The MSUCOM SCS Core Competencies Self-Assessment

Transcription

1 The MSUCOM SCS Core Competencies Self-Assessment The following pages contain various versions of the SCS Core Competencies Self- Assessment instrument developed by Dr. Eric D. Zemper. It is designed to provide residency program directors and DMEs with a means of formative and summative evaluation regarding attainment of AOA/ACGME Core Competency skills by individual residents. It also can be used to provide summative evaluation of a residency program with regard to Core Competencies. The questions in this instrument are derived directly from the wording for all of the AOA/ACGME Core Competencies. This instrument has been validated by a study showing that, as would be expected, the scores on the instrument increase with increasing years of experience. Administration of the instrument: The instrument should be printed and administered to each resident within the first month that they begin their residency training, and then again at the end of each academic year until graduation from the program. A copy of the completed and scored form should be given to the resident for his/her portfolio and a copy retained by the program director. There also is a version of this instrument that can be used by program faculty to rate individual residents if desired. Scoring: The scores from each of the items in the instrument are totaled, and a mean score calculated (to at least two decimal places). Interpretation: As indicated by the validity study for this instrument, the mean scores for an individual should show a pattern of increasing with increasing years of experience. This pattern was shown for the self-assessment instrument used by residents, with a parallel pattern from faculty who evaluated the same residents. The scores from the initial evaluation and each succeeding yearly evaluation provide a formative evaluation of a resident s attainment of Core Competency skills as he/she progresses through the residency program, and the score on the final administration at graduation provides a summative evaluation. Is there a pattern of increasing selfassessment scores (and a parallel increase in the director/attending ratings, if used) as the residents progress through the residency program? If not, is this an

2 indication of a problem that needs to be addressed in the residency program? These evaluations can be used as a form of summative evaluation of the residency programs as well, providing a demonstration to AOA/ACGME that the program is successful in inculcating the Core Competencies over the course of the residency training, if there indeed is a pattern of increasing ratings over time. The instrument: The SCS Core Competency Self-Assessment instrument is presented below, with various versions in the following order: The 28-item Core Competency Self-Assessment instrument to be used by individual residents in AOA programs and ACGME programs with Osteopathic Recognition. The 28-item Core Competency Self-Assessment instrument to be used by faculty to assess residents in AOA programs and ACGME programs with Osteopathic Recognition. The 26-item Core Competency Self-Assessment instrument to be used by individual residents in ACGME programs without Osteopathic Recognition. The only difference between this instrument and the first instrument noted above is that the first two items on OPP are deleted. The 26-item Core Competency Self-Assessment instrument to be used by faculty to assess residents in ACGME programs without Osteopathic Recognition. Again, the only difference between this instrument and the second instrument noted above is that the first two items on OPP are deleted. For the information of Program Directors and DMEs, the final version shown below (not for use in assessments) contains notations on what specific Core Competencies are associated with each item in the instrument. (If you are using the ACGME version of the self-assessment, remember that the ACGME version does not contain the first two items seen here.) If you have any questions, please contact Dr. Eric D. Zemper (zemp@hc.msu.edu or ).

3 The 28-item Core Competency Self-Assessment instrument to be used by individual residents in AOA programs and ACGME programs with Osteopathic Recognition.

4 Core Competencies Self-Assessment Resident: Program: Year: Respond to the following statements by circling the number that best matches your assessment of your abilities at this time. Please note you should indicate your current capability of doing these things, given the variety of patients seen in your specialty. for all my patients for most of my patients for some of my patients for very few of my patients I cannot do this yet 1. I apply osteopathic manipulative treatment appropriate to my medical specialty. 2. I integrate osteopathic concepts into the medical care of my patients I gather accurate, essential information from multiple sources (medical interviews, physical exams, and existing patient records). 4. Based on analysis of appropriate information, I develop and implement an effective patient management plan. 5. I demonstrate an appropriate bedside manner (caring, empathic, cultural and religious sensitivity). 6. I competently perform common medical procedures appropriate to my specialty. 7. I obtain appropriate informed consent from the patient before performing any procedure (including communicating possible risks or complications and expected outcomes). 8. I routinely counsel patients and their families on healthy living (health promotion and lifestyle activities), as appropriate to my specialty. 9. I work effectively as a member of a health care team I effectively utilize the resources (educational materials and programs, providers, community agencies) necessary to provide optimal care. 11. I establish and maintain an appropriate professional relationship with the patient and family. 12. I utilize effective communication skills with the patient and the patient s family. 13. I involve my patient in the decision-making process When appropriate, I involve the patient s family/ significant other in the decision making process. 15. I maintain appropriate patient confidentiality I appropriately address issues related to any mental or physical disabilities of my patient.

