title: A Novel Core Competencies-Based Academic Medicine Curriculum: Description and Preliminary Results.
abstract: BACKGROUND
  Physicians practice health care in a rapidly changing system that requires more than the delivery of safe and effective care. Modern physicians must also acquire skills beyond direct patient care. Residency programs must, therefore, prepare physicians to meet these demands by providing appropriate education and training.
  
  
  METHODS
  We designed, implemented and assessed an academic medicine curriculum in the first post-graduate year. This curriculum provides comprehensive exposure to necessary non-patient contact related physician skills. Topics centered around four domains: critical appraisal of literature of literature, quality improvement, professional development, and teaching. Each of these domains is linked to the six core competencies established by the Accreditation Council for Graduate Medical Education's (ACGME). Instruction includes small-group learning sessions with additional time for self-directed online modules and a faculty-mentored quality improvement research project that is presented at a graduation symposium. All residents completed a survey evaluation of the curriculum before and after the course via open-ended questions and Likert responses (0-5). We assessed improvement in resident confidence with each curricular domain using mean Likert score change and 95% confidence intervals (CI).
  
  
  RESULTS
  Residents improved at all curricular domains measured. The most significant mean changes included confidence in: poster presentations (2.7; 95% CI: 1.9-3.5), plan-do-check-act cycle (2.5; 95% CI: 2.1-2.9), quality improvement projects (2.4; 95% CI: 1.9-2.9), and abstract presentation (2.3; 95% CI: 1.6-3.0).
  
  
  CONCLUSIONS
  We found that the academic medicine rotation (AMR) is feasible in a large academic setting. Furthermore, the AMR allows early exposure to and improvement in essential non-patient contact related physician skills required by the ACGME core competencies and assessed through the milestones.
authors.affiliation: Assistant Professor, Department of Anesthesiology, School of Medicine, University of North Carolina at Chapel Hill.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Martinelli
authors.affiliation: Librarian, Health Sciences Library, University of North Carolina at Chapel Hill.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: McGraw
authors.affiliation: Doctoral Student, Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill.
authors.forename: Corey A
authors.initials: CA
authors.lastname: Kalbaugh
authors.affiliation: Medical Student, School of Medicine, University of North Carolina at Chapel Hill.
authors.forename: Stephen
authors.initials: S
authors.lastname: Vance
authors.affiliation: Distinguished Associate Professor, Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill.
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Viera
authors.affiliation: Professor, Department of Anesthesiology, School of Medicine, University of North Carolina at Chapel Hill.
authors.forename: David A
authors.initials: DA
authors.lastname: Zvara
authors.affiliation: Professor, Department of Anesthesiology, School of Medicine, University of North Carolina at Chapel Hill.
authors.forename: David C
authors.initials: DC
authors.lastname: Mayer
keywords: clinical base year; core compe tencies; curriculum; milestones; resident education