Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Systems-based practice: the sixth core competency.

Pamela L Dyne1, Robert W Strauss, Stephan Rinnert

  • 1Department of Emergency Medicine, UCLA School of Medicine, Olive View-UCLA Medical Center, Los Angeles, CA 91342, USA. pdyne@ucla.edu

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|November 5, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Understanding Acute Heavy Menstrual Bleeding: Insights From an Interdisciplinary Panel.

O&G open·2025
Same author

What Should Students and Trainees Be Taught About <i>Turfing</i> and Where Patients Belong?

AMA journal of ethics·2023
Same author

Emergency Medicine Considerations in the Transgender Patient.

Emergency medicine clinics of North America·2023
Same author

Emergency Gynecologic Considerations in the Older Woman.

Emergency medicine clinics of North America·2023
Same author

A Virtual Book Club for Professional Development in Emergency Medicine.

The western journal of emergency medicine·2021
Same author

What If I Do Not Match? Scrambling for a Spot and Going Outside the Match.

The Journal of emergency medicine·2020
Same journal

Development and Validation of Machine Learning Models to Optimize Imaging and Referrals for Dizziness in the Emergency Department.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

A Dizzying Number of Clinical Decision Rules … and Do We Need Them?

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

Development and Validation of a Modified Sudbury Vertigo Risk Score for Predicting Central Causes of Dizziness in the Emergency Department.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

Chronic Hypertension in the ED: Physician Response When Hypertension Is or Is not a Reason for the ED Visit.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

A Novel Pilot Program Using Patient Incentives to Address Emergency Department Boarding and Overcrowding: A Retrospective Observational Study.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

Predicting Echocardiography Findings in Adults Presenting to the Emergency Department With Syncope: An External Validation of the ROMEO Score.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
See all related articles

Systems-Based Practice (SBP) training is crucial for emergency medicine (EM) residents. This competency ensures physicians understand healthcare systems and provide optimal value care, with established assessment methods and curriculum components readily available.

Area of Science:

  • Medical Education
  • Healthcare Systems Management
  • Emergency Medicine

Background:

  • The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project defines Systems-Based Practice (SBP) as a core competency.
  • SBP emphasizes resident awareness of healthcare systems and effective resource utilization for optimal patient care value.
  • SBP encompasses four subcompetencies vital for emergency medicine (EM) physicians: resources, providers, systems, cost-appropriate care, delivery systems, and patient advocacy.

Purpose of the Study:

  • To modify the ACGME SBP competency for emergency medicine residency training.
  • To define EM-specific goals and objectives for SBP training.
  • To identify primary assessment methods and relevant physician tasks for SBP in EM.

Main Methods:

Related Experiment Videos

  • A consensus conference convened by the Council of Emergency Medicine Residency Directors (CORD-EM) in March 2002.
  • Modification of the broad ACGME SBP definition into EM-specific goals and objectives.
  • Identification of primary assessment methods (direct observation, global ratings, 360-degree evaluations, portfolio assessment, oral/written exams) and relevant physician tasks.

    • Main Results:

    • The Consensus Group successfully modified the SBP competency for EM training.
    • Key physician tasks relevant to SBP in EM were identified, including out-of-hospital care, cost-appropriate care, and team management.
    • Existing EM residency curriculum components, such as EMS rotations and quality improvement projects, can be leveraged for SBP training.

    Conclusions:

    • The modified SBP competency provides a framework for training EM physicians in systems-based practice.
    • Integration and evaluation of SBP within residency programs are essential for future healthcare improvements.
    • Well-defined outcomes and a systemic healthcare view benefit both physicians and patients.