The NAPC Continuum of Competence Model

1. The NAPC Continuum of Competence Model The Continuum Model presented below was developed by InnovationLabs to synthesize a series of small-team reports during Summit IV in January 2007. The model emphasizes the connections and the hand-offs between various stages of the formation process for the Healthcare Professional. This model captured a single conversation held at a point in time, and does not represent the current thinking or recommendations of the National Alliance for Physician Competencies. CREDENTIALING & PRIVILEGING OF INDIVIDUALS Residents must demonstrate competencies required for procedures outside of core training Hospitals, Insurers and Public can query Trusted Agent to verify that physicians have knowledge, skills and experience to render services Insurers Trusted Agent Model Specialty/ State Boards “Trusted Agent” Physicians Queries Data on Procedures Public Credentialing Orgs/ Facilities Portfolio as the standardtool for credentialing How do we resolve the gap between General Licensure and Specific Credentialing? High-Stakes Testing Still Necessary! USMLEIII USMLEI & II University of Alabama Medical Center Program Mayo School of Graduate Medical Education (Arizona) Program University of Arizona Program University of Arkansas for Medical Sciences Program Loma Linda University Program Cedars-Sinai Medical Center Program UCLA Medical Center Program University of Southern California/LAC+USC Medical Center Program University of California (Irvine) Program University of California (Davis) Health System Program Naval Medical Center (San Diego) Program University of California (San Diego) Program University of California (San Francisco) Program Stanford University Program Los Angeles County-Harbor-UCLA Medical Center Program University of Colorado Program University of Connecticut Program Yale-New Haven Medical Center Program George Washington University Program Georgetown University Hospital Program University of Florida Program Mayo School of Graduate Medical Education (Jacksonville) Program Jackson Memorial Hospital/Jackson Health System Program Emory University Program Medical College of Georgia Program Advocate Illinois Masonic Medical Center Program Cook County Hospital Program McGaw Medical Center of Northwestern University Program Rush University Medical Center Program University of Chicago Program University of Illinois College of Medicine at Chicago Program Loyola University Program Indiana University School of Medicine Program University of Iowa Hospitals and Clinics Program University of Kansas Medical Center Program University of Kansas (Wichita) Program University of Kentucky College of Medicine Program University of Louisville Program Ochsner Clinic Foundation Program Tulane University Program Louisiana State University (Shreveport) Program Maine Medical Center Program Johns Hopkins University Program University of Maryland Program National Capital Consortium Program Beth Israel Deaconess Medical Center Program Boston University Medical Center Program Brigham and Women's Hospital Program Caritas St Elizabeth's Medical Center Program Massachusetts General Hospital Program Tufts-New England Medical Center Program Baystate Medical Center/Tufts University School of Medicine Program University of Massachusetts Program University of Michigan Program Henry Ford Hospital Program Wayne State University/Detroit Medical Center Program University of Minnesota Program Mayo School of Graduate Medical Education (Rochester) Program University of Mississippi Medical Center Program University of Missouri- Columbia Program University of Missouri at Kansas City Program St Louis University School of Medicine Program Washington University/B-JH/SLCH Consortium Program University of Nebraska Medical Center College of Medicine Program Dartmouth-Hitchcock Medical Center Program UMDNJ-Robert Wood Johnson Medical School (Camden) Program St Barnabas Medical Center Program UMDNJ-Robert Wood Johnson Medical School Program UMDNJ-New Jersey Medical School Program Mount Sinai School of Medicine (St Joseph's Regional Medical Center) Program University of New Mexico Program Albany Medical Center Program Albert Einstein College of Medicine Program Brookdale University Hospital and Medical Center Program Maimonides Medical Center Program New York Methodist Hospital Program SUNY Health Science Center at Brooklyn Program University at Buffalo Program Nassau University Medical Center Program Mount Sinai School of Medicine Program New York Medical College at St Vincent's Hospital and Medical Center of New York Program New York Presbyterian