Perspective: Competency-based medical education: A defense against the four horsemen of the medical education apocalypse

Academic Medicine

Volumn 83, Issue 12, 2008, Pages 1132-1139

  Albanese, Mark ^a   Mejicano, George ^a   Gruppen, Larry ^b  

^a UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CURRICULUM; FUNDING; HOSPITAL PERSONNEL; LABORATORY; MANPOWER; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL STUDENT; OUTPATIENT; PATIENT EDUCATION; PATIENT SAFETY; PHYSICIAN; PRIORITY JOURNAL; PRODUCTIVITY; REVIEW; SIMULATION; STRESS; TEACHER; ARTICLE; CLINICAL COMPETENCE; ECONOMICS; HEALTH CARE DELIVERY; HUMAN; QUALITY CONTROL; STANDARD; STATISTICS; TEACHING; UNITED STATES;

CLINICAL COMPETENCE; CURRICULUM; DELIVERY OF HEALTH CARE; EDUCATION, MEDICAL; FACULTY, MEDICAL; HEALTH SERVICES ACCESSIBILITY; HUMANS; PATIENT SIMULATION; PHYSICIANS; QUALITY CONTROL; UNITED STATES;

EID: 60849084933     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e31818c6638     Document Type: Review

References (42)

1. Association of American Medical Colleges. AAMC calls for modest increase in medical school enrollment: Association adopts new position on physician supply. Available at: (http://www.aamc.org/newsroom/pressrel/ 2005/050222.htm). Accessed July 29, 2008.
2. Association of American Medical Colleges. The AAMC statement on the physician workforce. Available at: (http://www.aamc.org/ workforce/ workforceposition.pdf). Accessed July 29, 2008.
3. Yamagata H, Grover A, Salsberg E. An Analysis of Medical School Expansion Plans Analysis in Brief. Association of American Medical Colleges. Available at: (http://www. aamc.org/data/aib/aibissues/aibvol6-no2.pdf). Accessed October 3, 2008.
4. Center for Workforce Studies. Medical School Expansion Plans - Results of the AAMC 2005 Survey of U.S. Medical Schools. Available at: (http://www.aamc.org/ workforce/enroll.pdf). Accessed July 29, 2008.
5. Croasdale M. Flood of new medical schools filling accreditation pipeline. Am Med News. January 21, 2008. Available at: (http:// www.ama-assn.org/ amednews/2008/01/21/ prsd0121.htm). Accessed August 20, 2008.
6. Fabregas L, Bello M. As patients get sicker, hospital infection rates climb. Pittsburgh Tribune-Review. October 12, 2003. Available at: (http://www.pittsburghlive.com/x/ pittsburghtrib/news/specialreports/ hospital/s-159478.html). Accessed July 29, 2008.
7. Reznick RK, MacRae H. Teaching surgical skills - Changes in the wind. N Engl J Med. 2006;355:2664-2669. (Pubitemid 44969125)
8. Centers for Disease Control and Prevention (CDC). Trends in length of stay for hospital deliveries - United States, 1970-1992. MMWRMorb Mortal Wkly Rep. 1995; 44(17):335-337. Available at: (http://www.cdc. gov/mmwr/preview/ mmwrhtml/00036988.htm). Accessed July 29, 2008.
9. Dornan T, Scherpbier A, King N, Boshuizen H. Clinical teachers and problem-based learning: A phenomenological study. Med Educ. 2005;39:163-170. (Pubitemid 40278542)
10. National Sleep Foundation. Longer work days leave Americans nodding off on the job. Med News Today. March 06, 2008. Available at: (http://www. medicalnewstoday.com/articles/ 99,573.php). Accessed August 20, 2008.
11. The Sandwich Generation. CBS Evening News. Available at: (http://www. cbsnews.com/stories/2006/05/08/eveningnews/ main1600179.shtml). Accessed August 19, 2008.
12. Taylor P, Funk C, Kennedy C. Baby Boomers Approach Age 60: From the Age of Aquarius to the Age of Responsibility. Available at: (http://pewresearch.org/ assets/social/pdf/ socialtrends-boomers120805.pdf). Accessed August 20, 2008.
13. Whitcomb ME. Ambulatory care education: What we know and what we don't. Acad Med. 2002;77:591-592. (Pubitemid 34779031)
14. Crotty BJ. More students and less patients: The squeeze on medical teaching resources, Med J Aust. 2005;183:444-445.
15. Accreditation Council for Graduate Medical Education. Duty Hours Language. Available at: (http://www.acgme.org/acWebsite/ dutyHours/dh-Lang703. pdf). Accessed July 4, 2008.
16. Wong JG, Holmboe ES, Huot SJ. Teaching and learning in an 80-hour work week: A novel day-float rotation for medical residents. J Gen Intern Med. 2004;19:519-523.
17. Brasher AE, Chowdhry S, Hauge LS, Prinz RA, Neumayer LA, Aker CC, Soybel DI, Freischlag JA, Jeekel JH. Medical students' perceptions of resident teaching: Have duty hours regulations had an impact? Ann Surg. 2005;242:548-555.
18. Abramovitch A, Newman W, Padaliya B, Gill C, Charles PD. The cost of medical education in an ambulatory neurology clinic. J Natl Med Assoc. 2005;97:1288-1290. (Pubitemid 41254435)
