PROGRAM DIRECTOR

ü       Monitor implementation and continued adherence to the ICCP by the faculty of the residency programs.

ü       Ensure the integration of the seven core competencies into the core curriculum according to AOA timelines (ICCP page 3).

ü       Ensure that appropriate teaching modalities and at least two evaluation modalities are used for each core competency element.

ü       Participate in formulation of a remediation plan for all trainees who fail to meet the performance expectations of the ICCP.

ü       Provide GME office and the DME with an annual report (APPENDIX B)on each trainee’s progress in learning and development in each core competency.

ü       Provide a summary report for trainees completing their prospective programs with an attestation that a minimal performance level has been achieved in all competencies (APPENDIX E).

DME

ü       Assume role of compliance officer.

ü       Develop an ICCP.

ü       Ensure the integration of all seven core competen-cies in the institution’s GME.

ü       Report quarterly to the GME committee on the overall progress of implementation of the ICCP by each program.

ü       Submit to the GME a remediation plan for all trainees who fail to meet the performance expectation of the ICP.

ü       Submit an annual written report to the GME Committee on the overall effectiveness and status of compliance with the ICCP by the institution.  The annual report will be based on the summary report on each trainee provided by the program directors (APPENDIX F).

GME COMMITTEE

Institutional oversight for monitoring and approval of the ICCP as developed by the DME

ü       Ensure institutional compliance with the ICCP.

ü       Review and approves all remediation plans submitted by the DME on behalf of trainees who fail to meet performance expectations.

ü       Review written annual report submitted by the DME on the status of institutional compliance with the ICCP.

ü       Forward the approved annual report to the OGMC of the CORE.

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Participated in OMT training     at hospital and ambulatory sites.

�        Is able to perform a critical appraisal of medical literature related to OMT.

�        Was observed and credentialed in the performance of OMT through the assessment of his/her diagnostic skills, medical know- ledge and problem-solving abilities.

�        Completed OMT computer educational modules.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The Resident:

�  Assumed increased responsibility for the incorporation of osteopathic concepts in his/her patient management.

�  Participated in activities that provided educational programs at the student and intern level.

�  Participated in CME programs provided by COMS, the AAO and the specialty colleges.

�  Completed OMT computer teaching modules.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demon- strations of compliance that were used:

TEACHING MODALITIES

The Resident:

�        Used caring, compassionate behavior with patients.

�        Demonstrated the treatment of people rather than symptoms.

�        Demonstrated understanding of the somato-visceral relationships and the role of the musculoskeletal system in disease.

�        Demonstrated listening skills in interaction with patients.

�        Demonstrated knowledge of and behavior in accordance with the Osteopathic Oath and AOA Code of Ethics.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demon- strations of compliance that were used:

TEACHING MODALITIES

The Resident:

�        Completed COMLEX Part III and/or an In-Service Examination this year.

�        Demonstrated improved clinical decision-making and problem-solving abilities.

�        Attended seminars, CME programs, Grand Rounds or lectures.

�        Participated in a directed readings program and/or journal club.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Chart Stimulated Recall Oral Examinations (CSR)

�        Monthly Service Rotation Evaluations

�        Portfolio

�        Written Examinations (i.e., in- training exam)

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demon- strations of compliance that were used:

TEACHING MODALITIES

The Resident:

�        Participated in research activities that allowed the critical evaluation of current medical information and scientific evidence.

�        Developed as a medical educator by giving presentations before peers and faculty, and participated in the instruction of medical students.

�        Was routinely assessed on his/ her performance of medical procedures.

�        Participated in programmatic education on Life Long Learning.

�        Participated in lectures and workshops on behavioral psycho- social, multicultural issues in his/ her medical specialty as appropriate.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Chart Stimulated Recall Oral Examinations (CSR)

�        Monthly Service Rotation Evaluations

�        Portfolio

�        Written Examinations (i.e., in- training exam)

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstra- tions of compliance that were used:

TEACHING MODALITIES

The resident was routinely observed for his/her performance:

�        of medical interviewing techniques

�        of effective patient management plans.

�        of requesting and sequencing diagnostic tests and consultative services.

�        of his/her caring attitude that is mindful of cultural sensitivities, patient apprehensions, and accuracy of information

�        at bedside rounds.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Chart Stimulated Recall Oral Examinations (CSR)

�        Checklist Evaluations

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Completed a program for instruction and credentialing to validate their competency in the performance of medical procedures, where appropriate.

�        Understands and gives patients instructions on potential complications and known risks (Informed Consent).

�        Participated in bedside teaching rounds.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Checklist Evaluations

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Procedures/Case Logs

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Demonstrates effective skills in counseling patients and their families on health promotion and lifestyle activities related to good health maintenance.

�        Demonstrates effective skills in referring patients to not-for-profit and community service organizations that support health promotion and behavioral modification programs.

