Section 1: Competencies Accreditation Council for Graduate Medical Education (ACGME) Competencies** — Criterion 6 Institute of Medicine (IOM) Competencies Interprofessional Education Collaborative Competencies Patient Care Medical Knowledge Practice-Based Learning & Improvement Interpersonal & Communication Skills Professionalism System-Based Practice Provide patient-centered care Work in interdisciplinary teams Employ evidence-based practice Apply Quality Improvement Utilize Informatics Values/Ethics for Interprofessional Practice Roles/Responsibilities Interprofessional Communication Teams and Teamwork **Required Section 2: Overall Practice Gap Overall Professional Practice Gap — Criteria 2, 3 see attachment “1b-Tips & Verbs for Learning Objectives” This practice gap should be all encompassing for your activity as a whole. Knowledge = information obtained Competence = ability to apply knowledge, skills, and judgement in practice Performance = what one actually does in practice Patient Outcomes = measurable results of treatment Current practice (What is) Ideal Practice (What should be) Existing Gap (Difference between current and ideal) Type of Practice Gap
Example: Allergists are not recommending the early introduction of peanuts into the diet of infants to prevent the development of peanut allergies because there is not strong evidence to support this claim. Allergists will have a better understanding of the current research in peanut allergies, and will be better equipped to identify and manage infants deemed at risk for developing peanut allergy, guiding the successful incorporation of peanut into the diet of these children, and make recommendations about the timing of introduction of other potential high risk allergens into the child’s diet. Current infant weaning guidelines do not suggest that solid food introduction be delayed, but such guidance is passive and does not actively recommend deliberate early introduction of any particular food. With the recent advent of the LEAP study findings, the Interim Consensus Guidelines, and the forthcoming NIAID Addendum to the food allergy guidelines, there will be a new consensus that strongly recommends that peanut become one of the first solid foods weaned into the diet of infants to prevent the development of peanut allergy. At present there is insufficient evidence to support the deliberate early introduction of other foods besides peanut for the purposes of allergy prevention. The strategies to best implement early peanut introduction, a radical departure in prior weaning policy, as well as the long term projected outcomes of this policy change, are unknown. Thus, providers will face challenge in the identification and management of infants deemed at risk for developing peanut allergy, guiding the successful incorporation of peanut into the diet of these children, and making recommendations about the timing of introduction of other potential high risk allergens into the child’s diet. Knowledge Competence Performance Patient Outcomes Therapeutic Area Allergy and Immunology / Clinical Immunology and Autoimmune and Biologicals Name of Commercial Company Company X Grant Request for (Monetary or In-Kind) $25,000 Current practice (What is) Ideal Practice (What should be) Existing Gap (Difference between current and ideal) Type of Practice Gap Knowledge Competence Performance Patient Outcomes Therapeutic Area Name of Commercial Company Grant Request for (Monetary or In-Kind) Sources used to identify gaps