Skip to main content

Table 2 Priority 2: Physician competencies for meeting societal goals for health care and population health at a sustainable cost

From: Responsiveness to societal needs in postgraduate medical education: the role of accreditation

Interventions Benefits to the health care system
(relevant social accountability values)
Strategies to effect change
Ensure the quality and safety of health care Reduced medical errors, improved quality, including better patient experience of care
(quality, cost-effectiveness) [3]
Accreditation: Standards that promote quality and safety in curricula, improvement projects, and role modelling by teaching faculty; approaches to promote quality and safety improvement in the learning environment
Institution and program: Institutional- and program-level quality and safety curricula, experiences, and improvement projects
Address health disparities and economic, educational, and social conditions that influence health status Increased access to care; improved health care equity
(relevance, equity) [3]
Accreditation: Standards requiring programs to set and meet aims relevant to the needs of the communities they serve; approaches to highlight and address health disparities and promote health equity [11]
Institution and program: Initiatives to teach, role- model, and assess physician competencies important to patient advocacy [12, 13]; measures to address health disparities [14, 15], social determinants of health [16], and system-level factors that create barriers to health and health care for some members of society
Provide resource-conscious care Stewardship of finite health care resources
(cost-effectiveness) [3]
System: National initiatives such as the US Choosing Wisely campaign [17]
Accreditation: Accreditation standards highlighting resource-consciousness in teaching and trainee assessment