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Evaluating systems-based practice in emergency medicine.

Earl J Reisdorff1, Oliver W Hayes, Gregory L Walker

  • 1Ingham Regional Medical Center, Lansing, MI 48910, USA. reisdoe@irmcmail.irmc.org

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|November 5, 2002
PubMed
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Evaluating general competencies (GCs) in medical residents is crucial. This study presents a practical method using detailed evaluation forms to assess systems-based practice, a key competency for emergency medicine residents.

Area of Science:

  • Medical Education
  • Graduate Medical Training
  • Competency-Based Education

Background:

  • Accreditation Council for Graduate Medical Education mandates competency assessment for residents.
  • General Competencies (GCs) like systems-based practice are challenging to define and measure.
  • Systems-based practice involves resident interactions beyond direct patient care.

Purpose of the Study:

  • To propose a method for evaluating resident acquisition of general competencies.
  • To specifically address the measurement challenges of systems-based practice.
  • To provide a practical evaluation tool for graduate medical education programs.

Main Methods:

  • Development of a detailed ordinal evaluation form.
  • Identification of measurable items for assessing systems-based practice.

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  • Integration of these items into a standardized evaluation device.

    • Main Results:

    • The proposed evaluation form effectively measures commonly occurring, easily identified actions related to systems-based practice.
    • The method provides a structured approach to assessing this complex competency.
    • Examples of measurable items and their integration are presented.

    Conclusions:

    • A practical and effective method exists for evaluating systems-based practice in emergency medicine residents.
    • Detailed ordinal evaluation forms can successfully assess challenging general competencies.
    • This approach supports the accreditation requirements for comprehensive resident evaluation.