Createspace Independent Publishing Platform Jhm core competencies 2017: updates to the core competencies in hospital medicine -- 2017, paperback/dr satyen nichani

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Description The Society of Hospital Medicine (SHM) first published The Core Competencies in Hospital Medicine: A Framework for Curricular Development in 2006 to help define the role and expectations of hospitalists.

The Core Competencies provide a framework for evaluating clinical skills and professional expertise.

Changes in the healthcare landscape and hospitalist practice environment have prompted this revision, published in April 2017.

In their roles, hospitalists lead and participate in hospital-based care models that emphasize interprofessional collaboration and a focus on the delivery of high-quality and cost-effective care across a variety of clinical domains (eg, the Choosing Wisely initiative).

They are also engaged in patient safety and quality initiatives that are increasingly being used as benchmarks to rate hospitals and as factors for hospital payment (eg, Hospital Inpatient Value-Based Purchasing Program).

In fact, the American Board of Internal Medicine (ABIM) created a Focused Practice in Hospital Medicine Maintenance of Certification program in response to the growing number of internists choosing to concentrate their practice in the hospital setting.

This decision by the ABIM underscores the value that hospitalists bring to improving patient care in the hospital setting.

The ABIM also recognizes the Core Competencies as a curricular framework for a focused practice in hospital medicine.

Changes within the educational environment have demanded attentive and active participation by many hospitalists.

For example, in 2012, the Accreditation Council for Graduate Medical Education (ACGME) introduced the Milestones Project, a new outcomes-based framework designed to more effectively assess learner performance across the 6 core competencies.

These milestones assessments create intentional opportunities to guide the development of physicians during their training, including in the inpatient environments in which hospitalists practice.

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