Science of health care delivery milestones for undergraduate medical education

Rachel D. Havyer, Suzanne M. Norby, Andrea N.Leep Hunderfund, Stephanie R. Starr, Tara R. Lang, Alexandra P. Wolanskyj, Darcy A. Reed

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: The changing healthcare landscape requires physicians to develop new knowledge and skills such as high-value care, systems improvement, population health, and team-based care, which together may be referred to as the Science of Health Care Delivery (SHCD). To engender public trust and confidence, educators must be able to meaningfully assess physicians' abilities in SHCD. We aimed to develop a novel set of SHCD milestones based on published Accreditation Council for Graduate Medical Education (ACGME) milestones that can be used by medical schools to assess medical students' competence in SHCD. Methods: We reviewed all ACGME milestones for 25 specialties available in September 2013. We used an iterative, qualitative process to group the ACGME milestones into SHCD content domains, from which SHCD milestones were derived. The SHCD milestones were categorized within the current ACGME core competencies and were also mapped to Association of American Medical Colleges' Entrustable Professional Activities (AAMC EPAs). Results: Fifteen SHCD sub-competencies and corresponding milestones are provided, grouped within ACGME core competencies and mapped to multiple AAMC EPAs. Conclusions: This novel set of milestones, grounded within the existing ACGME competencies, defines fundamental expectations within SHCD that can be used and adapted by medical schools in the assessment of medical students in this emerging curricular area. These milestones provide a blueprint for SHCD content and assessment as ongoing revisions to milestones and curricula occur.

Original languageEnglish (US)
Article number145
JournalBMC Medical Education
Volume17
Issue number1
DOIs
StatePublished - Aug 25 2017

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health care
accreditation
science
graduate
education
medical student
physician
school
confidence
educator
curriculum
ability
health
knowledge
Group

Keywords

  • Assessment
  • Milestones
  • Science of health care delivery
  • Undergraduate medical education

ASJC Scopus subject areas

  • Education

Cite this

Havyer, R. D., Norby, S. M., Hunderfund, A. N. L., Starr, S. R., Lang, T. R., Wolanskyj, A. P., & Reed, D. A. (2017). Science of health care delivery milestones for undergraduate medical education. BMC Medical Education, 17(1), [145]. https://doi.org/10.1186/s12909-017-0986-0

Science of health care delivery milestones for undergraduate medical education. / Havyer, Rachel D.; Norby, Suzanne M.; Hunderfund, Andrea N.Leep; Starr, Stephanie R.; Lang, Tara R.; Wolanskyj, Alexandra P.; Reed, Darcy A.

In: BMC Medical Education, Vol. 17, No. 1, 145, 25.08.2017.

Research output: Contribution to journalArticle

Havyer, RD, Norby, SM, Hunderfund, ANL, Starr, SR, Lang, TR, Wolanskyj, AP & Reed, DA 2017, 'Science of health care delivery milestones for undergraduate medical education', BMC Medical Education, vol. 17, no. 1, 145. https://doi.org/10.1186/s12909-017-0986-0
Havyer RD, Norby SM, Hunderfund ANL, Starr SR, Lang TR, Wolanskyj AP et al. Science of health care delivery milestones for undergraduate medical education. BMC Medical Education. 2017 Aug 25;17(1). 145. https://doi.org/10.1186/s12909-017-0986-0
Havyer, Rachel D. ; Norby, Suzanne M. ; Hunderfund, Andrea N.Leep ; Starr, Stephanie R. ; Lang, Tara R. ; Wolanskyj, Alexandra P. ; Reed, Darcy A. / Science of health care delivery milestones for undergraduate medical education. In: BMC Medical Education. 2017 ; Vol. 17, No. 1.
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