NDLI: What indicates competency in systems based practice? An analysis of perspective consistency among healthcare team members

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What indicates competency in systems based practice? An analysis of perspective consistency among healthcare team members

Content Provider	Springer Nature Link
Author	Graham, Mark J. Naqvi, Zoon Encandela, John A. Bylund, Carma L. Dean, Randa Calero Breckheimer, Ayxa Schmidt, Hilary J.
Copyright Year	2008
Abstract	In many parts of the world the practice of medicine and medical education increasingly focus on providing patient care within context of the larger healthcare system. Our purpose is to solicit perceptions of all professional stakeholders (e.g. nurses) of the system regarding the U.S. ACGME competency Systems Based Practice to uncover the extent to which there is agreement or discrepancy among key system stakeholders. Eighty-eight multidisciplinary personnel (n = 88) from two academic medical centers were invited to participate in one of 14 nominal group process sessions. Participants generated and prioritized resident characteristics that they believed were important for effective System Based Practices. Through content analysis the prioritized attribute statements were coded to identify embedded themes of resident roles and behavior. From the themes, three major resident roles emerged: resident as Self-Manager, Team Collaborator, and Patient Advocate. No one professional group (e.g., nurses, attending physicians, social workers) emphasized all of these roles. Some concepts that are emphasized in the ACGME definition like using cost–benefit analysis were conspicuously absent from the healthcare team generated list. We showed that there are gaps between the key stakeholders prioritizations about the ACGME definition of SBP and, more generally, the behaviors and roles identified by healthcare team stakeholders beyond the U.S. This suggests that within the process of developing a comprehensive working understanding of the Systems Based Practice competency (or other similar competencies, such as in CanMEDS), it is necessary to use multiple stakeholders in the system (perhaps including patients) to more accurately identify key resident roles and observable behaviors.
Starting Page	187
Ending Page	203
Page Count	17
File Format	PDF
ISSN	13824996
Journal	Advances in Health Sciences Education
Volume Number	14
Issue Number	2
e-ISSN	15731677
Language	English
Publisher	Springer Netherlands
Publisher Date	2008-02-28
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Systems base practice United States Accreditation Council on Graduate Medical Education CanMEDS Resident competency Nominal group process Medical Education
Content Type	Text
Resource Type	Article
Subject	Education Medicine

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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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What indicates competency in systems based practice? An analysis of perspective consistency among healthcare team members