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Acad Med. 2016 May;91(5):624-7. doi: 10.1097/ACM.0000000000001059.

Practice Transformation: Professional Development Is Personal.

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M.P. Ruddy is director of transformative education, Wright Center for Graduate Medical Education (GME), Scranton, Pennsylvania, and assistant professor of family medicine, Commonwealth Medical College and A.T. Still University School of Osteopathic Medicine in Arizona, Mesa, Arizona. L. Thomas-Hemak is president and CEO, Wright Center for GME, and program director for the internal medicine residency, Wright Center, Scranton, Pennsylvania. L. Meade is Macy Faculty Scholar and associate professor of medicine, Tufts University School of Medicine and Baystate Medical Center, Boston, Massachusetts, and director of faculty development, Wright Center for GME, Scranton, Pennsylvania.


Current efforts to achieve practice transformation in our health care delivery system are, for good reason, primarily focused on technical change. Such efforts include meaningful use, population health metrics reporting, and the creation and sustaining of team-based patient-centered medical home delivery sites. If practice transformation is meant to ultimately and fundamentally transform the health care system and its culture to achieve the quadruple aim of better health, better care, affordability, and satisfaction of patients and providers, these technical changes are necessary but not sufficient. Systemic transformation is contingent on the transformation of the individuals who make up the systems. Therefore, if the goal is to authentically transform medical practice in the United States, transformation of those who practice it is also required.

[Indexed for MEDLINE]

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