Topic last updated Aug. 2006
Professional Training: Preparing Health Care Professionals for Systems Change
Diabetes Certification, Accreditation, Recertification, Competencies, and Continuing Education
1. Diabetes Certification
National Certification Board for Diabetes Educators (NCBDE)
The NCBDE credentials an individual as a Certified Diabetes Educator (CDE). The credential demonstrates that the certified health care professional possesses distinct and specialized knowledge, thereby promoting quality care for persons with diabetes.
Certification for Advanced Clinical Practitioners Specializing in Diabetes Management
The American Association of Diabetes Educators offers this certification of advanced practice to signify attainment of specific criteria, knowledge, skills, and abilities in diabetes care. It enhances opportunities for a more focused and interdisciplinary approach to diabetes management.
New requirements for graduate medical education training program accreditation put forth by the Accreditation Council for Graduate Medical Education include expectations that medical residents will become competent in systems-based practice and practice-based learning and improvement.
Many physician specialty and subspecialty boards now require recertification. The American College of Physicians offers "board review" courses to help physicians prepare for recertification and may require physicians to demonstrate participation in quality improvement efforts.
American Board of Internal Medicine (ABIM) Self-Evaluation of Practice Performance
ABIM diplomates who are maintaining certification are required to complete 20 points in self-evaluation of practice performance using a practice improvement module. The module is a web-based tool that enables physicians to conduct a confidential self-evaluation of the medical care that they provide. Physicians gain knowledge about their practices through analysis of data from the practice and the development and implementation of a plan to target areas for improvement. Each module was developed by a team of physicians with clinical and quality expertise.
Achieving Competence Today (ACT), an innovative curriculum in health care systems and quality improvement
ACT is a program launched in 2003 by Partnerships for Quality Education, a national initiative of The Robert Wood Johnson Foundation. The ACT model is used with residents, graduate nursing students, and other trainees and has three essential elements:
- An intensive, action-based learning curriculum that teaches learners about systems and practice improvement.
- Interdisciplinary learning through collaboration on a quality improvement project.
- Connecting the learners with the institution’s senior quality leadership.
The ACT curriculum is delivered via the web and focuses on active, self-directed learning in which the student's home institution becomes a laboratory for learning about systems and practice improvement.
Partnerships for Quality Education (PQE)
PQE began in 1996 in order to better prepare primary care residents and advanced practice nurses for practice by teaching about systems and practice improvement. PQE has funded over 200 partnerships to develop new curricula and new models for training future clinicians in the skills and competencies of managing care.
PQE has sponsored a number of initiatives including collaboration between academic medical centers and managed care organizations; a program to prepare trainees for team care to improve care delivery and patient outcomes; skill development for primary care residents and nurse practitioner students to deliver quality population-based care; and training programs to develop internal competency in teaching about the new ACGME required competencies in systems based care and clinical practice improvement. More information about these programs and additional educational resources are available on PQE’s website.
National Organization Of Nurse Practitioner Faculties (NONPF) Domains And Core Competencies Of Nurse Practitioner Practice March 2006
The NONPF promotes quality nurse practitioner education at national and international levels. It develops and maintains nurse practitioner educational resources, including domains and core competencies for practice that provide guidance to curriculum development across education programs. Seven domains identify competencies that all nurse practitioners should be able to demonstrate at graduation. Two of the competencies are particularly relevant for systems change: DOMAIN 5: Managing and Negotiating Health Care Delivery Systems and DOMAIN 6: Monitoring and Ensuring the Quality of Health Care Practice.
The National Center for Primary Care team at Morehouse School of Medicine has developed primary care training programs to improve primary care access and quality for underserved populations.
5. Continuing Education
Continuing education programs provide opportunities for health care professionals
to learn about systems change and quality improvement in ways that
are meaningful for their practice setting.
American Academy of Family Physicians' METRIC
The American Academy of Family Physicians (AAFP) offers an innovative Continuing Medical Education (CME) program: Measuring, Evaluating and Translating Research Into Care (METRIC). METRIC is an innovative online practice improvement program that allows physicians to earn CME credit in the office while improving patient care. The program is designed to assist family physicians in fulfilling the requirement for Part IV of Maintenance of Certification. To earn CME, the physician will:
- complete a short practice assessment questionnaire to get a sense of the current systems of practice
- review 10 patient records charts and enter patient data online
- receive a printout comparing his/her data with other users’ data
- determine an intervention plan
- carry out the plan over the next six months
- remeasure and reassess a second set of 10 patient charts and receive a final report comparing baseline and follow-up data
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Issues: Professional Training Resources