Acute Care

  • Participate in providing care to adult patients who are acutely ill
  • Reinforce block learning objectives through clinical experiences
  • Develop (and prioritize) a differential diagnosis for core medical conditions
    • Use and interpret the important historical features
    • Identify the risk factors for the development of the core conditions
    • Use and interpret the important physical exam findings
    • Order and interpret laboratory tests to refine a differential diagnosis and guide management
    • Use decision tools/guidelines to evaluate a patient and the severity of the core conditions
    • Assess a patient for complications of the core conditions
    • List the basics of initial treatment, including drug classes used to treat the core conditions
    • List the basics of initial treatment, including the drug classes used to treat the core conditions
  • Recognize the clinical and physical exam findings in an unstable patient
  • Determine whether a patient with the diagnosis should be admitted to the hospital and to what level of care
  • State indications for, and identify can’t-miss findings, on imaging tests used for the core conditions
  • Develop a basis understand of how radiographic images are acquired
  • List safety concerns for imaging modalities
  • State contraindications for imaging modalities
  • Participate in appropriate communication with a radiologist to discuss results on a patient
  • Explain the pathophysiology for the core medical conditions
  • Use interpersonal communication skills to provide effective medical care
  • Apply current evidence to patient care
  • Demonstrate effective use of health information technology
  • Identify and use skills that promote interprofessional and team-based care
  • Identify and use skills necessary to improve quality of medical care and patient safety
  • Demonstrate professionalism during every clinical encounter
  • Identify public health principles that are applicable to daily practice
  • Identify transitions of medical care for an acutely ill patient and participate in appropriate communication to facilitate such transitions

Care Across the Life Cycle

  • Adapt their appropriate (medical interview and complete or focused physical examination) as us appropriate to their interaction with the patient and/or their caregivers, the patient’s age/level of development, as well as the presenting concern and clinical setting
  • Appropriately interpret objective data such as vital signs and commonly used diagnostic studies (including complete blood count, urinalysis, cerebrospinal fluid analysis, serum chemistries), accounting for the age of the patient, presence or absence of disease, and testing modality employed
  • Generate an appropriate differential diagnosis for the presenting problem and the patient’s age
  • Understand the relevant physiology and pathophysiology for the diagnosis and/or differential diagnosis
  • Begin to develop appropriate plans for patients of various ages presenting in different clinical scenarios, taking into account their invasiveness, benefits, limitations, costs and evidence based practices
  • Describe the appropriate use of the following common medications (accounting for age/weight and other patient factors), including when it is NOT appropriate to treat with these medications: analgesics, antipyretics, antibiotics, bronchodilators, corticosteroids, intravenous fluids
  • Present the history, exam/objective data, assessment and plan for patients of all ages as is appropriate to the clinical scenarios (patient problems and setting-clinic vs. inpatient, admission vs follow-up, team vs. family-centered rounds)
  • Share medial information with patient and/or caregivers in terms that are readily understandable while avoiding medical jargon
  • Counsel patients and/or their caregivers on plans (screening or diagnostic testing, health maintenance/prevention, treatment, supportive care) that are appropriate to the patient’s age/development ant their reason for presentation
  • Provide anticipatory guidance to a patient and/or family that is appropriate for their age and condition
  • Document the history, physical examination, assessment and plan in a format appropriate to the clinical situation (clinic vs. inpatient; admission vs. progress; procedure notes) while demonstrating best practices within the electronic health record
  • Observe the communication of life altering news to patients and/or their families
  • Develop an understanding for the important role of preventative counseling across the life cycle
  • Develop an understanding for the ethical and medico-legal implications of working with patients of various ages and their proxies, including issues of capacity, competency, decision-making/healthcare power of attorney, guardianship and confidentiality
  • Develop an understanding for the physician’s role in mandated reporting and safety, including how it varies for patients of different ages in cases of neglect and abuse (physical, sexual, verbal/psychological)
  • Identify member of the health care team and describe how they contribute to the care of patients (nurse, pharmacist, respiratory therapists, PT, OT, speech therapy, child-life specialists, etc.)
  • Discuss the importance/benefits of a multidisciplinary care team and/or care coordination
  • Identify transitions of medical throughout the life cycle and participate in appropriate communication to facilitate such transitions
  • Discuss ways to advocate for patients on an individual, community, regional, state or national level; consider barriers and health inequity pertinent to diverse populations
  • Demonstrate skills necessary to embark on a quality improvement project

Chronic and Preventive Care

  • Participate in providing care to adult patients in ambulatory setting, including primary care, behavioral health and other ambulatory settings, including primary care, behavioral health and other ambulatory settings that focus on chronic disease diagnosis and management.
  • Participate in a community setting on a team-based health engagement project
  • Reinforce block learning objectives through clinical experiences
  • Identify the key clinical features of common, chronic conditions managed in the outpatient setting, with attention to initial presentations, disease progression and potential complications
  • Distinguish the varying causes of common, chronic conditions managed in the outpatient setting, including both modifiable and non-modifiable factors
  • Develop a clinical strategy to evaluate and treat common medical conditions managed in the outpatient setting
  • Describe the disease burden effects of various chronic conditions at the levels of individual patients, families, communities and society
  • Make evidence-based recommendations for screening and presentation of common conditions encountered in outpatient settings
  • Demonstrate ability to link Phase 1 science concepts with clinical knowledge
  • Identify the roles of physicians, interdisciplinary providers, health care systems, and communities in screening, treating, and preventing common, chronic conditions
  • Communicate effectively with patients and families to identify goals and barriers related to health and arrive at individualized treatment plans
  • Outline the key components, stakeholders and steps required for a community health intervention
  • Participate in the design, implementation or assessment of a community health intervention

Surgical and Procedural Care

  • Relate anatomy to pathophysiology and apply knowledge of anatomic relationships to procedural care as a therapeutic modality
  • Explain the pathophysiology of the core clinical conditions
  • Participate in providing care to adult and pediatric patient s who require an operation or procedure as part of their medical care
  • Perform a history and physical examination that is appropriate for age, gender, clinical problem, and setting
    • Develop and prioritize a differential diagnosis for core medical and surgical conditions
    • Use and interpret the important historical and physical exam features
    • Identify the risk factors for the development of the core conditions
    • Order and interpret laboratory tests and imaging studies to refine a differential diagnosis and to guide management
    • Use decision tools/guidelines to evaluate a patient and the severity of the core conditions
    • Identify common post-operative and post-procedural complications
  • Develop an assessment and management plan for patients with core clinical conditions in the pre-operative and post-operative settings
  • List the basics of initial treatment, including indicated operations and procedures, to treat the core clinical conditions
  • Determine what pre-operative evaluation is needed to safely undergo anesthesia or sedation
  • Recognize the clinical and physical exam findings in an unstable patient
  • Demonstrate the basics of resuscitation, including the basics of intravenous access and safely managing an airway
  • Develop familiarity with common procedures
  • Scrub, gown and glove appropriately
  • Perform skin closure for wounds and surgical incisions
  • Use interpersonal communication skills to provide effective medical care
    • Model accurate, clear and concise oral and written presentations
  • Access, analyze and evaluate scientific and medical literature to address learning needs and apply current evidence to patient care
  • Using self-reflection, peer feedback and mentor feedback, continue to develop the skills and attitudes necessary for clinical practice
  • Demonstrate effective use of health information technology
  • Identify and use skills necessary to improve quality of medical care and patient safety
  • Demonstrate professionalism during every clinical encounter
  • Apply HIPPA confidentiality into patient care
  • Identify and apply public health principles that re applicable to daily practice
  • Identify the physician’s role in patient care in a resource limited setting