Hospital (Columbia Campus) Program New York Presbyterian Hospital (Cornell Campus) Program New York University School of Medicine Program St Luke's- Roosevelt Hospital Center Program University of Rochester Program SUNY Upstate Medical University Program New York Medical College at Westchester Medical Center Program University of North Carolina Hospitals Program Duke University Hospital Program Wake Forest University School of Medicine Program University Hospital/University of Cincinnati College of Medicine Program Case Western Reserve University (MetroHealth) Program Case Western Reserve University/University Hospitals of Cleveland Program Cleveland Clinic Foundation Program Ohio State University Hospital Program University of Toledo Program University of Oklahoma Health Sciences Center Program Oregon Health & Science University Program Penn State University/Milton S Hershey Medical Center Program Drexel University College of Medicine/Hahnemann University Hospital Program Temple University Hospital Program Thomas Jefferson University Program University of Pennsylvania Program Mercy Hospital of Pittsburgh Program University of Pittsburgh Medical Center Medical Education Program Western Pennsylvania Hospital/Temple University Program University of Puerto Rico Program Medical University of South Carolina Program University of Tennessee Medical Center at Knoxville Program Vanderbilt University Program University of Texas Southwestern Medical School Program San Antonio Uniformed Services Health Education Consortium Program University of Texas Medical Branch Hospitals Program Baylor College of Medicine Program University of Texas Health Science Center Program Texas Tech University (Lubbock) Program University of Texas Health Science Center at San Antonio Program Texas A&M College of Medicine-Scott and White Program University of Utah Program University of Virginia Program Naval Medical Center (Portsmouth) Program Virginia Commonwealth University Health System Program University of Vermont Program University of Washington Program Virginia Mason Medical Center Program West Virginia University Program University of Wisconsin Program Alabama State Board Of Medical Examiners Alaska State Medical Board Arizona Medical Board Arizona Board Of Osteopathic Examiners In Medicine And Surgery Arkansas State Medical Board Medical Board Of California Osteopathic Medical Board Of California Colorado Board Of Medical Examiners Connecticut Medical Examining Board Delaware Board Of Medical Practice District Of Columbia Board Of Medicine Florida Board Of Medicine Florida Board Of Osteopathic Medicine Georgia Composite State Board Of Medical Examiners Guam Board Of Medical Examiners Hawaii Board Of Medical Examiners Idaho State Board Of Medicine Illinois Department Of Financial And Professional Regulation Indiana Professional Licensing Agency Iowa Board Of Medicine Kansas Board Of Healing Arts Kentucky Board Of Medical Licensure Louisiana State Board Of Medical Examiners Maine Board Of Licensure In Medicine Maine Board Of Osteopathic Licensure Maryland Board Of Physicians Massachusetts Board Of Registration In Medicine Michigan Board Of Medicine Michigan Board Of Osteopathic Medicine And Surgery Minnesota Board Of Medical Practice Mississippi State Board Of Medical Licensure Missouri State Board Of Registration For The Healing Arts Montana Board Of Medical Examiners Nebraska Board Of Medicine And Surgery Nevada State Board Of Medical Examiners Nevada State Board Of Osteopathic Medicine New Hampshire State Board Of Medicine New Jersey State Board Of Medical Examiners New Mexico Medical Board Medical Examiners New York State Board For Medicine (Licensure) New York State Board For Professional Medical Conduct (Discipline) North Carolina Medical Board North Dakota State Board Of Medical Examiners Northern Mariana Islands State Medical Board Of Ohio Oklahoma State Board Of Medical Licensure And Supervision Oklahoma State Board Of Osteopathic Examiners Oregon Board Of Medical Examiners Pennsylvania State Board Of Medicine Pennsylvania State Board Of Osteopathic Medicine Oard Of Medical Examiners Of Puerto Rico Rhode Island Board Of Medical Licensure And Discipline South Carolina Board Of Medical Examiners South Dakota State Board Of Medical And Osteopathic Examiners Tennessee Board Of Medical Examiners Tennessee Board Of Osteopathic Examination Texas Medical Board Utah Department Of Commerce Utah Department Of Commerce Vermont Board Of Medical Practice Vermont Board Of Osteopathic Physicians And Surgeons Virgin Islands Board Of Medical Examiners Virginia Board Of Medicine Washington Medical Quality