Expert ratings of primary care goals and objectives |
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Authors: | Alan S Robbins MD Dr Dennis W Cope MD Lyla Campbell PhD Susan Vivell PhD |
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Institution: | (1) the Sepulveda Veterans Health Administration Medical Center, Sepulveda;(2) the University of California, Los Angeles, California;(3) OOP, VA Medical Center, 6111 Plummer, 91343 Sepulveda, CA |
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Abstract: | OBJECTIVE: To develop consensus on proficiencies internal medicine residents should master in the area of primary and managed care.
DESIGN: A draft compendium of primary care educational objectives including important clinical topics was developed at the Sepulveda
Veterans Health Administration Medical Center Pilot Ambulatory Care and Education (PACE) Program as part of a local and regional
primary care curricular review. Fifty-one experts, including leaders in the Society of General Internal Medicine, the Association
of Program Directors in Internal Medicine, the American College of Physicians, general internal medicine division chiefs,
and Veterans Affairs (VA) associate chiefs of staff for ambulatory care rated the compendium.
MEASUREMENTS AND MAIN RESULTS: Eleven objectives and nine clinical topics were rated “critically important” (4.7 or above on a five-point scale). General
internal medicine chiefs and associate chiefs of staff for ambulatory care judged them to be covered adequately in fewer than
half of the 17 VA Western Region-affiliated internal medicine programs. Forty-five objectives and 77 clinical topics were
considered at least somewhat important to the education of general internal medicine residents in primary care. The VA raters
reported that in the prior academic year, their housestaffs had spent between 21% (postgraduate year I) and 33% (postgraduate
year III) of their time in ambulatory care settings.
CONCLUSION: With the emphasis on primary and managed care, there is a need for national consensus on educational objectives in primary
care general internal medicine. This review provides educators with a benchmark to test the adequacy of their institutions’
curricula in primary care internal medicine.
Presented in abstract Jorm at the annual meeting of the Society of General Internal Medicine, April 28, 1994, Washington,
DC. |
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Keywords: | primary care curriculum graduate medical education residents managed care |
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