CD San Francisco 11 14

Continuing CompetenceSGI* Seeks Committed Partners: 

Continuing Competence SGI* Seeks Committed Partners Catherine Dower, JD San Francisco November 14, 2002 http://www.futurehealth.ucsf.edu cdower@itsa.ucsf.edu *single good idea

Center for the Health Professions: 

Center for the Health Professions Administration Funding Scope of work Staff Mission and belief Nation’s health will be improved if public is better informed about the work of health professionals.

Pew Health Professions Commission 1988-1998: 

Pew Health Professions Commission 1988-1998 Charge to Taskforce: Envision a future health professions regulatory system that meets consumers’ reasonable expectations of access to com-prehensive, appropriate, cost-effective and high quality health services … and explore ways to move the current system toward this future. system.

Future Vision of Professional Regulation: 

Future Vision of Professional Regulation National standards Significant practice authority overlap New venues & participants in policy making Integration with other consumer protection systems and laws Increased focus on quality and competence Promoting effective health outcomes and protecting the public from harm

Continuing Competence: 

Continuing Competence Issues: Health care knowledge, therapies evolve Delivery and financing structures change Individuals age, specialize Continuing education does not address shortcomings, is not tested and is not correlated with competence Policies are inconsistent across professions and states Both private and public sectors involved but little coordination

Pew Health Professions Commission 1995: 

Pew Health Professions Commission 1995 “States should require each board to develop, implement and evaluate continuing competence requirements to assure the continuing competence of regulated health care professionals.” - Periodic competence assessment triggers random - Public & private sector cooperation: standards - Expand use of technology

Objective Message vs. Internal Subjective Knowledge: 

Objective Message vs. Internal Subjective Knowledge Public is told there’s no difference among institutions, practitioners But every practitioner knows colleague to whom they wouldn’t send their child or mother

Pew Health Professions Commission 1998: 

Pew Health Professions Commission 1998 States should require that their regulated health care professionals demonstrate their competence in the knowledge, judgment, technical skills and interpersonal skills relevant to their jobs throughout their careers. Goal: public/private collaboration States : develop assessment standards lead coordination Private sector: administer assessments National body: research, disseminate models Legislative implementation template included

Federation of State Boards of Physical Therapy: 

Federation of State Boards of Physical Therapy Jurisprudence exam Content outline based on model practice act Tailored option FL Jan 1, 2003; 3 more states online next yr Portfolio being piloted in NY, VA Case Study Key Elements Exam Challenges Cost, resources Professional association

California Board of Podiatric Medicine: 

California Board of Podiatric Medicine Continuing competence required by statute 8 pathways including Board exam within past 10 years Specialty certifying board exam or qualified status Completion of residency/fellowship w/in 10 yrs Staff privileges at approved facility w/in 5 yrs Extended course of study approved by board Passage within past 10 years of Part III of National Exam

What to focus on?: 

What to focus on? Essential task is how to make the health community responsive to changes in societal landscape and health system.

What to Focus On: 

What to Focus On Whose responsibility Definitions/Purposes Schools of Thought Activities Barriers Strategies

Slide13: 

Nothing will ever be attempted, if all possible objections must first be overcome. - Samuel Johnson

Slide14: 

MURAL GRAPHIC DYSLEXIA

7 Health Care TrendsAffecting Workforce: 

7 Health Care Trends Affecting Workforce Demography Consumer Role Technology Market-based Systems Globalization Disequalibrium

Slide16: 

“It used to be that professionals would say, ‘Trust me to be competent because I practice every day.’ Now, patients are saying, ‘Demonstrate to me that you are competent because my life and well being are in your hands.” Carmen Catizone National Association of Boards of Pharmacy

Center for the Health ProfessionsUniversity of California, San Francisco: 

Center for the Health Professions University of California, San Francisco 3333 California St., Suite 410 San Francisco, CA 94118 phone 415.476.8181 fax 415.476.4113 cdower@itsa.ucsf.edu http://futurehealth.ucsf.edu