Competency

Objectives

Specific

Educational Experiences

Knowledge/ Skills

Integration/Application

Assessment

Tools

Patient Care

that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health

1. Learner based and not teacher based education.
2. Learners should be able to examine patients efficiently and accurately
3. Learner should learn how to evaluate, work-up and treat common geriatric problems under supervision of board certified geriatricians.

1. Inpatient Geriatrics consultation
2. Memory Clinic at DMC
3. Physiatry Clinic
4. Nursing Homes
5. ACE (Acute Care of Elders) Unit
6. Morning report
7. Clinical-pathological conference
8. Medical grand rounds
9. M & M conference
10. PERKS (Promoting Excellence in Resident’s Knowledge and Skills) – OSCE

1. Mid & End of rotation evaluation by attending
2. Mini-CEX (ABIM)#
3. PERKS – Evaluated at the end of each session - OSCE

Medical Knowledge

about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care

1. Learn patho-physiology, clinical presentation, lab & radiographic evaluation and management of important geriatric problems.
2. Commitment to continuous evidence based learning
3. Demonstrate analytical thinking

Learn management of geriatric emergencies e.g. the agitated patient.

1. Morning conference three times a week by the Geriatric Faculty
2. Interdisciplinary meetings with the ACE unit team
3. Case based discussions
4. Board review course for PGY-II and III
5. Medical grand rounds
6. M & M

1. Monthly exam for all house staff
2. Pre and post test on geriatric issues.
3. Monthly PERKS program - OSCE
4. In-Training exam
5. Monthly evaluation by attending of residents knowledge & clinical skills.

      6. Quarterly evaluation with the advisor

Interpersonal and Communication Skills

that result in effective information exchange and teaming with patients, their families, and other health professionals

1. Communicate effectively with attending faculty
2. Demonstrate effective patient/family interviewing skills
3. Establish excellent relationships with patients/families
4. Able to educate and counsel patient/families
5. Improve listening skills
6. Able to maintain comprehensive, timely, legible medical records
7. Prepare and present effective medical presentations to peers

1. Ambulatory case discussions with attending.
2. PERKS program - OSCE
3. Oral/Poster presentation and discussion
4. Peer-group discussion
5. Interaction & communication with other health care personnel involved in patient care e.g. radiologist, pathologist, dietitian and social worker.

1. Rounder’s evaluation through direct observation and feedback by patients & ancillary staff.
2. Mini-CEX (ABIM)
3. PERKS program – OSCE

Professionalism

as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population

1. Treat patient and families with respect and consideration
2. Treat nursing and other health care professional with respect
3. Understand issues of race, religion, sexual orientation, disability, age, culture, gender etc. in patients and other health care providers
4. Always respect patients’ autonomy
5. Serve the interest of the patients
6. Maintain trust by managing conflicts of interest
7. Always be honest with patients
8. Always maintain patients’ confidentiality
9. Strive to improve patients’ quality of care
10. Maintain appropriate relations with patients

1. MDM course
2. Noon lectures by faculty
3. ABIM case modules – Done during MDM course
4. Daily interaction with health care professionals
5. Peer-group discussion
6. Faculty Role modeling

1. Monthly rotation evaluation by attending
2. ABIM Praise Cards and Early warning Cards
3. Quarterly Advisor/Advisee meeting
4. Mini-CEX (ABIM)#

Practice-Based Learning and Improvement

that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care

1. Self directed learning to keep up with new developments in the management & changes in practice guidelines.
2. Learn and demonstrate knowledge of scientific study design and statistical methods
3. Learn to accept feedback from others
4. Regularly self-assess
5. Use information technology to manage information
6. Facilitate learning of others

1. Ambulatory lectures
2. MDM course for all house staff
3. Evidence Based Medicine course for all house staff
4. Journal club, M & M exercises
5. Book: Users’ guides to the Medical Literature (JAMA)
6. Self-directed inquiry
7. Interactive computer programs

1. Residents’ Grand Round presentation
2. Residents’ Journal club presentation
3. Poster/Oral presentation at scientific meetings i.e. ACP-MI Chapter, National Meetings, annual OHEP research day, annual Departmental research day
4. Awards at several scientific meetings
5. Periodic chart audit for compliance with current guidelines and compare to NCQA benchmarks

Quarterly evaluation with the advisor

Systems-Based Practice

as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system for health care and the ability to effectively call on system resources to provide care that is of optimal value

1. Practice cost-effective care
2. Learn to minimize patient care errors
3. Understand various types of health insurances and how it impacts patient care in both in-patient/out-patient settings i.e. LOS, UR and prescriptions
4. Advocate for patients within the health care system

1. MDM course
2. Net learning
3. Medical Errors – Workshop
4. M & M conference
5. Noon lectures by faculty on the following topics:

§         Introduction to Managed Care

§         Insurances

§         Negotiating Managed Care Contracts

Economics of Managed Care Contracts

1. Monthly rotation evaluation by attending
2. Daily rounds by the Medical Director of the floor
3. Weekly Interdisciplinary case conference

Quarterly evaluation with the advisor