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Chronic condition self-management support: proposed competencies for medical students

Flinders Human Behaviour and Health Research Unit, Margaret Tobin Centre, Flinders University, GPO Box 2100, Adelaide, SA 5001

Malcolm W. Battersby

Flinders Human Behaviour and Health Research Unit, Margaret Tobin Centre, Flinders University, GPO Box 2100, Adelaide, SA 5001, malcolm.battersby{at}flinders.edu.au

Martha Regan-Smith

Centre for Leadership and Improvement, The Dartmouth Institute for Health Policy and Clinical Practice Dartmouth College, HB 7251, 30 Lafayette Street, Lebanon, N.H. 03766

Mignon J. Markwick

Flinders Human Behaviour & Health Research Unit (2003-2006), Margaret Tobin Centre, Flinders University, GPO Box 2100, Adelaide, SA 5001

John Lawrence

J Lawrence and Associates, Churches of Christ Life Care, Former- Flinders Human Behaviour and Health Research Unit, Margaret Tobin Centre, Flinders University, GPO Box 2100, Adelaide, SA 5001

Kirsten Auret

UWA Rural Clinical School, 48 Frederick Street, Albany, WA 6330

Jan Carter

Former-School of Medical Practice & Population Health, University of Newcastle, Faculty of Health, Upper Level, Bowman Building, Callaghan NSW 2308

Andrew Cole

Rehabilitation Department, St George Hospital, Kogarah, NSW 2217

Peter Disler

Bendigo Regional Clinical School, Monash University School of Rural Health, Office of Head of School, PO Box 666, Bendigo, Victoria 3552

Craig Hassed

Monash University, Department of General Practice, Building 1, 270 Ferntree Gully Rd, Notting Hill, Victoria 3168

Clare McGuiness

Tuggeranong Medical Centre, ACT, Academic Unit of General Practice & Community Health, Australian National University

Hung Nguyen

Northern Territory General Practice Education, PO Box u179, Casuarina NT 0810

Objective: Governments and the medical profession are concerned that there continues to be less than optimal health outcomes despite escalating expenditure on health services from the effect of the ageing population with chronic illnesses. In this context, doctors will need to have knowledge and skills in effective chronic condition management (CCM) and chronic condition self-management (CCSM).

Method: A national workshop of representatives of eight medical schools from the CCSM special interest group (SIG) of the Australian and New Zealand Association on Medical Education met in September 2004, to consider curriculum content in CCM and CCSM.

Results: The workshop recommended that the Committee of Deans of Australian Medical Schools and the Commonwealth Department of Health and Ageing consider the identification and possible development of a specific curriculum for CCM and CCSM within the curricula of Australian Medical Schools.

Discussion: Consideration needs to be given to the changing nature of medical practice and that as part of this; doctors of the future will need skills in team participation, continuity of care, self-management support and patient-centered collaborative care planning. Doctors will also need skills to assist patients to better adhere to medical management, lifestyle behaviour change and risk factor reduction, if optimal health outcomes are to be achieved and costs are to be contained.

Key Words: Chronic condition management • Self-management • Medical curriculum • Chronic illness

Chronic Illness, Vol. 5, No. 1, 7-14 (2009)
DOI: 10.1177/1742395308098888


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