Medical Knowledge Promotion Criteria

PGY1

PGY2

PGY3

Demonstrates knowledge of basic and clinical sciences

All PGY1 criteria, plus:

All PGY1 and PGY2 criteria, plus:

Applies knowledge to diagnostic plans and therapy

Demonstrates in-depth content knowledge and analytical thinking

Demonstrates an investigatory and analytic approach to clinical situations

Demonstrates analytical skills necessary to synthesize clinical data and formulate diagnostic and therapeutic plans

Formulates appropriate differential diagnoses for complex patients

Demonstrates a growing knowledge in area of chosen career path

Formulates appropriate differential diagnoses for in-patients and out-patients

Demonstrates knowledge of statistical principles

Displays initiative to remain current with new medical knowledge

Develops therapeutic plans based on evidence or guidelines

Demonstrates knowledge of indications, contraindications and risks of commonly used medications and procedures

Demonstrates knowledge of the impact of study design on validity and/or applicability to practice

Obtains appropriately detailed histories and physical exams, and presents cases, written and oral, in a succinct, coherent manner

Presents scientific evidence to support hypotheses

Collaborates closely with consultants

Demonstrates understanding and responsiveness to socio-behavioral issues

Initiates appropriate consultations

Patient Care Promotion Criteria

PGY1

PGY2

PGY3

Prioritizes duties appropriately

All PGY1 criteria plus:

All PGY1 and PGY2 criteria, plus:

Works well with all healthcare

professionals to provide patient-focused

care

Supervises assigned PGY1 residents and students, providing guidance, instruction, corrections, and discipline as needed

Supervises assigned PGY1-2 residents and students, providing guidance, instruction, corrections, and discipline as needed

Gathers essential, accurate information

efficiently via interviews and physical exams, reviews additional data, and accurately and clearly records findings

Demonstrates appropriate knowledge of all his/her team’s patients, diagnostics, and therapeutic plans

Knows indications, contraindications and risks of all American Board of Internal Medicine (ABIM) required invasive procedures

Identifies all problems and develops prioritized differential diagnoses

Obtains a precise, logical, and efficient history

Competently performs ABIM required invasive procedures

Develops therapeutic plans based on evidence or guidelines

Identifies and interprets subtle exam findings

Demonstrates clinical reasoning in ambiguous situations

Transmits important patient data accurately and in a timely fashion to team and staff

Manages multiple problems at once and prioritizes appropriately

Spends time appropriate to the complexity of the problem

Monitors and follows up patients appropriately, and seeks help when necessary

Uses diagnostic procedures and therapies appropriately

Applies public health principles to patient care

Demonstrates caring and respectful behaviors with patients and families, including provision of accurate, timely information of medications and plans

Incorporates considerations of costs, risks, and benefits when considering diagnostic tests and therapies

Demonstrates knowledge of indications, contraindications, and risks of some invasive procedures

Accurately Interprets results of procedures

Competently performs some invasive procedures

Competently performs an increasing number of invasive procedures

Effectively counsels and educates patients about health issues, tests, treatments and age-appropriate screening

Knows indications, contraindications and risks of an increasing number of invasive procedures

Performs satisfactorily on Mini-CEX (clinical evaluation exercise)

Develops and implements management plans

Considers patient preferences when making medical decisions

Triages patients to appropriate locations

Interpersonal And Communication Skills Promotion Criteria

PGY1

PGY2

PGY3

Provides legible, timely and complete documentation, including dictations

All PGY1 criteria, plus:

All PGY1 and PGY2 criteria, plus:

Gives complete,succinct oral presentations

Works effectively as a member or leader of the healthcare team

Works effectively as a leader of the healthcare team

Demonstrates proficiency in use of oral, written and non-verbal communication skills

Facilitates team interactions, patient care, and academic discussions

Conducts family meetings effectively and compassionately for end-of-life care decision making

