The NAPC Continuum of Competence Model

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The NAPC Continuum of Competence Model
The Continuum Model presented below was developed
by InnovationLabs to synthesize a series of
small-team reports during Summit IV in January
2007. The model emphasizes the connections and
the hand-offs between various stages of the
formation process for the Healthcare
Professional. This model captured a single
conversation held at a point in time, and does
not represent the current thinking or
recommendations of the National Alliance for
Physician Competencies.
CREDENTIALING PRIVILEGING OF INDIVIDUALS
Residents must demonstrate competencies required
for procedures outside of core training
Hospitals, Insurers and Public can query Trusted
Agent to verify that physicians have knowledge,
skills and experience to render services
Insurers
Trusted Agent Model
Specialty/ State Boards
Trusted Agent
Physicians
Queries
Data on Procedures
Public
Credentialing Orgs/ Facilities
Portfolio as the standardtool for credentialing
How do we resolve the gap between General
Licensure and Specific Credentialing?
USMLEIII
High-Stakes Testing Still Necessary!
USMLEI II
University of Alabama Medical Center Program Mayo
School of Graduate Medical Education (Arizona)
Program University of Arizona Program University
of Arkansas for Medical Sciences Program Loma
Linda University Program Cedars-Sinai Medical
Center Program UCLA Medical Center Program
University of Southern California/LACUSC
Medical Center Program University of California
(Irvine) Program University of California
(Davis) Health System Program Naval Medical
Center (San Diego) Program University of
California (San Diego) Program University of
California (San Francisco) Program Stanford
University Program Los Angeles
County-Harbor-UCLA Medical Center Program
University of Colorado Program University of
Connecticut Program Yale-New Haven Medical Center
Program George Washington University Program
Georgetown University Hospital Program University
of Florida Program Mayo School of Graduate
Medical Education (Jacksonville) Program Jackson
Memorial Hospital/Jackson Health System Program
Emory University Program Medical College of
Georgia Program Advocate Illinois Masonic Medical
Center Program Cook County Hospital Program
McGaw Medical Center of Northwestern University
Program Rush University Medical Center Program
University of Chicago Program University of
Illinois College of Medicine at Chicago Program
Loyola University Program Indiana University
School of Medicine Program University of Iowa
Hospitals and Clinics Program University of
Kansas Medical Center Program University of
Kansas (Wichita) Program University of Kentucky
College of Medicine Program University of
Louisville Program Ochsner Clinic Foundation
Program Tulane University Program Louisiana State
University (Shreveport) Program Maine Medical
Center Program Johns Hopkins University Program
University of Maryland Program National Capital
Consortium Program Beth Israel Deaconess
Medical Center Program Boston University Medical
Center Program Brigham and Women's Hospital
Program Caritas St Elizabeth's Medical Center
Program Massachusetts General Hospital Program
Tufts-New England Medical Center Program Baystate
Medical Center/Tufts University School of
Medicine Program University of Massachusetts
Program University of Michigan Program Henry
Ford Hospital Program Wayne State
University/Detroit Medical Center Program
University of Minnesota Program Mayo School of
Graduate Medical Education (Rochester) Program
University of Mississippi Medical Center Program
University of Missouri- Columbia Program
University of Missouri at Kansas City Program St
Louis University School of Medicine Program
Washington University/B-JH/SLCH Consortium
Program University of Nebraska Medical Center
College of Medicine Program Dartmouth-Hitchcock
Medical Center Program UMDNJ-Robert Wood
Johnson Medical School (Camden) Program St
Barnabas Medical Center Program UMDNJ-Robert
Wood Johnson Medical School Program UMDNJ-New
Jersey Medical School Program Mount Sinai
School of Medicine (St Joseph's Regional Medical
Center) Program University of New Mexico
