We will begin shortly… Welcome 1
We will begin shortly…
Welcome
1
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AGENDA- Learning Collaborative Session 3December 7 3:00-4:30pm (EST)
Welcome- Review Agenda and Action Items Health Center Report Outs- 3min each
Launch Date, Where are you in the process? Major success/challenges
Program Curriculum -Curriculum Mapping -Academic Affiliations
Applications and Interviews Moodle Discussion Board Action Period Items
Next Session:-Program Staffing- Roles & Responsibilities-Program Curriculum
ACADEMIC AFFILIATIONS
4
Curriculum Development
Session 4: Mapping content
5
Plan going forward
• Session 3: Elements of your curriculum
• Session 4: Mapping content
• Session 5: Organizing the curriculum into a cohesive whole
• Session 6: Evaluation of the learner
• Session 7: Evaluation of the program
• Session 8: Crosswalking the curriculum and evaluation
• Session 9: Feedback loops and QI for revising the curriculum and evaluation
Your outcome for this session Describe how to map a curriculum
NP Standard 2: Curriculum5 Required Elements and 8 Competencies
Elements• 1. clinical-based care and
patient care experiences;• 2. regularly scheduled didactic
sessions;• 3. systems based learning and
quality improvement;• 4. population-based health
focus;• 5. leadership and professional
development, especially in inter-professional practice.
• Competencies• 1. patient care;• 2. knowledge for practice;• 3. practice-based learning and
improvement;• 4. interpersonal and
communication skills;• 5. professionalism;• 6. systems-based practice;• 7. interprofessional collaboration;• 8. personal and professional
development.
Review…• Program objectives v. Learner Outcomes• Curriculum • Clinical, Didactic, Evaluation of the Learner• Domains/subdomains (competencies) • KSAs• Schedule in hours• Resources
DRIVERS LEADERSHIP/BOARD/FINANCES
MARKETING, RECRUITMENT
CURRICULUM
Domains/subdomainsSpace/equipment Space/equipmentPoliciesPatients DIDACTIC
Preceptors Faculty
EVALUATION OF LEARNER SCHEDULE EVALUATION OF LEARNER
REMEDIATION OF LEARNER REMEDIATION OF LEARNER
ACCCREDITATION GRADUATES WHO FULFILL YOUR MISSION
CLINICALTOPICS/KSAs
MISSION
Program goals/objectives
Learner outcomes/competencies
You have a pile of pieces. Start separating them into groups.
Have a small team start to put them together.
Build from the outside in, or the inside out.
Every site will have a different looking puzzle because every site has different resources and patient populations.
We asked you to ask yourself:1. How/why did you decide on “primary care clinic?”2. What happens in primary care clinic?3. What does your resident need to know to care for
these patients?4. What does your resident need to know how to do to
care for these patients?5. What values, attitudes, behaviors do you want your
resident to demonstrate? Knowledge (know), Skills (do), Attitude
(behave)
One way of doing it: Start with the competencies
Competency/Domain: • Patient Care: Provide patient-centered care that is compassionate,
valued, appropriate and effective for the treatment of health problems and the promotion of health.
• Learner outcome: Provide appropriate and effective care for adult patients with DIABETES that is compassionate and consistent with patient preferences.
• Topics in subdomain: diagnostics, procedures, clinical decision-making, history and physical, management of treatment plan
• What is didactic, what is clinical? Other?
Diagnostics Procedures
Knowledge
Attitude Attitude
Clinical Decision-making History and Physical
Knowledge Management of treatment plan Knowledge
Attitude Knowledge Attitude
Attitude
KnowledgeSkillsSkills
Skills
Skills
Skills
HEALTH PROBLEMDIABETES
History and Physical
Knowledge
AttitudeSkills
Patient-centered care: Health problem: diabetesTopic: History and physical
KnowledgeDescribe components of a patient history:Review of systemsFamily historyScreeningsPresenting problemsEtc.
Skills
Perform a head-to-toe physical exam, incl. cardiovascular,pulmonary, abdominal, mini-mental status, etc.Communicate effectively with patients…..
AttitudesCommit to having respect for patient dignity, privacy, confidentiality, and autonomy
A little sidebar before we continue….• Have you done a needs assessment for your population?• What is the standard of care for a history and physical in
your setting with your patients?• For example: Do you always ask sexual history? Drug and
alcohol history? Do you always screen for depression? Do a mini-mental status? Housing? Access to food?
• Do you have a standard of care for certain populations: transgender, rural, homeless, HIV, diabetes?
• Use your standard of care when you develop your KSAs.
History and Physical
Knowledge
Attitude: Commit to respect….Skills: Communicate effectively….
Skills: Communicate effectively: That’s from the Competency: 4. Interpersonal and Communication Skills: Communicate effectively with patients….across a broad range of backgrounds
Attitude: Commit to respect: That’s from the Competency: 4. Professionalism: Demonstrate a commitment to compassion, integrity, and respect for others
One learner outcome has mapped to at least three domains/competencies
1. Patient-centered care2. Knowledge for practice3. Practice Based
Learning and Improvement
4. Interpersonal and Communication Skills
5. Professionalism6. Systems-based
Practice7. Inter-professional
Collaboration8. Personal and
Professional Development
Repeat process with other topics• Which of the Topics’ KSAs belong in didactic?
