Relationship of Course Objectives to UNC SOM Milestones

Core Competency:

Patient Care/Clinical Skills

Click here to view all school competencies

Instructional Methods

Assessment Methods

Elicits focused histories and appropriate PE

Obtain appropriately focused and accurate history and physicals across all age groups and clinical settings. (PC3A1,2,3; PC3B1)

Preceptorship

Clin Eval, OSCE, Direct Observation

Diagnostic tests, differentials, & management plan

Generate evidence based differential diagnosis and patient centered, cost effective management plan for core patient types. (PC3D1,2,3; PC3E1,2,3; PC3F1)

Preceptorship, small group

Clin Eval, Direct Observation, Write Up, OSCE, NBME

Health promotion and disease prevention

Select and discuss with patients appropriate prevention strategies for core conditions. (PC3G1,2)

Preceptorship

Clin Eval, OSCE, NBME

Core Competency:

Interpersonal and Communication Skills

Milestone- go to milestone number in school competencies to view further details

Instructional Methods

Assessment Methods


Oral presentations and written notes Communicate effectively with colleagues (both orally and in writing) about patient care and demonstrates understanding of electronic health records (IC3A2,3,4)

Preceptorship, small group

Clin Eval, Write Up, OSCE


Communication with patients and family Demonstrate effective oral communication skills with all patients and where appropriate with their families (IC3A2, IC3B1)

Preceptorship

Clin Eval

Rapport with medical personnel

Work effectively in teams (IC3C1)

Preceptorship, small group

Clin Eval

 

Core Competency:

Medical Knowledge

Milestone- go to milestone number in school competencies to view further details

Instructional Methods

Assessment Methods

Basic medical knowledge

Present pathophysiologic factors underlying the clinical manifestations of common diseases and develop diagnostic and therapeutic plans for patients with these diseases (MK3A1, MD3B1, MC3C1, MK3D1,2,3, MK3G1)

Preceptorship, small groups, reading from textbook

Clin Eval, Direct Observation, Write Up, NBME shelf exam

Knowledge of psychosocial and family issues Describe social, cultural, and behavioral factors that influence the health of patients (MD3E1,2,3, MK3F2)

Preceptorship, small groups, reading from textbook

Clinical Eval, Direct Observation, Write Up

Use the milestones of normal child development and adult maturation in patient care (MK3A1, MK3F1, MK3F3)

Preceptorship, readings from textbook

Clin Eval, NBME shelf exam

Core Competency:

Professionalism

Milestone- go to milestone number in school competencies to view further details

Instructional Methods

Assessment Methods


Behaviors of integrity and compassion

Demonstrate honesty, integrity, and compassion in all settings including the classroom, in peer interactions, and during patient encounters and define strategies to deal with difficult situations (PC3J1,2 IC3A1, PR3A1, PR3D1, PR3G1,2 PB3B3 )

Preceptorship, small group

Clin Eval, Small Group Work

Feedback

Reflects on areas of weakness, actively seeks out feedback and uses information to modify behaviors (PB3A1, PB3B1,2 3)

Preceptorship, small group

Clin Eval

Core Competency:

Practice Based Learning

Milestone- go to milestone number in school competencies to view further details

Instructional Methods

Assessment Methods


Self- directed learning

Critically assess information in care of patients and develop strategies to enable lifelong learning and address patient safety issues (PB3C1, PB3D1,PB3E1).

Preceptorship, small group

Mid-rotation feedback, Clin Eval

 

 

Core Competency:

Systems Based Practice

Milestone- go to milestone number in school competencies to view further details

Instructional Methods

Assessment Methods


Describe an integrated team approach (as exemplified by the patient centered medical home) in the care of patients and strategies to assess impact on care (SB3C1, SB3D1, SB3E1)

Preceptorship, small group

Clin Eval, Write Up

Core Competency:

Managing the Health of Populations

Milestone- go to milestone number in school competencies to view further details

Instructional Methods

Assessment Methods

Use measures of cost, quality, and access to assess the outcomes of a primary care population as exemplified by the patient centered medical home(HP3A1)

Preceptorship, small group

Write Up

Identify diseases and conditions in patients seen during clinical rotations that may be influenced by health care disparities and discuss role of physician in addressing disparities (HP3D1,2)

Preceptorship, small group

Write Up