Program Albany Medical Center Program Albert
Einstein College of Medicine Program Brookdale
University Hospital and Medical Center Program
Maimonides Medical Center Program New York
Methodist Hospital Program SUNY Health Science
Center at Brooklyn Program University at
Buffalo Program Nassau University Medical Center
Program Mount Sinai School of Medicine Program
New York Medical College at St Vincent's Hospital
and Medical Center of New York Program New York
Presbyterian Hospital (Columbia Campus) Program
New York Presbyterian Hospital (Cornell Campus)
Program New York University School of Medicine
Program St Luke's- Roosevelt Hospital Center
Program University of Rochester Program SUNY
Upstate Medical University Program New York
Medical College at Westchester Medical Center
Program University of North Carolina Hospitals
Program Duke University Hospital Program Wake
Forest University School of Medicine Program
University Hospital/University of Cincinnati
College of Medicine Program Case Western Reserve
University (MetroHealth) Program Case Western
Reserve University/University Hospitals of
Cleveland Program Cleveland Clinic Foundation
Program Ohio State University Hospital Program
University of Toledo Program University of
Oklahoma Health Sciences Center Program Oregon
Health Science University Program Penn State
University/Milton S Hershey Medical Center
Program Drexel University College of
Medicine/Hahnemann University Hospital Program
Temple University Hospital Program Thomas
Jefferson University Program University of
Pennsylvania Program Mercy Hospital of Pittsburgh
Program University of Pittsburgh Medical Center
Medical Education Program Western Pennsylvania
Hospital/Temple University Program University of
Puerto Rico Program Medical University of South
Carolina Program University of Tennessee Medical
Center at Knoxville Program Vanderbilt
University Program University of Texas
Southwestern Medical School Program San Antonio
Uniformed Services Health Education Consortium
Program University of Texas Medical Branch
Hospitals Program Baylor College of Medicine
Program University of Texas Health Science Center
Program Texas Tech University (Lubbock) Program
University of Texas Health Science Center at San
Antonio Program Texas AM College of
Medicine-Scott and White Program University of
Utah Program University of Virginia Program
Naval Medical Center (Portsmouth) Program
Virginia Commonwealth University Health System
Program University of Vermont Program University
of Washington Program Virginia Mason Medical
Center Program West Virginia University Program
University of Wisconsin Program
Alabama State Board Of Medical Examiners Alaska
State Medical Board Arizona Medical Board
Arizona Board Of Osteopathic Examiners In
Medicine And Surgery Arkansas State Medical
Board Medical Board Of California Osteopathic
Medical Board Of California Colorado Board Of
Medical Examiners Connecticut Medical Examining
Board Delaware Board Of Medical Practice
District Of Columbia Board Of Medicine Florida
Board Of Medicine Florida Board Of Osteopathic
Medicine Georgia Composite State Board Of Medical
Examiners Guam Board Of Medical Examiners Hawaii
Board Of Medical Examiners Idaho State Board Of
Medicine Illinois Department Of Financial And
Professional Regulation Indiana Professional
Licensing Agency Iowa Board Of Medicine Kansas
Board Of Healing Arts Kentucky Board Of Medical
Licensure Louisiana State Board Of Medical
Examiners Maine Board Of Licensure In Medicine
Maine Board Of Osteopathic Licensure Maryland
Board Of Physicians Massachusetts Board Of
Registration In Medicine Michigan Board Of
Medicine Michigan Board Of Osteopathic Medicine
And Surgery Minnesota Board Of Medical
Practice Mississippi State Board Of Medical
Licensure Missouri State Board Of Registration
For The Healing Arts Montana Board Of Medical
Examiners Nebraska Board Of Medicine And
Surgery Nevada State Board Of Medical Examiners
Nevada State Board Of Osteopathic Medicine
New Hampshire State Board Of Medicine New
Jersey State Board Of Medical Examiners New
Mexico Medical Board Medical Examiners New York
State Board For Medicine (Licensure) New York
State Board For Professional Medical Conduct
(Discipline) North Carolina Medical Board North
