Goals and Objectives

Educational Program Goals and Objectives
At each Educational Level
Assignment Sample: Family Medicine Inpatient Rotation
 
First year Objectives (Inpatient Rotation)
Demonstrate basic knowledge and proficiency in the general objectives listed below.
 
Perform a thorough history and physical examination for each patient assigned.
 
Develop a basic differential diagnosis and suggest a preliminary diagnosis with the information obtained from the history and physical examination.
 
Establish an adequate course of action for the use of laboratories and special tests to confirm your preliminary diagnosis with the help of the second or third year resident and the approval of the attending physician.
 
Understand and properly use the consultation and or referral process to optimize the treatment of the patients.
 
Demonstrated proficiency in selecting the adequate blood component that satisfies the patient needs without increasing the risks.
 
During morning rounds discuss assigned cases in a concise and complete way.
 
Second Year Objectives (Inpatient Rotation)
Demonstrated knowledge and proficiency commensurate to the experience level in the first year objectives.
 
Elaborate a complete differential diagnosis, a clinical assessment and a treatment plan for all patients under his/her care.
 
Establish a complete plan of care including special diagnostic studies, therapeutics orders, use of ancillary and support services and a discharge plan.
 
Explain the basic elements to perform a preoperative evaluation of the surgical patient and the importance of such evaluation.
 
Develop strategies to help the patient and his (her) family cope with the hospitalization.
 
Recognize the ethical issues that may arise while managing terminally ill patients; delineate correct strategies to deal with those issues.
 
Demonstrate how to conduct a family meeting to deal with terminal care issues.
 
Learn how to approach the patient and family in issues of advance directives.
 
Understand the role as a consultant physician in the ER setting.
 
Demonstrate proficiency in the evaluation and management of patients consulted from the emergency service.
 
Develop criteria to decide which patients should be managed in an ambulatory setting and those who would benefit the most from hospitalization.
 
Know the indication and implications of restraint orders, understanding that this is a last resource method for dealing with uncooperative, delirious patients.
 
Understand the importance of an adequate coordination of services between the hospital/ER services and the primary level of care.
 
Third Year Objectives (In patient Rotation)

Demonstrate superior proficiency in the first and second year objectives.
 
Understand the importance of the quality improvement program and the utilization review program in hospitals.
 
Demonstrate proficiency in the preparation of a Case Presentation using one of the patients of the service. This should include audiovisual resources and other human resources that participated in the care of patient.
 
Understand how administrative knowledge and skills can facilitate the optimal care of the hospitalized patient.
 
Understand the need to improve patient safety during hospitalization.
 
Describe the basic elements of the Medicare reimbursement program known as Prospective Payment System Diagnostic Related Group.
 
Understand the relationship that is established between the primary care physician and the hospital in a managed care environment. Understand the process of pre-certification for different procedures or admission within this system.
 
Understand the implications of different insurance plans in the provision of care to patients.
 
Demonstrate proficiency in the management of the peri-operative period of the surgical patient including performing an adequate pre operative evaluation.
 
Demonstrate proficiency in the supervision, workload distribution and teaching for the team of residents and students under his leadership.
 
Explain the functional organization of our hospital.
 
Explain the concept of Organized Medical Faculty in the hospital and the responsibilities of such group.
 
List the principal faculty committees and explain their importance in assuring excellent care to patients.
 
Understand the basic principles and importance of medical coding using the ICD-9_CM and the CPT references.  

Educational Program Goals and Objectives
Competency-based
Assignment Sample: Family Medicine Inpatient Rotation

Patient Care (PC)

Adequately perform a detailed and pertinent history and physical examination.

Satisfactorily outline to faculty and senior residents the initial workup of a patient being admitted to the Family Medicine service.

Effectively and efficiently present a patient in morning report.

Demonstrate knowledge of and appropriate care of other specialties in reference to patient care on the Family Medicine service.

Demonstrate the proper methods of requesting consultations:

  • All consultation requests will be discussed with the senior resident prior to the request.
  • All consultations will be requested by a personal or telephone contact with the consultant.
  • The consultant will be enlightened with a brief history, physical findings, and the reason for consultation.
  • Perform the initial workup indicated prior to the consultation request.
  • Ask the consultant if there are any tests or radiological studies that should be ordered prior to their visit to evaluate the patient.
  • In case of a need for an emergency consultation, notify the senior resident and the staff immediately AFTER securing the consultation.

 

Medical Knowledge (MK)

Residents will be able to state the appropriate evaluation and management of the following medical conditions:

Pneumonia

Exacerbations of asthma and chronic obstructive airway disease

Congestive heart failure

Chest pain, acute coronary syndrome, and acute myocardial infarction

Atrial fibrillation

Deep vein thrombosis and pulmonary embolism

TIA and Stroke

Electrolyte abnormalities including hypo/hypernatremia and hypo/hyperkalemia

Acute renal failure

Diabetes mellitus, diabetic ketoacidosis, and hyperosmolar hyperglycemic state

Urinary tract infection

Cellulitis

The use of enteral nutrition and PPN/TPN

Upper and lower gastrointestinal bleeding


Practice-based learning and improvement (PBL)

Residents will daily seek and report the most current information regarding the care of at least one patient on the service.

Residents and Interns will prepare and present a medical subject of interest as will be assigned by the senior resident or the attending staff once a week, after morning report.

The residents will present the month’s activities at Morbidity and Mortality conference as previously outlined. The discussion should include a critical evaluation of the care rendered, whether it met standard of care, whether evidence-based interventions were utilized appropriately, and whether anything differently could or should have been done that might have improved the outcome.

Interpersonal and Communication Skill (ICS)

The residents will demonstrate the ability to communicate effectively with the patients, family members, fellow residents, and attending staff.

Demonstrate appropriate effective phone skills.

Professionalism

Residents will be punctual in completing all assigned duties.

Residents will perform all history and physicals on the day of admission and all discharge summaries on the day of discharge.

Residents will demonstrate sensitivity to the family members who experience the stress of having an ill person in the family.

Residents will demonstrate sensitivity to patients and family members of diverse racial, ethnic, and cultural backgrounds.

Residents will demonstrate respectful, professional relationships with nursing and ancillary staff.

Residents are expected to dress professionally and wear their lab coats.


Systems-Based Practice

Demonstrate effective use of the hospital computer system.

Demonstrate knowledge of hospital resources pertaining to patient care.

Effectively consult social services for help with patient disposition.

AOA competency

Osteopathic Philosophy and Osteopathic Manipulative Medicine
Is demonstrated in the application of knowledge of accepted standards in Osteopathic Manipulative Treatment (OMT) appropriate to specialty. The practitioner will remain dedicated to life-long learning and to practice habits in osteopathic philosophy and manipulative medicine.
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