Department of Radiology, University of Washington, Seattle, 98104-2499, USA.
Acad Radiol. 2011 May;18(5):650-4. doi: 10.1016/j.acra.2010.12.016.
The Accreditation Council on Graduate Medical Education (ACGME) through its Outcome Project requires training programs in all medical specialties to integrate six general competencies into residency training: patient care, medical knowledge, professionalism, interpersonal and communication skills, practice-based learning and improvement, and systems-based practice. In response, a required, or dedicated general competencies rotation for diagnostic radiology residents was instituted.
We describe the development and implementation of this rotation. The rotation augments the core curriculum, with primary emphasis placed on resident-initiated quality improvement (QI) and quality assurance (QA) projects.
Between academic years 2003 and 2009 diagnostic radiology residents completed 38 QI/QA projects and performed clinical float coverage for the department. Residents met requirements of the systems-based practice and practice-based learning competency domains. In this process, residents improved their medical knowledge, interpersonal communication skills, professionalism, and provided patient care.
A dedicated general competencies rotation can be successfully implemented, and complement the requirements of the core curriculum. In combination with coverage for clinical services, the rotation makes a substantive contribution to resident education to further the goal of improved patient care.
研究生医学教育认证委员会（ACGME）通过其成果项目要求所有医学专业的培训项目将六项综合能力融入住院医师培训中：患者护理、医学知识、专业精神、人际沟通技巧、基于实践的学习和改进以及基于系统的实践。为响应这一要求，为诊断放射科住院医师设立了一项必修或专门的综合能力轮转项目。
我们描述了这个轮转项目的开发和实施。该轮转项目增强了核心课程，主要侧重于住院医师发起的质量改进（QI）和质量保证（QA）项目。
在 2003 年至 2009 学年期间，诊断放射科住院医师完成了 38 项 QI/QA 项目，并为该部门提供了临床轮班服务。住院医师满足了基于系统的实践和基于实践的学习能力领域的要求。在这个过程中，住院医师提高了他们的医学知识、人际沟通技巧、专业精神，并提供了患者护理。
专门的综合能力轮转项目可以成功实施，并补充核心课程的要求。结合临床服务的覆盖范围，该轮转项目为住院医师教育做出了实质性的贡献，进一步实现了提高患者护理的目标。
