Intro to Clinical Competencies

Question 1

Whod determined reason for high variability in physician practice in the US in 1910?

Answer 1

Flexner

Question 2

What model did Flexner use to standardize admission requirements?

Answer 2

Johns Hopkins

Question 3

What was the unintended consquence of the Flexner report?

Answer 3

Healthcare inequity

Question 4

Who was the dude in 1927 that criticised young graduates because they were smart but didnt know how to practice medicine?

Answer 4

Francis weld Peabody

Question 5

In the “Care of the Patient”, Peabody said what final statement that Dr. Bell loves?

Answer 5

“secret of care of patient is caring for patients”

basically u need humanistics

Question 6

Who were the 2 people ion 1990 that called for compentency beyond biomedical aspects?

Answer 6

Merensteind and Sculte

Question 7

What 2 things did Bell, Kozakowski, and Winter publish in 1997?

Answer 7

26 competencies and 5 realms of competencies for family med.

Question 8

Bell et all found that Residents who were highyl competent did well on what exam?

Answer 8

Objective exam (most in the grp)

Question 9

What was the report in 1999 that showed that the healthcare system sucks and kills 98,000ppl/yr?

Answer 9

IOM: Err is Human

Question 10

What was the most common type of errors found from the IOM: Err is Human report?

Answer 10

Medicine errors

Question 11

Out of all the thigns that the IOM: Err is Human report stated, which of the following is the most important?

safety
effectiveness
patient-centeredness
timeliness
efficiency
fairness

Answer 11

patient centeredness

Question 12

What is the gold standard for quality that defines, measures, analyzes, improves, and controls?

Answer 12

Six sigma (2-3 defects/million)

Question 13

Which specialty is closest to 6 sigma, and is at 2-3 sigma?

Answer 13

Anethesia

Question 14

What do Anethesiologist use that makes them close to 6 sigma?

Answer 14

Protocols

Question 15

When shoudl variation only be present?

Answer 15

If necessary for the pt

Question 16

This is thing that is based on the # of physicians who practice standards in the area.

Answer 16

quality of care atlas

Question 17

What does the quality in medicine aim to reduce?

Answer 17

Unecessary and unexplained VARIATION

Question 18

Which organization uses the following competencies?

medical knowledge
pt care
interpersonal and communication skills
professionalism
systems-based practice
practice-based learning and improvement

Answer 18

ACGME

Question 19

What will be the AOA be reducing its comptencies back to?

Answer 19

6

Question 20

Who were the 2 social scientisits that showed how people learn skills?

Answer 20

Dreyfus brothers

Question 21

What are the 6 levels of continuum of learning, as shown by the Dreyfus brothers?

Answer 21

Novice
Advanced beginner
Competent
Proficiency
Expert
Master

Question 22

Which level is residents on?

Answer 22

Competent

Question 23

Which of the learning levels is the minimum standard for independent practice?

Answer 23

Competent

Question 24

This is the knowledge, skills, and attitudes HABITUALLY applied across MANY varied sitiations.

Answer 24

Competency

lol same answer 3x in a row

Question 25

True or False: the goal of competence is the alignment of actions, throughts, and decisions, and plants with belief of everything for the physician.

Answer 25

False.

everything is aimed for the pt.

Question 26

What medical education system competencies are professional, communicator, collaborator, manage, health advocate, and scholar, which all combine to make a MEDICAL EXPERT?

Answer 26

Canada’s CanMEDS

Question 27

What medical education system competencies are just like canada’s but includes teaching and probity?

Answer 27

UK’s good medical practice

Question 28

What medical education system competencies are care for pts, maintain knowledge and skills, activetly learn from their practices, exhibit excellent interpersonal and communication skills, exhibit commitment to the ethical and professional standards of the medical profession?

Answer 28

GMP-USA

Question 29

What medical education system competencies are altruistic, knowledgeable, skillful, and dutiful?

Answer 29

MSOP

Question 30

Though 5 years past the Err is Human, we have stopped errors like deaths and infections and drug errors, what overall change happened?

Answer 30

Minimal

still have name/blame/shame

Question 31

The AACN, AACOM, AACP, ADEA, AAMC, and ASPH combined to make what in 2011?

Answer 31

IPEC competencies

Question 32

Which IPEC domain works with individuals or other professions to maintain a climate of mutual respect and shared values. AKA THE DOC ISNT THE KING OF THE JUNGLE. YOU HEAR THAT SURGEONS?

Answer 32

Values/ethics

Question 33

Which IPEC domain uses the knowledge of ones own role and those of other professions to appropriately asses and address the healthcare needs of the pts and populations served?

Answer 33

Specific roles/responsibilites

Question 34

Which IPEC domain communicates with pts, families, communtiites, and other health professionals ina responsive and responsible manner that supports a team approach to the maitenance of health and treatment of disease?

Answer 34

Specific interpesonal communication competencies

SURGEONS…

Question 35

Which IPEC domain applies relationship-building values and the principles of team dynamics to perform effectivly in different team roles to do good stuff?

Answer 35

Specific team and teamwork competencies

…..s…ur….g….

Question 36

What did Dr Bell say at the end is the shortest way to mastery?

Answer 36

Teach others.