Defining the Core Skills and Activities of the Attending Physician in Post-Acute and Long-Term Care |
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| Institution: | 1. Department of Family and Geriatric Medicine, University of Louisville School of Medicine, Louisville, KY, USA;2. Multi-Facility Director, Orlando, FL, USA;3. Department of Medicine/Geriatric Medicine Division, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA;4. Medical Director, Long Term Care, Buckeye Health Plan, Akron, OH, USA;5. Department of Family and Community Medicine, Eastern Virginia Medical School, Norfolk, VA, USA;6. Board of Pharmacy Specialties, Alexandria, VA, USA;7. Department of Geriatrics, FSU College of Medicine, Tallahassee, FL, USA;1. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy;2. Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy;3. Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy;4. Department of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, Rome, Italy;1. Department of Epidemiology, School of Public Health, Southern Medical University (Guangdong Provincial Key Laboratory of Tropical Disease Research), Guangzhou, Guangdong, China;2. National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China;3. Division of Non-Communicable Disease Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China;1. Barshop Institute for Longevity and Aging Studies, University of Texas Health Science Center at San Antonio, TX, USA;2. Geriatric Research Education and Clinical Center, Audie L. Murphy VA Medical Center, San Antonio, TX, USA;3. Division of Geriatric and Palliative Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA;4. Department of Population Health Sciences, University of Texas Health Science Center at San Antonio, TX Center, San Antonio, TX, USA;5. Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA;1. Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe, Japan;2. Division of Rehabilitation, Kobe University Hospital, Kobe, Japan;3. Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;4. Division of Rehabilitation, Nagoya University Hospital, Nagoya, Japan;5. Division of Rehabilitation Medicine, Kobe University Graduate School of Medicine, Kobe, Japan;1. Institute of Clinical Pharmacology, University Hospital RWTH Aachen, Aachen, Germany;2. Ulm University, Institute of Epidemiology and Medical Biometry, ZIBMT, Ulm, Germany;3. German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany;4. Department of Geriatrics, University Hospital RWTH Aachen, Aachen, Germany;5. Diabetes Center Lindlar, Lindlar, Germany;6. Division of Endocrinology and Diabetology, Department of Medicine II, Medical Centre – University of Freiburg, Faculty of Medicine, Freiburg, Germany;7. Department of General Internal Medicine, Endocrinology and Diabetology, Helios Clinics, Schwerin, Germany;8. Clinic of Internal Medicine, Geriatrics, Diabetology and Palliative Medicine, Medius Clinic, Ostfildern, Germany;9. Specialized Diabetes Practice, Rosenheim, Germany |
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| Abstract: | The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) contracted with a psychometric firm to perform a 3-phase Job Analysis following best practices. Literature was reviewed, a task force of subject matter experts was convened, a survey was developed and sent via Survey Monkey to attending physicians practicing in post-acute and long-term care settings (PALTC). The task force refined a comprehensive list of the tasks, knowledge, and medical knowledge needed in the role of attending physician in PALTC. These items were written as statements and edited until consensus was reached on their accuracy, conciseness, and lack of overlap. Task statements described distinct, identifiable, and specific practice-related activities relevant across multiple care settings. Knowledge statements described previously acquired information considered necessary to effectively perform such tasks. The survey consisted of 260 items, including 21 demographic questions, 115 task statements, 73 knowledge statements, and 72 medical knowledge statements. The survey was disseminated via e-mail invitations to Society for Post-Acute and Long-Term Care (AMDA) members and through an online link available through ABPLM’s website. A total of 389 respondents participated. Survey data were analyzed with statistical analysis software SPSS. For each task and knowledge statement, an Overall Task Rating and Knowledge Rating were developed by combining the importance rating weighted at 65% and (for task) the frequency rating or (for knowledge) the cognitive level weighted at 35%. One task statement and 1 medical knowledge statement had a mean importance rating lower than 2.5 and were dropped from further review, resulting in a final count of 114 task, 73 knowledge, and 71 medical knowledge statements (258 total). The results of this Job Analysis highlight the unique and specific nature of medical care provided by attending physicians across a range of PALTC settings. These findings lay a foundation for Focused Practice Designation or Subspecialty in PALTC and changes in practice and policy. |
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| Keywords: | Job analysis attending physician post-acute and long-term care domain task |
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