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Overview of Health Care Issues – Challenges and Opportunities Health, Society and the Physician February 2, 2010
Paul B Gardent Senior Associate, Center for Leadership & Improvement The Dartmouth Institute for Health Policy and Clinical Practice Adjunct Professor, Tuck School at Dartmouth
Physician Competency
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“Good Medical Practice”
- Patient Care
- Medical Knowledge and Skills
- Practice-based Learning and Improvement
- Interpersonal and Communication Skills
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- Professional Behavior
- Systems-based Practice
Alliance for Physician Comptence https://gmpusa.org/Docs/GoodMedicalPractice-USA-V1-0WSide.pdf ACGME Common Program Requirements http://www.acgme.org/outcome/comp/GeneralCompetenciesStandards21307.pdf
“Good Medical Practice” As doctors, we must:
- demonstrate an understanding of how the system of
healthcare in which we work affects our performance;
- utilize system resources effectively to provide optimal
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y y p p care;
- understand how our patient care and other professional
activities affect other healthcare professionals, the healthcare system in which we work, and the larger society.
Draft Statement: Alliance for Physician Competence (1/10/2007)
My Thesis
- Knowledge and understanding of the system of health
care is important to being a competent physician
- Knowledge and understanding of the system of health
care is important to your professional satisfaction and
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care is important to your professional satisfaction and morale
Learning Objectives
- Understand what is health and what determines health
- Understand key challenges facing health care today,
- Have a basic understanding of the structure and financing
- f US health care,
- Understand the strategic dilemmas facing hospitals and
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Understand the strategic dilemmas facing hospitals and physicians in today’s environment,
- Examine some real-world situations and the dilemmas
they raise
- Appreciate why knowledge and understanding of the