Caring with Compassion, Domain 1: U.S. Public Healthcare Systems

Caring with Compassion provides core background information to support clinical care for homeless, underserved, uninsured, and at-risk populations. Graduate medical training programs must train clinicians who are adept in providing care within the complex U.S. health insurance system and who can meet the needs of medically uninsured patients.

Indeed, teaching hospitals often provide essential services to patients who are uninsured or dependent upon public insurance. The Association of American Medical Colleges has documented the disproportionate share of care for the uninsured that is provided by teaching hospitals.

Despite the importance of health systems knowledge, most physicians entering U.S. GME programs have little formal training in health systems, including health insurance. GME is further challenged by the learning needs of international medical graduates with neither personal experience nor formal training regarding U.S. national health systems.

Therefore, GME programs must commonly address learner knowledge deficits regarding the U.S. health system. Caring with Compassion was designed by an interdisciplinary team of educators from the fields of medicine, nursing, and social services. The team identified practical knowledge objectives using an iterative, expert consensus approach. Content validity was addressed by incorporating national internal medicine milestones and feedback from national educational leaders.

“Caring with Compassion: The Knowledge and Skills You Need to Serve At-Risk Populations” responds to the identified national and local needs with a structured, concise educational approach. This content is designed for graduate medical learners, advanced medical students, and nurse practitioners.

All learners who complete the didactic material can achieve the identified knowledge objectives. Caring with Compassion is divided into 2 major content domains: Domain 1 provides an overview of U.S. public healthcare systems; Domain 2 presents the bio-psychosocial model of healthcare and special care needs of underserved populations. This submission includes the content for Domain 1: U.S. Public Healthcare Systems. Domain 2 is separately published by MedEdPORTAL.

Type Website
CME Available No
Cost Free


Must be registered with MedEd Portal

Date of Resource 2014

Genomic Competencies

Experts from the disciplines listed below have tagged this resource as fulfulling genomic competencies.

Genetic Counselor

  • Professional Development & Practice
    • 22:   Accept responsibility for one's physical and emotional health as it impacts on professional performance.
      • 22c:   Demonstrate familiarity with the health care system as it relates to genetic counseling practice including relevant privacy regulations, referral and payment systems.
      • 22d:   Demonstrate effective interaction with other professionals within the healthcare infrastructure to promote appropriate and equitable delivery of genetic services.