Skip to main content
. 2021 Apr 23;13(2 Suppl):96–101. doi: 10.4300/JGME-D-20-00839.1

Table.

Systems-Based Practice Teaching and Assessment Methods and Tools

Citation Teaching Method Assessment Method/Tool
Papademetriou M, Perrault G, Pitman M, et al. Subtle skills: using objective structured clinical examinations to assess gastroenterology fellow performance in system based practice milestones. World J Gastroenterol. 2020;26(11):1221–1230. doi:10.3748/wjg.v26.i11.1221. Teaching through formative feedback based on OSCE assessment. OSCE Milestones assessment with validated checklists used for formative feedback. Domains assessed:

  • “Works effectively within an interprofessional team”

  • “Recognized system error and advocated for system improvement”

  • “Transitions patients effectively within and across health delivery systems”
Dolansky MA, Moore SM, Palmieri PA, Singh MK. Development and validation of the systems thinking scale. J Gen Intern Med. 2020;35(8):2314–2320. doi:10.1007/s11606-020-05830-1. N/A Validated 26-item scale to assess systems thinking
Samala RV, Hoeksema LJ, Colbert CY. A qualitative study of independent home visits by hospice fellows: addressing gaps in ACGME milestones by fostering reflection and self-assessment. Am J Hosp Palliat Care. 2019;36(10):885–892. doi:10.1177/1049909119836218. Reflection and self-assessment during a designated rotation/experience (hospice home care)

  • Self-identified knowledge and skill gaps

  • Implemented self-improvement plans

  • Enhanced teamwork

 Reflection and self-assessment provide a qualitative assessment of SBP knowledge and skills, including teamwork.
Williamson K, Moreira M, Quattromani E, Smith JL. Remediation strategies for systems-based practice and practice-based learning and improvement milestones. J Grad Med Educ. 2017;9(3):290–293. doi:10.4300/JGME-D-16-00334.1. Strategies for remediation of learners struggling with performance in the SBP Milestone domain N/A
Prince LK, Little DJ, Schexneider KI, Yuan CM. Integrating quality improvement education into the nephrology curricular milestones framework and the clinical learning environment review. Clin J Am Soc Nephrol. 2017;12(2):349–356. doi:10.2215/CJN.04740416. Presents a curriculum design with SBP components:

  • Systems-based challenges

  • Design and implementation techniques for system changes

 Assessment of SBP Milestones through performance of multidisciplinary quality improvement projects (knowledge, skills, teamwork)

Abbreviations: OSCE, objective structured clinical examination; SBP, systems-based practice.