Document Detail


Commentary: what if high-quality care drove medical education? A multiattribute approach.
MedLine Citation:
PMID:  20736666     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The current medical education model is based on the assumption that students progress from a mastery of basic mechanisms of human structure and function to an understanding of a variety of pathologies and treatments using sound scientific principles. In this commentary, the authors suggest another approach to developing medical school curricula. Starting with the major desired outcome of medical education, which they suggest should be high-quality medical care, educators can work backward using the attributes of quality as the basis for developing new medical curricula. The authors present, as an example, the Institute of Medicine definition of quality care--care that is safe, timely, effective, efficient, equitable, and patient-centered. These objectives and their attributes then can be useful for mapping current and future curricula in medical education and identifying deficits or possible excesses. A result of this approach might be the inclusion of such topics as epidemiology, process engineering, or aspects of the humanities or social sciences that build skills and knowledge in patient-centered care or safety while maintaining a balance with the need to preserve biomedical topics. Use of quality objectives and attributes to drive medical education should lead to improved alignment of the clinical and educational missions of academic medical centers, which, in turn, should lead to safer and higher quality care for patients.
Authors:
David P Sklar; Robert Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  85     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-25     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1401-4     Citation Subset:  AIM; IM    
Affiliation:
University of New Mexico, School of Medicine, Albuquerque, New Mexico 87131-0001, USA. dsklar@salud.unm.edu
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence
Curriculum
Decision Making
Education, Medical / methods*
Educational Measurement
Humans
Models, Educational*
Patient-Centered Care
Quality Assurance, Health Care*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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