To prioritize competencies that should be addressed in the medicine core clerkship, assess factors influencing this prioritization, and estimate the percentage of clerkship time that should be devoted to inpatient versus outpatient care.
A national survey of the Clerkship Directors in Internal Medicine (CDIM) was used.
Using explicit criteria, respondents assigned priority scores, on a 1 to 5 scale, to 17 general competencies and 60 disease-specific clinical competencies pertinent to care of adult patients in inpatient. ambulatory, intensive care, and emergency settings.
Ninety-three (75%) of 124 CDIM members responded.
The highest mean priority scores were assigned to 6 general competencies : case presentation skills (4.65), diagnostic decision-making (4.64), history and physical diagnosis (4.61), test interpretation (4.47), communication with patients (4.35), and therapeutic decision-making (4.12).
Disease-specific clinical competency areas receiving the highest mean priority scores were : hypertension (4.57), coronary disease (4.53), diabetes mellitus (4.45), heart failure (4.42), pneumonia (4.39), chronic obstructive pulmonary disease (4.26), acid-base/electrolyte disorders (4.19), and acute chest pain (4.08).
Priorities for general competencies were moderately correlated with importance to the practice of general internists (mean Spearman rho 0. (...)
Mots-clés Pascal : Médecine générale, Enquête publique, Critère sélection, Facteur compétence, Directeur, Marine, Enseignement universitaire, Soin intégré, Homme, Enseignement, Organisation santé
Mots-clés Pascal anglais : Internal medicine, Public inquiry, Selection criterion, Competence factor, Director, Marine, Higher education, Managed care, Human, Teaching, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0381107
Code Inist : 002B30A09. Création : 12/09/1997.