Field of Work: Aligning the training of physicians and nurse practitioners with the demands of 21st-century clinical practice.
Problem Synopsis: In the 1990s, managed care became one of the dominant forces in health care. Physicians and nurse practitioners (NP's) were expected to know how to manage patients' health, often within a fixed budget. Although care was increasingly taking place in outpatient settings, physicians continued to receive most of their training in hospitals rather than in ambulatory care centers. They also received little training in preventive care, or in interprofessional collaboration.
Faculty and staff at the University of Virginia Health System were formulating ways to teach quality improvement.
Synopsis of the Work: Partnerships for Quality Education (PQE) (April 1999 through January 2009), was initially funded by the Pew Charitable Trusts (during which time it focused on physicians only) and then by RWJF (which expanded it to include NP's). The program sought to improve a core set of skills in physicians and nurse practitioners, including interprofessional collaboration, chronic illness management, systems-based care and practice-based quality.
The University of Virginia participated in the Achieving Competency Today (ACT) component of PQE.
- If you pick examples relevant to a medical resident's work, even the most jaded resident can be motivated to learn about systems-based care and practice-based learning and improvement.
- With learners, you need to communicate repeatedly what the required competencies are and remind learners why faculty are teaching these.
- Learn the value of and methods to obtain institutional and departmental support for education in the new competencies.
- Bring faculty along in terms of educational development as you engage learners so that they can master and/or apply the curriculum.
- Start talking to the learners four to eight weeks ahead of an elective that is as demanding as ACT.
- Use small groups (four or so members) as a learning setting and require accountability from all participants.
- Make initiatives like this mandatory for students.
- Be flexible in how a curriculum like this can fit into your educational program.
Partnerships for Quality Education Sidebars
Stories from the RWJF national program, Partnerships for Quality EducationRead the Program Results for Partnerships for Quality Education View all
Learn how to improve care transitions and prevent avoidable hospital readmissions, and pick up nursing and medical education con-ed credits.
The RWJF Roadmaps to Health Prize honors outstanding community partnerships which are helping people live healthier lives. The six winners w...
Mildred Dalton Manning, the last surviving member of a group of U.S. Army and Navy nurses taken prisoner in the Philippines at the start of ...
Addiction by Design: Machine Gambling in Las Vegas examines the ways that the gambling industry has designed gambling machines that encourag...
Complaints about low numbers of qualified applicants are overstated. There is a large pool of qualified and talented students of diverse bac...
Today's headlines include: - CDC Issues First Comprehensive Report on Children’s Mental Health - New PSAs Help Parents Talk to Younger Kids...
A national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality o...
Team members, grantees, and guests discuss breakthrough ideas that will allow us to move toward solving challenges in health care.
What's Next Health: Conversations with Pioneers features leading thinkers and visionaries helping us explore ideas and trends important to t...
The Robert Wood Johnson Foundation is working to increase awareness and understanding of the impact of ACEs and the need to develop effectiv...
One of the themes of TEDMED 2013 was the creative and thoughtful use of big data and small data to improve health and health care.
A study finds that 96 percent of nurse practitioners and 76 percent of physicians agreed with IOM report recommendation that “nurse practiti...