DMWG Core Competency DMWG Teams Patient Care Amy Paller Eileen - PDF document

Dermatology Milestones: Disclosure Development Overview I have no conflicts of interest to disclose. Daniel S. Loo, MD Co-Chair Dermatology Milestones Work Group Development APD Work Group (2010) Members* Core Competencies • The Process (Turiansky- Dermatology Milestones Project Update) � • Erik Stratman PBLI � • Roy Colven SBP • APD Work Group, APD Annual Meeting, 2010 � • Daniel Loo Patient Care • Amy Chang � Procedural Dermatology • Dermatology Milestones Work Group (DMWG), • Amit Garg � Professionalism 2011-12: • Joslyn Kirby � Medical Knowledge – Oct 29-30, 2011 (patient care, medical knowledge) • Misha Rosenbach � Interpersonal & – May 19-20, 2012 (professionalism, communication, SBP, PBLI) Communications Skills *Appointed by APD Program Committee, May 2010 Competency Assignments DMWG Core Competency DMWG Teams Patient Care Amy Paller • Eileen Anthony • Amy Paller Randall Roenigk • Anna Bruckner • Jack Resneck, Jr. Medical Knowledge Stan Taylor • Roy Colven • Randall Roenigk Anna Bruckner SBP Roy Colven • Marsha Henderson • Julie Schaffer Marsha Henderson • Antoinette Hood • Erik Stratman Professionalism Daniel Loo • Daniel Loo • Stan Taylor Antoinette Hood • Stephen Nestler • George Turiansky Communications Skills George Turiansky Julie Schaffer PBLI Erik Stratman Jack Resneck 1

Breaking It Down • 6 core competencies • 28 milestones: – Patient care (7) – Medical knowledge (5) – SBP (4) – Professionalism (3) – Communications skills (5) – PBLI (4) • ∼ 152 supporting specific behaviors (line items) Patient Care Milestones (7) • History, exam & presentation • Diagnostic tests • Dermatopathology application • Medical treatment • Pediatric treatment • Surgical treatment • Diagnosis, management decisions & patient education Medical Knowledge Milestones (5) SBP Milestones (4) • Adapts easily and works effectively in various • Medical dermatology health care delivery settings and systems • Pediatric dermatology • Works effectively within an interprofessional • Dermatologic surgery team • Dermatopathology • Improves health care delivery by identifying system errors and implementing potential • Application of basic science knowledge to systems solutions. Advocates for quality patient clinical care care and optimal patient care systems. • Practices cost conscious-care 2

Professionalism Milestones (3) Communication Skills Milestones (5) • Communication and rapport with patients and families • Adheres to basic ethical principles • Having difficult conversations • Committed to life-long learning & improvement • Team member respect and care • Patient care is the first priority coordination • Communication and consultation with other physicians • Medical records PBLI Milestones (4) • Appraise and assimilate scientific evidence • Continuously improve through self- assessment of competence • Integrate quality improvement concepts and activities into practice • Teach others Breakpoints in Expected Defining Resident Levels Levels of Performance of Performance • Beginning (1): 0-3 months • 1 st , 2 nd , 3 rd year resident is simple – Not every resident will achieve specific • Junior (2): 4-18 months behavior at the same time • Senior (3): 19-36 months • Beginning residents have variable experiences & skills • Graduating (4) • Why include “practicing physician”? • Practitioner (5): Advanced, superior resident or practicing physician 3

Advisory Group Feedback • Ponciano Cruz • Dermatology Milestones Advisory Group • Amit Garg • Survey to APD membership: 28 • Peter Lee responses • Victor Marks • Panel discussion • Amy Nopper • Ramon Sanchez • Mary Stone • Cliff White Input from APD Members • 10:45 – 11:15 � review Milestones Draft • 11:15 – 12:15 � Comment period • Sunday � DMWG Meeting 3 4