Provide patient-centered care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
1.1 Elicit a comprehensive history for common patient presentations
1.2 Perform a general physical examination while attending to patient comfort and safety, and identify common abnormal findings
1.3 Develop and prioritize a differential diagnosis utilizing clinical reasoning
1.4 Gather, interpret, and order appropriate laboratory tests, imaging studies, tests, and other data based on scientific evidence and clinical judgment
1.5 Perform medical, diagnostic, and technical procedures considered essential to enter post-graduate training
1.6 Develop and carry out management plans that are patient-centered, safe, effective, and value-based
1.7 Explore and examine the effects of the social drivers on health and its impact on patient concerns and chronic disease
1.8 Develop and implement management plans that consider continuity of care and prioritize safe transitions between providers or settings
1.9 Counsel and educate patients and their families to empower them to participate in their care, engage in preventative health, and facilitate shared decision-making
1.10 Recognize a patient requiring urgent or emergent care and initiate evaluation and management
1.11 Participate in end of life and palliative care discussions with patients and families in the appropriate clinical context
1.12 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, and apply this knowledge to the care of patients and populations.
2.1 Demonstrate effective critical thinking, using an investigative and analytic approach
2.2 Apply established and emerging principles of biomedical sciences to health care for patients and populations
2.3 Apply established and emerging principles of clinical sciences to care for patients and populations
2.4 Develop a foundational knowledge to understand the historical and persistent effects of structural racism and the biological mechanisms through which racism and historical trauma impact health
2.5 Apply established and emerging principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, healthcare inequities, and disease prevention/health promotion efforts for patients and populations
2.6 Apply established and emerging 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
2.7 Apply the principles of evidence-based health care by contributing to the creation, dissemination, application, and translation of new health care knowledge and practices
2.8 Explain how to use and interpret emerging technology while mitigating sources of error, bias, or clinical inapplicability
2.9 Recognize that ambiguity and uncertainty is part of clinical health care and respond by utilizing appropriate resources in these situations
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 Systematically analyze personal clinical practice using quality improvement methods, and implement changes with the goal of practice improvement
3.2 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes into the individual care of patients
3.3 Locate, appraise, and apply evidence from scientific studies related to patients’ health problems into the individual care of patients
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 and compassion, using active listening and nonverbal communication with patients, families, and members of communities as appropriate, across a broad range of socioeconomic and cultural backgrounds
4.2 Communicate effectively with dignity and respect in interactions with other learners, physicians, all other health professionals and health related agencies
4.3 Work effectively with others as a member or leader of a healthcare team or other professional group
4.4 Maintain accurate, timely, and original medical records with attention to privacy while adhering to legal and ethical standards
4.5 Effectively deliver organized, accurate, nuanced, and succinct oral presentations with inclusion of all relevant details.
4.6 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
4.7 Demonstrate insight and understanding about emotional responses and how they affect interpersonal interactions between health professionals, patients, and their families
4.8 Effectively communicate, educate, and disseminate medical knowledge (i.e., validity, utility, & relevance of literature/research findings) with patients, families, other learners, other health professionals, and the community
4.8 Mitigate barriers to communication impacting effective care
Demonstrate a commitment to carrying out professional responsibilities and an adherence to moral and ethical principles.
5.1 Demonstrate compassion, integrity, accountability and respect for patients, colleagues, society and the profession
5.2 Prioritize the needs of patients while maintaining awareness of one’s limits
5.3 Demonstrate respect for patient privacy, autonomy, vulnerability and the inherent power differentials in organizational and interpersonal relationships
5.4 Promote allyship with the goal of providing equitable health care.
5.5 Navigate ethical dilemmas in medical care, including informed consent, confidentiality, provision or withholding of care, and conflict of interest and competing priorities, in ways that maintain the primacy of patient interests
5.6 Abide by relevant laws, policies, and regulations
5.7 Demonstrate trustworthiness that engenders trust in colleagues, patients, and society at large
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 Coordinates effective patient care within the larger healthcare system, including participation in safe and effective transitions and hand-offs
6.3 Incorporate considerations of cost awareness and risk-benefit analysis in individual patient and population-based care
6.4 Propose opportunities for improvement in quality and safety of patient care and optimal patient care systems and design potential solutions
6.5 Demonstrate leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system
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 limitations and engage in appropriate help-seeking behaviors
8.2 Demonstrate organizational and time management skills to optimize work-life balance
8.3 Incorporate feedback and self-reflection into practice
8.4 Identify strengths and limitations in one’s knowledge, skills, attitudes, and abilities
8.5 Set learning and improvement goals to address deficiencies in one’s knowledge, skills, attitudes, and abilities
8.6 Demonstrate skills as an educator of peers, patients, and other healthcare professionals, students, and trainees