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New York Medical College
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Valhalla, New York 10595
Phone: 914-594-4000

 

Educational Objectives Competencies

 

School of Medicine Graduation Competencies

In the spring and summer of 1998, the Medical School Objectives Committee, department chairmen, and the Curriculum Committee adopted educational objectives for the program leading to the M.D. degree. These were very similar to those adopted by the Medical School Objectives Project of the Association of American Medical Colleges and described the knowledge, skills, values and attitudes believed necessary for the practice of medicine in the 21st century.

 

This document underwent several revisions in the last decade (2006, 2011, and 2013) by appointed task forces of the Executive Committee for Education and Curriculum in order to improve alignment with the ACGME core competencies and most recently the AAMC paper, Toward a Common Taxonomy of Competency Domains for the Health Professions and Competencies for Physicians and accompanying Reference List of General Physician
Competencies.

 

The current version of the Graduation Competencies was approved by the Executive Committee of the Curriculum Committee on January 15, 2014 for full adaptation beginning in July 2014.


G1. Patient Care: Students must provide patient-centered care that is respectful, compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

G1.1 Establish and maintain therapeutic relationships with diverse populations and with both patients and families

  • Paying attention to age, culture, gender identity, sexual orientation, race, religion, and socioeconomic status.

 

G1.2 Gather essential and accurate information from patient history and physical examination in a logical and organized manner and properly interpret that data to generate both a prioritized differential diagnosis and a problem list

  • Elicit both a complete and focused history appropriate to the clinical setting, for both acute and chronic diseases.
  • Perform both a complete and focused physical and psychiatric exam appropriate to the clinical setting.

 

G1.3 Perform routine procedures

  • Understand the risks, benefits, and issues related to informed consent. Interpret patient data, including laboratory and imaging studies.

 

G1.4 Formulate a patient care plan that includes appropriate diagnostic and therapeutic interventions based on patient information, patient preference, and up-to-date evidence

 

G1.5 Ensure continuity throughout transitions of care and follow up on patient progress and outcomes

 

G1.6 Address and ameliorate patient pain and suffering

 

G1.7 Assess and address health care maintenance as well as disease and injury prevention

  • Identify, prioritize, and develop a plan to decrease risk factors for diseases.

G2. Medical Knowledge:  Students must demonstrate and apply knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences.

G2.1 Demonstrate knowledge of the normal structure and function of the body on the organ, cellular, molecular, and biochemical level

 

G2.2 Recognize altered structure and function of the body that are seen in common diseases, illnesses, and conditions

 

G2.3 Recognize and interpret the most frequent clinical, laboratory, radiologic and pathologic manifestations of illnesses

 

G2.4 Apply principles of epidemiologic sciences to the care of the patient and populations

  • Use epidemiologic information to identify risk factors and to develop prevention strategies.

 

G2.5 Apply the biopsychosocial model to the care of the patients

 

G2.6 Demonstrate an investigatory and analytical approach to clinical situations

  • Apply established and emerging principles to diagnostic and therapeutic decision- making, clinical problem solving, and other aspects of evidence-based health care. Understand and critique hypothesis-driven research.

 

G2.7 Apply knowledge to modify diagnostic and therapeutic plans; anticipate interactions, complications, and side effects of treatment; and identify the need for rehabilitative, palliative, and end-of-life care

  • Apply knowledge of contraindications of treatment.  Develop management strategies for patients with acute or chronic medical conditions.  Outline initial course of therapy and recommend appropriate consultation.

G3. Interpersonal and Communication Skills:  Students must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and families of various backgrounds, beliefs, and values.

G3.1 Communicate effectively with patients and their families across a broad range of socioeconomic and cultural backgrounds

  • Identify and respond to nonverbal cues and patient concerns.

 

G3.2 Demonstrate sensitivity, honesty, and compassion in difficult conversations

  • Demonstrate sensitivity in conversations including those about death, end-of-life, adverse events, bad news, and disclosure of errors.

 

G3.3 Recognize and respect the patient’s right to choose care options based on his/her personal values or preferences while acknowledging potential barriers to treatment

 

G3.4 Educate and counsel patients with respect to their conditions and engage them in decision making while ensuring their understanding

  • Utilize translator services appropriately and effectively.
  • Identify the patient’s level of health literacy in order to appropriately engage him/her in the decision-making process.

 

G3.5 Integrate patient information and data into a clear and concise report that demonstrates clinical reasoning skills

 

G3.6 Record a timely, legible and accurate medical record

  • Communicate patient information and care plan effectively.
  • Use relevant medical language appropriate to the healthcare setting (admission notes; progress notes; transfer notes; discharge notes; pre and post-operative notes).
  • Become proficient with electronic records.

G4. Interprofessional Collaboration: The student must demonstrate the ability to engage with an inter-professional team in a manner that optimizes safe, effective patient- and population-centered care.

