Provide patient-centered care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
1.1 Perform medical, diagnostic, and technical procedures considered essential to enter post-graduate training
1.2 Gather essential and accurate information about patients and their conditions through history-taking, physical examination, laboratory data, imaging, and other sources
1.3 Develop and prioritize a differential diagnosis through clinical reasoning
1.4 Order and interpret appropriate laboratory tests, imaging studies, and other tests based on scientific evidence and clinical judgment
1.5 Develop and carry out management plans that are patient-centered, safe, effective, and value based
1.6 Counsel and educate patients and their families to empower them to participate in their care, engage in preventative health, and facilitate shared decision-making
1.7 Recognize a patient requiring urgent or emergent care and initiate evaluation and management
1.8 Recognize and discuss end of life and palliative care with patients and families in the appropriate clinical context
1.9 Provide appropriate referral of patients, including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes
1.10 Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health
Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
2.1 Demonstrate effective clinical reasoning, using an investigative and analytic approach to clinical situations
2.2 Apply established and emerging basic scientific principles fundamental to health care for patients and populations
2.3 Apply established and emerging principles of clinical sciences to clinical reasoning and other aspects of evidence-based health care
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, healthcare disparities, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of social-behavioral sciences to provision of patient care, including assessment of the impact of psychosocial and cultural determinants of health, disease, care seeking, care adherence, and barriers to and attitudes toward care
2.6 Contribute to the creation, dissemination, application, and translation of new health care knowledge and practices
Demonstrate the ability to investigate and evaluate one’s care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning
3.1 Identify strengths and limitations in one’s knowledge, skills, attitudes, and abilities
3.2 Set learning and improvement goals to address deficiencies in one’s knowledge, skills, attitudes, and abilities
3.3 Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement
3.4 Incorporate feedback and self-reflection into daily practice
3.5 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes
3.6 Locate, appraise, and assimilate evidence from scientific studies related to patients’ health problems
Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals
4.1 Communicate effectively with empathy, compassion, and active listening with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds
4.2 Communicate effectively with dignity and respect in interactions with students, trainees, physicians, all other health professionals and health related agencies (see also 7.3)
4.3 Work effectively with others as a member or leader of a healthcare team or other professional group (see also 7.4)
4.4 Maintain effective, timely, and original medical records with attention to privacy and safety while adhering to legal and ethical standards
4.5 Demonstrate sensitivity, honesty, and compassion, especially in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics
4.6 Demonstrate insight and understanding about emotions and how they affect interpersonal interactions between health professionals, patients, and their families
4.7 Participate in the education of patients, families, students, trainees, peers, and other health professionals
4.8 Identify and manage language, educational, intellectual, and other barriers to communication
Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles
5.1 Demonstrate compassion, integrity, and respect for everyone
5.2 Prioritize the needs of patients while maintaining awareness of one’s limits
5.3 Demonstrate respect for patient privacy and autonomy
5.4 Demonstrate accountability to patients, colleagues, society and the profession
5.5 Demonstrate sensitivity to diverse populations, including but not limited to gender, age, culture, race, religion, disabilities, socioeconomic status, and sexual orientation
5.6 Demonstrate a commitment to ethical principles pertaining to informed consent, confidentiality, and provision or withholding of care
5.7 Abide by relevant laws, policies, and regulations
Demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care
6.1 Work effectively in various health care delivery settings and systems
6.2 Coordinate patient care within the healthcare system
6.3 Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care
6.4 Identify opportunities and advocate for improvement in quality and safety of patient care and optimal patient care systems
Demonstrate the ability to engage in an interprofessional team in a manner that optimizes safe, effective patient- and population-centered care
7.1 Work with other health professionals to establish and maintain a climate of mutual respect, dignity, diversity, ethical integrity, and trust
7.2 Describe the roles of all members of the healthcare team, including that of a physician, and apply the team’s diverse knowledge to address the health needs of individuals and populations
7.3 Communicate with other health professionals in a responsive and responsible manner that supports the maintenance of health and the treatment of disease in individual patients and populations
7.4 Participate as a team member or leader to establish, develop, and continuously enhance interprofessional teams to provide patient- and population-centered care that is safe, efficient, effective and equitable
Demonstrate the qualities required to sustain lifelong personal and professional growth
8.1 Develop self-awareness of emotional limitations and engage in appropriate help-seeking behaviors
8.2 Demonstrate healthy coping mechanisms to respond to stress
8.3 Manage competing demands among personal and professional responsibilities
8.4 Practice flexibility and maturity in adjusting to change with the capacity to alter one’s behavior
8.5 Demonstrate trustworthiness that makes patients, families, and the healthcare team feel at ease
8.6 Provide administrative and leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system
8.7 Demonstrate an appropriate level of confidence that makes patients, families, and the healthcare team feel at ease
8.8 Demonstrate organizational and time management skills to optimize work-life balance
8.9 Recognize that uncertainty is part of clinical health care and respond by utilizing appropriate resources in these situations