UNC SOM Competencies

UNC SOM Competencies

1. Medical Knowledge

Students must demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g., epidemiological and social-behavioral) sciences and the application of this knowledge in patient care, specifically:

 

Enabling Competency

Clerkship Objectives

Educational Activities

Assessment

2.   Explain various causes (genetic, developmental, metabolic,toxic, microbiologic, autoimmune, neoplastic, degenerative, behavioral, and traumatic) of major diseases and conditions and the ways in which they operate on the body (pathogenesis)

Synthesize data collected into a coherent assessment, including the differential diagnosis, utilizing the biopsychosocial model

 

 

 

 

Milestones: 3002, 3003

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluation

 

Oral Examination

3.   Describe how the altered structure and function (pathology and pathophysiology) of the body and its major organ systems are manifest through major diseases and conditions

Discuss how to recognize medical or substance induced causes of psychiatric signs and symptoms

 

Construct a biopsychosocial management plan for patients

Milestone: 3003

Clinical case discussions

 

Case Write-up

 

Seminar series

Case Write-up

 

Oral Examination

5.   Identify the proximate and ultimate factors that contribute to the development of disease and illness, and, that contribute to health status within and across populations regionally, nationally, and globally

Integrate knowledge of social conditions and behaviors that predispose patients to disease and decreased function into the management plan for individual patients

Milestones: 3008, 3009

Clinical work in inpatient, outpatient and emergency settings

 

Seminar series

 

6.   Demonstrate knowledge of the basic principles of human behavior throughout the life cycle, including development during infancy, childhood, adolescence, adulthood and end of life

Recognize the behavioral milestones of normal child development and adult maturation, and use these milestones in patient care

 

Identify common behavioral pathology that contributes to health and illness in common

disease/injury states

 

Incorporate life cycle stage into management planning in patient care

Milestones: 3010, 3011, 3012

Clinical work in inpatient, outpatient and emergency settings

 

Seminar series

Clinical evaluations

 

Case Write-up

 

Oral Examination

7. Recognize the medical consequences of common societal problems

Create discharge and management plans that address the impact of social conditions and problems on patients

Milestone: 3013

Clinical work in inpatient, outpatient and emergency settings

 

Seminar series

Clinical evaluations

 

Case write-up

 

Oral Examination

 

2. Patient Care

Students must be able to provide care that is compassionate, appropriate, and effective for treating health problems and promoting health, specifically:

 

Enabling Competency

Clerkship Objectives

Educational Activities

Assessment

8.   Obtain an accurate, age-appropriate medical history

 

 

 

 

Skillfully obtain information via the medical interview including both objective and subjective information

 

Milestones: 3014, 3015, 3016

Clinical work in inpatient, outpatient and emergency settings

 

Interview Development Program (Tutoring)

Clinical Evaluations

 

Oral Examination

 

 

9.   Demonstrate proper technique in performing both a complete and a symptom-focused examination,

addressing issues of patient modesty and comfort

Perform a thorough mental status exam, ideally integrating it into the interview

 

Milestone: 3017 (Mental Status Exam)

Clinical work in inpatient, outpatient and emergency settings

 

Interview Development Program (Tutoring)

Clinical Evaluations

 

Oral Examination

 

11.   Justify each diagnostic test ordered and

management strategy proposed with regard to cost,

effectiveness, risks and complications, and the

patient’s overall goals and values

List the broad range of psychiatric treatments (biological, psychological and social)

 

Discuss risks (including cost), benefits of treatments likely to be used for psychiatric treatment

 

Discuss diagnostic testing used in the workup of psychiatric presentations

Milestones: 3020, 3021, 3022

Clinical work in inpatient, outpatient and emergency settings

 

Interview Development Program (Tutoring)

 

Case Write-up

Clinical Evaluations

 

Oral Examination

 

Case Write-up

12.   Apply clinical reasoning and critical thinking skills

in developing a differential diagnosis and management plan

Integrate information obtained from history, physical, collateral sources, diagnostic testing and the medical literature to create a reasonable differential diagnosis and basic management plan for core psychiatric presentations

Milestones: 3023, 3024, 3025

Clinical work in inpatient, outpatient and emergency settings

 

Interview Development Program (Tutoring)

 

Case Write-up

Clinical Evaluations

 

Oral Examination

 

Case Write-up

13.   Apply the principles of pharmacology, therapeutics,

and therapeutic decision-making to the care of an

individual patient

Discuss risks (including cost), benefits of treatments likely to be used for psychiatric treatment

