Patients, Professionalism and Public Health

  • Demonstrate appropriate communication skills while obtaining the medical history and taking vital signs, including the social and spiritual factors that affect a patient’s experience of illness.
  • Recognize the role that culture, identity and community play in health and health care both at a systemic and individual level.
  • Identify and demonstrate effective methods for giving and receiving feedback.
  • Justify an interdisciplinary team approach to health care and effectively communicate your role to patients, families and other team members.
  • Apply key ethical principles and approaches to confidentiality, the use of health records and common clinical scenarios.
  • Describe how upstream determinants impact health generally and as applied to patients with diabetes and opioid use disorders.
  • Describe importance of scientific inquiry and the role of epidemiology as a basic science for medical research, evidence-based clinical practice, and public health practice.
  • Describe strategies to identify and address community health needs and health disparities.
  • Explain the basic features of the U.S. health care and public health systems.
  • Justify the dual roles that physicians play in advocating for both individual and population health.
  • Demonstrate professional behaviors that foster positive relationships and explain how a lack of these behaviors can negatively impact learning and patient care.
  • Identify areas for personal improvement and set goals to affect change in those areas, tracking progress toward attainment of goals
    Demonstrate effective teaching when instructing peers.
  • Integrate concepts across multiple domains using guided inquiry to identify gaps in knowledge and find appropriate resources to address those gaps.
  • Describe fundamental basic science concepts related to tissue and tissue injury and demonstrate appropriate techniques in the dissection of the skin and breast.
  • Describe how wellness and learning through reflection impact a physician’s ability to care for patients.

Body in Balance

  • Describe hematopoiesis and normal red blood cell biology, composition and function, and describe the underlying pathologic processes, clinical features, and management of anemias.
  • Describe the normal structure and function of the cardiac system.
  • Describe the underlying pathologic processes, clinical features and management of disorders of the cardiac system.
  • Describe the normal structure and function of the vascular system.
  • Describe the underlying pathologic processes, clinical features and management of disorders of the vascular system.
  • Describe normal platelet biology including the role of platelets in hemostasis and thrombosis, and describe the underlying pathologic processes, clinical features and management of various thrombotic and bleeding disorders.
  • Describe the normal structure and function of the respiratory system.
  • Describe the underlying pathologic processes, clinical features and management of disorders of the respiratory system.
  • Describe the normal structure and function of the renal system.
  • Describe the underlying pathologic processes, clinical features and management of disorders of the renal system.
  • Describe normal acid-base balance and the normal handling of water and electrolytes.
  • Describe the underlying pathologic processes, clinical features and management of acid-base disturbances and water and electrolyte imbalances.
  • Describe basic principles of pharmacology and pharmacokinetics.
  • Describe and critique various approaches for generating a differential diagnosis.
  • Analyze and critique study design and issues of interpretation in clinical research, analyze biostatistics reported in clinical trials and describe an overarching framework for evidence-based medicine.
  • Demonstrate appropriate clinical skills in the evaluation of cardiovascular and pulmonary conditions.
  • Analyze principles of screening and interpretation of diagnostic test results.
  • Explain the importance of stewardship and the ethical implications of rationing and the right of refusal of care in the health care system.
  • Demonstrate effective teaching when instructing peers.
  • Identify and demonstrate effective methods for giving and receiving feedback.
  • Demonstrate professional behaviors that foster positive relationships and explain how a lack of these behaviors can negatively impact learning and patient care.
  • Identify areas for personal improvement and set goals to affect change in those areas, tracking progress toward attainment of goals.
  • Integrate concepts across multiple domains using guided inquiry to identify gaps in knowledge and find appropriate resources to address those gaps.
  • Provide examples of how the social determinants of health affect individuals, families and communities, thus contributing to health disparities.
  • Demonstrate behavior that fosters effective communication and collaborative relationships with an interprofessional team while respecting diverse perspectives and roles.
  • Provide examples and explain outcomes of clinical practices and public health programs that aim to reduce detrimental environmental exposures in order to educate and protect patients and populations.
  • Describe key concepts related to health care costs and health care payers in the U.S.

