Internal Medicine
Clerkship Objectives Index | Ambulatory | Emergency Med | Family Med | Internal Med | Neurology | Ob/Gyn | Peds | Psych | Surgery | Sub-I
CURRENT LEARNING OBJECTIVES & ALIGNMENT
1. Knowledge for Practice (KP)
- Demonstrate knowledge of common problems seen by Internists and describe health care disparities for patients.
2. Patient Care (PC): Develop skills necessary to care for patients with problems commonly seen by Internists.
- Gather a history & perform a physical exam appropriate to patients seen on the Internal Medicine service to advance patient care.
- Identify potential triggers that may (re)traumatize patients related to previous adverse experiences (from abuse, bias related to ethnicity, gender, sexual preferences, weight, age, substance use, etc.) and avoid re-traumatization.
- Gather a history related to the impact of climate appropriate to a patient's medical problem(s). Makes recommendation(s) to mitigate the impact on the patient.
- Develop and rank order a differential diagnosis based on the patient's history, physical findings, lab and imaging studies, and knowledge of the epidemiology of diseases considered.
- Recommend (know when and what to order) and interpret common diagnostic tests [EPA3] to advance patient care recognizing and applying value-based strategies to ensure quality while minimizing patient risk and cost.
- Develop a diagnostic and management (therapeutic) plan that incorporates evidence, patient preferences, social determinants, and clinical judgment.
- Request and appropriately order consultation when needed.
- Enter orders and write prescriptions.
- Document clinical encounters that are accurate, focused and well-organized, and appropriate to the clinical setting (e.g. comprehensive new patient, abbreviated follow-up), documenting the patient's status and progress.
- Deliver accurate concise, efficient & well-organized oral presentations.
- Form clinical questions and retrieve evidence to advance patient care.
- Transition care responsibility includes writing sign-outs and performing hand-offs when relinquishing or assuming patient care responsibilities.
3. Practice-Based Learning and Improvement (PBLI)
- Demonstrate the ability to evaluate the care provided.
- Appraise and assimilate scientific evidence.
- Continuously improve patient care based on constant self-evaluation and lifelong learning
4. Interprofessional and Communication Skills (ICS)
- Demonstrate the ability to deliver information to patients about their proposed evaluation, evaluation results, or diagnoses in a professional and empathetic manner.
- Demonstrate effective exchange of information.
- Collaborate with patients, families, and health professionals in a manner that optimizes safe, effective patient-centered care.
5. Professionalism: Demonstrate commitment to carrying out professional responsibilities treating patients with respect, demonstrating compassion and empathy, and advocating for patients), while exhibiting a strong work ethic and adhering to ethical principles.
- Identify ethical issues related to patient care.
- Demonstrate commitment to clinical excellence taking personal responsibility and "ownership" of patients and their care
6. Systems-Based Practice (SBP): Effectively use resources to care for patients.
- Identify social determinants that contribute to disparities in healthcare outcomes.
- Utilize resources and tools to analyze and prevent errors.
- Identify system failures and contribute to a culture of safety and improvement.
7. Interprofessional Collaboration (IPC)
- Work with health professionals.
- Collaborate with pharmacy students during patient safety day.
8. Personal and Professional Development (PPD)
- Demonstrate commitment to professional growth as through self-reflection, self-assessment, and personal ownership of responsibilities including development of a plan professional growth that includes reading about every patient cared for and completing assignments on time without complaints