Published online April 1, 2005
PEDIATRICS Vol. 115 No. 4 April 2005, pp. 1172-1183 (doi:10.1542/peds.2004-2825O)
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SUPPLEMENT ARTICLE

Competency in Community Pediatrics: Consensus Statement of the Dyson Initiative Curriculum Committee

Beth Rezet, MD*, Wanessa Risko, MD, DSc{ddagger}, Gregory S. Blaschke, MD, MPH§,||,¶ for the Anne E. Dyson Community Pediatrics Training Initiative Curriculum Committee

* Division of General Pediatrics, Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
{ddagger} Division of General Pediatrics, Children’s Hospital Boston, Harvard Medical School, Boston, Massachusetts
§ Department of Pediatrics, Naval Medical Center San Diego, San Diego, California
|| Department of Pediatrics, University of California, San Diego, La Jolla, California
Department of Pediatrics, Uniformed Services University of Health Science, Bethesda, Maryland

The first 20% of the full text of this article appears below.

During the past few years, the Accreditation Council of Graduate Medical Education has aimed to change the model of physician residency training to a competency-based system. The adoption of a competency-based training system is now required, and residency programs are expected to define and evaluate the achievement of competency. In an effort to facilitate this endeavor, the Anne E. Dyson Community Pediatrics Training Initiative Curriculum Committee developed competencies for physician training in community pediatrics. These competencies refer to 8 domains thought to be integral to the practice of community-based pediatrics:

  1. Delivery of culturally effective care: Pediatricians must demonstrate interpersonal and communication skills that result in effective information exchange with children and families from all cultural backgrounds and diverse communities.
  2. Child advocacy: Child advocacy pediatricians should advocate for the well-being of patients, families, and communities; must develop advocacy skills to address relevant individual, community, and population health issues; and understand the legislative process (local, state, and federal) to address community and child health issues.
  3. Medical home: Pediatricians must be able to identify and/or provide a medical home for all children and families under their care. As defined by the American Academy of Pediatrics, the medical home is an approach to providing comprehensive primary health care services in partnership with families. Care received in the medical home is accessible, continuous, comprehensive, family centered, coordinated, compassionate, and culturally effective.
  4. . . . [Full Text of this Article]

Address correspondence to Beth Rezet, MD, Children's Hospital of Philadelphia, Primary Care Center, 3819 Chestnut St, Suite 120, Philadelphia, PA 19104. E-mail: rezet@email.chop.edu




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