 

 

Milestones: 3026, 3027, 3028

Clinical work in inpatient, outpatient and emergency settings

 

Interview Development Program (Tutoring)

 

Case Write-up

Clinical Evaluations

 

Oral Examination

 

Case Write-up

14.   Identify and incorporate into the care of patient’s

appropriate prevention strategies for common

conditions

Include prevention in treatment planning (e.g., relapse prevention, prevention of morbidities associated with illness and treatment

 

Milestone: 3030

Clinical work in inpatient, outpatient and emergency settings

 

Interview Development Program (Tutoring)

 

Case Write-up

Clinical Evaluations

 

Oral Examination

 

Case Write-up

17.   Provide culturally sensitive care to patients of diverse cultures and belief systems

Demonstrate cultural and gender sensitivity skills in interactions with patients, families, peers, colleagues

 

Identify the impact of culture and belief systems on patient and family decision making

Milestones: 3036, 3037

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

Oral Examination

 

3. Interpersonal and Communication Skills

Students must demonstrate interpersonal and communication skills that facilitate effective interactions with patients and their families and other health professionals, specifically:

 

Enabling Competency

Clerkship Objectives

Educational Activities

Assessment

18.   Develop empathetic, caring relationships with

patients

Demonstrate empathic caring relationships with psychiatric patients

 

Discuss and demonstrate appropriate boundaries in the physician/patient relationship.

 

Reflect on how life experiences influence  reactions to and interactions with patients

Milestones: 3038, 3039

Clinical work in inpatient, outpatient and emergency settings

Clinical Evaluations

 

19.   Communicate effectively with patients, patients’

families, colleagues, and other health care professionals

Demonstrate effective oral communication skills with patients and their families in the clinical care setting

 

Demonstrate effective oral communication skills with colleagues and other health

professionals in clinical care settings

 

Effectively present the findings of a history and mental status examination, diagnostic test results, and management plan

 

Construct a written report of

a history and mental status examination, pertinent physical examination, diagnostic test results, and management plan

Milestones: 3040, 3041, 3042, 3043

Clinical work in inpatient, outpatient and emergency settings

 

Case Write-up

 

Clinical Evaluations

 

Oral Examination

 

Case Write-up

20.   Demonstrate collaborative teamwork skills and the ability to work effectively with other members of the health care team

Apply team work skills in collaboration with other members of the health care team to provide appropriate health care to patients

Milestone: 3044

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

 

 

4. Professionalism

Students must demonstrate a commitment to professional service, adherence to ethical principles, sensitivity to patients, and maintain personal health and well-being, specifically:

 

Enabling Competency

Clerkship Objectives

Educational Activities

Assessment

21.   Demonstrate honesty and integrity in all

interactions with patients, their families and colleagues

Demonstrate honesty and integrity in all settings including the classroom, in peer interactions, and during patient encounters

Milestone: 3045

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

UNC SOM Professionalism Evaluation

22.   Identify and apply theories and principles that

govern ethical decision-making to the practice of

medicine

Identify when consultation with ethics committees or with colleagues is advised

 

Assist with obtaining an informed consent from a patient

 

Discuss the process of involuntary (civil) commitment

Milestones: 3047, 3048

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

UNC SOM Professionalism Evaluation

24.   Protect patient privacy and confidentiality

Demonstrate concern for patient privacy and confidentiality

 

Identify clinical situations where confidentiality may be breached and discuss appropriate strategies to deal with these situations

Milestone: 3050

Clinical work in inpatient, outpatient and emergency settings

Clinical Evaluations

 

UNC SOM Professionalism Evaluation

25.   Demonstrate personal accountability and admit

professional mistakes openly and honestly with one’s colleagues and instructors and critically evaluate these mistakes to promote professional development

Discuss personal accountability and professional mistakes, and seek out supervision from colleagues and supervisors appropriately

 

(Based on Milestone 3051)

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

UNC SOM Professionalism Evaluation

26.   Recognize unprofessional behaviors in one’s self as well as in peers and other health professionals with whom one interacts and address these in a constructive manner

Describe instances of unprofessional behavior [in self or others] observed on clerkships and discuss means of addressing them

 

Milestone: 3052

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

UNC SOM Professionalism Evaluation

27.   Maintain personal health and well-being and

achieve a balance between priorities of patient care

and personal and professional development

Discuss reactions to stressful clinical encounters and potential impact on well-being

 

