The practice of medicine has changed radically during the past
few decades. Patients -- better informed than ever -- now demand
more of their physicians, viewing them as partners rather than
revering them as sole decision-makers.
In this environment, nonnegotiable core competencies --
ever-evolving and measured by certification, recertification, and,
more recently, maintenance of certification -- are more important
than ever.
Written from the perspective of those responsible for educating
and certifying the next generations of psychiatrists, this
groundbreaking compendium by distinguished contributors offers --
for the first time -- a concise look at the final product of the
June 2001 Invitational Core Competencies Conference sponsored by
the American Board of Psychiatry and Neurology (ABPN) as regards
psychiatry (with a future comparable publication focusing on
neurology). Divided into four parts, - Part I sets the stage for
the current concept of physician "competence" by presenting a brief
history of medical competence, explaining the logic behind the
development of the current competence outline.- Part II provides
two different views of how to look at core competencies: how
competence is defined by the Royal College of Physicians and
Surgeons of Canada and, based on some of their work, what is
currently being done in the United States.- Part III discusses the
organizing principles -- identified in 1999 by the Accreditation
Council for Graduate Medical Education (ACGME) and the American
Board of Medical Specialties (ABMS) -- that frame all of our
conversations about competence, as currently delineated for
psychiatrists across the six core competency categories: Patient
Care, Medical Knowledge, Interpersonal and Communications Skills,
Practice-Based Learning and Improvement, Professionalism, and
Systems-Based Practice. Also presented are discussions of when in a
physician's career these competencies should be assessed and what
methodologies would be appropriate for that assessment.- Part IV
discusses how the psychiatry core competencies are changing board
certification and recertification. Also presented are informed
predictions about the changes that medical school faculty and
residency training directors will have to make and how
practitioners will have to change behaviors to maintain their board
certification.
Concluding with an appendix outlining the six core competencies
for psychiatry, this invaluable resource will both help psychiatric
residents and their faculty and training directors understand the
core competencies important to the ABPN and provide practitioners
with a view of what will be contained in their upcoming maintenance
of certification programs now being designed.
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