Thread by @JonLimMD

Today's highlight from the @acgme IM Milestones 2.0 is one of the really neat new subcompetencies PC6: Digital Health.

A 🧵

acgme.org/Portals/0/PDFs…

#IMMilestones2 #meded #Assessment

Much credit goes to the working group who focused on patient care. Two working groups were split to focus on three core competencies and their subcompetencies. Later meetings allowed an advisory group to review the Milestones with the entire group.

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When we started our work, a big question we were asked was what does the graduating resident 2025 look like? What skills, knowledge, attitudes, abilities do they need to have to prepare them for practice?

There was agreement that medicine was continuing to be digitized.

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When we started the work in 2018, at that time the programs represented had a wide variety of telehealth implementation and availability to residents. Many programs did not yet have rotations or experiences dedicated to this area.

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As the work continued and the COVID-19 pandemic hit the United States, we saw fairly uniform adoption of telemedicine services. So many primary care and subspecialty clinics moved to virtual visits. It seemed appropriate then to define this key subcompetency.

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This subcompetency has two areas of focus:
1) using the EHR to care for patients
2) knowledge and use of telehealth for clinical practice

Time will tell what will happen, but the digitization of health care is likely to stay and important for graduating IM residents.

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In particular, the Supplemental Guide was written by so many of the experts and faculty who right now are involved with telehealth and leaders in general internal medicine. It's worth checking out the descriptions for each level.

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I think this is exciting both for the practice of medicine to potentially increase accessibility for patients as well as for implementation in medical education. Further study will be urgently needed especially for #meded.

As they say, watch this space.

/end