The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.
Abstract
Objective:To assert the importance of the use of the healthcare matrix formulation for competency assessment in psychiatry residency training.Methods:We present a case from our inpatient psychiatric facility and format it in the form of the healthcare matrix, which was developed at Vanderbilt University incorporating the Institute of Medicine ‘aims' and the Accreditation Council for Graduate Medical Education ‘core competencies'. We also analyze the healthcare matrix and elucidate its use in clinical practice.Results:The healthcare matrix provides us with a practical tool to analyze any complex episode of patient care, like the one in our psychiatric setting, and allows us to learn from the shortcomings in order to improve.Conclusion:The optimal utilization of this tool in the competency assessment of psychiatry residents has an enormous practical implication by transforming the case and morbidity and mortality conferences into a well-structured learning and improvement format.
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References
References1. ACGME (Accreditation Council for Graduate Medical Education): Competencies & Outcomes Assessment, 1999. Available at: http://www.acgme.org/outcome/comp/compMin.asp. Accessed July 1, 2008.2. Perina D. The ACGME general competencies challenge—perspective of the Council of Emergency Medicine Residency Directors. Acad Emerg Med 2002;9:1218–1219.PerinaDThe ACGME general competencies challenge—perspective of the Council of Emergency Medicine Residency Directors.Acad Emerg Med200291218-12193. Chapman DM, Hayden S, Sanders AB, et al. Integrating the Accreditation Council for Graduate Medical Education Core competencies into the model of the clinical practice of emergency medicine. Ann Emerg Med 2004;43:756–769.ChapmanDM]]HaydenS]]SandersAB&etal;Integrating the Accreditation Council for Graduate Medical Education Core competencies into the model of the clinical practice of emergency medicine.Ann Emerg Med200443756-7694. Committee on Quality Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC, National Academy Press, 2001.Committee on Quality Health Care in AmericaInstitute of MedicineCrossing the Quality Chasm: A New Health System for the 21st Century.Washington, DCNational Academy Press20015. Bingham JW, Quinn DC, Richardson MG, et al. Using healthcare matrix to assess patient care in terms of aims for improvement and core competencies. Jt Comm J Qual Patient Saf 2005;31:98–105.BinghamJW]]QuinnDC]]RichardsonMG&etal;Using healthcare matrix to assess patient care in terms of aims for improvement and core competencies.Jt Comm J Qual Patient Saf20053198-1056. Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med 2008;83:1080–1087.VossJD]]MayNB]]SchorlingJB&etal;Changing conversations: teaching safety and quality in residency training.Acad Med2008831080-10877. Kirkpatrick D. Evaluating Training Program. San Francisco, CA, Berrett-Koehler Publishers, 1994.KirkpatrickDEvaluating Training Program.San Francisco, CABerrett-Koehler Publishers19948. When providers fail to coordinate care, patient's recovery lags. H&HN: Hosp Health Netw 2007;81:68.9. Dingle AD, Sexson SB. A practical approach to implementing the core competencies in a child and adolescent psychiatry residency program. Acad Psychiatry 2007;31:228–244.DingleAD]]SexsonSBA practical approach to implementing the core competencies in a child and adolescent psychiatry residency program.Acad Psychiatry200731228-24410. Blechman A, Gussman D. Letter of recommendation: an analysis for evidence of Accreditation Council for Graduate Medical Education core competencies. J Reprod Med 2008;53:793–797.BlechmanA]]GussmanDLetter of recommendation: an analysis for evidence of Accreditation Council for Graduate Medical Education core competencies.J Reprod Med200853793-79711. The Leapfrog Group: Our Mission 2008. Available at: http://www.leapfroggroup.org. Accessed August 14, 2008.
