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Macy Foundation report calls for sweeping graduate medical education reforms
Date:9/8/2011

ic members at the table. "The voice of the public would help ensure that GME's goals are continually reaffirmed and that the programs are designed to achieve those goals," the panel says.

  • Replace time-based training with outcomes-based standards that link graduation to readiness for unsupervised practice. The group says that the current system of training all residents for a fixed duration "fails to recognize or accommodate" the reality that residents vary in how quickly they achieve competency. The panel recommends moving from measuring months and years of training to a system based on an individual's readiness for independent practice. "Routinely aligning the duration of training to individual residents' achievement of competence would yield a more consistent level of skills among physicians entering unsupervised practice, more efficient delivery of competent practitioners to the public, and more responsible use of public funding supporting resident education," the group says.

  • Expand the content and sites of training to reflect current and future patient needs. The group sees an urgency to more effectively deliver an updated curriculum, in part by diversifying the training sites for GME (including federally qualified health centers and school-based health centers, for example) to provide a breadth of clinical experience beyond traditional teaching hospitals and to expand content related to professionalism, population medicine, and team-based practice. The group says ACGME's core competencies must be better integrated with clinical performance since they "remain poorly standardized and incompletely assessed and are too often taught and evaluated outside the context of patient care."

  • Encourage collaborative education. The group advocates for the elimination of historical professional boundaries so that inter-specialty and inter-professional education become a consistent element of physician training. The group says
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  • Contact: Morgan Warners
    mwarners@burnesscommunications.com
    301-652-1558
    Burness Communications
    Source:Eurekalert

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