Intro to Clinical Competencies Flashcards Preview

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Flashcards in Intro to Clinical Competencies Deck (36)
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1
Q

Whod determined reason for high variability in physician practice in the US in 1910?

A

Flexner

2
Q

What model did Flexner use to standardize admission requirements?

A

Johns Hopkins

3
Q

What was the unintended consquence of the Flexner report?

A

Healthcare inequity

4
Q

Who was the dude in 1927 that criticised young graduates because they were smart but didnt know how to practice medicine?

A

Francis weld Peabody

5
Q

In the “Care of the Patient”, Peabody said what final statement that Dr. Bell loves?

A

“secret of care of patient is caring for patients”

basically u need humanistics

6
Q

Who were the 2 people ion 1990 that called for compentency beyond biomedical aspects?

A

Merensteind and Sculte

7
Q

What 2 things did Bell, Kozakowski, and Winter publish in 1997?

A

26 competencies and 5 realms of competencies for family med.

8
Q

Bell et all found that Residents who were highyl competent did well on what exam?

A

Objective exam (most in the grp)

9
Q

What was the report in 1999 that showed that the healthcare system sucks and kills 98,000ppl/yr?

A

IOM: Err is Human

10
Q

What was the most common type of errors found from the IOM: Err is Human report?

A

Medicine errors

11
Q

Out of all the thigns that the IOM: Err is Human report stated, which of the following is the most important?

safety
effectiveness
patient-centeredness
timeliness
efficiency
fairness
A

patient centeredness

12
Q

What is the gold standard for quality that defines, measures, analyzes, improves, and controls?

A

Six sigma (2-3 defects/million)

13
Q

Which specialty is closest to 6 sigma, and is at 2-3 sigma?

A

Anethesia

14
Q

What do Anethesiologist use that makes them close to 6 sigma?

A

Protocols

15
Q

When shoudl variation only be present?

A

If necessary for the pt

16
Q

This is thing that is based on the # of physicians who practice standards in the area.

A

quality of care atlas

17
Q

What does the quality in medicine aim to reduce?

A

Unecessary and unexplained VARIATION

18
Q

Which organization uses the following competencies?

medical knowledge
pt care
interpersonal and communication skills
professionalism
systems-based practice
practice-based learning and improvement
A

ACGME

19
Q

What will be the AOA be reducing its comptencies back to?

A

6

20
Q

Who were the 2 social scientisits that showed how people learn skills?

A

Dreyfus brothers

21
Q

What are the 6 levels of continuum of learning, as shown by the Dreyfus brothers?

A
Novice
Advanced beginner
Competent
Proficiency
Expert
Master
22
Q

Which level is residents on?

A

Competent

23
Q

Which of the learning levels is the minimum standard for independent practice?

A

Competent

24
Q

This is the knowledge, skills, and attitudes HABITUALLY applied across MANY varied sitiations.

A

Competency

lol same answer 3x in a row

25
Q

True or False: the goal of competence is the alignment of actions, throughts, and decisions, and plants with belief of everything for the physician.

A

False.

everything is aimed for the pt.

26
Q

What medical education system competencies are professional, communicator, collaborator, manage, health advocate, and scholar, which all combine to make a MEDICAL EXPERT?

A

Canada’s CanMEDS

27
Q

What medical education system competencies are just like canada’s but includes teaching and probity?

A

UK’s good medical practice

28
Q

What medical education system competencies are care for pts, maintain knowledge and skills, activetly learn from their practices, exhibit excellent interpersonal and communication skills, exhibit commitment to the ethical and professional standards of the medical profession?

A

GMP-USA

29
Q

What medical education system competencies are altruistic, knowledgeable, skillful, and dutiful?

A

MSOP

30
Q

Though 5 years past the Err is Human, we have stopped errors like deaths and infections and drug errors, what overall change happened?

A

Minimal

still have name/blame/shame

31
Q

The AACN, AACOM, AACP, ADEA, AAMC, and ASPH combined to make what in 2011?

A

IPEC competencies

32
Q

Which IPEC domain works with individuals or other professions to maintain a climate of mutual respect and shared values. AKA THE DOC ISNT THE KING OF THE JUNGLE. YOU HEAR THAT SURGEONS?

A

Values/ethics

33
Q

Which IPEC domain uses the knowledge of ones own role and those of other professions to appropriately asses and address the healthcare needs of the pts and populations served?

A

Specific roles/responsibilites

34
Q

Which IPEC domain communicates with pts, families, communtiites, and other health professionals ina responsive and responsible manner that supports a team approach to the maitenance of health and treatment of disease?

A

Specific interpesonal communication competencies

SURGEONS…

35
Q

Which IPEC domain applies relationship-building values and the principles of team dynamics to perform effectivly in different team roles to do good stuff?

A

Specific team and teamwork competencies

…..s…ur….g….

36
Q

What did Dr Bell say at the end is the shortest way to mastery?

A

Teach others.