�        Demonstrates ability to work with professionals from varied disciplines as a team to provide effective medical care to patients that addresses their diverse health care needs.

�        Participates effectively in bedside teaching rounds.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Checklist Evaluations

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Procedures/Case Logs

�        Simulations and models.

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional    

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Demonstrates effective patient interviewing techniques.

�        Demonstrates ability in assessing the health of non-English-speaking and deaf patients.

�        Demonstrates the ability to involve patients and families in decision-making.

�        Illustrates the use of appropriate verbal and non-verbal skills when communicating with patients, families and faculty.

�        Demonstrates an understanding of cultural and religious issues and sensitivities in the doctor-patient relationships.

�        Participated in videos, workshops, bedside/clinic/office teaching about interpersonal and communications skills.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Checklist Evaluation

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Communicated medical problems and patient options at the appropriate level of understanding.

�        Maintained comprehensive, timely and legible medical records.

�        Demonstrated respectful interactions with health practition- ners, patients and their families.

�        Elicited medical information effectively.

�        Demonstrated and understanding of resources available to physicians to assist with appropriate assessment of communication- impaired patients.

�        Worked effectively with others as a member or leader of a health care team.

�        Participated in workshops/ videos, bedside/clinic/office teaching on effective oral/written communication skills.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Checklist Evaluation

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Honestly represented a patient’s medical status and the implications of informed consent on medical treatment plans.

�        Maintained patient’s confidentiality and demonstrated proper fulfillment of the physician’s role in the doctor-patient relationship.

�        Maintained appropriate and non-exploitive relationships with his/her patients.

�        Informed patients accurately of risks associated with medical research projects, the potential consequences of treatment plans and the realities of medical errors in medicine.

�        Treated the terminally ill with compassion in the management of pain, palliative care and preparation for death.

�        Participated in course/program (compliance and end of life) workshops, lectures, bedside/ clinic/office teaching.

�        Participated in mentor/mentee sessions on professionalism, ethics and cultural diversity.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Checklist Evaluation

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Had an increased understanding of conflicts of interest inherent in medicine and the appropriate response to societal, community and health care industry pressures.

�        Used limited medical resources effectively and avoided the utilization of unnecessary test and procedures.

�        Recognized the inherent vulner- ability and trust accorded by patients to physicians and upheld the highest moral principles, avoiding exploitation for sexual, financial or other personal gain.

�        Pursued life-long learning goals in medicine, humanism, ethics, and gained insight into the understand- ing of patient concerns and the proper relationship with the medical industry.

�        Participated in workshops, lec-ures, bedside/clinic/office teaching.

�        Participated in mentor/mentee program on professionalism.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluation Instruments

�        Checklist Evaluation

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Became more knowledgeable about/responsive to patient special needs and cultural origins.

�        Advocated for continuous quality of care for all patients.

�        Prevented discrimination based on defined patient characteristics.

�        Had increased understanding of the legal obligations of physicians in the care of patients..

�        Attended lectures/workshops on multicultural medicine.

�        Demonstrated competency by modeling it for other residents and house staff. 

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Chart Stimulated Recall Oral Examinations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Used reliable and current infor- mation in diagnosis and treatment.

�        Understands how to use the medical library and electronically mediated resources to discover pertinent medical information.

�        Demonstrated the ability to extract and apply evidence from scientific studies to patient care.

�        Seeks feedback on his/her presentations and reports.

�        Participated in evidence-based medicine Journal Clubs.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Chart Stimulated Recall Oral Examinations (CSR)

�        Objective Structured Clinical Examinations (OSCE)

�        Monthly Service Rotation Evaluations

�        Portfolio

�        Written Examinations (i.e., in- training exam)

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Understood and participated in quality assurance activities at the hospital and at ambulatory sites.

�        Applied the principles of evidence-based medicine in the diagnosis and treatment of patients.

�        Compared/studied the effectiveness of his/her practice patterns against the results obtained with other population groups in terms of effectiveness and outcomes.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Chart Stimulated Recall Oral Examinations (CSR)

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Participated in research activities as required by his/her respective specialty college.

�        Demonstrated computer literacy, information retrieval skills and an understanding of computer technology that applies to patient care and hospital systems.

�        Applied study designs and statistical methods to the appraisal of clinical studies.

�        Participated in Journal Clubs and evidence-based medicine programs.

�        Sought feedback on his/her presentations and reports.

�        Provided effective and thoughtful feedback to others on their presentations and conclusions.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Procedure/Case Logs

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Attended instruction in matters of health policy and structure.

�        Has an increased understanding of business applications in medical practice.

�        Demonstrated operational know-ledge of health care organizations and state and federal programs.

�        Demonstrated an increased understanding of his/her role as a member of the health care team in the hospital, ambulatory clinic and community.

�        Attended guest lectures/ seminars with policy makers.