5 Core Competencies Self-Assessment Page 2 I do this all the time / on a regular basis I do this most of the time / frequently I do this some of the time / occasionally I do this rarely I cannot do this yet 17. I remain current with new developments in my specialty I apply principles of sound research methodology when evaluating a published journal article or when developing a research project. 19. I integrate clinical and behavioral medicine principles appropriate to my specialty. 20. I maintain comprehensive, timely and legible medical records I maintain awareness of my own physical and mental health and its impact on patient care. 22. I systematically incorporate evidence-based improvements into my practice of medicine. 23. I regularly utilize available electronic resources, such as computers and the Internet, to retrieve needed information relevant to patient care or improving my medical knowledge. 24. I perform self-evaluations of my clinical practice patterns I actively participate in quality assurance activities where I practice I am an advocate for quality care on behalf of my patients I assist my patients in their interactions with the complexities of the health care delivery system. 28. I integrate standards of patient safety in the care of my patients (For office use only) Total Score: Mean Item Score: Return completed form to:

6 The 28-item Core Competency Self-Assessment instrument to be used by faculty to assess residents in AOA programs and ACGME programs with Osteopathic Recognition.

7 Core Competencies Assessment Resident: Program: Year: Evaluator: Respond to the following statements by circling the number that best matches your assessment of the abilities of this resident at this time. Please note you should indicate current capability of doing these things, given the variety of patients seen in your specialty, and based on patients you have observed this individual treating. Please use the 0 option only when you have no basis for making an evaluation (i.e., you have had no opportunity to observe this competency). Does for all patients Does for most patients Does for some patients Does for very few patients Cannot do this yet Unable to evaluate at this time 1. Applies osteopathic manipulative treatment appropriate to medical specialty. 2. Integrates osteopathic concepts into the medical care of patients Gathers accurate, essential information from multiple sources (medical interviews, physical exams, and existing patient records). 4. Based on analysis of appropriate information, develops and implements an effective patient management plan. 5. Demonstrates an appropriate bedside manner (caring, empathic, cultural and religious sensitivity). 6. Competently performs common medical procedures appropriate to specialty. 7. Obtains appropriate informed consent from the patient before performing any procedure (including communicating possible risks or complications and expected outcomes). 8. Counsels patients and their families on healthy living (health promotion and lifestyle activities), as appropriate to specialty. 9. Works effectively as a member of a health care team Effectively utilizes the resources (educational materials and programs, providers, community agencies) necessary to provide optimal care. 11. Establishes and maintains an appropriate professional relationship with the patient and family. 12. Utilizes effective communication skills with the patient and the patient s family. 13. Involves patients in the decision-making process When appropriate, involves the patient s family/significant other in the decision making process. 15. Maintains appropriate patient confidentiality Appropriately addresses issues related to any mental or physical disabilities of the patient.

8 Core Competencies Assessment Page 2 Does this all the time / on a regular basis Does this most of the time / frequently Does this some of the time / occasionally Does this rarely Cannot do this yet Unable to evaluate at this time 17. Remains current with new developments in specialty Applies principles of sound research methodology when evaluating a published journal article or when developing a research project. 19. Integrates clinical and behavioral medicine principles appropriate to specialty. 20. Maintains comprehensive, timely and legible medical records Maintains awareness of own physical and mental health and its impact on patient care. 22. Systematically incorporates evidence-based improvements into his/her practice of medicine. 23. Regularly utilizes available electronic resources, such as computers and the Internet, to retrieve needed information relevant to patient care or improving my medical knowledge. 24. Performs self-evaluations of clinical practice patterns Actively participates in quality assurance activities Acts as an advocate for quality care on behalf of patients Assists patients in their interactions with the complexities of the health care delivery system. 28. Integrates standards of patient safety in the care of patients (For office use only) Total Score: Mean Item Score: Return completed form to:

9 The 26-item Core Competency Self-Assessment instrument to be used by individual residents in ACGME programs without Osteopathic Recognition.

