PROGRAM GOALS & FACULTY COMPETENCIES
Goal: Develop the leadership skills necessary to create a new culture of primary care practice within the local residency and its GME environment.
• Demonstrate the ability to actively engage in and provide clinical and educational leadership for the practice’s change and improvement process.
• Identify personal leadership characteristics that impact on one’s effectiveness as a leader, manager and teacher.
• Apply leadership practices that support collaboration and team effectiveness
• Develop a shared leadership model by involving faculty, residents, providers and staff from every level to be engaged in the change process.
Change Management Skills
Goal: Manage the inherent resistance to change within one’s residency.
• Create an agenda for change and align leadership to the effort’s goals and means.
• Communicate strategically, effectively and consistently throughout the change efforts.
• Use information systems and measurement to help initiate, manage and sustain the change process.
• Apply evidence-based change management methods and approaches in both clinical care and education.
Goal: Introduce teamwork models and practices necessary for optimizing patient safety and quality within the practice environment.
• Establish team processes that support diverse professionals to work together in support of common change goals.
• Participate as a team member and leader in practice improvement, including evaluation of the practice and performance of PDSA cycles.
• Engage in team training at the local level that optimizes patient safety and quality of care.
Population Management Skills
Goal: Improve panel management in our training practices.
• Utilize registries and/or other IT tools to identify and manage populations of patients within the practice.
• Interpret data as a measure of patient outcomes and design strategies to target those patients whose outcomes are not improving.
• Identify community resources available to the patient populations served by your residency training program and demonstrate the integration of these resources into the management of patients.
Clinical Microsystems Skills
Goal: Use insights from an understanding of clinical microsystems to transform the practice to embrace patient centeredness, effectiveness and efficiency.
• Appreciate the roles of the various members of the healthcare team and demonstrate how these roles can be integrated for optimal patient care.
• Demonstrate comprehensive, coordinated care using an evidence-based personal care plan, with goals prioritized by the patient and decision-making shared with the patient.
• Manage patients and families with sensitivity to patients’ health literacy, beliefs, customs, culture, and community.
Competency Assessment Skills
Goal: Insure comprehensive assessment of required competencies of trainees.
• Design assessment systems that utilize multifaceted methods of assessment and interdisciplinary assessors for each required competency as well as the ability to assess the integration of competencies in care delivery.
• Use appropriate assessment tools based on their “utility” for purpose, based on validity, reliability, educational effect, feasibility and acceptability.
• Train and calibrate assessors to use direct observation to enhance the utility and value of assessment.
• Devise assessment methods that connect educational outcomes with clinical outcomes.