Importance and fitness of family medicine milestone project from America to Taiwan
Abstract Background The six core competencies of ACGME - patient care (PC), medical knowledge (MK), systems-based practice (SBP), practice-based learning and improvement (PBLI), professionalism (PROF), and interpersonal and communication skills (ICS) - represent domains in which physicians must ulti...
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BMC
2025-01-01
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| Online Access: | https://doi.org/10.1186/s12909-025-06699-6 |
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| author | Shih-Ming Li Yaw-Wen Chang Ming-Nan Lin Chi-Wei Lin Chyi-Her Lin Cheng-Chieh Li Ming-Hwai Lin Yin-Fan Chang Zih-Jie Sun Fang-Yih Liaw Jaw-Shiun Tsai Shinn-Jang Hwang Li-Kuang Chen Jin-Shang Wu |
| author_facet | Shih-Ming Li Yaw-Wen Chang Ming-Nan Lin Chi-Wei Lin Chyi-Her Lin Cheng-Chieh Li Ming-Hwai Lin Yin-Fan Chang Zih-Jie Sun Fang-Yih Liaw Jaw-Shiun Tsai Shinn-Jang Hwang Li-Kuang Chen Jin-Shang Wu |
| author_sort | Shih-Ming Li |
| collection | DOAJ |
| description | Abstract Background The six core competencies of ACGME - patient care (PC), medical knowledge (MK), systems-based practice (SBP), practice-based learning and improvement (PBLI), professionalism (PROF), and interpersonal and communication skills (ICS) - represent domains in which physicians must ultimately demonstrate competence. Although the ACGME’s six core competencies have been applied in Taiwan with the milestone project, the application of the six core competences in the Family Medicine milestones for residency training have not yet been established. Methods We recruited 61 family medicine physicians from 25 hospitals from four major geographic areas for a Delphi round one survey and 72 physicians from 27 hospitals for a Delphi round two survey. With 5-point scales, the Cronbach’s alphas for both importance and fitness were 0.98 in round one. In round two, the Cronbach’s alphas were 0.86 and 0.83 for importance and fitness. The mode and quartile deviation in Delphi method, importance-performance analysis (IPA), and importance-performance matrix analysis (IPMA) were used for three stages IPA process. Results In IPA, a total of 72.7% (16/22) of the sub-competencies exhibited high importance and fitness, with a mean score ≥ 4.7; the exceptions were PC-1 (cares for acutely ill or injured patients), MK-2 (critical thinking skills in patient care), SBP-1 (cost-conscious medical care), PBLI-3 (improves systems), PROF-3 (humanism/cultural proficiency), and ICS-4 (utilizes technology). In IPMA, the performance value of six core competencies for FMM-Taiwan was 92.6 when considering the importance and fitness indices of the 22 sub-competencies. Conclusions The accordance of the ACGME’s milestones to Taiwan was acceptable to good and related milestones could been developed for residency training. |
| format | Article |
| id | doaj-art-d9165bccde6b4284b357a2f5ce393c58 |
| institution | Kabale University |
| issn | 1472-6920 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Medical Education |
| spelling | doaj-art-d9165bccde6b4284b357a2f5ce393c582025-01-26T12:38:56ZengBMCBMC Medical Education1472-69202025-01-0125111010.1186/s12909-025-06699-6Importance and fitness of family medicine milestone project from America to TaiwanShih-Ming Li0Yaw-Wen Chang1Ming-Nan Lin2Chi-Wei Lin3Chyi-Her Lin4Cheng-Chieh Li5Ming-Hwai Lin6Yin-Fan Chang7Zih-Jie Sun8Fang-Yih Liaw9Jaw-Shiun Tsai10Shinn-Jang Hwang11Li-Kuang Chen12Jin-Shang Wu13Department of Counseling and Clinical Psychology, National Dong Hwa UniversityDepartment of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical CenterDepartment of Family Medicine, Dalin Tzu Chi HospitalDepartment of Family Medicine, E-Da Hospital, I-Shou UniversityDepartment of Pediatrics, E-Da Hospital, I-Shou UniversityDepartment of Psychology, School of Education Science, Minnan Normal UniversityDepartment of Family Medicine, Taipei Veterans General HospitalDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDepartment of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical CenterDepartment of Family Medicine, College of Medicine and Hospital, National Taiwan UniversityDepartment of Family Medicine, Taipei Veterans General HospitalInstitute of Gerontology, College of Medicine, National Cheng Kung UniversityDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityAbstract Background The six core competencies of ACGME - patient care (PC), medical knowledge (MK), systems-based practice (SBP), practice-based learning and improvement (PBLI), professionalism (PROF), and interpersonal and communication skills (ICS) - represent domains in which physicians must ultimately demonstrate competence. Although the ACGME’s six core competencies have been applied in Taiwan with the milestone project, the application of the six core competences in the Family Medicine milestones for residency training have not yet been established. Methods We recruited 61 family medicine physicians from 25 hospitals from four major geographic areas for a Delphi round one survey and 72 physicians from 27 hospitals for a Delphi round two survey. With 5-point scales, the Cronbach’s alphas for both importance and fitness were 0.98 in round one. In round two, the Cronbach’s alphas were 0.86 and 0.83 for importance and fitness. The mode and quartile deviation in Delphi method, importance-performance analysis (IPA), and importance-performance matrix analysis (IPMA) were used for three stages IPA process. Results In IPA, a total of 72.7% (16/22) of the sub-competencies exhibited high importance and fitness, with a mean score ≥ 4.7; the exceptions were PC-1 (cares for acutely ill or injured patients), MK-2 (critical thinking skills in patient care), SBP-1 (cost-conscious medical care), PBLI-3 (improves systems), PROF-3 (humanism/cultural proficiency), and ICS-4 (utilizes technology). In IPMA, the performance value of six core competencies for FMM-Taiwan was 92.6 when considering the importance and fitness indices of the 22 sub-competencies. Conclusions The accordance of the ACGME’s milestones to Taiwan was acceptable to good and related milestones could been developed for residency training.https://doi.org/10.1186/s12909-025-06699-6Family medicineDelphi methodImportance-performance analysisImportance-performance-matrix analysis |
| spellingShingle | Shih-Ming Li Yaw-Wen Chang Ming-Nan Lin Chi-Wei Lin Chyi-Her Lin Cheng-Chieh Li Ming-Hwai Lin Yin-Fan Chang Zih-Jie Sun Fang-Yih Liaw Jaw-Shiun Tsai Shinn-Jang Hwang Li-Kuang Chen Jin-Shang Wu Importance and fitness of family medicine milestone project from America to Taiwan BMC Medical Education Family medicine Delphi method Importance-performance analysis Importance-performance-matrix analysis |
| title | Importance and fitness of family medicine milestone project from America to Taiwan |
| title_full | Importance and fitness of family medicine milestone project from America to Taiwan |
| title_fullStr | Importance and fitness of family medicine milestone project from America to Taiwan |
| title_full_unstemmed | Importance and fitness of family medicine milestone project from America to Taiwan |
| title_short | Importance and fitness of family medicine milestone project from America to Taiwan |
| title_sort | importance and fitness of family medicine milestone project from america to taiwan |
| topic | Family medicine Delphi method Importance-performance analysis Importance-performance-matrix analysis |
| url | https://doi.org/10.1186/s12909-025-06699-6 |
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