ABPLM's Results of National Surveys on the Job Task Analysis of Medical Directors and Attending Physicians in PALTC Settings

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Thomas Edmondson, MD, CMD; Siddiq Kassam, MS; Steven Levenson, MD, CMD; Jeffrey Burl, MD, CMD

Physicians are encountering patients in PALTC settings (skilled nursing facilities, home health care, assisted living facilities, etc.) who are very complex and unstable upon admission and thereafter, and the roles of the attending physician and medical director have evolved over the past several decades, leading to an opportunity to better define the roles, functions, tasks, and knowledge of the attending physician and medical director in current settings. The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) has recently sponsored the development of Job Task Analyses (JTA) for both the Certified Medical Director (CMD) and attending physician (AP). A JTA serves as a building block for a variety of professional development or organizational processes such as developing a test specification for an exam, a job description, or even a talent assessment program. The function of a JTA is to determine the core tasks conducted by a profession such as an AP, as well as the knowledge that is required to perform each task. These tasks and knowledge statements are turned into statements that are reviewed by the profession as a whole through the use of a national survey. This overall process allows us to determine the similarities and differences among professions by seeing which task or knowledge statements are required by an AP as well as which statements are rated as more important or are done more often. Through this method, we have been able to quantitatively and qualitatively differentiate the professions of a CMD and AP while beginning the exam development/revision process.