10 Core Competencies Self-Assessment Resident: Program: Year: Respond to the following statements by circling the number that best matches your assessment of your abilities at this time. Please note you should indicate your current capability of doing these things, given the variety of patients seen in your specialty. for all my patients for most of my patients for some of my patients for very few of my patients I cannot do this yet 1. I gather accurate, essential information from multiple sources (medical interviews, physical exams, and existing patient records). 2. Based on analysis of appropriate information, I develop and implement an effective patient management plan. 3. I demonstrate an appropriate bedside manner (caring, empathic, cultural and religious sensitivity). 4. I competently perform common medical procedures appropriate to my specialty. 5. I obtain appropriate informed consent from the patient before performing any procedure (including communicating possible risks or complications and expected outcomes). 6. I routinely counsel patients and their families on healthy living (health promotion and lifestyle activities), as appropriate to my specialty. 7. I work effectively as a member of a health care team I effectively utilize the resources (educational materials and programs, providers, community agencies) necessary to provide optimal care. 9. I establish and maintain an appropriate professional relationship with the patient and family. 10. I utilize effective communication skills with the patient and the patient s family. 11. I involve my patient in the decision-making process When appropriate, I involve the patient s family/ significant other in the decision making process. 13. I maintain appropriate patient confidentiality I appropriately address issues related to any mental or physical disabilities of my patient.

11 Core Competencies Self-Assessment Page 2 I do this all the time / on a regular basis I do this most of the time / frequently I do this some of the time / occasionally I do this rarely I cannot do this yet 15. I remain current with new developments in my specialty I apply principles of sound research methodology when evaluating a published journal article or when developing a research project. 17. I integrate clinical and behavioral medicine principles appropriate to my specialty. 18. I maintain comprehensive, timely and legible medical records I maintain awareness of my own physical and mental health and its impact on patient care. 20. I systematically incorporate evidence-based improvements into my practice of medicine. 21. I regularly utilize available electronic resources, such as computers and the Internet, to retrieve needed information relevant to patient care or improving my medical knowledge. 22. I perform self-evaluations of my clinical practice patterns I actively participate in quality assurance activities where I practice I am an advocate for quality care on behalf of my patients I assist my patients in their interactions with the complexities of the health care delivery system. 26. I integrate standards of patient safety in the care of my patients (For office use only) Total Score: Mean Item Score: Return completed form to:

12 The 26-item Core Competency Self-Assessment instrument to be used by faculty to assess residents in ACGME programs without Osteopathic Recognition.

13 Core Competencies Assessment Resident: Program: Year: Evaluator: Respond to the following statements by circling the number that best matches your assessment of the abilities of this resident at this time. Please note you should indicate current capability of doing these things, given the variety of patients seen in your specialty, and based on patients you have observed this individual treating. Please use the 0 option only when you have no basis for making an evaluation (i.e., you have had no opportunity to observe this competency). Does for all patients Does for most patients Does for some patients Does for very few patients Cannot do this yet Unable to evaluate at this time 1. Gathers accurate, essential information from multiple sources (medical interviews, physical exams, and existing patient records). 2. Based on analysis of appropriate information, develops and implements an effective patient management plan. 3. Demonstrates an appropriate bedside manner (caring, empathic, cultural and religious sensitivity). 4. Competently performs common medical procedures appropriate to specialty. 5. Obtains appropriate informed consent from the patient before performing any procedure (including communicating possible risks or complications and expected outcomes). 6. Counsels patients and their families on healthy living (health promotion and lifestyle activities), as appropriate to specialty. 7. Works effectively as a member of a health care team Effectively utilizes the resources (educational materials and programs, providers, community agencies) necessary to provide optimal care. 9. Establishes and maintains an appropriate professional relationship with the patient and family. 10. Utilizes effective communication skills with the patient and the patient s family. 11. Involves patients in the decision-making process When appropriate, involves the patient s family/significant other in the decision making process. 13. Maintains appropriate patient confidentiality Appropriately addresses issues related to any mental or physical disabilities of the patient.

