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Feinberg School of Medicine Core Competencies

Specific learning objectives for your medical subinternship

This core group of clinical skills is needed by all intern physicians in order to practice medicine, regardless of their eventual subspecialty. All subinterns (upon completion of this rotation) will be expected to show competence in these following areas:

Patient-Centered Medical Care

  • Create independent, accurate & comprehensive written history & physicals incorporating patient preferences & values
  • Synthesize clinical data into cohesive assessments & appropriately prioritize DDx’s
  • Independently propose daily management plans,
  • Create concise, accurate & up-to-date daily progress notes when patients have acute care needs
  • Interpret diagnostic test results (cxr’s, ecg’s & labs) in a clinical context
  • Demonstrate sound clinical judgment

Communication & Interpersonal Skills

  • Give succinct & accurate verbal presentations and be able to defend your assessments
  • Communicate effectively with patients at the bedside, including counseling & education skills
  • Communicate effectively with primary care physicians regarding patient handoff’s
  • Demonstrate the willingness to engage in difficult conversations (with adequate supervision)

Medical Knowledge & Scholarship

  • Demonstrate knowledge of core basic science concepts, pathophysiology, & pharmacology
  • Apply core knowledge at the bedside, and demonstrate sound clinical reasoning skills
  • Independently assess available clinical evidence & apply it to direct patient care
  • Give a concise & clinically relevant educational presentation to your team

Continuous Learning & Q.Improvement

  • Self-identify limitations & knowledge deficits and show a commitment to making improvements
  • Understand when to say "I don't know" & ask for help (balancing autonomy & supervision)
  • Demonstration of intellectual curiosity & the skills required to be a life-long learner
  • Identify & report one patient safety or quality improvement issue which you encountered

System Awareness & Team-Based Care

  • Work efficiently & effectively as the acting intern on a busy academic medical service
  • Interact effectively with consultants, nurses, discharge planners and social workers
  • Create concise & accurate sign-out documents for the night float team
  • Create concise & accurate discharge summaries which promote safe transitions of care

Personal Awareness & Self-Care

  • Seek feedback on your performance & respond to feedback in a professional manner
  • Give feedback to your team members & clerkship director in a professional manner
  • Demonstrate the ability to manage stress and balance personal & professional demands for time

Professional Behavior & Moral Reasoning

  • Interact with health-care team, patients and families in a professional manner at all times
  • Handle daily patient care responsibilities in a reliable and efficient manner
  • Actively participate in case discussions with classmates regarding ethical dilemmas

Community Engagement and Service

  • Identify advocacy and equity issues as they arise during the course of your daily clinical care
  • Reflect thoughtfully on how we can advocate for our patients and improve delivery of care

 

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