Development of Competency Teaching and Assessment for the Subspecialty Fellowships of Internal Medicine - PowerPoint PPT Presentation

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Development of Competency Teaching and Assessment for the Subspecialty Fellowships of Internal Medicine

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... System-Based Practice in I.D. TEACHING I.D. consultation services Clinical conference I.D. clinic Microbiology rotation Infection control in-service and ... – PowerPoint PPT presentation

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Title: Development of Competency Teaching and Assessment for the Subspecialty Fellowships of Internal Medicine


1
Development of Competency Teaching and Assessment
for the Subspecialty Fellowships of Internal
Medicine
  • Infectious Diseases at Albert Einstein College of
    Medicine and Montefiore Medical Center
  • June 20,2005
  • Grace Minamoto, M.D.

2
Fellowship Educational Committee for Infectious
Diseases
  • Joan Casey, M.D.
  • Marta Feldmesser, M.D.
  • Grace Minamoto, M.D.
  • Simone Saltzman, M.D.
  • Jonathan Shuter, M.D.
  • David Stein, M.D.
  • Fellows

3
How can we translate what we already do into
competency teaching and assessment? How can
the fellows and faculty understand how the
curriculum teaches the competencies?
4
Competencies
  • Reword the ACGME descriptions in terms of the
    subspecialty
  • Decide how each of your curriculum components
    helps teach the competencies

5
ACGME Outcome Project Toolbox of Assessment
Methods
  • Record review
  • Chart stimulated recall
  • Global rating
  • 360 degree evaluation instrument
  • Observed structured clinical exam (OSCE)
  • Case logs
  • Portfolios
  • Written exam
  • Standardized patient exams

6
Curriculum Components
  • ID Consultation Service
  • Clinical conferences
  • Case presentations
  • Research conferences
  • Basic science conferences
  • Journal club
  • Introductory lecture series
  • I.D. Clinic
  • Microbiology rotation
  • Parasitology clinic
  • STD Course
  • Infection Control meetings
  • Antibiotic subcommittee meetings
  • Annual hospital in-service
  • On-line ethics-in-research course
  • Biostatistics and study design course
  • AECOM Microbiology course teaching
  • Research project

7
Competency 1 Patient Care in I.D.
  • TEACHING
  • ID Consultation Services
  • ID Clinic
  • ASSESSMENT
  • Global evaluation
  • Consultation logs
  • Case presentation logs and evaluations
  • Observed Consultation exercise

8
Competency 2 Medical Knowledge in I.D.
  • TEACHING
  • ID Consultation services
  • Case presentations
  • Conferences (clinical, research, basic science,
    journal club)
  • ID Curriculum lectures
  • Microbiology rotation
  • STD course
  • Parasitology clinic
  • Research project
  • ASSESSMENT
  • Global evaluation
  • Consultation logs
  • Case presentation logs and evaluations
  • In-service exam (ID Board review modules)
  • Journal club presentation evaluations
  • Microbiology course completion
  • STD course completion
  • Research presentation evaluation

9
Competency 3 Practice-Based Learning and
Improvement in I.D.
  • TEACHING
  • I.D. Consultation Services
  • Clinical Conferences
  • Case presentations
  • Journal Club
  • I.D. Clinic
  • AECOM microbiology course teaching
  • ASSESSMENT
  • Global evaluation
  • Case presentation logs
  • Clinic QI assessments QI projects
  • Case presentation evaluations
  • Journal club presentation evaluations
  • Biostatistics/study design course completion
  • Research evaluations
  • AECOM course teaching evaluation
  • Research presentation evaluations

10
Competency 4 Interpersonal and Communication
Skills in I.D.
  • TEACHING
  • I.D. consultation services
  • I.D. clinic
  • ASSESSMENT
  • Global evaluation
  • Observed consultation exercise
  • 360 degree evaluation in clinic setting

11
Competency 5 Professionalism in I.D.
  • TEACHING
  • I.D. consultation services
  • I.D. clinic
  • Annual hospital in-service
  • On-line ethics-in-research course
  • ASSESSMENT
  • Global evaluation
  • Observed consultation exercise
  • 360 degree evaluation in clinic setting
  • Completion of annual hospital in-service
  • Completion of on-line ethics-in-research course

12
Competency 6 System-Based Practice in I.D.
  • TEACHING
  • I.D. consultation services
  • Clinical conference
  • I.D. clinic
  • Microbiology rotation
  • Infection control in-service and meetings
  • Antibiotic subcommittee meetings
  • Annual hospital in-service
  • ASSESSMENT
  • Global evaluation
  • Consultation logs
  • Case presentation logs
  • 360 degree evaluation in clinic setting
  • Completion of microbiology rotation
  • Participation in infection control meetings
  • Participation in antibiotic subcommittee meetings
  • Completion of annual hospital in-service

13
Competency Teaching and Assessment Requires
  • Faculty and fellow familiarity with competencies
  • Time commitment by faculty to develop and
    reassess evaluations
  • Evaluations that have internal consistency and
    inter-rater reliability
  • Time commitment by faculty to formally evaluate
    fellows in multiple components of the curriculum
  • Time commitment by other health professionals in
    working sphere of fellows

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