Leach D C
Accreditation Council for Graduate Medical Education, Chicago, IL 60610, USA.
Postgrad Med J. 2008 Aug;84(994):437-41. doi: 10.1136/qhc.100054.
Health professionals need competencies in improvement skills if they are to contribute usefully to improving patient care. Medical education programmes in the USA have not systematically taught improvement skills to residents (registrars in the UK). The Accreditation Council for Graduate Medical Education (ACGME) has recently developed and begun to deploy a competency based model for accreditation that may encourage the development of improvement skills by the 100 000 residents in accredited programmes. Six competencies have been identified for all physicians, independent of specialty, and measurement tools for these competencies have been described. This model may be applicable to other healthcare professions. This paper explores patterns that inhibit efforts to change practice and proposes an educational model to provide changes in management skills based on trainees' analysis of their own work.
如果卫生专业人员要为改善患者护理做出有益贡献，他们需要具备改进技能方面的能力。美国的医学教育项目尚未系统地向住院医师（英国的专科住院医生）传授改进技能。毕业后医学教育认证委员会（ACGME）最近制定并开始推行一种基于能力的认证模式，这可能会促使参加认证项目的10万名住院医师培养改进技能。已确定所有医生（不分专业）需具备的六项能力，并描述了这些能力的衡量工具。该模式可能适用于其他医疗保健专业。本文探讨了阻碍改变实践的模式，并提出了一种教育模式，以便根据学员对自身工作的分析来提供管理技能方面的改变。