�        Attended hospital utilization review, quality and other administrative and multidisciplinary meetings.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluations

�        Chart Stimulated Recall Oral Examinations (CSR)

�        Monthly Service Rotation Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Please check the box(es) for the methods, outcomes or demonstrations of compliance that were used:

TEACHING MODALITIES

The resident:

�        Has an increased understanding of local medical resources available to patients for treatment and referral.

�        Participated in advocacy activities that enhance the quality of care provided to patients.

�        Practiced clinical decision- making in the context of cost, allocation of resources and outcomes.

Please check the box(es) for the evaluation tool used to document methods, outcomes or demonstrations of compliance.

EVALUATION MODALITIES

�        360-Degree Evaluations

�        Checklist Evaluations

�        Objective Structured Clinical Examinations (OSCE)

�        Portfolio

�        Other:

Please check the appropriate rating box and comment on this resident’s performance for this element:

OUTCOME ASSESSMENT

�        Exceptional   

�        Meets Competencies

          � Usually    � Consistently

�        Deficient

COMMENTS:

Competency 1:  Osteopathic Philosophy and Osteopathic Manipulative Medicine

Element 1: This resident demonstrated competency in his/her understanding and application of OMT in ________________________ (specialty field).

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.     

1.

2.

3.     

1.

2.

4.     

1.

2.

Competency 1:  Osteopathic Philosophy and Osteopathic Manipulative Medicine

Element 2: This resident integrated Osteopathic Concepts and OMT into the medical care he/she provided to patients as appropriate.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.     

1.

2.

3.     

1.

2.

4.     

1.

2.

Competency 1:  Osteopathic Philosophy and Osteopathic Manipulative Medicine

Element 3: This resident understood and integrated Osteopathic Principles and Philosophy into all clinical and patient care activities.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.     

1.

2.

3.     

1.

2.

4.     

1.

2.

Competency 2: Medical Knowledge

Element 1: This resident demonstrated competency in the understanding and application of clinical medicine to patient care.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.     

1.

2.

3.     

1.

2.

4.     

1.

2.

Competency 2: Medical Knowledge

Element 2: This resident knows and applies the foundations of clinical and behavioral medicine appropriate to his/her discipline.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 3:  Patient Care

Element 1: Gathered accurate, essential information from all sources, including medical interviews, physical examinations, medical records, diagnostic/therapeutic plans, and treatments.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 3:  Patient Care

Element 2: This resident validated competency in the performance of diagnosis, treatment and procedures appropriate to his/her medical specialty.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 3:  Patient Care

Element 3: This resident provided health care services consistent with osteopathic philosophy, including preventative medicine and health promotion based on current scientific evidence.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.     

1.

2.

3.     

1.

2.

4.     

1.

2.

Competency 4:  Interpersonal and Communication Skills

Element 1: This resident demonstrated effectiveness in developing appropriate doctor-patient relationships.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 4:  Interpersonal and Communication Skills

Element 2: This resident exhibited effective listening, written and oral communication skills in professional interactions with patients, families and other health professionals.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 5:  Professionalism

Element 1: This resident demonstrated respect for his/her patients and families and advocated for the primacy of his/her patient’s welfare and autonomy.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 5:  Professionalism

Element 2: This resident adhered to ethical principles in the practice of medicine.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 5:  Professionalism

Element 3: This resident demonstrated awareness and proper attention to issues of culture, religion, age, gender, sexual orientation, and mental and physical disabilities.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.     

1.

2.

3.     

1.

2.

4.     

1.

2.

Competency 6:  Practice-Based Learning and Improvement

Element 1: This resident treated patients in a manner consistent with the most up-to-date information on diagnostic and therapeutic effectiveness.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 6:  Practice-Based Learning and Improvement

Element 2: This resident performed self-evaluations of clinical practice patterns and practice-based improvement activities using a systematic methodology.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.                                

1.

2.

3.                                

1.

2.

4.                                

1.

2.

Competency 6:  Practice-Based Learning and Improvement

Element 3: This resident understood research methods, medical informatics, and the application of technology as applied to medicine.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

1.    FM

1.

2.

2.     

1.

2.

3.     

1.

2.

4.     

1.

2.

Competency 7:  System-Based Practice

Element 1: This resident understands national and local health care delivery systems and how they affect patient care and professional practice.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

5.                                FM

1.

2.

6.                                 

1.

2.

7.                                 

1.

2.

8.                                 

1.

2.

Competency 7:  System-Based Practice

Element 2: This resident advocated for quality health care on behalf of his/her patients and assisted them in their interactions with the complexities of the medical system.

Program

Teaching Environment

Evaluation Methods

Frequency/Date

Minim.  Passing Score

Feedback; who/when

Remediation; as occurs

Resource/Costs

5.                                FM

1.

2.

6.                                 

1.

2.

7.                                 

1.

2.

8.                                 

1.

2.