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Meeting Information

Date:

Janurary 5, 2007

Time:

11 AM EST

Attending: Chris Candler, Rosalyn Scott, Co-Chairs, John Bingham, Tom Doyle, Rachel Ellaway, Peter Greene, Ronald Harden, David Price, Doris Quinn, and Valerie Smothers

Agenda Items

1 Review of minutes of last meeting
A correction was noted in the minutes, the competency model name should reflect "Vanderbilt matrix" instead of John Bingham's matrix.

2 Review of IEEE study group meeting
This study group convened their first teleconference a month ago and will be holding another call on Jan. 22nd at 2:00 p.m. Eastern time. The group brings together a board cross-section of industries and domains. Valerie explained the intention of the group is to identify potential areas of standardization related to competencies. On the first call, MedBiquitous was the only academic entity represented, so the academic perspective is somewhat unique. The group worked to compile a list of problems at a high abstract level. Valerie will send the agenda to the group as soon as it is available. Chris added that MedBiquitous is very interested in using some of the products of this IEEE group, including re-useable competency definitions. He also suggested looking at other standards groups to track and monitor their progress. He encouraged the group to participate in the study group calls. Call in information will continue to be circulated within this working group.

3 Discussion of new wiki
MedBiquitous implemented a new wiki to support working group collaboration. The wiki allows groups to share and edit documents. The wikis are available from http://groups.medbiq.org. Valerie explained that each working group member had an account created for them. The user is their first initial last name, and the password is "password." She encouraged everyone to change their password after logging in the first time. Documents are visible to the public, but you have to login to be able to edit documents. Peter commented it saves every version you edit. Valerie shared you can ask to be notified when changes are made to a particular page or space using the envelope icon. The product is called Confluence, and MedBiquitous received a non-profit license from Atlassian to use the software.

4 Vanderbilt healthcare matrix
Doris Quinn and John Bingham shared the Vanderbilt Healthcare Matrix Power Point which included a condensed version of their lecture around the matrix. They are trying to build it into patient care with links back to education. Peter asked for further information on how the matrix is used Doris gave the example of having several matrices on patients with diabetes and looking to see what gaps exist. If the resident never addresses the system of care, that's a deficiency. John continued by describing a weekly class for ambulatory residents. Each resident takes on patient, completes a matrix on the encounter, and uses the matrix to discuss what they would like to have seen. The resident then presents the matrix to their peers. They also develop improvement projects based on the matrix.

Peter explored the matrix's applicability as a curriculum framework. He asked if it would be a useful way to transmit information. John answered you use it to help faculty define competencies and assess residents. Rosalyn commented she thought it was tedious and wouldn't be practical to use for every patient. John clarified that it was not used for every patient. Dr. Harden commented that the ACGME competencies are often seen as isolated events, but the matrix shows how they can be related. He asked if they have used this as a basis for portfolios or performances logs. Doris answered yes, anesthesia residents complete a matrix once a month and it goes into their portfolio. Doris will send the completed geriatrics curriculum to the wiki group for review. David mentioned it was applicable to CME too.

Doris added that the matrix is a web-based system. You could have links to data and make the matrix the front door to learning experiences. Rachel asked if competency is an X-Y compound, something that is found in one or more cells, or an emergent factor? Doris answered they want to validate the tool to see if using it causes learning, changes behavior or outcomes. John mentioned David Leach has tried to pick apart competencies and reconstruct them.

5 Kaiser competency mapping
Discussion postponed until next call.

6 Discuss current assignment: Each group member will send examples of objectives, outcomes, and competencies and how they are each being used and developed within your own institution.
Discussion postponed until next call.

Valerie mentioned the Slice of life abstract deadline is Monday and anyone interested in working with her should contact her. She explained the Slice of Life started at the University of Utah to bring multimedia medical education development forum together to present their work. She will send information about the conference out to group.

Decisions

The group will submit an abstract to Skice of Life.

Action Items

  • Doris will send the completed geriatrics curriculum to the wiki group for review.
  • Valerie will send the agenda for the upcoming IEEE study group call to the working group members as soon as it is available.
  • Valerie will send information about the Slice of Life meeting June 26-30, 2007 in Salt Lake City, Utah.
  • Each group member will send examples of objectives, and competencies and how they are each being used and developed within your own institution and post these to the wiki.
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