Food, Fasting and Fitness

  • Describe the underlying risk factors, pathologic processes, clinical features, prevention and management of macro- and micro-nutrient deficiency and toxicity and malnutrition throughout the life cycle.
  • Describe the normal structure and function of the digestive system.
  • Describe the underlying pathologic processes, clinical features, and management of disorders of the digestive system.
  • Describe the role of endocrine and biochemical pathways in normal metabolism and describe the underlying pathologic processes, clinical features, prevention and management of disorders of metabolism, including diabetes, obesity and obesity-related diseases.
  • Describe the normal role of the various endocrine regulators of metabolism (including thyroid hormone, glucocorticoids and growth hormone) and describe the underlying pathologic processes, clinical features and management of disorders of these hormone systems.
  • Discuss the role of exercise and fitness in health and disease prevention.
  • Explain the mechanisms of removal of waste and toxins and how these enable accurate diagnosis and guide pharmacologic treatment.
  • Identify and demonstrate effective methods for giving and receiving feedback.
  • Demonstrate professional behaviors that foster positive relationships and explain how a lack of these behaviors can negatively impact learning and patient care.
  • Identify areas for personal improvement and set goals to affect change in those areas, tracking progress toward attainment of goals.
  • Demonstrate effective teaching when instructing peers.
  • Integrate concepts across multiple domains using guided inquiry to identify gaps in knowledge and find appropriate resources to address those gaps.
  • Describe how the health of a community can be assessed, including the contributors to and impact of health disparities.
  • Explain the importance partnering with communities and describe the physician’s role as an advocate in promoting the health of patients, families and communities.
  • Demonstrate appropriate clinical skills in the evaluation of nutritional, gastrointestinal and metabolic conditions, including the basics of informed consent and the use of the electronic medical record.
  • Describe the importance of quality improvement and patient safety in health care systems and demonstrate behavior that fosters effective communication and collaborative relationships with an interprofessional team.
  • Discuss the roles of scientific inquiry and evidence-based medicine in advancing knowledge to improve patient care and population health.
  • Demonstrate communication skills that accommodate varying levels of health literacy and that facilitate relationship-building.
  • Discuss concepts related to cost effectiveness in health care.

Human Family Tree

  • Identify and demonstrate effective methods for giving and receiving feedback.
  • Demonstrate professional behaviors that foster positive relationships and explain how a lack of these behaviors can negatively impact learning and patient care.
  • Identify areas for personal improvement and set goals to affect change in those areas, tracking progress toward attainment of goals.
  • Demonstrate effective teaching when instructing peers.
  • Integrate concepts across multiple domains using guided inquiry to identify gaps in knowledge and find appropriate resources to address those gaps.
  • Describe how the normal innate and adaptive immune responses function and interact to promote microbial defense and repair of tissue injury.
  • Apply knowledge of skin structure and function, innate and adaptive immunity and microbiology to the explain the mechanisms, clinical and laboratory findings and treatments of dermatologic disorders and neoplasia.
  • Apply basic knowledge of pathogenic and commensal microorganisms to explain the biologic mechanisms, clinical and laboratory features and potential therapeutic approaches to infectious diseases and syndromes.
  • Apply knowledge of the normal immune system to explain the biologic mechanisms, clinical and laboratory features, and potential therapeutic approaches to systemic autoimmune (rheumatologic) disorders.
  • Apply knowledge of the molecular basis of neoplasia to explain of the biological behavior, morphologic appearance, classification, diagnosis, prognosis and targeted therapy of hematologic neoplasms.
  • Apply principles of public health and scientific-inquiry in the setting of infectious disease management and prevention.
  • Discuss ethical issues in the setting of human-studies research as well as those surrounding governmental powers, individual autonomy and the population good.
  • Demonstrate skills in evidence-based medicine, including the ability to effectively search for evidence and interpret randomized controlled trials.
  • Demonstrate skills to promote quality improvement and patient safety in health care systems and demonstrate behavior that fosters effective communication and collaborative relationships with an interprofessional team.
  • Demonstrate appropriate clinical skills, with a focus on communication skills, shared-decision making and patient safety/infection prevention, in both the inpatient and outpatient setting.

