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Institutional Competencies

Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Professional values, attitudes, and behaviors	AB1	Display the personal attributes of compassion, honesty, and integrity in relationships with patients, families, communities, and the medical profession.	Observational assessment by faculty and patient perception ratings on required clerkships.
	AB3	Exhibit appropriate value for the sensitive nature of the doctor/ patient relationship and the importance of compassionate communication which is sensitive to the patient's familial, cultural, and spiritual circumstances.	Observational assessment by faculty and patient perception ratings on required clerkships.
	AB6	Demonstrate social awareness and commitment to the welfare of underserved communities (rural, urban underserved, and elderly).	Longitudinal survey of student attitudes; monitoring student participation in service projects.
	AB7	Demonstrate awareness of the health care needs of aging patients and a willingness to care for the elderly.	Longitudinal survey of student attitudes; observational assessment by preceptors and clerkship faculty.
	S15	Adopt a comprehensive, integrated approach to patient care incorporating relevant biomedical, psychological, and social/cultural factors.	Observational assessment by faculty, office staff and patient perception questionnaires.
	AB9	Demonstrate respect for the roles of other healthcare providers and of the need to collaborate with others in caring for individual patients and in promoting public health and community service.	Observational assessment by faculty and office staff.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Moral reasoning and ethical conduct	K10	Describe and discuss the implications of basic ethical principles, including confidentiality, informed consent, truth telling, and justice, for the care of patients.	Performance on knowledge based examinations in Doctoring; faculty assessments in required clerkships.
Moral reasoning and ethical conduct	AB4	Demonstrate professionalism and high ethical standards in all aspects of medical practice, specifically competence, honesty, integrity, compassion, respect for others, professional responsibility and social responsibility.	Observational assessment by faculty, staff and patient perception questionnaires.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Communicating with patients, families, and colleagues	S1	Demonstrate the ability to elicit accurate, comprehensive, and focused medical histories by employing techniques that facilitate the patient's sharing of information.	OSCE performance; observational assessment by preceptors, clerkship faculty.
	S7	Demonstrate the ability to educate patients about their health problems and to motivate them to adopt health promoting behaviors.	OSCE performance and by observation of clerkship directors.
	S8	Demonstrate the ability to build rapport and to employ active listening and relationship enhancing behaviors (e.g., empathic responding).	OSCE performance, observation of clerkship directors; patient perception ratings by simulated patients in OSCEs and by patients on clerkship rotations.
	S13	Demonstrate the ability to communicate compassionately and effectively, both verbally and in writing, with patients, their families, colleagues, and others with whom physicians must exchange information in carrying out their responsibilities.	Patient perception ratings on required clerkships; staff and clinical faculty ratings on required clerkships; OSCE performance; review of patient charts, discharge plans.
	AB2	Exhibit well-developed interpersonal skills in providing information and comfort to patients and their families.	OSCE performance, patient perception ratings; observational assessment by clerkship faculty.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Application of basic biomedical and behavioral sciences to patient care	K1	Recognize the scientific basis of health, disease, and medicine in the management of common and high impact medical conditions in contemporary society.	Performance on NBME subject and shelf examinations; USMLE Step 1 and 2 performance; internal examinations; assessment of clerkship faculty and preceptors.
	K2	Describe the development, structure and function of the healthy human body and each of its major organ systems at the macroscopic, microscopic, and molecular levels.	Performance on NBME subject and shelf examinations; USMLE Step 1 and 2 performance; internal examinations.
	K3	Recognize and discuss the implications of altered structure and function (pathology and pathophysiology) of the body and its major organ systems that are seen in various diseases and conditions.	Performance on NBME subject and shelf examinations; USMLE Step 1 and 2 performance; internal examinations; assessment of clerkship faculty and preceptors.
	K4	Identify changes in the structure and function of the human body associated with the aging process and be able to distinguish normal changes associated with aging from those that denote disease.	Performance on NBME subject and shelf examinations; USMLE Step 1 and 2 performance; internal examinations; assessment of clerkship faculty and preceptors.
	K5	Describe the molecular basis of diseases and maladies and the way in which they affect the body (pathogenesis).	Performance on NBME examinations; USMLE Step 1 and 2; internal examinations; assessment of clerkship faculty and preceptors.
	K7	Describe normal human psychosocial development across the lifespan and recognize deviations requiring further evaluation and intervention.	Performance on NBME subject and shelf examinations; USMLE Step 1 and 2 performance; internal examinations; assessment of clerkship faculty and preceptors.
	K12	Discuss the application of psychodynamic, behavioral, and social-cognitive theories of human thought and behavior in describing and analyzing patient behavior.	Performance on NBME subject and shelf examinations; USMLE Step 1 and 2 performance; internal examinations.
	S9	Demonstrate the effective use of pharmocotherapeutic agents and other therapeutic modalities, while teaching patients the importance of preventative medicine, health promotion, and wellness.	Performance on NBME subject and shelf examinations; USMLE Step 1 and 2 performance; internal examinations; assessment of clerkship faculty and preceptors.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Essential clinical skills	S2	Demonstrate the ability to conduct both effective and accurate comprehensive and focused physical examinations and know when each is most appropriate.	OSCE performance; observation by clerkship directors and faculty.
