Larrie Greenberg, Steven Z. Miller, William V. Razka, and William G. Wilson, for the FMCR Pre-Clerkship Collaborative Working Group. George Washington University, Columbia University, University of Vermont, University of Virginia.
A new draft curricular resource, funded by a grant from the Division of Medicine and Dentistry, Bureau of Health Professions, Health Resources and Services Administration (HRSA) to the Society of Teachers of Family Medicine, is being developed that addresses proposed competencies to be attained by all students prior to entering the core clerkships. This draft resource, which is tied to the six ACGME competencies, will also address special topic areas of: 1) genetics; 2) oral health; 3) geriatrics; 4) end-of-life and palliative care; 5) informatics; 6) Healthy People 2010 objectives; 7) substance abuse, including mental health, 8) bioterrorism; and 9) core problems in family medicine. It provides an overarching conceptual framework for the continuum of medical student education and residency training combined with a flexible menu of resources with varying levels of detail depending on the user's needs. Teams of experts in clinical teaching and curriculum design from pediatrics, family medicine and internal medicine have been assembled through the project's Preclerkship Collaborative Workgroup to critically review and specify prerequisite competencies essential to effective learning in the core clerkships. Priority areas for curriculum revision have been identified by the workgroup in the draft resource. These areas were validated through an independent survey of clerkship directors. The workgroup has developed curricular resources aimed at assisting educators in teaching preclerkship students within the context of the six domains addressed by the ACGME competencies.