G4.1 Recognize and respect the roles of all members of a healthcare team

  • Maintains respect, dignity, ethical integrity, and trust with all members of the health care team.

 

G4.2 Engage in active and collaborative working relationships with all members of a healthcare team

  • Communicates effectively with colleagues.
  • Nurtures, teaches, and promotes professional development of others.

 

G4.3 Provide effective and respectful professional feedback

 

G5. Practice-Based Learning and Improvement:  The student must demonstrate the ability to evaluate one’s care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on that knowledge.

G5.1 Demonstrate initiative and self-direction in learning

  • Sets meaningful learning and improvement goals.
  • Continually utilizes clinical environments for the purpose of expanding clinical knowledge.
  • Commits to lifelong learning and the scholarly practice of medicine.

 

G5.2 Demonstrate a commitment to reflection, self-improvement and responsiveness to feedback

  • Critically appraises one’s own work; accepts responsibility for mistakes.
  • Identifies strengths, deficiencies, and limits in one’s knowledge, skills and attitudes and implements changes with the goal to improve.
  • Incorporates feedback into daily practice.
  • Demonstrates healthy coping mechanisms to respond to stress. Manages conflict between personal and professional responsibilities. Demonstrates mature and flexible responses to change.

 

G5.3 Demonstrate knowledge, skills, and attitudes that provide leadership and enhance team functioning, the learning environment and the health care delivery system

  • Demonstrates trustworthiness that enables colleagues to feel secure when one is responsible for the care of patients.
  • Demonstrates self-confidence that puts patients, families, and the health care team at ease.
  • Recognizes that ambiguity is part of clinical health care.

 

G5.4 Apply the principles of evidence-based medicine to patient care and practice improvement

  • Recognizes the importance and demonstrates understanding of the scientific foundation upon which medicine is based.
  • Locates, appraises, and assimilates the best available evidence for the care of individual patients and populations.
  • Systematically analyzes practice using quality improvement methods and implements changes with the goal of practice improvement.
  • Implements new knowledge, guidelines, standards, technologies, products and services that have been demonstrated to improve outcomes.
  • Optimally utilizes information technology for learning.

G6. Systems- Based Practice:  The student must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to effectively utilize other resources in the system to provide optimal health care.

G6.1 Recognize the roles of members of the healthcare team

  • Participates in collective responsibility for patients as well as shared decision making with the team.

 

G6.2 Recognize cost-effective care and health systems

  • Incorporates considerations of cost awareness and risk-benefit analysis in patient and/or population-based care.
  • Recognizes the importance of using diagnostic/therapeutic modalities in a cost-effective manner.
  • Demonstrates knowledge of various approaches to the organization, financing and delivery of health care.

 

G6.3 Identify the principles of quality improvement, patient safety, and barriers to care and advocate for quality patient care

  • Demonstrates awareness of issues regarding health care and the health-care system that might improve or obstruct the quality of patient care.
  • Recognizes the elements of coordinated patient care.
  • Summarizes knowledge of the important non-biological determinants of poor health and the economic, psychological, social and cultural factors that contribute to the development and/or continuation of illness.
  • Demonstrates awareness of the need to provide care to patients who are unable to pay and advocate for access to health care for members of traditionally underserved populations.
  • Participates in identifying system errors and implementing potential systems solutions. Understands the medical, legal, and ethical issues in care.

G7. Professionalism:  The student must demonstrate a commitment to carrying out professional responsibilities in a responsive and compassionate manner as well as in adherence to ethical principles.

G7.1 Demonstrate responsiveness to patient needs and advocate for those needs over his or her own interests

 

G7.2 Relate to others with respect, care, and compassion

 

G7.3 Respond to colleagues’ needs, expectations, and concerns, including solicitation of other clinical opinions

 

G7.4 Demonstrate cultural sensitivity and responsiveness to a diverse patient population

  • The population includes, but is not limited to, diversity in sex, age, culture, race, religion, disability, gender identity, and sexual orientation

 

G7.5 Demonstrate honesty, integrity, and trustworthiness with patients, documentation, family members, and colleagues

 

G7.6 Demonstrate respect for patient privacy and autonomy

 

G7.7 Demonstrate responsibility, leadership, and accountability

  • Adheres to schedules and deadlines and is prepared to participate in required activities. Provides care in a timely manner.
  • Responds to communications in a timely manner. Dresses professionally.
  • Serves as an example for others.
  • Performs supervisory and administrative responsibilities commensurate with one’s roles and qualifications.

 

G7.8 Demonstrate excellence and scholarship

  • Pursues academic and personal excellence; takes initiative and is self-directed in the pursuit of clinical excellence.
  • Contributes to the dissemination and application of new health care knowledge and practices.

 

G7.9 Demonstrate a commitment to ethical principles and compliance with relevant laws, policies, and regulations

 

 

 

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Page Updated: July 15, 2014