14 Core Competencies Assessment Page 2 Does this all the time / on a regular basis Does this most of the time / frequently Does this some of the time / occasionally Does this rarely Cannot do this yet Unable to evaluate at this time 15. Remains current with new developments in specialty Applies principles of sound research methodology when evaluating a published journal article or when developing a research project. 17. Integrates clinical and behavioral medicine principles appropriate to specialty. 18. Maintains comprehensive, timely and legible medical records Maintains awareness of own physical and mental health and its impact on patient care. 20. Systematically incorporates evidence-based improvements into his/her practice of medicine. 21. Regularly utilizes available electronic resources, such as computers and the Internet, to retrieve needed information relevant to patient care or improving my medical knowledge. 22. Performs self-evaluations of clinical practice patterns Actively participates in quality assurance activities Acts as an advocate for quality care on behalf of patients Assists patients in their interactions with the complexities of the health care delivery system. 26. Integrates standards of patient safety in the care of patients (For office use only) Total Score: Mean Item Score: Return completed form to:

15 For the information of Program Directors and DMEs, the final version shown below (not for use in assessments) contains notations on what specific Core Competencies are associated with each item in the instrument. (If you are using the ACGME version of the self-assessment, remember that the ACGME version does not contain the first two items seen here.)

16 OPP-1 Core Competencies Self-Assessment For Program Directors and Directors of Medical Education: In the left column are notations identifying the Core Competencies that each item is related to in this self-assessment instrument. 1. I apply osteopathic manipulative treatment appropriate to my medical specialty. for all my patients for most of my patients for some of my patients for very few of my patients I cannot do this yet OPP-2 PC-1 ICS-2 PC-1 2. I integrate osteopathic concepts into the medical care of my patients I gather accurate, essential information from multiple sources (medical interviews, physical exams, and existing patient records). 4. Based on analysis of appropriate information, I develop and implement an effective patient management plan. PC-1,3 ICS-1,2 OPP-3 5. I demonstrate an appropriate bedside manner (caring, empathic, cultural and religious sensitivity). PC-2 PC-2 P-1,2 ICS-2 PC-3 PC-3 ICS-2 PC-3 ICS-1 P-1,2 6. I competently perform common medical procedures appropriate to my specialty. 7. I obtain appropriate informed consent from the patient before performing any procedure (including communicating possible risks or complications and expected outcomes). 8. I routinely counsel patients and their families on healthy living (health promotion and lifestyle activities), as appropriate to my specialty. 9. I work effectively as a member of a health care team I effectively utilize the resources (educational materials and programs, providers, community agencies) necessary to provide optimal care. 11. I establish and maintain an appropriate professional relationship with the patient and family. ICS-2 OPP I utilize effective communication skills with the patient and the patient s family. ICS-1 P-1 ICS-1 P-1 PC-1,2 13. I involve my patient in the decision-making process When appropriate, I involve the patient s family/ significant other in the decision making process. 15. I maintain appropriate patient confidentiality P-3 ICS-1,2 16. I appropriately address issues related to any mental or physical disabilities of my patient.

17 Core Competencies Self-Assessment Page 2 I do this all the time / on a regular basis I do this most of the time / frequently I do this some of the time / occasionally I do this rarely I cannot do this yet MK-1,2 P-2 PBLI-3 MK I remain current with new developments in my specialty I apply principles of sound research methodology when evaluating a published journal article or when developing a research project. MK-2 ICS-2 P-0 PBLI- 1,2 PBLI- 1,3 19. I integrate clinical and behavioral medicine principles appropriate to my specialty. 20. I maintain comprehensive, timely and legible medical records I maintain awareness of my own physical and mental health and its impact on patient care. 22. I systematically incorporate evidence-based improvements into my practice of medicine. 23. I regularly utilize available electronic resources, such as computers and the Internet, to retrieve needed information relevant to patient care or improving my medical knowledge. PBLI-2 PBLI I perform self-evaluations of my clinical practice patterns I actively participate in quality assurance activities where I practice SBP-2 SBP- 1,2 26. I am an advocate for quality care on behalf of my patients I assist my patients in their interactions with the complexities of the health care delivery system. PBLI- 1,2 SBP I integrate standards of patient safety in the care of my patients Return completed form to: