General Competencies, Program Objectives, and Outcome Measures

General Competencies, Program Objectives, and Outcome Measures

Last updated: July 28th, 2022 at 01:50 pm

PCRS = Physician Competency Reference Set / EPA = Entrustable Professional Activities

General Competency Medical Education Program Objective(s) Outcome Measure(s) for Objective
General Competency Medical Knowledge (MK):
Students will apply principles of biomedical, clinical, epidemiological, and social- behavioral sciences to guide diagnosis, treatment, and patient care decisions.
Medical Education Program Objective(s)Outcome Measure(s) for Objective MK1: Apply knowledge of normal human structure, function, and development, from the molecular through whole body levels, to distinguish health from disease and explain how physiologic mechanisms are integrated and regulated in the body. (PCRS 2.2; EPA 2) Written, lab practical and oral examinations in pre- clerkship blocks and clinical courses and clerkships; narrative evaluations in small group settings; faculty assessments of teaching materials developed by students for cases in pre- clerkship blocks and case reports in clerkships; ratings and narrative assessments based on direct observations in clinical courses and clerkships; performance on USMLE Step 1, 2 CK; performance on OSCEs.
MK2: Explain the underlying cause (behavioral, degenerative, developmental, environmental, genetic/genomic, immunologic, inflammatory, metabolic, microbiologic, neoplastic, toxic, and traumatic) of diseases, injuries, and functional deficits affecting organ systems. (PCRS 2.2; EPA 2) Written, lab practical and oral examinations in pre- clerkship and clinical courses and clerkships; narrative evaluations in small group settings; faculty assessments of teaching materials developed by students for cases in pre-clerkship blocks and case reports in clerkships; ratings and narrative assessments based on direct observations in clinical courses and clerkships; performance on USMLE Step 1, 2 CK; performance on OSCEs.
MK3: Describe the altered structure and function resulting from diseases, injuries, and functional deficits affecting organ systems, with an ability to interpret the clinical, histopathologic, laboratory, and radiographic manifestations commonly seen in practice. (PCRS 1.4, 2.2, 2.3; EPA 2, 3, 5, 7, 10) Written, lab practical and oral examinations in pre- clerkship blocks and clinical courses and clerkships; narrative evaluations in small group settings; faculty assessments of teaching materials developed by students for cases in pre- clerkship blocks and case reports in clerkships; ratings and narrative assessments based on direct observations in clinical courses and clerkships; performance on USMLE Step 1, 2 CK; performance on OSCEs.
MK4: Explain the principles of and describe the rationale for interventions (behavioral, genetic/genomic, mechanical, nutritional, pharmacologic, surgical, and therapeutic) aimed at the prevention, treatment, and/or management of diseases, injuries, and functional deficits affecting organ systems. (PCRS 2.2; EPA 2) Written, lab practical and oral examinations in pre- clerkship blocks and clinical courses and clerkships; narrative evaluations in small group settings; faculty assessments of teaching materials developed by students for cases in pre- clerkship blocks and case reports in clerkships; ratings and narrative assessments based on direct observations in clinical courses and clerkships; performance on USMLE Step 1, 2 CK; performance on OSCEs.
MK5: Explain the role of the scientific method in establishing the cause of disease and use principles of evidence-based medicine, including biostatistics, to evaluate the efficacy of diagnostic and therapeutic options. (PCRS 2.1, 2.3, 2.6; EPA 1, 2, 3, 7, 13) Written, lab practical and oral examinations in pre- clerkship blocks and clinical courses and clerkships; narrative evaluations in small group settings; faculty assessments of teaching materials developed by students for cases in pre- clerkship blocks and case reports in clerkships; ratings and narrative assessments based on direct observations in clinical courses and clerkships; performance on USMLE Step 1, 2 CK; performance on OSCEs.
MK6: Describe the epidemiology of common diseases affecting populations, including methods for prevention and early detection of disease and systematic, population-based approaches for reducing the incidence and prevalence of disease. (PCRS 2.4; EPA 2, 3, 7) Written, lab practical and oral examinations in pre- clerkship blocks and clinical courses and clerkships; narrative evaluations in small group settings; faculty assessments of teaching materials developed by students for cases in pre- clerkship blocks and case reports in clerkships; ratings and narrative assessments based on direct observations in clinical courses and clerkships; performance on USMLE Step 1, 2 CK; performance on OSCEs.
MK7: Explain how behavioral, cultural, economic, educational, environmental, lifestyle, and psychosocial factors of the patient, community and provider impact and interact with health, disease, care-seeking, care compliance, barriers to care, and attitudes towards care. (PCRS 2.5; EPA) Written, lab practical and oral examinations in pre- clerkship blocks and clinical courses and clerkships; narrative evaluations in small group settings; faculty assessments of teaching materials developed by students for cases in pre- clerkship blocks and case reports in clerkships; ratings and narrative assessments based on direct observations in clinical courses and clerkships; performance on USMLE Step 1, 2 CK; performance on OSCEs.
General Competency Patient Care and Procedural Skills (PCPS):
Students will use knowledge and skills during clinical encounters to gather necessary information and apply evidence to develop appropriate diagnostic and therapeutic plans that enhance health and treat disease.
