Goals and Objectives

Unified Goals and Objectives

Medical Knowledge: Demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.

• List the most common acute and chronic conditions seen during this rotation
• For those problems seen during this rotation, apply the relevant genetics, physiology, embryology and development biology, anatomy, pharmacology, pathology, microbiology and immunology
• For the most common presenting symptoms and signs encountered during this rotation, explain the pathophysiological principles that underlie the manifestation of the symptoms and signs
• Apply basic pharmacological principles to the most common conditions seen during this rotation
• State the health promotion/disease prevention issues relevant to patients seen on this rotation

Patient Care: Provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

• Demonstrate the ability to completely evaluate problems via appropriate medical history, physical examination, and laboratory/radiological and other modalities of evaluation
• Balance proper use of investigations and treatment for patients with a social obligation to control health care costs
• Formulate biopsychosocial hypotheses into a differential diagnosis, provisional diagnosis and working diagnosis
• Identify patients at highest risk for serious morbidity and mortality
• Present cases clearly and concisely to preceptors and others
• Write or chart on electronic health records legible, concise, accurate and timely notes
• Perform skills and procedures relevant to the most common conditions seen during this rotation
• Demonstrate an ability to involve other relevant caregivers into patient care decisions and plans

Patient Care: Provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Interpersonal and Communication Skills: Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients families, and professional associates

• Communicate effectively with patients, their families and other members of the health care team
  • Adhere to the principles of openness, honesty, completeness and responsibility in communication
  • Demonstrate an ability to effectively communicate difficult/bad news
• Provide effective patient education and anticipatory guidance
• Respect confidentiality
• Demonstrate willingness and ability to receive and act upon feedback from colleagues, other health care workers and their families and caregivers
• Demonstrate empathy with patients
• Utilize touch when appropriate and within the boundaries of an appropriate doctor-patient relationship

Practice-Based Learning and Improvement: Investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.

• Practice and apply the principles of evidence-based medicine to all patient care encounters
• Collect and analyze patterns of practice and compare/contrast these individual patterns with established clinical guidelines and norms (best practices)
• Access, in a disciplined way, sources of new information pertaining to the practice of medicine
• Apply the basic principles of continuous quality improvement to the practice setting
• Recognize and accept one’s own limitations in the practice of medicine

Systems-Based Practice: Demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

• For the problems most commonly encountered on the rotation, list the indications for referral, consultation and transfer (to others and from others)
• Demonstrate respect and honor for the roles of the many health care professionals required for collaborative care
• Utilize the network of health care facilities, providers, agencies and institutions available for the diagnosis, management and support of patients and their families
• Acknowledge and act in accord with payment issues involved in medical care
• Advocate for patient and family issues
• Take into consideration issues related to the cost and supply of pharmaceuticals in medical decision-making

Professionalism: Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

• Exemplify those behaviors that comprise professionalism:
  • Altruism: the best interest of the patient must come before the interests of the doctor
  • Accountability: accountability to patients, their families, colleagues and to society
  • Excellence: an effort to exceed ordinary expectations; scientific and humanitarian curiosity
  • Duty: a commitment to service
  • Honor and Integrity: a commitment to the highest standards of personal and professional behavior
  • Respect for Others: the essence of humanism; includes respect for patients, their families, colleagues, nurses, students, residents, other medical and administrative personnel.
• Respect privacy, confidentiality and autonomy
• Demonstrate caring and compassionate actions at all times
• Dress appropriately when working with patients
  • Appropriate dress is professional attire that fosters trust and confidence in the patient–physician relationship, ensures safety and functionality in clinical settings, and respects patients, families, and health care staff.needs of patients, their families and the staff
  • Acknowledge and accommodate concerns related to cultural diversity

Osteopathic Philosophy and Osteopathic Manipulative Medicine: Integrate Osteopathic Concepts and OMT into the medical care provided to patients as appropriate. Understand and integrate Osteopathic Principles and Philosophy into all clinical and patient care activities.

• Apply osteopathic medical concepts in the diagnosis and treatment of patients
  • Holistic approach
  • OMT