PGY 1

PGY2

PGY3

Patient Care

1. Perform a thorough and accurate History and Physical Examination

2. Synthesize data into a problem list and differential diagnosis

3. Formulate a diagnostic and management plan with supervision

4. Prioritize patient problems

5. Recognize need for a higher level of care.

6. Monitor and follow up on patients appropriately

7. Know indications and risks for basic invasive procedures

8. Coordinate inpatient care of patients

9. Facilitate efficient and thorough patient discharges

1. Perform a focused and efficient patient assessment.

2. Triage patients appropriately

3. Independently develop a diagnostic and management plan for patients with complex/multisystem disorders

4. Consider patient preferences in developing a management plan

5. Perform basic invasive procedures

6. Utilize consultants appropriately

7. Effectively lead a ward team

8. Coordinate the outpatient care of a patient with their hospitalization

1. Function as an internal medicine consultant

2. Integrate clinical judgment with medical knowledge

3. Competently perform and teach/supervise  basic invasive procedures

4. Reason well in ambiguous situations

5. Function as a team leader for the integrated care of patients

Medical Knowledge

1. Have knowledge of pathophysiology underlying common clinical presentations

2. Solid working knowledge of common clinical presentations in General Medicine

3. Apply knowledge to the diagnosis and therapy of common general medicine illnesses and diseases

1. Continue to build a knowledge base for illnesses and diseases seen in general medicine

2. Begin to build a working knowledge of  common clinical presentations in major subspecialties

3. Demonstrate basic knowledge of epidemiologic and socio-behavioral sciences

4. Begin to develop a routine for the acquisition of new knowledge in internal medicine

1. Refine knowledge of medical subspecialties

2. Expand knowledge base in medical fields other  than internal medicine

3. Conduct teaching sessions on medical topics

4. Regularly approach  medical knowledge resources to acquire new knowledge in internal medicine

Practice Based Learning

1. Develop a clinical question

2. Use electronic literature  to learn about patient problems and management

3. Willing to learn from errors

4. Self-motivated to acquire knowledge

5. Accept feedback and develop self-improvement plan

6. Understand principles of quality improvement and patient safety measures

7. Understand basics of critical review of the literature

1. Facilitate the learning of others

2. Uses information technology to answer clinical questions

3. Demonstrate ability to select a quality improvement project based on personal clinical experience

4. Respond appropriately to clinical feedback from own patient population

5. Use systematic approach to reduce errors

6. Apply evidence based approach to patient management

1. Analyze own practice for needed improvement

2. Apply research and statistical methods to clinical medicine

3. Demonstrate proficiency in evidence based clinical  practice

4. Demonstrate appropriate use of practice guidelines

5. Teach evidence based approach to medical care

Communication

1. Patient write ups, admission notes and presentations are accurate, organized  and succinct

2. Cultivate effective listening skills

3. Deliver “bad news” effectively and empathically

4. Set an agenda for a patient visit

1. Conduct a family conference to discuss goals of care

2. Dictate succinct, useful and timely discharge summaries

3. Provide education and counseling to patients and families

4. Communicate4 with nursing and other ancillary staff on patient care matters

5. Communicate effectively with consultants

1. Sensitive to cultural differences

2. Use interpreters effectively

3. Use motivational skills to help patients change behaviors

4. Interact and communicate with local public health resources

Professionalism

1. Demonstrate respect and compassion

2. Demonstrate commitment to ethical principles

3. Demonstrate honesty, reliability, cooperation and acceptance of responsibility

4. Complete administrative duties in a timely fashion

1. Establish sense of responsibility for patient population (panel of clinic patients)

2. Work effectively with consultants

3. Appreciate personal  limitations

4. Respect patient autonomy

1. Develop conflict management skills

2. Appreciate social responsibilities of profession

3. Appreciate the different aspects of the business of running a medical practice

Systems Based Practice

1. Patient advocacy

2. Able to access appropriate resources for patients

3. Work effectively as member of a multidisciplinary health care team

4. Utilize good infection control practices

5. Practice medicine reconciliation

1. Participate in developing approaches to improve local systems of care

2. Recognize importance of patient safety

3. Basic knowledge of delivery systems

4. Partner with health care managers

5. Recognize the physicians' role in disaster and public health emergencies

6. Integrate patient safety initiatives into the ward team care of patients

1. Demonstrate appreciation of cost effective care

2. Practice effective allocation and stewardship of resources

3. Participate effectively in efforts to maximize patient safety

4. Practice appropriate billing and coding

5. Have an understanding of hospital medical staff functions

6. Recognize unsafe patient care practices and bring them to the attention of the appropriate hospital and medical staff resources