Continuing Competence: An Initiative to Measure and Inform

  • 06 Apr 2100
  • Virtual - at your desktop



This session provides an overview of an ongoing national dialogue among interested stakeholders (including representatives from medical professional and academic communities, state licensing authorities, accrediting agencies, employers, providers, hospitals, and the public) addressing how the healthcare system will determine, measure, evaluate and assure the public about a physician’s competence throughout his or her professional career. 

Following a brief introduction by the facilitator to the National Alliance for Physician Competence, three participants will provide perspectives on the importance and challenges of this initiative from professional, regulatory and public vantage points.  Sample topics to be covered include a shared definition and framework for physician competence (Good Medical Practice – USA:, the shifting notion of competence for the medical practitioner, and challenges in introducing cultures of transparency and lifelong learning and improvement.

Melanie B. Brim is the Director of the Bureau of Health Professions, Michigan Department of Community Health. Melanie has been with the Bureau of Health Professions since June 2000 serving first as the Licensing Division Director and as Director of the Bureau for the past 6 years.  As an umbrella agency, the Bureau is responsible for 25 health profession boards with approximately 400,000 licensees. Melanie has been involved in the implementation of a new continuous professional development model as an alternative to traditional continuing education activities and as well as other initiatives related to continuing competency.  She has been involved with the National Alliance for Physician Competency since its inception. Melanie is a graduate of Indiana University, Indianapolis, Indiana, where she received her B.S. in Medical Record Administration and her Master of Health Administration (MHA).

Norman Kahn serves as Executive Vice-president and Chief Executive Officer of the Council of Medical Specialty Societies (CMSS). CMSS represents 32 medical specialty societies with an aggregate membership of over 500,000 physicians. He is Board Certified in Family Medicine and Geriatrics. Dr. Kahn has served on the Accreditation Council for Continuing Medical Education, where he chaired the Task Force that revised the Standards for Commercial Support of CME. Dr. Kahn serves on the National Steering Committee, and Co-chairs the National Advisory Committee of the Improving Performance in Practice (IPIP) project, funded by the Robert Wood Johnson Foundation to the American Board of Medical Specialties (ABMS). He also represents CMSS to the Physicians Consortium for Performance Improvement (PCPI), and to the National Quality Forum (NQF).

Rosemary Gibson is a Senior Program Officer at the Robert Wood Johnson Foundation.  She led a national strategy to improve end-of-life care and establish palliative care in mainstream health care.  Working with physician and nurse leaders, she was instrumental in launching faculty development programs in palliative care, revising medical and nursing textbooks, expanding palliative care-related content on the medical and nursing licensing exams, and initiating a series in JAMA, “Perspective on Care at the Close of Life.”  She worked with Bill Moyers and Public Affairs Television on the PBS documentary, “On Our Terms,” about how the health care system can better care for terminally ill patients.  Earlier in her career, Gibson served as a Senior Research Associate at the American Enterprise Institute, a Washington, DC-based public policy organization; as Vice President of the Economic and Social Research Institute, a policy think tank; and as a consultant to the Medical College of Virginia and the Virginia state legislature’s Commission on Health Care. She is a graduate of Georgetown University and has a master’s degree from The London School of Economics.

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