Community Competencies STFM Annual, Toronto 2004: Community Medicine Toolkit Marge Stearns, MPH St. Luke’s Family Practice Residency Milwaukee, WI

Competencies as Behaviors Alverno Assessment Model –Desirable knowledge, skills, and attitudes assessed “in action” as observable behaviors –Faculty, community, peer and self assessment Social Interaction Community Assessor Experience

Community Competency Compendiums MSOP Population Health Curriculum: KSA –summarized by Henley & Williams COPC Competencies from Longlett, et al. –Medical Student –FP Residents –Curricular Topics that support COPC Pathman, et al. Survey

1) Cultural Competence 2) Community Health Resources 3) Community Involvement 4) Community-Oriented Primary Care OMMUNITY PATIENT COMMUNITYDOCTOR Pathman Paradigm: 4 Domains of Community- Responsiveness

SLFP Community Medicine PGY1 CM Rotation Goals and Objectives Longitudinal Health Improvement Project Goals and Objectives Based on 4 Domains of Community Involvement Model, Longlett, et al., COPC Competencies, STFM Urban FP Resource Monograph’s COPC Objectives.

Survey Questions = List of Community Competencies SLFP is using Pathman Survey prospectively and recently gathered baseline data from Alumni Note the behaviors/competencies in the questions...

Participation in Health Activities in the Community (SLFP Alumni 2003)

Attention to Sociocultural Issues in Patient Care (SLFP Alumni 2003)

Familiarity with Community Resources (SLFP Alumni 2003)

Community Participation and Assimilation (SLFP Alumni 2003)

Confidence in Community Health Abilities (SLFP Alumni 2003)

COPC* in Different Domains *Primary Care Oriented to the Community (Harper, Baker, Reif, et al.)

Health Improvement Project Action Plan (COPC+QI) PLAN –Identify an opportunity Goals/objectives Identify team Rationale –Identify current situation –Root cause analysis –Develop intervention Present proposal DO –Implement intervention STUDY –Results Review process and outcome indicators Analyze data ACT –Standardization –Future plans

ACGME Competencies Gained Analyze own practice Use of evidence from scientific studies Application of research and statistical methods Use of information technology Facilitate learning for others Ethically sound practice Sensitive to cultural, age, gender issues Understand interaction of practice and larger system Knowledge of practice and delivery systems Cost-effective care Advocacy for patients

ACGME-COPC Matrix ACGME Competencies COPC Competencies The intersections are endless….