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) Understanding the use of patient-centered biopsychosocial model

(2)Resident should be able to perform comprehensive history/physical exam relevant to the hem-onc population. (3)Understanding the appropriateness of ordering/performing diagnostic studies.

(4)Ability to integrate history, physical, lab data and diagnostic tests.

(5)Understanding long term follow up of cancer survivors

(1) At least 7 ambulatory Hematology/Oncology clinic sessions training per week 

(2)In-patient consultation service at SGH

(3)Reviewing peripheral smears with the residents

(1)On-going evaluation and feedback by attending of residents knowledge & clinical skills during the rotation

(2) Mid & End of rotation evaluation tool (3)Mini-CEX (ABIM) #

 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)Pathophysiology and clinical manifestations of common malignancies 

(2)Muliltmodality therapy utilizing chemotherapy, hormonal therapy, biologic therapy, radiation therapy and surgery alone or in combination

(3) Use of palliative meds

(4) Inpatient management of hematological and Oncological emergencies

(5)Knowledge of common adverse effects of chemotherapeutic agents and Radiation therapy

(6)Ability to interpret a peripheral smear

(7) Understanding basic principles of transfusion of blood and blood products.

(1)Case-based discussions with attending. 

(2)Attendance at inter-departmental tumor conference

www.emedicine.com <http://www.emedicine.com>  www.painedu.com

(1)End of rotation evaluation tool  (2)On-going evaluation and feedback by attending of residents knowledge & clinical skills during the rotation

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

(1)Employing effective communication skills using appropriate verbal cues to demonstrate empathy for heme-onc patients and their families (2)Effective communication with primary care physicians and other consultants

(1)Resident/patient family interaction in ambulatory/inpatient setting (2)Resident/physician/non-physician consultants and primary care physician interactions

(3)Communicating bad news to patient and family members.

(4) Holding family discussions.

Direct observation of resident interactions with patients/families as well as other members of the health care team with feedback.

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

Utilizing ABIM defined tenets of professionalism  

(1) altruism 

(2) accountability

(3) excellence  

(4) duty 

(5) honor and integrity 

(6) respect for others

(1)Daily interactions with patients/families and faculty 

(2)Role modeling by faculty

(1)End of rotation evaluation tool   (2)Use of ABIM early warning and deficiency cards

 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)Effective use of literature with understanding of evidence-based problem solving 

(2)Self-directed learning to be abreast of the new developments in management & changes in practice guidelines

(3) Ability to analyze statistical data from the relevant studies

(4) Regular self-assessment.

(1)Integration of current literature into discussions regarding decision making  (2)Demonstration of self-directed learning skills by incorporation of electronic resources into the learning experience

(3) Introduction to latest technology including websites for the references & guidelines.

(1)Direct assessment by faculty 

(2)End of rotation evaluation

 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)Efficient management of data  (2)Impact of under/uninsured on health care system

(3) Impact of delay in diagnosis of heme-onc diseases due to inaccessibility to health care system.

(4) Learning to minimize patient care errors

(5)Effective utilization of resources

(1)Effective use of CIS  

(2)Case-based discussions in ambulatory and inpatient setting

(1)End of rotation evaluation tool  (2)Direct observation by faculty with feedback