How do we know that medical education is producing physicians who deliver high quality care? Since 2005 and with funding from the Health Resources and Service Administration (HRSA), we have actively sought to answer this question. To begin the process, we established the Primary Care Research on Medical Education Outcomes (PC ROMEO), our Academic Administrative Unit, a collaboration between the Division of General Internal Medicine and the Department of Pediatrics, and began the difficult conceptual work needed to link medical education directly to patient outcomes, a critical investment in the future of medical education.
Our premise is that access to high quality primary care for underserved communities, like those we serve, is sensitive to the quality of education received by residents, fellows, and practicing physicians. HRSA funding has supported our development of a longitudinal Database for Research in Education in Academic Medicine (DREAM), which will collect the multitude of assessment and performance data from residents, fellows and practicing physicians integrating that information across the continuum of their lifelong learning.
The new HRSA funding (2008-2011) facilitates: expansion of the faculty of the Research on Medical Education and Outcomes Unit to support medical education research; full implementation and rigorous evaluation of core PC GME curricula piloted in 2005-2008 (1. Professionalism Curriculum: Framing Patient Activism and Effectiveness within Clinical Microsystems; 2. Alcohol and Substance Abuse; 3. Obesity and Prevention Treatment); and definition of reliable and valid educationally sensitive patient outcome measures and practical and clinically meaningful ways of measuring these outcomes.
Marc Gourevitch, MD, MPH is the principal investigator for this program with Adina Kalet, MD, MPH as program director. Core faculty and staff include: Benard Dreyer, MD and Steve Paik, MD (Pediatrics); Marc Triola, MD and William Holloway (Division of Educational Informatics); Colleen Gillespie, PhD and Tavinder Ark, MS (Research); Carol Bernstein (Dean, GME); Sondra Zabar, MD, Kathleen Hanley, MD;
Mack Lipkin, MD; Mark Schwartz, MD; Melanie Jay, MD, Andrea Truncali, MD;
Joshua Lee, MD, Julia Hyland-Bruno (General Internal Medicine).