Competencies Curriculum Domain V: Personal Professional Development in PALTC

This is Domain V of V of AMDA - The Society for Post-Acute and Long-Term Care Medicine's Competencies Curriculum for Attending Physicians Practicing in Post-Acute and Long Term Care.

See below for information on content included in Domain V, taking the Competencies Curriculum, learning objectives, faculty, and more.

Domain V Content:

Section 5.1 Developing a Personal Professional Development Plan

This section reviews developing a continuous professional development plan focused on post-acute and long-term care (PALTC) medicine, utilizing relevant opportunities from professional organizations (AMDA, AGS, AAFP, ACP, SHM, AAHPM) licensing requirements (state, national, province) and maintenance of certification programs.

  • Identify physician performance expectations based on various resources including but not limited to regulatory requirements, facility policies, and professional standards for practicing in the skilled nursing facility/nursing facility (SNF/NF) and other PALTC settings.
  • Develop a self-assessment and feedback process (peers, medical directors, staff, performance and outcomes data etc.) to facilitate recognition of areas and opportunities of professional improvement.
  • List resources that are relevant to PALTC practice that facilitate professional development.
  • Create a personal professional development plan that identifies resources and uses feedback from diverse sources.

Section 5.2 Utilizing Quality-Related Information to Improve Care

This module discusses utilizing data (e.g. PQRS indicators, MDS data, patient satisfaction) to improve care of their patients/residents.

  • Describe the sources of, basis for, limitations, and implications of data on processes and patient outcomes.
  • Interpret data on process and patient outcomes e.g. PQRS measures, patient satisfaction survey, MDS quality Indicators, ACOVE indicators).
  • Utilize relevant information, including but not limited to data, to improve processes of care and patient outcomes.

Section 5.3 Using Patient Outcomes to Improve Practice

This module presents content about striving to improve personal practice and patient/resident results by evaluating patient/resident adverse events and outcomes (e.g. falls, medication errors, healthc are acquired infection, dehydration, return to hospital).

  • Identify positive and adverse outcomes in individual patients and their impact on facility risk and compliance.
  • Develop a plan to anticipate, prevent, and monitor for events related to medical care and treatments.
  • Analyze how physician performance and practices can lead to positive and negative outcomes for the patient and the facility.
  • Design a personal and professional improvement plan based on the analysis of positive and adverse events and outcomes.


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More information:

Taking the Competencies Curriculum

The Competencies Curriculum is divided into five domains. While participants are encouraged to take the entire curriculum, individuals may choose to take domains as they please, in any order. Participants have 60 days (from enrollment) to complete each Domain.

Credit Information

Physician CME

AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians. The Society designates this activity, Domain II: Medical Care Delivery Process for a maximum of 1 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.


This self-study activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.0 management hour toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

Maintenance of Certification (MOC)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points and medical knowledge and patient safety credit MOC credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.


The following AMDA Education Committee members have financial relationships to report: Eric G. Tangalos, MD, CMD – Lilly, Pfizer: Consultant; Omnicare: P&T Committee Chair; all others have no relationships to disclose. The AMDA Competency Curriculum workgroup and faculty have no relationships to disclose. AMDA staff have no financial relationships to disclose.

System Requirements

To participate in the online curriculum, you must have the following system requirements:

  • Adobe Flash Plug-in
  • Internet Explorer 9+, Mozilla Firefox, Google Chrome, Safari
  • Broadband Internet connection
  • Also compatible with iOS and Android based tablets