Assurance Commission Washington State Board Of Osteopathic Medicine And Surgery West Virginia Board Of Medicine West Virginia Board Of Osteopathy Wisconsin Medical Examining Board Wyoming Board Of Medicine American Board of Allergy and Immunology American Board of Anesthesiology American Board of Colon and Rectal Surgery American Board of Dermatology American Board of Emergency Medicine American Board of Family Medicine American Board of Internal Medicine American Board of Medical Genetics American Board of Neurological Surgery American Board of Nuclear Medicine American Board of Obstetrics and Gynecology American Board of Ophthalmology American Board of Orthopaedic Surgery American Board of Otolaryngology American Board of Pathology American Board of Pediatrics American Board of Physical Medicine and Rehabilitation American Board of Plastic Surgery American Board of Preventive Medicine American Board of Psychiatry and Neurology American Board of Radiology American Board of Surgery American Board of Thoracic Surgery American Board of Urology University of Alabama School of Medicine University of South Alabama College of Medicine A.T. Still University College of Osteopathic Medicine at Mesa Midwestern University Arizona College of Osteopathic Medicine University of Arizona College of Medicine University of Arkansas for Medical Sciences Loma Linda University School of Medicine Stanford University School of Medicine David Geffen School of Medicine at University of California, Los Angeles Keck School of Medicine of University of Southern California Touro University College of Osteopathic Medicine University of California, Davis School of Medicine University of California, Irvine School of Medicine University of California, San Diego School of Medicine University of California, San Francisco School of Medicine Western University of Health Sciences College of Osteopathic Medicine of the Pacific Rocky Vista University College of Osteopathic Medicine University of Colorado at Denver and Health Sciences Center School of Medicine University of Connecticut School of Medicine Yale University School of Medicine George Washington University School of Medicine and Health Sciences Georgetown University School of Medicine Howard University College of Medicine Florida State University College of Medicine Lake Erie College of Osteopathic Medicine at Bradenton Nova Southeastern University College of Osteopathic Medicine University of Florida College of Medicine University of Miami Miller School of Medicine University of South Florida College of Medicine Emory University School of Medicine Medical College of Georgia School of Medicine Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic Medicine - Georgia Campus University of Hawaii John A. Burns School of Medicine Loyola University Chicago Stritch School of Medicine Midwestern University Chicago College of Osteopathic Medicine Northwestern University Feinberg School of Medicine Rosalind Franklin University - Chicago Medical School Rush Medical College Southern Illinois University School of Medicine University of Chicago Pritzker School of Medicine University of Illinois College of Medicine Indiana University School of Medicine Des Moines University College of Osteopathic Medicine University of Iowa Roy J. and Lucille A. Carver College of Medicine University of Kansas School of Medicine Pikeville College School of Osteopathic Medicine University of Kentucky College of Medicine University of Louisville School of Medicine Louisiana State University School of Medicine in New Orleans Louisiana State University School of Medicine in Shreveport Tulane University School of Medicine University of New England College of Osteopathic Medicine Johns Hopkins University School of Medicine Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine University of Maryland School of Medicine Boston University School of Medicine Harvard Medical School Tufts University School of Medicine University of Massachusetts Medical School Michigan State University College of Human Medicine Michigan State University College of Osteopathic Medicine University of Michigan Medical School Wayne State University School of Medicine Mayo Clinic College of Medicine University of Minnesota Medical School University of Mississippi School of Medicine A.T. Still University Kirksville College of Osteopathic Medicine Kansas City University of Medicine and Biosciences College of Osteopathic Medicine Saint Louis University School of Medicine University of Missouri-Columbia School of Medicine University of Missouri–Kansas City School of Medicine Washington University School of Medicine Creighton