Competencies - U of U School of Medicine

 Patient Care

Provide patient-centered care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health

  1. Perform all medical, diagnostic, and surgical procedures considered essential for the area of practice
  2. Gather essential and accurate information about patients and their conditions through history-taking, physical examination, and the use of laboratory data, imaging, and other tests
  3. Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
  4.  Interpret laboratory data, imaging studies, and other tests required for the area of practice
  5. Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
  6. Develop and carry out patient management plans
  7. Counsel and educate patients and their families to empower them to participate in their care and enable shared decision making
  8. Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes
  9. Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health
  10. Provide appropriate role modeling
  11. Perform supervisory responsibilities commensurate with one's roles, abilities, and qualifications

Knowledge for Practice

Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care

  1. Demonstrate an investigatory and analytic approach to clinical situations that applies acquired skills in data integration, analysis, modeling, computation, and informatics tools.
  2. Apply established and emerging physiologic, pathologic, molecular, biochemical, microbiologic, cellular, immunologic, pharmacologic, and genetic scientific principles fundamental to prevention, risk assessment, diagnosis, and management of disease for patients and populations.
  3. Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based health care
  4. Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, and disease prevention/health promotion efforts for patients and populations
  5. Apply principles of social-behavioral sciences to provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care compliance, and barriers to and attitudes toward care
  6. Contribute to the creation, dissemination, application, and translation of new health care knowledge and practices

Practice-Based Learning and Improvement

Demonstrate the ability to investigate and evaluate one’s care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning

  1. Identify strengths, deficiencies, and limits in one's knowledge and expertise
  2. Set learning and improvement goals
  3. Identify and perform learning activities that address one's gaps in knowledge, skills, and/or attitudes
  4. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement
  5. Incorporate feedback into daily practice
  6. Locate, appraise, and assimilate evidence from scientific studies related to patients' health problems
  7. Use information technology to optimize learning
  8. Participate in the education of patients, families, students, trainees, peers and other health professionals
  9. Obtain and utilize information about individual patients, populations of patients, or communities from which patients are drawn to improve care
  10. Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes

Interpersonal and Communication Skills

Exhibit interpersonal and communication skills that promote effective and culturally responsive information exchange and result in team-based patient care, which includes the patients, patients' families and communities, and professional associates

  1. Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals
  2. Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds
  3. Communicate effectively with colleagues within one's profession or specialty, other health professionals, and health related agencies (see also 7.3)
  4. Work effectively with others as a member or leader of a health care team or other professional group (see also 7.4)
  5. Act in a consultative role to other health professionals
  6. Maintain comprehensive, timely, and legible medical records
  7. Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics
  8. Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions

Professionalism

Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles

  1. Demonstrate compassion, integrity, and respect for others
  2. Demonstrate responsiveness to patient needs that supersedes self-interest
  3. Demonstrate respect for patient privacy and autonomy
  4. Demonstrate accountability to patients, society, and the profession
  5. Demonstrate sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation
  6. Demonstrate a commitment to ethical principles pertaining to provision or withholding of care, confidentiality, informed consent, and business practices, including compliance with relevant laws, policies, and regulations

Systems-Based Practice

Demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care

  1. Work effectively in various health care delivery settings and systems relevant to one's clinical specialty
  2. Coordinate patient care within the health care system relevant to one's clinical specialty
  3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care
  4. Advocate for quality patient care and optimal patient care systems
  5. Participate in identifying system errors and implementing potential systems solutions
  6. Perform administrative and practice management responsibilities commensurate with one’s role, abilities, and qualifications

Interprofessional Collaboration

Demonstrate the ability to engage in an interprofessional team in a manner that optimizes safe, effective patient- and population-centered care

  1. Work with other health professionals to establish and maintain a climate of mutual respect, dignity, diversity, ethical integrity, and trust
  2. Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served
  3. Communicate with other health professionals in a responsive and responsible manner that supports the maintenance of health and the treatment of disease in individual patients and populations
  4. Participate in different team roles to establish, develop, and continuously enhance interprofessional teams to provide patient- and population-centered care that is safe, timely, efficient, effective, and equitable

Personal and Professional Development

Demonstrate the qualities required to sustain lifelong personal and professional growth

  1. Develop the ability to use self-awareness of knowledge, skills, and emotional limitations to engage in appropriate help-seeking behaviors
  2. Demonstrate healthy coping mechanisms to respond to stress
  3. Manage conflict between personal and professional responsibilities
  4. Practice flexibility and maturity in adjusting to change with the capacity to alter one's behavior
  5. Demonstrate trustworthiness that makes colleagues feel secure when one is responsible for the care of patients
  6. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system
  7. Demonstrate self-confidence that puts patients, families, and members of the health care team at ease
  8. Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty

Adapted from the AAMC Physician Competency Reference Set and Scientific Foundations for Future Physicians

Core Entrustable Professional Activities (EPAs)

  1. Gather a history and perform a physical examination.
  2. Develop a prioritized differential diagnosis and select a working diagnosis following a patient encounter
  3. Recommend and interpret common diagnostic and screening tests
  4. Enter and discuss patient orders/prescriptions
  5. Provide documentation of a clinical encounter in written or electronic format
  6. Provide an oral presentation/summary of a patient encounter
  7. Form clinical questions and retrieve evidence to advance patient care
  8. Give or receive a patient handover to transition care responsibility to another health care provider or team
  9. Participate as a contributing and integrated member of an interprofessional team
  10. Recognize a patient requiring urgent or emergent care, initiate evaluation and treatment, and seek help
  11. Obtain informed consent for tests and/or procedures that the day 1 intern is expected to perform or order without supervision
  12. Perform general procedures of a physician
  13. Identify system failures and contribute to a culture of safety and improvement

https://www.aamc.org/initiatives/coreepas

CONTACT US

For any further questions please contact:

Michael Lauder
Manager of Curriculum Department
Email: Michael.lauder@hsc.utah.edu