Invaders and Defense

  • Identify and demonstrate effective methods for giving and receiving feedback.
  • Demonstrate professional behaviors that foster positive relationships and explain how a lack of these behaviors can negatively impact learning and patient care.
  • Identify areas for personal improvement and set goals to affect change in those areas, tracking progress toward attainment of goals.
  • Demonstrate effective teaching when instructing peers.
  • Integrate concepts across multiple domains using guided inquiry to identify gaps in knowledge and find appropriate resources to address those gaps.
  • Describe how the normal innate and adaptive immune responses function and interact to promote microbial defense and repair of tissue injury.
  • Apply knowledge of skin structure and function, innate and adaptive immunity, and microbiology to the explain the mechanisms, clinical and laboratory findings and treatments of dermatologic disorders and neoplasia.
  • Apply basic knowledge of pathogenic and commensal microorganisms to explain the biologic mechanisms, clinical and laboratory features and potential therapeutic approaches to infectious diseases and syndromes.
  • Apply knowledge of the normal immune system to explain the biologic mechanisms, clinical and laboratory features, and potential therapeutic approaches to systemic autoimmune (rheumatologic) disorders.
  • Apply knowledge of the molecular basis of neoplasia to explain of the biological behavior, morphologic appearance, classification, diagnosis, prognosis and targeted therapy of hematologic neoplasms.
  • Apply principles of public health and scientific-inquiry in the setting of infectious disease management and prevention.
  • Discuss ethical issues in the setting of human-studies research, as well as those surrounding governmental powers, individual autonomy and the population good.
  • Demonstrate skills in evidence-based medicine, including the ability to effectively search for evidence and interpret randomized controlled trials.
  • Demonstrate skills to promote quality improvement and patient safety in health care systems and demonstrate behavior that fosters effective communication and collaborative relationships with an interprofessional team.
  • Demonstrate appropriate clinical skills, with a focus on communication skills, shared-decision making and patient safety/infection prevention, in both the inpatient and outpatient setting.

Mind and Motion

  • Apply principles of embryogenesis in demonstrating the functional and structural organization in the normal and abnormal central nervous system (CNS), peripheral nervous system (PNS) and musculoskeletal system.
  • Name and identify key anatomic structures of the CNS, PNS, joints and limbs on diagrams, gross photos, imaging studies and cadaveric specimens.
  • Apply knowledge of the structure and function of specialized cells within the nervous and musculoskeletal systems and identify their role in common abnormal conditions.
  • Use validated screening tools to diagnose musculoskeletal, neurologic and psychiatric diseases and synthesize information gathered during the history and physical examination to distinguish between normal and abnormal (common and dangerous) conditions.
  • Map the major ascending and descending pathways of the central nervous system and relate them with associated physiologic and pathophysiological processes and apply this knowledge by localizing lesions based on a patient's history and physical exam findings.
  • List the categories of psychiatric illness and describe the major features of each category.
  • Explain the neuroanatomical and physiologic basis for cognitive and emotional systems, including memory, attention and emotion regulation in response to stress.
  • Describe the pathophysiology, epidemiology, presentation, course and prognosis of the major neurologic, orthopedic and psychiatric disorders.
  • Recommend appropriate pharmacological and non-pharmacological therapies for major psychiatric, ophthalmologic, musculoskeletal and neurologic conditions, specifically considering major drug categories, basic mechanisms of action, anticipated side effects, contraindications, precautions and potential interactions with other drugs.
  • Identify and demonstrate effective methods for giving and receiving feedback.
  • Demonstrate professional behaviors that foster positive relationships and explain how a lack of these behaviors can negatively impact learning and patient care.
  • Identify areas for personal improvement and set goals to affect change in those areas, tracking progress toward attainment of goals.
  • Demonstrate effective teaching when instructing peers.
  • Integrate concepts across multiple domains using guided inquiry to identify gaps in knowledge and find appropriate resources to address those gaps.
  • Demonstrate appropriate clinical skills in the evaluation of psychologic, neurologic and musculoskeletal conditions, with a focus on motivational interviewing, reflective practice and how bias can impact diagnostic approaches.
  • Participate in a team-based quality improvement project and discuss the current state of health care quality, safety and determinants of cost in the U.S. and worldwide.
  • Analyze the impacts and potential conflicts of interest that exist in relationships between health care providers and industry.
  • Analyze and reflect on the effects of race, class, religion and culture in health care.
  • Analyze the process and ethical principles involved in obtaining informed consent or in mandating involuntary treatment.
  • Use meta-analyses in the evidence-based care of patients.