Dakota State Board Of Medical Examiners
Northern Mariana Islands State Medical Board
Of Ohio Oklahoma State Board Of Medical Licensure
And Supervision Oklahoma State Board Of
Osteopathic Examiners Oregon Board Of Medical
Examiners Pennsylvania State Board Of Medicine
Pennsylvania State Board Of Osteopathic
Medicine Oard Of Medical Examiners Of Puerto
Rico Rhode Island Board Of Medical Licensure And
Discipline South Carolina Board Of Medical
Examiners South Dakota State Board Of Medical
And Osteopathic Examiners Tennessee Board Of
Medical Examiners Tennessee Board Of Osteopathic
Examination Texas Medical Board Utah Department
Of Commerce Utah Department Of Commerce Vermont
Board Of Medical Practice Vermont Board Of
Osteopathic Physicians And Surgeons Virgin
Islands Board Of Medical Examiners Virginia Board
Of Medicine Washington Medical Quality Assurance
Commission Washington State Board Of Osteopathic
Medicine And Surgery West Virginia Board Of
Medicine West Virginia Board Of Osteopathy
Wisconsin Medical Examining Board Wyoming Board
Of Medicine
American Board of Allergy and Immunology American
Board of Anesthesiology American Board of Colon
and Rectal Surgery American Board of Dermatology
American Board of Emergency Medicine American
Board of Family Medicine American Board of
Internal Medicine American Board of Medical
Genetics American Board of Neurological
Surgery American Board of Nuclear Medicine
American Board of Obstetrics and Gynecology
American Board of Ophthalmology American
Board of Orthopaedic Surgery American Board
of Otolaryngology American Board of
Pathology American Board of Pediatrics
American Board of Physical Medicine and
Rehabilitation American Board of Plastic
Surgery American Board of Preventive Medicine
American Board of Psychiatry and Neurology
American Board of Radiology American Board of
Surgery American Board of Thoracic Surgery
American Board of Urology
University of Alabama School of Medicine
University of South Alabama College of Medicine
A.T. Still University College of Osteopathic
Medicine at Mesa Midwestern University Arizona
College of Osteopathic Medicine University of
Arizona College of Medicine University of
Arkansas for Medical Sciences Loma Linda
University School of Medicine Stanford
University School of Medicine David Geffen
School of Medicine at University of California,
Los Angeles Keck School of Medicine of
University of Southern California Touro
University College of Osteopathic Medicine
University of California, Davis School of
Medicine University of California, Irvine School
of Medicine University of California, San Diego
School of Medicine University of California, San
Francisco School of Medicine Western University
of Health Sciences College of Osteopathic
Medicine of the Pacific Rocky Vista University
College of Osteopathic Medicine University of
Colorado at Denver and Health Sciences Center
School of Medicine University of Connecticut
School of Medicine Yale University School of
Medicine George Washington University School of
Medicine and Health Sciences Georgetown
University School of Medicine Howard University
College of Medicine Florida State University
College of Medicine Lake Erie College of
Osteopathic Medicine at Bradenton Nova
Southeastern University College of Osteopathic
Medicine University of Florida College of
Medicine University of Miami Miller School of
Medicine University of South Florida College of
Medicine Emory University School of Medicine
Medical College of Georgia School of Medicine
Mercer University School of Medicine Morehouse
School of Medicine Philadelphia College of
Osteopathic Medicine - Georgia Campus University
of Hawaii John A. Burns School of Medicine Loyola
University Chicago Stritch School of Medicine
Midwestern University Chicago College of
Osteopathic Medicine Northwestern University
Feinberg School of Medicine Rosalind Franklin
University - Chicago Medical School Rush Medical
College Southern Illinois University School of
Medicine University of Chicago Pritzker School of
Medicine University of Illinois College of
Medicine Indiana University School of Medicine
Des Moines University College of Osteopathic
Medicine University of Iowa Roy J. and Lucille A.
