patient care           medical knowledge            interpersonal and communication skills professionalism          practice-based learning & improvement         system-based practice
 

SYSTEM-BASED PRACTICE

Residents must demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.  Residents are expected to:

1. Demonstrate an investigatory and analytic thinking approach to clinical situations

2. Know and apply the basic and clinically supportive sciences which are appropriate to their discipline

3. Analyze practice experience and perform practice-based improvement activities using a systematic methodology

4. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems

5. Obtain and use information about  their own population of patients and the larger population from which their patients are drawn

6.  Apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness

7. Use information technology to manage information, access on-line medical information; and support their own education

8. Facilitate the learning of students and other health care professionals.

How does the program deliver the opportunity for resident(s) to develop this competency?

1 thru 5. Healthcare 101, a Practice Management course developed at MCG, is required for residents.

1 thru 5. These issues are discussed frequently in resident didactics to create awareness of cost without reducing quality.

1 thru 5. Faculty, serving as role models, afford an opportunity for residents to witness cost-effective healthcare in practice.

1 thru 5. Residents regularly deal with a multi-system, multi-task health care arena that provides them ample opportunities, if sought after, with understanding the components of well thought out patient management and efficient health care delivery system with effective cost management and quality medical care.

1 thru 5. Daily opportunities to be a patient advocate and provide information and coordination to the patient for his or her own understanding and ability to deal with the multifaceted and sometimes problematic dealings with health care managers and providers.

How does the program measure the resident(s) development of this competency?

1 thru 5. Faculty supervisors monitor residents’ understanding of patient care and how it directly affects the system.

1 thru 5. Residents are able to view different practice styles as they are supervised by different faculty.

1 thru 5. As faculty supervise residents in the inpatient and outpatient settings, discussions of cost-effective healthcare are an active part of that discussion.

1 thru 5. As faculty supervise residents, they can review how the resident is handling quality of care issues, etc.

1 thru 5. Knowing how and when to refer is one of the most critical components of residency.  Faculty supervisors discuss this issue with residents on a daily basis.

How do you document the delivery and/or attainment of this competency by residents?

4, 5. Residents meet biannually quarterly with the program director.

1 thru 5. Faculty supervisory evaluations in the inpatient and outpatient setting reflect the level of resident understanding of this competency.