	S10	Demonstrate appropriate technique for performing routine procedures as specified below: assist or apply cast/splint (n=2); observe a circumcision (n=1); perform and interpret an EKG (n=3); perform an elliptical excision of a skin lesion (n=1); place a Foley catheter in a male and female (n=4); incise and drain an abscess (n=3); perform endotracheal intubation on a model or assist with patient intubation (n=1); place an IV line (n=2); perform a lumbar puncture (n=1); place an NG Tube (n=1); perform a Pap Smear (n=5); perform a vaginal delivery (n=1); perform a simple closure of a surgical skin wound (n=10); perform arterial puncture (n=1).	Supervision and observation by clerkship faculty, must be certified for graduation.
	S19	Demonstrate appropriate technique for performing Basic Life Support and Advanced Life Support.	Successful completion of BLS and ACLS courses.
	K13	Demonstrate knowledge of the functional approach to managing chronic conditions, including knowledge of the impact of chronic illness on function.	Observation by clerkship faculty; written examination; OSCE; assessment of patient records.
	S16	Demonstrate the ability to assess functional status and to plan and implement interventions to increase functional ability or limit disability.	Supervision and observation by clerkship faculty; OSCE performance; assessment of discharge plans (e.g., Geriatrics clerkship).
	S6	Demonstrate the ability to employ a comprehensive, multidisciplinary approach to the care of patients that integrates biomedical and psychosocial considerations.	Observation by clerkship faculty.
	S12	Demonstrate the ability to organize, record, research, present, critique, and manage information.	Performance on selected OSCE cases; faculty assessment.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Problem solving and critical thinking	K6	Describe basic biobehavioral and clinical science principles used to analyze and solve problems related to the diagnosis, treatment, and prevention of disease.	USMLE Step 1 and 2 performance; internal examinations; observational assessment by preceptors and faculty.
	S3	Demonstrate the appropriate use of laboratory tests and radiographic studies in making diagnostic and treatment decisions.	OSCE performance; observational assessment by clerkship faculty and preceptors.
	S4	Demonstrate the ability to evaluate the patient's medical problems and to formulate accurate hypotheses to serve as the basis for making diagnostic and treatment decisions.	OSCE performance; observational assessment by clerkship faculty and preceptors.
	S5	Demonstrate the ability to formulate and implement a plan of care for both the prevention and treatment of disease, enhancement of the patient�s functional capabilities, and the relief of symptoms and suffering.	OSCE performance; observational assessment by clerkship faculty and preceptors.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Lifelong learning and information management	K11	Describe strategies to support lifelong learning via both print and electronic sources to assist in making diagnostic and treatment decisions (e.g., practice guidelines) and to remain current with advances in medical knowledge and practice (e.g., medical information data bases).	Personal learning styles analysis paper; observational assessment by clerkship faculty.
Lifelong learning and information management	S11	Demonstrate the ability to acquire new information and data and to critically appraise its validity and applicability to one's professional decisions, including the application of information systems technologies for support of clinical decision-making.	Performance on selected OSCE cases; observational assessment by clerkship faculty.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Social, cultural, and community context of health, illness, and care	K8	Describe the role of family, community and culture as factors influencing patient presentations, interpretations of illness episodes and adherence to treatment recommendations.	Internal examinations; Other class exercises; USMLE Step 1 performance.
	K9	Recognize the implications of cultural, social, economic, legal, and historical contexts for patient care.	Reflective essays in Medicine and Behavior course; internal examinations.
	K14	Demonstrate knowledge of the unique health care needs of ethnically diverse populations and communities.	Internal examinations; clerkship faculty assessment; patient perceptions surveys during required clerkships.
	AB8	Demonstrate awareness of the unique health care needs of ethnically diverse populations and communities.	Observation by clerkship faculty; and patient perception survey.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Personal awareness	AB5	Exhibit a capacity for self-evaluation, moral reflection, and ethical reasoning to form the basis for a self-directed, lifelong engagement in the responsible, committed, compassionate practice of medicine.	Reflective essays in Medicine and Behavior course.
Personal awareness	S17	Recognize abilities and limitations; know when to request assistance.	Observational assessment by faculty and staff.
Competency Domain	KEY	Institutional Competency	Outcome Measure(s) Examples
Competency Domain	K=Knowledge S=Skills AB=Attitudes/Behaviors		Outcome Measure(s) Examples
Organizations, systems, and quality improvement	S14	Demonstrate the ability to work effectively as part of a health care team, and appreciate the contributions of other health care professionals and agencies to the health of the individual and the health of the community.	Office staff complete an evaluation of students on required clerkships; assessment of student performance in required Community Medicine clerkship and Geriatrics rotation.
	AB10	Demonstrate a respect for the roles of other healthcare providers and of the need to collaborate with others in caring for individual patients and in promoting public health and community service.	Staff evaluation of students on required clerkships; assessment of student performance in required Community Medicine clerkship.
	K15	Demonstrate basic knowledge of the global health care delivery system in the community including physicians, hospitals, outpatient centers, home health agencies and the role of community agencies in that system.	Knowledge-based examinations in Health Issues course; assessment of required presentation in Community Medicine clerkship.
	AB11	Demonstrate an understanding of the role of the physician in working with community agencies for the benefit of his/her patients.	Observational assessment by clerkship faculty in Community Medicine and Geriatrics clerkships.
	S18	Demonstrate an understanding of the principles and method of Practice-Based Learning and Improvement that involves investigation and evaluation of one's own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care.	Knowledge-based examinations in Health Issues course; assessment of Preventive Health Service Project in Family Medicine clerkship.
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