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 |