University School of Medicine University of Nebraska College of Medicine Touro University Nevada College of Osteopathic Medicine University of Nevada School of Medicine Dartmouth Medical School University of Medicine and Dentistry of New Jersey - New Jersey Medical School University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School University of Medicine and Dentistry of New Jersey - School of Osteopathic Medicine University of New Mexico School of Medicine Albany Medical College Columbia University College of Physicians and Surgeons Mount Sinai School of Medicine New York Institute of Technology New York College of Osteopathic Medicine New York Medical College New York University School of Medicine State University of New York at Stony Brook School of Medicine State University of New York Downstate Medical Center College of Medicine State University of New York Upstate Medical University Touro College of Osteopathic Medicine University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences University of Rochester School of Medicine and Dentistry Weill Cornell Medical College of Cornell University Yeshiva University Albert Einstein College of Medicine Brody School of Medicine at East Carolina University Duke University School of Medicine University of North Carolina School of Medicine Wake Forest University School of Medicine University of North Dakota School of Medicine and Health Sciences Case Western Reserve University School of Medicine Northeastern Ohio Universities College of Medicine Ohio University College of Osteopathic Medicine Ohio State University College of Medicine University of Toledo College of Medicine University of Cincinnati College of Medicine Wright State University Boonshoft School of Medicine Oklahoma State University Center for Health Sciences College of Osteopathic Medicine University of Oklahoma College of Medicine Oregon Health & Science University School of Medicine Drexel University College of Medicine Jefferson Medical College of Thomas Jefferson University Lake Erie College of Osteopathic Medicine Pennsylvania State University College of Medicine Philadelphia College of Osteopathic Medicine Temple University School of Medicine University of Pennsylvania School of Medicine University of Pittsburgh School of Medicine Ponce School of Medicine San Juan Bautista School of Medicine Universidad Central del Caribe School of Medicine University of Puerto Rico School of Medicine Warren Alpert Medical School of Brown University Medical University of South Carolina College of Medicine University of South Carolina School of Medicine Sanford School of Medicine of the University of South Dakota East Tennessee State University James H. Quillen College of Medicine Lincoln Memorial University DeBusk College of Osteopathic Medicine Meharry Medical College School of Medicine University of Tennessee College of Medicine Vanderbilt University School of Medicine Baylor College of Medicine Texas A&M Health Science Center College of Medicine Texas Tech University Health Sciences Center School of Medicine University of North Texas Health Science Center at Fort Worth Texas College of Osteopathic Medicine University of Texas Medical Branch School of Medicine University of Texas Medical School at Houston University of Texas Medical School at San Antonio University of Texas Southwestern Medical School University of Utah School of Medicine University of Vermont College of Medicine Eastern Virginia Medical School Edward Via Virginia College of Osteopathic Medicine University of Virginia School of Medicine Virginia Commonwealth University School of Medicine Pacific Northwest University of Health Sciences University of Washington School of Medicine Joan C. Edwards School of Medicine at Marshall University West Virginia School of Osteopathic Medicine West Virginia University School of Medicine Medical College of Wisconsin University of Wisconsin School of Medicine and Public Health NB OME Certificate of Competence Residency Program Submits Records & Director’s Evaluation Research Questions RESIDENCY PROGRAMS SPECIALTYCERTIFICATION MAINTENANCE of COMPETENCY MEDICAL SCHOOLS LICENSURE Portfolio Portfolio Portfolio (Different Info than Credentialing) IMG – 25% of Residents did not attend Med Schooland will not have portfolios Ensure that all pieces of the Health Professional Formation process are based on GMP-USA, including med schools, residency programs, credentialing bodies, facilities and CME Educate the public on the differences between accredited and non-accredited facilities ACCREDITATION OF INSTITUTIONS “Mastery” “Lifelong Competence” “Minimum Competence”