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Medicine Grand Rounds - Reports from the Field - Lessons Learned from Implementing Dartmouth Principles Across the U.S.

Dr. Walsh presents the role of patient reported outcomes as foundational for the treatment of many conditions. He discusses the importance of collecting self-reported physical and mental health scores in a shared decision-making setting to inform a collaborative treatment plan that is effective for the patient and efficient for the provider. The additional analysis of the feedback process is central to individual providers as well as institutions who are seeking to improve value in the face of a challenging reimbursement environment.

Activity Details

Start Date: February 15, 2019
End Date: February 15, 2021

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

  • Thom Walsh, PhD
    Founder and Chief Strategy Officer, Cardinal Point Healthcare Solutions
    Healthcare Consultant, Navy Bureau of Medicine and Surgery
    Visiting Associate Professor of Community Medicine
    The University of Tulsa
    The Dartmouth Institute for Health Policy and Clinical Practice: Adjunct Faculty

    Thom Walsh, PhD began his career as a Physical Therapist with sub-specialty training as a spine specialist. His clinical career spanned private practice and academic settings, including the development and launch of a multidisciplinary spine center at the Dartmouth-Hitchcock Medical Center. Throughout that time, he was particularly interested in researching patient outcomes and the systems, processes, skills, and policies needed to continually improve them. Dr. Walsh earned an MS in Clinical Evaluative Sciences and a PhD in Health Policy from the Dartmouth Institute for Health Policy and Clinical Practice.
Learning Outcome

Participants will be able to explain how the use of patient-reported measures can enhance the collaborative deliberation of treatment options and will increase efficiency when use in combination with shared decision-making and motivational interviewing; and articulate why the distinctions in simple, complicated and complex systems matter when setting expectations for change.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Reports from the Field - Lessons Learned from Implementing Dartmouth Principles Across the U.S. (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. Dr. Walsh reports no conflicts. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Allurion. 

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
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