Clinical? Other?• Where are the overlaps with other
domains/competencies?• You will use the same language over and over again,
which is what you want to do• Evaluation of the learner will flow from these• Start with a big whiteboard or sheet of paper and
start mapping
Another way of doing it: Start with the clinical rotations and map outcomes to
competencies
• Provide appropriate and effective care for adult primary care patients that is compassionate and consistent with patient preferences. Details of what that means and looks like: KSAs
• Communicate effectively with patients….. Details of what that means and looks like: KSAs
• Commit to having respect for patient dignity, privacy, confidentiality, and autonomy Details
• Collaborate effectively with peers…..• Demonstrate professional behavior and values…..• Contribute to improvement of patient care….
One learner outcome has mapped to at least six domains/competencies
1. Patient-centered care2. Knowledge for practice3. Practice Based
Learning and Improvement
4. Interpersonal and Communication Skills
5. Professionalism6. Systems-based
Practice7. Inter-professional
Collaboration8. Personal and
Professional Development
Map it in excel: start filling in the blanksAdult primary careContent areas Knowledge Skills Attitude Learner activitiesClinical topics/conditions:*History/physical*Diagnostics*Clinical Decision-making*Procedures*Management of treatment planCommunication skills w/ patients, peers, familiesCollaboration with peersProfessionalismPractice-based learning/QI
No matter where you start, you will cover the same ground.
Let’s look at the post-doc psychology programs…
….The program requires that all residents demonstrate an advanced level of professional psychological competencies, skills, abilities, proficiencies, and knowledge in the following content areas:(a) Theories and effective methods of psychological assessment, diagnosis, and interventions;(b) Consultation, program evaluation, supervision, and/or teaching;(c) Strategies of scholarly inquiry;(d) Organization, management, and administration issues pertinent to psychological service delivery and practice, training, and research;(e) Professional conduct, ethics and law, and other standards for providers of psychological services; and(f) Issues of cultural and individual diversity that are relevant to all of the above.
Let’s look at the post-doc psychology programs…
• Start with a list of topics/diagnoses: depression, anxiety, personality disorder, etc.
• Or with a list of rotations: individual adult, individual child/teen, group, family
• Or with a list of treatment modalities: cognitive behavioral therapy, dialectical behavior therapy
• Learner outcome: the resident will provide care to adult patients with depression that is evidence-based and culturally sensitive….
Example: diagnosis of major depressive episode
Theories Assessments
Knowledge
Attitude Attitude
Differential diagnosis Interventions
Knowledge Management of treatment plan Knowledge
Attitude Knowledge Attitude
Attitude
Skills
Skills
KnowledgeSkills Skills
DIAGNOSIS:DEPRESSION
Skills
Example from AvenalTopic Knowledge Skills Attitudes
Behavioral Health – Depression/anxiety/domestic violence/substance abuse questionnaire.
Pharmacology H&P/past referrals/ exams/assessments /manage treatment plan
CompassionEmpathy
Chronic conditions – Basic 5—DM, HTN, COPD, CAD, CHF
Pharmacology H&P/past referrals/ exams/assessments /manage treatment plan
Patience
Possible schedule from Central CityDay Monday Tuesday Wednesda
yThursday Friday
AM Precepted Clinic (Preceptor #1)
Specialty Rotation
Meetings/Didactics (IM res, ECHO)
Precepted Clinic (Preceptor #3)
Mentored vs. Precepted Clinic
PM Precepted Clinic (Preceptor #2)
Specialty Rotation or Community Site
Didactics/CME/ Admin Time
Precepted Clinic (Preceptor #4)
Mentored vs. Precepted Clinic
Just start somewhere!!Questions?
Assignments:1. List of topics: KSAs for selected topics2. Possible schedule: include hours3. Write learner outcomes for one clinical rotation;
cover as many competencies as you can4. Write a learner outcome for one didactic session
Application Process• How will applications be submitted?
Electronically, hardcopy or both• Who will applications go to?• What is the cut off date for accepting applications?• How will they be reviewed once they come in?• What is the timeline for review for selection
committee?
Process Suggestions• Keep a record of inquiries – contact to remind to apply• Create a checklist of application requirements
Post on website for applicants – keep a listing for program Application, CV, essay, letters of recommendation
Create checklist for each candidate
• Once your process in finalized - post the process to your website or webpage – clear, transparent process for candidates
Selecting Candidates to Interview• Decision on criteria to assess your candidates
• CHCI Criteria: Quality of education, clinical experience, linguistic skills, commitment to underserved placement, intangibles
• Further define these criteria for those reviewing and assessing candidates
• Choose your Selection Committee• Include a variety of roles in your organization – leadership, clinical and
operational leadership, potential preceptors, HR, etc.• Develop process for your selection committee to review, score,
and discuss candidates
Example Scoring Grid
Example Postdoc Psychology Residency Scoring Grid
Other Considerations for Interviews• How many candidates to invite?
• Invite more than you want to accept• CHCI invites double the amount of candidates for available slots • Program with 2 to 3 slots should invite 4 to 6
• Set and post your interview dates on your website
• Decide on how you will hold interviews • In person, virtually or both
Other Considerations for Interviews• *For Post doc psychology programs-be familiar with APA
requirements• APPIC resources available: Webinars on Postdoctoral Selection/Application
Education Resources
• Develop Interview schedule- (tour, presentation, HR participation, Interview agenda)
• Provide detailed interviewing information to applicants
• Provide timeline of next steps to candidates
Questions?
Action Period Items1. Curriculum Development
• List of topics: KSAs for selected topics• Possible schedule: include hours• Write learner outcomes for one clinical rotation; cover as many
competencies as you can• Write a learner outcome for one didactic session
2. Post on Discussion forum (new topic or reply) Share successes/challenges
3. Submit a Draft of an Application4. Submit Monthly Report Next Session
January 11th