|
ACGME
Core Competencies |
| Goal & Educational Purpose |
Beginning in July 2001, the
Accreditation Council for Graduate Medical Education (ACGME) has
introduced six newly defined areas of competency which residents must
obtain over the course of their training. |
| 1. |
Patient Care:
Residents are expected to provide patient care that is compassionate,
appropriate and effective for the promotion of health, prevention of
illness, treatment of disease and care at the end of life.
- Gather accurate, essential information
from all sources, including medical interviews, physical examination,
records, and diagnostic/therapeutic procedures.
- Make informed recommendations about
preventive, diagnostic, and therapeutic options and interventions that
are based on clinical judgement, scientific evidence,and patient
preferences.
- Develop, negotiate and implement patient
management plans.
- Perform competently the diagnostic
procedures considered essential to the practice of general internal
medicine.
|
| 2. |
Medical Knowledge:
Residents are expected to
demonstrate knowledge of established and evolving biomedical, clinical and
social sciences, and demonstrate the application of their knowledge to
patient care and education of others.
- Apply an open-minded and analytical
approach to acquiring new knowledge.
- Develop clinically applicable knowledge
of the basic and clinical sciences that underlie the practice of
internal medicine.
- Apply this knowledge in developing
critical thinking, clinical problem solving, and clinical
decision-making skills.
- Access and critically evaluate current
medical information and scientific evidence and modify knowledge base
accordingly.
|
| 3. |
Practice-Based
Learning & Improvement: Residents
are expected to be able to use scientific methods and evidence to
investigate, evaluate, and improve their patient care practices.
- Identify areas for improvement and
implement strategies to improve their knowledge, skills, attitudes, and
processes of care.
- Analyze and evaluate their practice
experiences and implement strategies to continually improve their
quality of patient practice.
- Develop and maintain a willingness to
learn from errors and use errors to improve the system or processes of
care.
- Use information technology or other
available methodologies to access and manage information and support
patient care decisions and their own education.
|
| 4. |
Interpersonal Skills
and Communication: Residents are
expected to demonstrate interpersonal and communication skills that enable
them to establish and maintain professional relationships with patients,
families, and other members of health care teams.
- Provide effective and professional
consultation to other physicians and health care professionals and
sustain therapeutic and ethically sound professional relationships with
patients, their families, and colleagues.
- Use effective listening, nonverbal,
questioning, and narrative skills to communicate with patients and
families.
- Interact with consultants in a
respectful and appropriate fashion.
- Maintain comprehensive, timely, and
legible medical records.
|
| 5. |
Professionalism:
Residents are expected to demonstrate
behaviors that reflect a commitment to continuous professional
development, ethical practice, an understanding and sensitivity to
diversity and a responsible attitude toward their patients, their
profession, and society.
- Demonstrate respect, compassion,
integrity, and altruism in their relationships with patients, families,
and colleagues.
- Demonstrate sensitivity and
responsiveness to patients and colleagues, including gender, age,
culture, religion, sexual preference, socioeconomic status, beliefs,
behaviors and disabilities.
- Adhere to principles of confidentiality,
scientific/academic integrity, and informed consent.
- Recognize and identify deficiencies in
peer performance.
|
| 6. |
Systems-Based
Practice: Residents are expected to
demonstrate an understanding of the contexts and systems in which health
care is provided, and demonstrate the ability to apply this knowledge to
improve and optimize health care.
- Understand, access, and utilize the
resources and providers necessary to provide optimal care.
- Understand the limitations and
opportunities inherent in various practice types and delivery systems,
and develop strategies to optimize care for the individual patient.
- Apply evidence-based, cost-conscious
strategies to prevention, diagnosis, and disease management.
- Collaborate with other members of the
health care team to assist patients in dealing effectively with complex
systems and to improve systematic processes of care.
|
