From there she goes on to address what skills (and consequently what training needs) are important for the individual doc, and that's where it gets muddy. She writes:
Physicians need new knowledge and skills – including the ability to manage teams, information, resources and population-level data.
It's not clear where she's going here, because none of these areas are new. The management of teams, which is multidisciplinary care under the physician's direction, has been a cornerstone of the quality and safety movement for at least a decade. The management of resources became critical, and a major focus of practice in 1985 with the advent of DRGs and later in the mid 90s with managed care. And what is the management of population-level data? It sounds like EBM, which started as a “movement” in 1992.
She goes on (my italics)---
More specifically, doctors need special expertise in longitudinal care for a population of patients – built by a trusting, personal relationship that is not limited to site of care, organ system or disease type.
Sounds like a move away from the hospitalist model back to traditional practice. Interesting.
1 comment:
Sounds like Family Practice.
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