript.pdf.
Accessed August 2011.
- American Board of Medical Specialties. Core Competencies.
Available at:
http://www.abms.org/Maintenance_of_Certification/MOC_competencies.aspx.
Accessed August 2011.
- Institute of Medicine. Health Professions Education: A Bridge to
Quality. Available at:
http://www.iom.edu/Reports/2003/Health-Professions-Education-A-Bridge-to-Quality.aspx.
Accessed August 2011.
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Visit yourCEsource.org for more information about our continuing
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