From:                              Walker, William

Sent:                               Monday, October 14, 2013 7:32 PM

To:                                   Zinner, Samuel; Johnson, Sue

Subject:                          FW: IMPORTANT INFORMATION ABOUT SUBSPECIATLY MILESTONES TO BE REPORTED

Attachments:                 Proposed List.pdf

 

This is the subspecialty milestone list that I was talking about.

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PROPOSED LIST OF COMPETENCIES FOR REPORTING OF MILESTONES TO ACGME FOR PEDIATRIC SUBSPECIALTIES

The ACGME and ABP, with input from CoPS, have developed the following proposed list of Pediatric Competencies for which Pediatric Subspecialty Programs will report Milestones to the ACGME beginning December 2014.  In order to reduce workload burden, the ACGME is only requiring reporting on a subset of the ~50 Pediatric Competencies.  While the residency programs are reporting on 21, this same list is not appropriate for the Pediatric Subspecialty Programs, since several competencies not on the list were more applicable to fellows. This draft was developed based on 1) identifying those competencies more pertinent to subspecialists (e.g. acting in a consultative role),  2) including “hot topic” competencies (e.g. transfer of care),  and 3) allow the ACGME to track competencies as the trainee advances through residency and fellowship (e.g. professional conduct). The list includes:

 

1.       Provide transfer of care that insures seamless transitions (PC3)

2.       Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment (PC6)

3.       Develop and carry out management plans (PC7)

4.       Provide appropriate role modeling (PC12)

5.       Critically evaluate and apply current medical information and scientific evidence for patient care  (MK2 combined with PBLI6)

6.       Identify strengths, deficiencies, and limits in one’s knowledge and expertise (PBLI1)

7.       Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement (PBLI4)

8.       Use information technology to optimize learning and care delivery (PBLI7)

9.       Participate in the education of patients, families, students, residents, and other health professionals (PBLI9)

10.    Communicate effectively with physicians, other health professionals, and health related agencies (ICS3)

11.    Work effectively as a member or leader of a health care team or other professional group (ICS4)

12.    Act in a consultative role to other physicians and health professionals (ICS5)

13.    High standards of ethical behavior which includes maintaining appropriate professional boundaries: Professional Conduct (PROF2)

14.    Work effectively in various health care delivery settings and systems relevant to their clinical specialty (SBP1)

15.    Coordinate patient care within the health care system relevant to their clinical specialty (SBP 2)

16.    Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate (SBP3)

17.    Work in inter-professional teams to enhance patient safety and improve patient care quality (SBP5)

18.    Participate in identifying system errors and implementing potential systems solutions (PBLI6)

19.    Demonstrate trustworthiness that makes colleagues feel secure when one is responsible for the care of patients (PPD5)

20.    Provide leadership skills that enhance team function, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients (PPD6)

21.    Recognize that ambiguity is part of clinical medicine and respond by utilizing  appropriate resources in dealing with uncertainty (PPD8)

 

For additional detail about these competencies and their related milestones, please see the attached table or click HERE. See the CoPS website for a full listing of the Pediatric Competencies and the Pediatric Milestones.

 

We would greatly appreciate your input regarding the selection of these competencies, including any suggested additions or deletions.  Once feedback is received and incorporated, the list will be reviewed by the Pediatric Residency Review Committee of the ACGME for approval with the goal of having it finalized by mid-November 2013.  Note that the first reporting of Milestones to the ACGME by Pediatric Subspecialty Programs will be in December 2014.

 

Thank you for taking the time to assist us with this project!

 

 

 

 

Amy Schull

Council of Pediatric Subspecialties

6728 Old McLean Village Drive

McLean, VA 22101

phone: 703-556-9222 x117

fax: 703-556-8729

email: mailto:amy@degnon.org