Medical Education Program Objective(s)Outcome Measure(s) for Objective PCPS1: Recognize their role as a health care professional and contribute to the care of a broad spectrum of patients across the life cycle and with differing demographics. (PCRS 1.9, 1.10, 1.11; EPA 3) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
PCPS2: Demonstrate knowledge and skills necessary to assume graduated responsibility in providing supervised care for patients including obtaining an appropriate clinical history and physical exam in a variety of patient care settings. (PCRS 1.2, 1.3; EPA 1, 2, 4, 6, 10, 11) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
PCPS3: Create a prioritized differential diagnosis in a variety of different clinical situations and formulate a plan of care for the patient. (PCRS 1.5, 1.6; EPA 3, 4, 5, 10, 11) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
PCPS4: Interpret data from the patient encounter, the medical record and results of diagnostic testing gathered to make informed decisions based on up- to-date scientific information and sound clinical judgment. (PCRS 1.3, 1.4, 1.5; EPA 2, 3, 4, 5, 10, 11) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
PCPS5: Identify opportunities to promote a healthy lifestyle and incorporate patient education into patient care activities as a means to improve intdidual and population health. (PCRS 1.9; EPA 3) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
PCPS6: Perform and document common clinical procedures using appropriate techniques within the limits of the level of training. (PCRS 1.1; EPA 10, 12) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
PCPS7: Demonstrate an appropriate transition of care between providers or settings that minimizes the risk to patient safety. (PCRS 1.8, 7.3; EPA 8, 9) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
General Competency Systems-Based Practice (SBP):
Students will demonstrate an awareness of, and responsiveness to, the larger context and system of health care, utilizing other resources in the system to provide care for patients.
Medical Education Program Objective(s)Outcome Measure(s) for Objective SBP1: Demonstrate respect for tdersity and intdidual differences that characterize patients, populations, and members of the health care team. (PCRS 5.5, 7.1; EPA 1, 9) Direct observations in clinical courses and clerkships; narrative evaluations in small group settings; performance on OSCEs.
SBP2: Demonstrate effective teamwork through collaboration with patients, their supporters, multi- disciplinary healthcare professionals and other staff in the delivery of healthcare. (PCRS 4.1, 4.2, 4.3, 6.2; EPA 1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 13) Direct observations in clinical courses and clerkships; narrative evaluations in small group settings, including on interprofessional teams.
SBP3: Evaluate the impact of a patient’s social context in health and disease and how factors, such as culture, socio-economic status, environment, religion, spirituality, sexuality, education, and health literacy impact patient-physician interactions, health care decision-making, and health outcomes. (PCRS 2.5, 3.9; EPA 3, 7) Direct observations in clinical courses and clerkships; narrative evaluations in small group settings, including on interprofessional teams.
SBP4: Demonstrate an awareness of the roles and responsibilities of the different members of the health care team. (PCRS 4.3, 7.2; EPA 8, 9) Direct observations in clinical courses and clerkships; narrative evaluations in small group settings, including on interprofessional teams.
General Competency Practice Based Learning and Improvement (PBLI):
Students will be able to actively set and pursue clear learning goals and exploit new opportunities for intellectual growth and development. Students will be able to recognize and thoroughly characterize a problem, develop an informed plan of action, act to resolve the problem, and subsequently assess the result(s) of their action.
Medical Education Program Objective(s)Outcome Measure(s) for Objective PBLI1: Demonstrate engagement in their professional development through awareness of their learning style and limits and use this knowledge to close gaps and guide participation in continuous professional and inter-professional development such as conferences, classes, seminars, lectures, workshops, and other venues. (PCRS 3.1, 3.2, 3.3; EPA 2, 4, 6, 7) Participation in the Center for Academic Success (CAS) activities; assessments of reflective essays and other assignments in the Patient Centered Care (PCC) and Foundations of Medicine (FoM) curriculum.
PBLI2: Generate and analyze a set of potential solutions by applying prior knowledge to a new experience, recognizing the limitations of prior experience and knowledge, and identifying new information required to solve the problem. (PCRS 2.6, 3.1, 3.3; EPA 2, 4, 6, 7) Narrative evaluations in small groups; participation in Center for Academic Success (CAS) activities, performance on OSCEs.
PBLI3: Use multiple sources, including, but not limited to: employees; faculty; and the biomedical literature to identify and critically appraise information, which includes managing information volume, discerning quality, and applying findings to advance medical knowledge and patient care. (PCRS 3.6, 3.7, 3.10; EPA 4, 7, 8, 13) Narrative evaluations in small groups and clinical courses and clerkships; teaching materials developed by students for cases; participation in the Center for Academic Success (CAS) activities.
PBLI4: Demonstrate and apply an understanding of the systems-based model for quality improvement, identifying and reducing medical error and ensuring patient safety. (PCRS 3.4, 3.9, 3.10; EPA 13) Written and oral examinations in clinical courses and clerkships; ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OET Medicine; performance on OSCEs.