Recognize  when patient needs and personal and professional needs conflict

Milestones: 3053, 3054

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

UNC SOM Professionalism Evaluation

 

 

 

5. Practice-Based Learning and Improvement

Students must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their practice of medicine, specifically:

 

Enabling Competency

Clerkship Objectives

Educational Activities

Assessment

28.  Identify gaps in medical knowledge, clinical skills

(including communication skills), and professionalism, and develop a strategy for self-improvement

Self-assess progress regarding learning objectives and develop a plan for self-improvement

 

 

 

 

Milestone: 3055

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Logs

 

Interview Development Program (Tutoring)

Clinical Evaluations

 

Oral Examination

 

Clinical Logs

 

Mid-Clerkship Evaluation with Clerkship Director

29.   Actively seek and respond to feedback about professional performance

Set goals for clinical rotations and seek out feedback regarding self-identified goals

 

Reflect on feedback received from faculty and others in clinical settings

 

Create a plan to modify behavior based on feedback received from patients, peers and

Faculty

Milestones: 3056, 3057, 3058

Clinical work in inpatient, outpatient and emergency settings

 

Interview Development Program (Tutoring)

Clinical Evaluations

 

Oral Examination

 

Mid-Clerkship Evaluation with Clerkship Director

 

30.   Demonstrate skills in retrieving, critically assessing,

and integrating biomedical information into clinical

decision-making

Evaluate and discuss treatment options for psychiatric patients based on available biomedical information

Milestone: 3059

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

 

31.   Discuss the basic principles of basic, clinical and translational research and how this research is

applied to patient care

Develop a clinical question based on a real patient, identify relevant research findings, critically evaluate the validity and reliability of that research, and discuss the application of these findings to the care of this patient

Milestone: 3060

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

 

32.   Apply principles of patient safety and quality improvement to enhance patient care

Identify potential patient safety issues and identify strategies to improve outcomes in the clinical setting

Milestone: 3063

Clinical work in inpatient, outpatient and emergency settings

Clinical Evaluations

 

 

 

6. Systems-based Practice

Students must demonstrate an awareness of and responsiveness to the larger context and systems of health care and the ability to call on system resources to provide care that is of optimal value, specifically:

 

Enabling Competency

Clerkship Objectives

Educational Activities

Assessment

33.   Use electronic and other information tools [e.g., including electronic health records and computer order entry] for systems-based patient care

Use an electronic medical record (EMR), computerized patient medical record (CPOE), and/or picture archiving and communication system (PACS), in the care of assigned patients

Milestone: 3065

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

34.   Identify necessary elements for coordinated care of patients with complex and chronic diseases

Participate in multidisciplinary team meetings

 

Coordinate care with patients’ outpatient providers

 

Develop case management plans for patients, including biomedical and psychosocial interventions

Milestones: 3068, 3069

Clinical work in inpatient, outpatient and emergency settings

Clinical Evaluations

 

35.   Advocate for enhanced access to health care for members of underserved populations

Actively assist in arranging for appropriate community resources for a patient who is being discharged, or who has access challenges

Milestone: 3070

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

36.   Describe the principles underlying the delivery of high quality patient care and effective patient systems

Discuss high quality patient care principles to the care of individual patients and examples where these principles were not followed and the impact on patient care

Milestone: 3071

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

37.   Outline the roles of the various members of the healthcare team and describe how these roles can be integrated for optimal patient care

Develop patient care plans integrating the roles of health care team members in the hospital and clinic setting

 

Describe how health care team members are effectively integrated to optimize patent

care across different levels of care

Milestones: 3072, 3073

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

 

 

7. Managing the Health of Populations

Students must demonstrate an understanding of the management of populations, for both specific clinical populations and to diseases and conditions important to North Carolina and the US.

 

Enabling Competency

Clerkship Objectives

Educational Activities

Assessment

40.   Describe various approaches to the organization, financing, and delivery of health care in the United States and other countries and the role of physicians in developing and implementing health policy

Identify the impact of financial policies (e.g., of health systems, of insurance companies) on health and health care of individual patients seen in clinical rotations

 

Milestone: 3076

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations

41.   Identify disparities across populations in North Carolina and nationally, and discuss physician roles in reducing these disparities

Identify diseases and conditions in patients seen during clinical rotations that may be

influenced by health care disparities

 

Discuss the physician’s role in addressing health care disparities

Milestones: 3077, 3078

Clinical work in inpatient, outpatient and emergency settings

 

Clinical Evaluations