Establishes rapport with patients and members of the healthcare team

Engages patients in shared decision making, particularly for ambiguous or controversial scenarios

Communicates diagnostic and therapeutic plans to patients and families

Successfully negotiates most “difficult” patient encounters

Transmits important patient data accurately and in a timely fashion to team and staff

Effectively and compassionately discusses end-of-life care with patients and families

Effectively counsels and educates patients and families

Creates and sustains therapeutic, ethically sound relationships with patients and families

Practice-Based Learning And Improvement Promotion Criteria

PGY1

PGY2

PGY3

Understands and is aware of limitations

All PGY1 criteria, plus:

All PGY1 and PGY2 criteria, plus:

Asks for help when needed

Facilitates learning of PGY1 residents and other members of healthcare team

Facilitates learning of all members of healthcare team

Facilitates education of students

Undertakes self-evaluation with insight, open-mindedness, and initiative

Appropriately uses consultant services to enhance patient care and self-knowledge

Uses interactions with nursing staff and other professionals for educational growth and as teaching opportunities

Analyzes personal practice patterns systematically, looking to improve

Locates scientific literature independently to support decision making and enhance patient care

Integrates evidenced-based medicine, expert opinion, and clinical judgment into medical decision making

Accepts feedback and develops plans for self-improvement

Suggests and utilizes data-driven modification of protocols

Delivers care that reflects learning from previous experiences

As a consultant, identifies the questions and wishes of the requesting physician, and responds appropriately

Compares personal practice patterns to larger populations

Systems-Based Practice Promotion Criteria

PGY1

PGY2

PGY3

Interacts effectively within core clinical team

All PGY1 criteria, plus:

All PGY1 and PGY2 criteria, plus:

Interacts effectively with nurses, case managers, pharmacists, and other health professionals to assess, coordinate, and improve patient care

Provides and documents care, including discharge summaries, in a timely, thorough manner

Assumes leadership role in the management of multi-disciplinary complex care plans

Assists patients in dealing with system complexity

Coordinates multi-specialty care

Demonstrates ability to adapt to change

Demonstrates dedication to high quality patient care

Ensures successful in-patient and out-patient provider communication

Practices in accordance with external regulations and expectations

Uses local patient care guidelines and protocols

Uses systematic approaches to reduce errors

Partners with case managers and other providers to identify and act on improvement opportunities to the health care system

Incorporates cost-benefit considerations into medical decision-making

Participates to develop approaches to improve systems of practice and health management

Demonstrates knowledge of types of medical practice and delivery systems

Professionalism Promotion Criteria

PGY1

PGY2

PGY3

Is honest and trustworthy

All PGY1 criteria, plus:

All PGY1 and PGY2 criteria, plus:

Is punctual, follows through on assigned tasks and patient care issues, and responds promptly to staff needs, e.g. pages and abnormal results

Demonstrates commitment to ethical principles pertaining to the provision or withholding of care, patient confidentiality, informed consent and business practices

Serves effectively in the consultant role

Demonstrates respect and compassion for all patients

Makes honest use of coding, billing, and referral principles

Provides leadership on teams

Maintains patient confidentiality

Engages in self directed learning

Recognizes mistakes, and notifies attending and appropriate person when mistakes are made

Displays initiative and leadership

Shows regard for opinions and skills of colleagues

Delegates responsibility to others

Is free from substance abuse or satisfactorily undergoing rehabilitation

Acknowledges errors and shortcomings and works to minimize them

Abides by hospital and program policies

Demonstrates intellectual curiosity

Interacts well and positively with peers, as part of a team, and is willing to assist when unexpected needs arise

Spontaneously teaches and exhibits concern for the educational development of fellow residents and students

Respects his/her fiduciary responsibility with respect to the patient, and understands the physician’s prime concern is the patient’s interest, and not his/her own

Counsels patients and families effectively and compassionately regarding advanced directives, do not resuscitate (DNR) status, futility, and withholding or withdrawing therapy