TAILIEUCHUNG - Physician Leadership in the Patient-Centered Medical Home

Klemola and Norros (1997, 2001) observed and interviewed anesthetists (n = 16, 8 respectively) to explore the role of the patient monitor in their operating room practice and to understand how they thought about their anesthetized patients and responded to infor- mation they received while caring for them. Their findings suggested two distinct approaches to practice, or ‘‘habits of action’’: the ‘‘interpretive orientation’’ guided by a belief in an unpredictable world, and the ‘‘reactive orientation,’’ guided by a belief in a predictable world. The authors suggested that the interpretive orientation contributed to the development of reflective and critical capabilities, but the reactive or objectivistic orien- tation hindered their. | AMERICAN ACADEMY OF 5 FAMILY PHYSICIANS AAFP Reprint No. 268 Recommended Curriculum Guidelines for Family Medicine Residents Physician Leadership in the Patient-Centered Medical Home This document was endorsed by the American Academy of Family Physicians AAFP the Association of Departments of Family Medicine ADFM the Association of Family Medicine Residency Directors AFMRD and the Society of Teachers of Family Medicine STFM . Introduction This Curriculum Guideline defines a recommended training strategy for family medicine residents. Topic competencies attitudes knowledge and skills that are critical to family medicine should be attained through longitudinal experience that promotes educational competencies defined by the Accreditation Council for Graduate Medical Education ACGME http . The curriculum must include structured experience in several specified areas. Most of the resident s knowledge will be gained by caring for ambulatory patients who visit the family medicine center. Structured didactic lectures conferences journal clubs and workshops must be included in the curriculum with an emphasis on outcomes-oriented evidence-based studies that delineate common and chronic diseases affecting patients of all ages. Targeted techniques of health promotion and disease prevention are hallmarks of family medicine. Appropriate referral patterns and provision of cost-effective care should also be part of the curriculum. Program requirements specific to family medicine residencies may be found on the ACGME Web site. Current AAFP Curriculum Guidelines may be found online at http cg. These guidelines are periodically updated and endorsed by the AAFP and in many instances other specialty societies as indicated on each guideline. 1 Each residency program is responsible for its own curriculum. This guideline provides a useful strategy to help residency programs form their curricula for educating family physicians. Preamble Management of health .

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