Quality of Care and Quality of Training: A Shared Vision for Internal Medicine?
Authors: Christine K. Cassel
Journal: Annals of Internal Medicine (2004)

Editorials1 June 2004Quality of Care and Quality of Training: A Shared Vision for Internal Medicine?Christine K. Cassel, MDChristine K. Cassel, MDFrom American Board of Internal Medicine and ABIM Foundation, Philadelphia, PA 19106-3699.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-11-200406010-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Stark attention to health care outcomes has accompanied the increased scrutiny of quality of care and calls for accountability among all sectors of the health care world to demonstrate value, quality, safety, and professionalism. Competency, a primary outcome of medical education and training, is at the core of the way this quality revolution is expressing itself in the world of education.Why Outcomes?Structure and process were the earliest components of hospital and health plan accreditation, as they were for accreditation of training programs (1). Outcomes are harder to measure, but even decades ago, surgeons were holding themselves and their ...References1. Brennan TA, Berwick D. New Rules: Regulation, Markets, and the Quality of American Health Care. New York: Jossey–Bass; 1995. Google Scholar2. Brennan TA. Physicians' professional responsibility to improve the quality of care. Acad Med. 2002;77:973-80. [PMID: 12377671] CrossrefMedlineGoogle Scholar3. Holmboe ES, Hawkins RE, Huot SJ. Effects of training in direct observation of medical residents' clinical competence. A randomized trial. Ann Intern Med. 2004;140:874-81. LinkGoogle Scholar4. Goroll AH, Sirio C, Duffy FD, LeBlond RF, Alguire P, Blackwell TA, et al . A new model for accreditation of residency programs in internal medicine. Ann Intern Med. 2004;140:902-9. LinkGoogle Scholar5. Holmboe ES, Hawkins RE. Methods for evaluating the clinical competence of residents in internal medicine: a review. Ann Intern Med. 1998;129:42-8. [PMID: 9652999] LinkGoogle Scholar6. Norcini JJ, Blank LL, Duffy FD, Fortna GS. The mini-CEX: a method for assessing clinical skills. Ann Intern Med. 2003;138:476-81. [PMID: 12639081] LinkGoogle Scholar7. Institute of Medicine, Committee on Quality Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Pr; 2001. Google Scholar8. Cohen JJ. Our Quest for Meaning. President's Address. Presented at 2003 AAMC Annual Meeting, Washington, DC, 9 November 2003. Available at www.aamc.org/newsroom/pressrel/2003/031109.htm. Google Scholar9. Committee on the Health Professions Education Summit, Board on Health Care Services, Institute of Medicine. Health Professions Education: A Bridge to Quality. Washington, DC: National Academy Pr; 2003. Google Scholar10. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243-6. [PMID: 11827500] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From American Board of Internal Medicine and ABIM Foundation, Philadelphia, PA 19106-3699.Disclosures: None disclosed.Corresponding Author: Christine K. Cassel, MD, American Board of Internal Medicine and ABIM Foundation, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106-3699. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffects of Training in Direct Observation of Medical Residents' Clinical Competence Eric S. Holmboe , Richard E. Hawkins , and Stephen J. Huot A New Model for Accreditation of Residency Programs in Internal Medicine Allan H. Goroll , Carl Sirio , F. Daniel Duffy , Richard F. LeBlond , Patrick Alguire , Thomas A. Blackwell , William E. Rodak , Thomas Nasca , and Metrics Cited ByTelebehavioral Health, Telemental Health, e-Therapy and e-Health Competencies: the Need for an Interprofessional FrameworkA framework for telepsychiatric training and e-health: Competency-based education, evaluation and implications“Teaching as a Competency”: Competencies for Medical EducatorsDefining Quality of Care in Geriatric SurgeryClosing the gap between internal medicine training and practice: Recommendations from recent graduatesResidency training in preventive medicineThe future of hospital medicine: Evolution or revolution? 1 June 2004Volume 140, Issue 11Page: 927-928KeywordsAcademic medicineGraduate medical educationHealth careHealth care qualityMedical educationPatientsResidencySafetySurgeonsVision ePublished: 1 June 2004 Issue Published: 1 June 2004 CopyrightCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...