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An approach to fulfilling the systems-based practice competency requirement.

David Doezema1, Steve McLaughlin, David P Sklar

  • 1Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131-5246, USA. ddoezema@salud.unm.edu

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|November 5, 2002
PubMed
Summary

This study introduces a novel approach to teaching systems-based practice in emergency medicine residencies. Residents learn to utilize community resources through project-based learning, enhancing patient care beyond the emergency department.

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Area of Science:

  • Medical Education
  • Health Systems
  • Emergency Medicine

Background:

  • The Accreditation Council for Graduate Medical Education (ACGME) mandates systems-based practice competency.
  • This competency requires understanding healthcare systems and utilizing resources for optimal patient care.
  • Emergency medicine residents need training in navigating broader healthcare contexts.

Purpose of the Study:

  • To describe an innovative method for teaching and assessing systems-based practice in emergency medicine residencies.
  • To equip residents with the skills to identify and leverage community resources.
  • To foster an understanding of healthcare delivery beyond the emergency department.

Main Methods:

  • Residents receive orientation to community resources relevant to patient care.

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  • A community-oriented project is a mandatory component of the residency.
  • Curriculum includes readings and discussions on community medicine, research, and injury prevention.
  • Project examples are detailed to illustrate practical application.

    • Main Results:

    • The described approach enhances residents' awareness of community resources.
    • Residents develop practical skills in utilizing external healthcare system components.
    • Projects serve as tangible evidence of competency achievement and can be included in resident portfolios.

    Conclusions:

    • This educational strategy effectively addresses the ACGME's systems-based practice competency.
    • The project-based learning model offers a substantial contribution to resident training.
    • This approach prepares emergency medicine physicians to provide more comprehensive, system-aware care.