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Chronic condition self-management support: proposed competencies for medical students
Rene G. Pols
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
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Chronic Illness, Vol. 5, No. 1,
7-14 (2009)
DOI: 10.1177/1742395308098888
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