19. Adams M, Eisenberg JM. What is the cost of ambulatory education? J Gen Intern Med. 1997;12(suppl 2):S104-S110.
20. Croasdale M. Fewer clinical faculty volunteer to teach: Academies that offer grants for education research and provide mentoring could help solve the problem. Am Med News. July 21, 2003. Available at: (http://www.amaassn. org/amednews/2003/07/21/prsa0721.htm). Accessed August 19, 2008.
21. Kohn LT, Corrigan JM, Donaldson MS, eds; Committee on Quality of Health Care in America, Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington, DC: The National Academies Press; 1999.
22. Assocation of American Medical Colleges, Division of Medical Education. 2007 Medical School Graduation Questionnaire: All Schools Summary Report. Available at: (http://www.aamc.org/data/gq/allschoolsreports/ 2007.pdf). Accessed July 2, 2008.
23. Collier VU, McCue JD, Markus A, Smith L. Stress in medical residency: Status quo after a decade of reform? Ann Intern Med. 2002;136: 384-390.
24. Task Force on Medical Student Debt. 2003 Report of the American Medical Association-Medical Student Section. Available at: (http://www.ama-assn.org/ ama1/ pub/upload/mm/15/debt-report.pdf). Accessed August 19, 2008.
25. Pizzo PA. Executive committee: An overview of the financial landscape and challenge facing Stanford University School of Medicine. Available at: (http://deansnewsletter. stanford.edu/archive/05-29-01.html). Accessed September 6, 2008.
26. Mallon WT, Jones RF. The Handbook of Academic Medicine: How Medical Schools and Teaching Hospitals Work. Association of American Medical Colleges, Washington, DC. 2005.
27. Keehan S, Sisko A, Truffer C, Smith S, Cowan C, Poisal J, Clemens MK; National Expenditure Accounts Projections Team. Health spending projections through 2017: The baby-boom generation is coming to Medicare. Health Aff (Millwood). 2008;27: w145-w155. Available at: (http://www.cms. hhs.gov/NationalHealthExpendData/ Downloads/proj2007.pdf). Accessed July 29, 2008.
28. Health Imaging News. CMS proposes additional cuts, delays to 2009 physician fee schedule. Available at: (http://www. healthimaging.com/content/ view/11,352/89). Accessed July 29, 2008.
29. Rich EC, Liebow M, Srinivasan M, Parish D, Wolliscroft JO, Fein O, Blaser R. Medicare financing of graduate medical education: Intractable problems, elusive solutions. J Gen Intern Med. 2002;17:283-292. (Pubitemid 34415687)
30. Assocation of American Medical Colleges. Congress passes historic Medicare prescription drug legislation. Available at: (http://www.aamc.org/ advocacy/library/ washhigh/2003/112103/-1.htm). Accessed July 29, 2008.
31. Zerhouni EA. NIH in the postdoubling era: Realities and strategies. Science. 2006;314: 1088-1090.
32. National Center for Research Resources. Clinical and Translational Science Awards. Available at: (http://www.ncrr.nih.gov/ clinicaldiscipline.asp). Accessed July 29, 2008.
33. Califf R. Institutional Clinical and Translational Science Award. Available at: (https://www.ctnbestpractices.org/networks/ nih-ctsa-awardees/ duke-university-durham-nc). Accessed July 29, 2008.
34. National Institutes of Health. Salary Limitation on Grants, Cooperative Agreements and Contracts. Available at: (http://grants.nih.gov/grants/guide/ notice-files/ not98-186.html). Accessed July 30, 2008.
35. Colavecchio-Van Sickler S. Price tag on new med schools rises. Tampa Bay.com. August 2, 2007. Available at: (http://blogs.tampabay.com/ buzz/2007/08/price-tag-on-ne.html). Accessed July 30, 2008.
36. Florida State University. Budget reductions. LegisLetter. Florida State University Governmental Relations. October 15, 2007; 13(12). Available at: (http://govrel.fsu.edu/ legisletter2007/LegisLetter-071015.pdf). Accessed July 30, 2008.
37. Training in Primary Care Dentistry. Available at: (http://www.hrsa.gov/ about/ budgetjustification08/TraininginPrimary CareMedicineDentistry.htm). Accessed October 3, 2008.
38. Gabriel BA. What's in a name? Philanthropists' donations giving new names to medical schools. Available at: (http://www.aamc.org/newsroom/ reporter/aug02/philanthropy.htm). Accessed September 6, 2008.
39. Americans with Disabilities Act of 1990. Available at: (http://www.ada.gov/pubs/ ada.htm). Accessed July 2, 2008.
40. Annual Financial Questionnaire, FY2005. Available at: (http://www.aamc.org/data/ finance/2005tables/medicalschoolrevenuefy05. pdf). Accessed October 3, 2008.
41. Issenberg SB, McGaghie WC, Petrusa ER, Gordon DL, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Med Teach. 2005;27:10-28.
42. Wear D. On outcomes and humility. Acad Med. 2008;83:625-626.