Page 4 - Vocal Chords Summer 2017
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The Six Core Competencies By: John Ayres, M.D., EditorThe 6 Core CompetenciesThe American Board of Medical Special es (ABMS) is focused on the physician workforce and its preparedness for the provision of care. For more than 80 years, they have evolved the standards for medical specialty prac ce and cer  ca on to support advancements in medicine, science, and technology. As a community of learners and leaders, they periodically evaluate and update our professional and educa onal standards to re ect the changes in medical specialty prac ce and health care delivery processes.Physicians meet the Standards for Ini al Cer  ca on in order to become Board Cer  ed. Addi onally, there are standards that guide the ABMS Program for Maintenance of Cer  ca on (ABMS MOCĀ®), which are pa ent-centric with a greater emphasis on professionalism, pa ent safety, and performance improvement. The Standards for the ABMS Program for MOC help physicians become ac ve par cipants in the evalua on of their own prac ces. Physicians can see how their prac ce compares to those of their peers, how it di ers from published best prac ces, and how their own prac ce evolves over  me, progressing toward the ideal prac ce.The latest evolu on of the MOC standards also include guidelines that help the ABMS boards select learning programs and improvement ac vi es, create assessment and evalua on systems, and pioneer e ec ve new pathways for physicians to learn the latest innova ons in their specialty. All physicians should be aware and master the 6 Core CompetenciesThe 6 Core CompetenciesPhysicians keep their cer  ca on ac ve by maintaining the following competencies which form the founda on of the ABMS Programs for Maintenance of Cer  ca on (ABMS MOCĀ®). The ABMS Program for MOC ac vi es are the ways which physicians demonstrate their ability to provide high-quality care for the diagnosis and treatment of disease, promo on of health and preven on of disease, and the physical and emo onal support of pa ents and families. The competencies were  rst adopted in 1999 by the Accredita on Council for Graduate Medical Educa on (ACGME) and ABMS.1. Prac ce-based Learning and Improvement: Show an ability to inves gate and evaluate pa ent care prac ces, appraise and assimilate scien  c evidence, and improve the prac ce of medicine.2. Pa ent Care and Procedural Skills: Provide care that is compassionate, appropriate, and e ec ve treatment for health problems and to promote health.3. Systems-based Prac ce: Demonstrate awareness of and responsibility to the larger context and systems of health care. Be able to call on system resources to provide op mal care (e.g. coordina ng care across sites or serving as the primary case manager when care involves mul ple special es, professions or sites).4. Medical Knowledge: Demonstrate knowledge about established and evolving biomedical, clinical, and cognate sciences and their applica on in pa ent care.5. Interpersonal and Communica on Skills: Demonstrate skills that result in e ec ve informa on exchange and teaming with pa ents, their families and professional associates (e.g. fostering a therapeu c rela onship that is ethically sound, uses e ec ve listening skills with non-verbal and verbal communica on; working as both a team member and at  mes as a leader).6. Professionalism: Demonstrate a commitment to carrying out professional responsibili es, adherence to ethical principles and sensi vity to diverse pa ent popula ons.John Ayres, MD is an Orthopedic Surgeon with Coastal Orthopedics, in Bradenton, Florida4

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