General Competency Interpersonal and Communication Skills (ICS):
Students will listen attentively and communicate clearly with patients, families, peers, faculty, and other members of the health care team: establishing rapport; fostering, forming, and maintaining therapeutic relationships with patients; effectively gathering and providing information during interaction with others and participating in collaborative decision making that is patient focused.
Medical Education Program Objective(s)Outcome Measure(s) for Objective ICS1: Establish and maintain respectful relationships with members of the health care team (peers, faculty, and inter- professional employees) to facilitate the provision of effective care to patients. (PCRS 4.2, 4.3, 4.4, 7.1, 7.3, 8.7; EPA 2, 5, 6, 7, 8, 9, 10, 11, 12, 13) Ratings and narrative assessments based on direct observation during pre-clerkship blocks, clinical courses and clerkships, and interdisciplinary learning activities; graded written and oral reports and essay exams in blocks and clerkships; peer- and self-assessments.
ICS2: Engage in respectful dialogue with patients, demonstrating active listening and the use of verbal and non-verbal skills to establish rapport and an effective physician patient relationship. (PCRS 4.1, 8.7; EPA 1, 4, 5, 6, 11, 12) Ratings and narrative assessments based on direct observation during clinical courses and clerkships; direct observation during clinical courses and clerkships; performance on OSCEs.
ICS3: Modify communications demonstrating sensitivity to differences, values, and needs of others, with attention to one’s personal communication style and the context and purpose of the conversation. (PCRS 3.5, 4.1, 4.2, 4.6, 4.7; EPA 1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13) Ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OSCEs.
ICS4: Incorporate elements of shared decision making into communication with patients to facilitate their active participation in their health care. (PCRS 1.7, 3.8; EPA 3, 11, 12) Ratings and narrative assessments based on direct observation during clinical courses and clerkships; performance on OSCEs.
ICS5: Share information accurately in academic and clinical settings both in oral presentations and written documentation including in the medical record (PCRS 4.2, 4.5; EPA 2, 5, 6, 7, 8, 9, 10, 11, 12, 13) Teaching materials/cases developed by students; direct observation in clinical courses and clerkships; performance on OSCE’s.
General Competency Professionalism (P):
Students will carry out professional responsibilities with the highest standards of excellence and integrity.
Medical Education Program Objective(s)Outcome Measure(s) for Objective P1: Be responsive to the whole patient by respecting the needs, dignity, privacy, and autonomy of the patient, and by employing strategies to reduce the effect of their own beliefs, values, interests, vulnerabilities, conflicts, and biases on patient care (PCRS 5.1, 5.2, 5.3; EPA 1, 6, 8, 9) Written and oral examinations in pre- clerkship blocks and clinical courses and clerkships; ratings and narrative assessments based on direct observation during pre- clerkship blocks and clinical courses and clerkships; and peer- and self- assessments.
P2: Behave in a professional manner by demonstrating compassion, honesty, integrity, respect, responsibility, and self-discipline in relationships with all individuals, regardless of gender, age, culture, race, ethnicity, religion, sexualorientation, disability, socioeconomicstatus, native language, or role. (PCRS 5.1, 5.5, 7.1, 8.4; EPA 1, 6, 9) Written and oral examinations in pre-clerkship blocks and clinical courses and clerkships; ratings and narrative assessments based on direct observation during pre-clerkship small groups and clinical courses and clerkships; peer- and self- assessments; and performance on OSCEs.
P3: Apply ethical and legal principles to identify, analyze, and address ethical issues in clinical and research activities, with the ability to discriminate where ethical and legal principles diverge. (PCRS 5.6; EPA 12) Written and oral examinations in pre-clerkship blocks and clinical courses and clerkships; ratings and narrative assessments based on direct observation during pre- clerkship blocks and clinical courses and clerkships; peer- and self- assessments; and performance on OSCEs.
P4: Adhere to ethical principles governing medical practice, including maintaining patient confidentiality, gaining informed consent, identifying, and managing conflicts of interest, complying with human subjects’ research protections, identifying, and addressing unethical and unprofessional behaviors, and maintaining appropriate boundaries in relationships with patients. (PCRS 5.6, 8.5; EPA 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13) Written and oral examinations in pre- clerkship blocks and clinical courses and clerkships; ratings and narrative assessments based on direct observation during pre- clerkship blocks and clinical courses and clerkships; peer- and self- assessments; and performance on OSCEs.
P5: Practice personal self-care, including developing strategies for stress management, maintaining a healthy balance between personal and professional responsibilities, and engaging the assistance of others when needed. (PCRS 8.1, 8.2, 8.3; EPA 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13) Written and oral examinations in pre- clerkship blocks and clinical courses and clerkships; ratings and narrative assessments based on direct observation during pre- clerkship blocks and clinical courses and clerkships; peer- and self- assessments; and performance on OSCEs.

PCRS = Physician Competency Reference Set / EPA = Entrustable Professional Activities

2021-2022

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