UC San Diego PACE outlines how physician assessments and remediation work; board probes recidivism and scope

Summary

UC San Diego's PACE program told the Medical Board of California how it assesses clinical competence and fitness for duty, and described post-assessment remediation and mentoring services. Board members pressed PACE staff about recidivism, eligibility for allied professionals and how assessments translate to workplace performance.

UC San Diego's PACE program described to the Medical Board of California on Aug. 20 how it conducts clinical competence assessments, fitness-for-duty evaluations and remedial education for referred physicians.

PACE director of administration Peter Bull told the board the program uses a hybrid assessment model that combines remote review of records with one-to-two-day on-site evaluation in San Diego. Assessments are framed against the ACGME/ABMS six core competencies — patient care and procedural skills, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice — and may include chart-stimulated recall, standardized patient encounters and multidisciplinary case conferences, Bull said.

Bull described PACE's four-category rating scale. Category 1 indicates performance consistent with safe practice; category 2 indicates minor, non-safety-relevant deficits; category 3 identifies broad-based…

UC San Diego PACE outlines how physician assessments and remediation work; board probes recidivism and scope

Summary

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