About CPFS
Medical graduates are highly trained and skilled in basic and clinical sciences. However, the skills for effective and effortless clinical practice require understanding, learning and developing several additional clinical practice elements. These elements include health system sciences relevant to clinical practice; medical record documentation skills that meet the requirements of clinicians, patients, and health systems; relevant coding, and billing practices; quality, safety, and patient experience domains; plus other topics.
My (Dr. Dev Mannuru) clinical experience and research studies have noted that learners, physicians, and clinicians entering into clinical practice struggle to excel in the first year because they are entering an unknown territory of the U.S. health systems sciences and clinical practice expectations. Many clinicians have noted their inability to deliver effective care to their fullest potential, expressed frustrations towards the health systems sciences demands, burnout, and sometimes wanting to quit clinical practice.
International medical graduates (IMGs), especially graduates without clinical rotations in the US, lack an understanding of the U.S. health system sciences and clinical expectations. During residency, this gap has prevented international medical graduates from being able to perform to their fullest potential. Personal consequences include being seen as sub-optimal in patient care, system-based practice, and interpersonal communication. It has also led to residents not having the time to promptly channel their energy, and focus on well-being and future. At times, it has led to residents losing confidence in their skills, experiencing burnout, leaving or being asked to leave the residency programs. It is worth nothing that U.S. medical graduates experience the mentioned consequences as residents to a certain degree.
Advance practice registered nurse and physician assistant team members play a crucial role in specialty practice teams, particularly in post procedural patient care and medical record documentation. Understanding the U.S. healthcare system and clinical practice expectations is vital to ensure they can effectively execute their patient care duties and meet the system’s expectations.
Physicians who start their clinical practice often lack the necessary onboarding around U.S. healthcare system and clinical practice expectations. This gap can lead to a limited understanding and execution of patient care, contributing to high clinician burnout and frustration.
Health care systems’ performance and reimbursements, and CMS star ratings are dependent on the care delivered by clinicians at the bedside and the complete and accurate capture of these details. National health registry data also depends on the accurate capture of patient care details.
Patients, at times, have noted incomplete or inaccurate representation of their illnesses in medical records and/or have experienced inadvertent safety-related events. Some of these aspects directly result from clinicians lacking relevant health systems sciences and clinical practice knowledge. Inaccurate representation of an institution’s performance around quality and safety in public reporting domains can impact patients’ choice to seek care at an institution. Patients frequently suffer from incomplete and inaccurate risk adjustment factor (RAF) calculations and healthcare payments.
Physicians, APP/PAs, residents, fellows, and medical students participate in institutional onboarding sessions. Education and skill guidance on the topics mentioned can be varied and, at times, offered by non-physician/clinician members.
CPFS empowers clinicians with tailored training courses and guidance
Copyright © 2025 Clinical Practice Foundation Skills LLC | Website by Acorn Design Studio