Carver College of Medicine University of Kansas
School of Medicine Pikeville College School of
Osteopathic Medicine University of Kentucky
College of Medicine University of Louisville
School of Medicine Louisiana State University
School of Medicine in New Orleans Louisiana State
University School of Medicine in Shreveport
Tulane University School of Medicine University
of New England College of Osteopathic Medicine
Johns Hopkins University School of Medicine
Uniformed Services University of the Health
Sciences F. Edward Hebert School of Medicine
University of Maryland School of Medicine Boston
University School of Medicine Harvard Medical
School Tufts University School of Medicine
University of Massachusetts Medical School
Michigan State University College of Human
Medicine Michigan State University College of
Osteopathic Medicine University of Michigan
Medical School Wayne State University School of
Medicine Mayo Clinic College of Medicine
University of Minnesota Medical School University
of Mississippi School of Medicine A.T. Still
University Kirksville College of Osteopathic
Medicine Kansas City University of Medicine and
Biosciences College of Osteopathic Medicine Saint
Louis University School of Medicine University of
Missouri-Columbia School of Medicine University
of MissouriKansas City School of Medicine
Washington University School of Medicine
Creighton University School of Medicine
University of Nebraska College of Medicine Touro
University Nevada College of Osteopathic Medicine
University of Nevada School of Medicine Dartmouth
Medical School University of Medicine and
Dentistry of New Jersey - New Jersey Medical
School University of Medicine and Dentistry of
New Jersey - Robert Wood Johnson Medical School
University of Medicine and Dentistry of New
Jersey - School of Osteopathic Medicine
University of New Mexico School of Medicine
Albany Medical College Columbia University
College of Physicians and Surgeons Mount Sinai
School of Medicine New York Institute of
Technology New York College of Osteopathic
Medicine New York Medical College New York
University School of Medicine State University of
New York at Stony Brook School of Medicine State
University of New York Downstate Medical Center
College of Medicine State University of New York
Upstate Medical University Touro College of
Osteopathic Medicine University at Buffalo, The
State University of New York School of Medicine
Biomedical Sciences University of Rochester
School of Medicine and Dentistry Weill Cornell
Medical College of Cornell University Yeshiva
University Albert Einstein College of Medicine
Brody School of Medicine at East Carolina
University Duke University School of Medicine
University of North Carolina School of Medicine
Wake Forest University School of Medicine
University of North Dakota School of Medicine and
Health Sciences Case Western Reserve University
School of Medicine Northeastern Ohio Universities
College of Medicine Ohio University College of
Osteopathic Medicine Ohio State University
College of Medicine University of Toledo College
of Medicine University of Cincinnati College of
Medicine Wright State University Boonshoft School
of Medicine Oklahoma State University Center for
Health Sciences College of Osteopathic Medicine
University of Oklahoma College of Medicine Oregon
Health Science University School of Medicine
Drexel University College of Medicine Jefferson
Medical College of Thomas Jefferson University
Lake Erie College of Osteopathic Medicine
Pennsylvania State University College of Medicine
Philadelphia College of Osteopathic Medicine
Temple University School of Medicine University
of Pennsylvania School of Medicine University of
Pittsburgh School of Medicine Ponce School of
Medicine San Juan Bautista School of Medicine
Universidad Central del Caribe School of Medicine
University of Puerto Rico School of Medicine
Warren Alpert Medical School of Brown University
Medical University of South Carolina College of
Medicine University of South Carolina School of
Medicine Sanford School of Medicine of the
University of South Dakota East Tennessee State
University James H. Quillen College of Medicine
Lincoln Memorial University DeBusk College of
Osteopathic Medicine Meharry Medical College
School of Medicine University of Tennessee
College of Medicine Vanderbilt University School
of Medicine Baylor College of Medicine Texas AM
Health Science Center College of Medicine Texas
Tech University Health Sciences Center School of
Medicine University of North Texas Health Science
Center at Fort Worth Texas College of
Osteopathic Medicine University of Texas Medical
Branch School of Medicine University of Texas
Medical School at Houston University of Texas
Medical School at San Antonio University of Texas
Southwestern Medical School University of Utah
School of Medicine University of Vermont College
of Medicine Eastern Virginia Medical School
Edward Via Virginia College of Osteopathic
Medicine University of Virginia School of
Medicine Virginia Commonwealth University School
of Medicine Pacific Northwest University of
Health Sciences University of Washington School
of Medicine Joan C. Edwards School of Medicine at
Marshall University West Virginia School of
Osteopathic Medicine West Virginia University
School of Medicine Medical College of Wisconsin
University of Wisconsin School of Medicine and
Public Health
NB OME
Certificate of Competence
Residency Program Submits Records Directors
Evaluation
Research Questions
RESIDENCY PROGRAMS
SPECIALTYCERTIFICATION
MAINTENANCE of COMPETENCY
MEDICAL SCHOOLS
LICENSURE
Portfolio
Portfolio
Portfolio (Different Info than Credentialing)
IMG 25 of Residents did not attend Med
Schooland will not have portfolios
Ensure that all pieces of the Health Professional
Formation process are based on GMP-USA, including
med schools, residency programs, credentialing
bodies, facilities and CME
Educate the public on the differences between
accredited and non-accredited facilities
ACCREDITATION OF INSTITUTIONS
Mastery
Lifelong Competence
Minimum Competence