The curriculum outlined here is intended to ensure that you have a clear understanding of the overall learning goals of an Internal Medicine residency. Medical care of adults occurs across a continuum from preventive care of healthy adults to care for the dying. The core competencies that internists must develop during training are outlined below:
Patient Care: Residents are expected to provide patient care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, and treatment of disease.
Medical Knowledge: Residents are expected to demonstrate knowledge of biomedical, clinical and social sciences and to be able to apply their knowledge to patient care and the education of others.
Practice-Based Performance Improvement: Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices.
Interpersonal and Communication Skills: Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams.
Professionalism: Residents are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession, and society.
Systems-Based Practice: Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.
The curriculum describes both required and elective rotations – the educational goals and objectives of the rotation or activity as well as the teaching formats and suggested educational content. The topics listed under “educational content” are generally disease entities that we think you should read about during your rotation in that particular site, regardless of whether you have a patient with that problem or not. We have developed this curriculum to provide some guidelines for your studying as well as to make clear the specific goals and objectives of each rotation. You should be aware of the learning objectives in each rotation and attempt to reach them.
In addition to these rotation-specific expectations, there are general requirements in each year related to milestones in each of the core competencies:
Patient care:
1. Satisfactorily complete mini-CEX exercises
2. Achieve satisfactory monthly evaluations on this competency in the second half of the year (if not throughout)
Medical knowledge:
1. Attend 60% of required conferences
2. Take the monthly test during floor rotations
3. Complete NETMA mailings
4. Achieve an improvement in score from pre to post-test in palliative care
5. Complete required tutorials on urinalysis, Gram stain (during PRIME)
PBPI/SBP:
1. Participate satisfactorily in evidence-based medicine seminars at VA
2. Analyze your own performance by completion of semi-annual self-assessment forms
3. Demonstrate understanding of departmental performance improvement projects
4. Achieve satisfactory monthly evaluations on these competencies in the second half of the year (if not throughout)
Communication skills:
1. Satisfactorily complete mini-CEX exercises
2. Complete the scientific writing assignment (during PRIME)
3. Achieve satisfactory monthly evaluations on this competency in the second half of the year (if not throughout)
4. Achieve satisfactory feedback on this competency from medical student team members
Professionalism:
1. Consistently demonstrate respect for patients and staff
2. Achieve satisfactory feedback on this competency from medical student team members
3. Demonstrate understanding of principles pertaining to patient confidentiality, proper use of identifiable health information, informed consent, and advance directives
4. Demonstrate understanding of the management of physician impairment
Reaching these goals/milestones is required for promotion to PGY2 status.
Patient care:
1. Satisfactorily complete the chart-stimulated recall exercise during the UHB floor rotation
2. Achieve satisfactory evaluations on this competency at UHB and VA
Medical Knowledge:
1. Attend 60% of required conferences during floor rotations
2. Complete all assigned internet-based learning modules
3. Pass the monthly exam in each subspecialty (55%)
4. Pass the hospital medicine test (55%)
5. Complete all Hopkins teaching modules by May 31.
6. Take the palliative care re-test
PBPI/SBP:
1. Participate satisfactorily in evidence-based medicine seminars during the ambulatory block
2. Analyze your own performance by completion of semi-annual self-assessment forms
3. Demonstrate understanding of departmental performance improvement projects
4. Demonstrate understanding of processes that lead to physician error and procedures used to minimize error
Patient care:
1. Achieve a satisfactory evaluation of this competency in each site: floor, critical care unit, clinic, consultation, senior in emergency room
Medical Knowledge:
1. Attend 60% of required conferences during floor rotations
2. Pass (66%) the monthly exam in each subspecialty
3. Complete all Hopkins teaching modules by May 31.
PBPI/SBP:
1. Participate satisfactorily in evidence-based medicine seminars during the ambulatory block
2. Analyze your own performance by completion of semi-annual self-assessment forms and experience logs
3. Demonstrate understanding of departmental performance improvement projects
4. Demonstrate understanding of methods of performance improvement
Communication skills:
1. Submit re-written case report after editing session
2. Participate satisfactorily in morning report during floor rotations at KCHC
3. Achieve satisfactory feedback on this competency from medical students, PGY1 or PGY2 team members, and nurses during floor and unit rotations
4. Achieve a satisfactory evaluation of this competency during the medical consultation block and in clinic
Professionalism
1. Consistently demonstrate respect for patients and staff
2. Achieve satisfactory feedback on this competency from medical students, PGY1 or PGY2 team members, and nurses during floor and unit rotations
3. Demonstrate the ability to discuss the issues surrounding disclosure of errors to patients and families
Reaching these goals/milestones is a requirement for satisfactory completion of residency, graduation, and Board-eligibility.
Training will be spent in the subspecialty according to its requirement.
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