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Physician
Education for a Changing
Health Care Environment - Continued, 13th Report
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III. DEVELOPING COMMUNITY CLINICIAN TEACHERS
FINDING 3: The selection and support of clinician teachers in the community will become a fundamental priority of medical schools and residency training programs. The current roles of faculty members based at conventional teaching institutions will be significantly changed by expanded concepts of medical education and more inclusive definitions of faculty membership.
Recommendations:
- Medical schools and residency training programs should recruit and support community clinician teachers. Faculty
members at community teaching sites should be selected for the quality of their medical practice and the excellence of
their teaching. They should be paid and otherwise rewarded for their educational activities. Teaching institutions should
develop mechanisms to involve community faculty in the design and operation of educational programs.
- Medical school and residency faculty should complement their skills as teachers of students and residents with competencies in faculty development and the management of educational programs in the community.
- Residency training programs should take the lead in the development of rigorous practice-based models of graduate medical education in which individual or limited numbers of residents are assigned to physicians in community teaching practices.
IV. REVISING THE CURRICULUM CONTENT AND LEARNING PROCESS
FINDING 4: The transformation of the health care environment created by changing demographics, mechanisms of
health care financing, and a focus on prevention and wellness, has a profound effect on the practice of medicine. Reflecting these changes in educational programs that prepare medical students and residents for their future roles requires innovative strategies and new resources.
Recommendations:
- Medical schools and residency training programs should fundamentally revise the preparation of their graduates to reflect
the changing practice environment while sustaining the quality of current teaching programs. They should emphasize disciplines that are basic to contemporary medical practice such as epidemiology and population-based care, health care
policy and systems, disease prevention and wellness, and computer information skills.
- To effectively serve patients in the new health care systems, educational programs must prepare physicians in ethical decision-making and advanced communication skills, including patient advocacy, conflict resolution, and teamwork.
- Medical schools and residency training programs should accelerate the incorporation of advanced educational concepts
and techniques such as distance learning, standardized patients, and psychometrics in order to enhance the quality and consistency of educational programs.
V. REINFORCING COMMUNICATION SKILLS
FINDING 5: An increasingly diverse patient population and a changing health care environment magnify the need for
effective communication by physicians.
Recommendations:
- Instruction in and assessment of communication skills, particularly related to the medical history, should be strengthened and expanded to ensure an emphasis equal to other major courses and topics.
- The development and augmentation of communication skills with patients including those from differing cultural backgrounds, and with colleagues, administrators, and others should be continued throughout medical school and residency
training.
- Physicians should be prepared in a broad range of communications skills appropriate for use with individuals and groups
and utilizing a diversity of media. An emphasis should be provided on continually updating skills to adapt to rapidly-evolving
circumstances and technology.
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