Assessment of Physician - Coalition for Physician...
Transcript of Assessment of Physician - Coalition for Physician...
Assessment of Physician
Competence and Performance
In American Samoa
David E.J. Bazzo, M.D.
William Norcross, M.D.
Peter Boal
American Samoa
• US Territory
• Population ~60,000
• 60 physicians representing multiple specialties
• LBJ Tropical Medical Center
• Department of Public Health
Health
• Ranked #1 in BMI by WHO
• Chronic disease burden high
• 80% of population below Federal poverty level
• Salaries are low compared to mainland
• Physician recruitment is difficult
“It’s the ‘fairest’ way to fly: Samoa Air
becomes world’s first airline to charge
passengers by pound”
Physicians
• 11 are USMLE certified
• Current licensing statute
– Requires USMLE certification
– Loose guidelines
– Hospital credentials
– Many practicing not meeting requirements
PACE competency assessment
1. Intake form, practice questionnaire
2. 360 degree assessment
3. International Foundations of Medicine®
knowledge examination
4. Oral clinic examination
5. Chart review and chart stimulated recall
6. On-site direct observation of performance
7. Review of credentialing/personnel file
Assessment
• Participants will be evaluated by faculty in their
specialty or a related specialty
• Case conference will be held to consider all
material and make a final determination of
competence and performance.
• De we consider implication if significant number
do not meet competency bar?
Guidance on research questions
• Data collection will include: – Demographic information from the participant,
including training, CPD
– Results of all components of the assessment
• Other?
Potential research questions:
• Does training level of individuals predict
performance on the assessment?
• Do years in practice experience affect
performance on the assessment?
– Do number of years practicing in Samoa impact
results
• What is the predictive value of each component
of the assessment?
• Does medical school predict performance on the
assessment?