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Assessing Competencies of Knowledge and Process Improvement—Reply
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In Reply: Dr Dewar discusses the important and vital connection between the competencies of knowledge and process improvement at the microsystem level. We agree that they should not be seen as separate, but rather as integrated competencies necessary to deliver high-quality care.1 We focused our Commentary on the importance of up-to-date medical knowledge as an essential component of the quality-of-care calculus, because we are concerned that medical knowledge has been devalued in the current and limited focus on performance measures.
The Maintenance of Certification Program of the American Board of Internal Medicine (ABIM) values both cognitive knowledge and evaluation of performance in practice through its self-assessment activities. Regarding process improvement at the microsystem level, the ABIM developed Web-based practice improvement modules that physicians use to complete a medical record audit of their practice, survey their patients about their experiences, and evaluate their microsystems of care in the office (eg, access, . . . [Full Text of this Article]
Eric S. Holmboe, MD
eholmboe@abim.org
Rebecca Lipner, PhD;
Ann Greiner, MCP
American Board of Internal Medicine
Philadelphia, Pennsylvania
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RELATED ARTICLE
Assessing Quality of Care: Knowledge Matters
Eric S. Holmboe, Rebecca Lipner, and Ann Greiner
JAMA. 2008;299(3):338-340.
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RELATED LETTER
Assessing Competencies of Knowledge and Process Improvement
Marvin A. Dewar
JAMA. 2008;299(19):2276.
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