A. Fund of knowledge
1. Students should be able to:
a. Apply basic science knowledge to the clinical setting.
b. Apply knowledge of disease processes to make
sound clinical decisions.
B. History-taking
1. Students should be able to:
a. Obtain the patient's history in a logical, organized and thorough fashion with
attention to social, cultural, and personal factors that may affect the patient's
overall health.
b. Obtain supplemental historical information from sources other than the patient,
such as significant others and other health care providers.
C. Physical Exam
1. Students should be able to
a. Perform a comprehensive physical examination in a logical, organized, and thorough
manner
b. Position the patient and self properly for each part of the physical examination and
demonstrate proper use of medical instruments.
c. Demonstrate proper hygienic practices when examining patients.
D. Written Skills
1. Students should be able to:
a. Prepare a legible, organized, and comprehensive new patient workup that includes
the history of present illness, past medical and social history, a comprehensive and
accurate physical examination, problem-oriented differential diagnosis, and a
diagnostic treatment plan for each problem.
b. Write complete, concise, and legible daily notes with all problems documented
and discussed.
c. Write all patient care documentation legibly and with the correct date and time.
E. Oral Presentation Skills
1. Students should be able to:
a. Orally present findings of patients in a focused manner, chronologically develop
the present illness, summarize the pertinent positive and negative findings in the
physical exam, and list the differential diagnosis and plan for further workup.
b. Communicate patient care issues to members of the patient care team clearly and
concisely in both the new patient setting and in follow-up.
F. Interpersonal Communication Skills
1. Students should be able to:
a. Function as the key communicator between the patient, families
and the health care team, avoiding medical jargon.
b. Practice patient advocacy, express empathy in daily care.
c. Continually involve the patient and family in the plan of care.
d. Communicate effectively and respectfully with all members of the health care team.
G. Self-Education/Learning Habits
1. Students should be able to:
a. Establish a pattern of lifelong learning by reading on every patient case.
b. Utilize outside resources such as textbooks, primary literature, and computer resources to practice evidence-based medicine.
c. Apply principles of biostatistics and skills of critical literature appraisal to optimize medical decision-making.
d. Bring knowledge from outside resources to enhance the education of other medical team members.
H. Problem-Solving
1. Students should be able to:
a. Correctly identify all major and minor patient problems.
b. Develop a comprehensive differential diagnosis for both major and minor problems in a logical order with most likely diagnoses first and incorporating appropriate outside resources.
c. Independently develop basic therapeutic plans under the direction of senior physicians and with the use of outside resources.
d. Evaluate new and acute symptoms arising in the cross-coverage role.
e. Coordinate the therapeutic management of inpatients, including patients with multiple complex medical problems.
f. Measure response to therapy and perform ongoing assessment.
I. Clinical Judgment
1. Students should be able to:
a. Recognize acuity of illness and prioritize patient problems.
b. Make safe clinical decisions based upon common sense and medical knowledge.
c. Recognize the need for further clinical support to assure patient
safety.
d. Interpret the results of basic diagnostic studies, such as blood and electrolyte panels, as well as more advanced studies, such as electrocardiograms and a wide range of radiologic studies.
e. Utilize evidence-based medicine and knowledge of biostatistics to design safe, effective, and cost-effective diagnostic evaluations.
1. Students should be able to:
a. Demonstrate respect for patients, families, colleagues and ancillary personnel.
b. Demonstrate empathy and altruism for patients and family.
c. Present a neat, professional appearance with ID badge always in sight.
d. Be a dependable and reliable member of the team.
e. Demonstrate appropriate motivation, honor, integrity, and self-awareness in the clinical setting.
f. Display an appropriate level of self-confidence in patient and team interactions.