Competency Based Curriculum

 

 

 

Program: Internal Medicine

 

Program Director: Mohamed Siddique, MD

Specialty/Course: Pulmonary Medicine

Curriculum Coordinators: 1.  Hasan Makki, MD

                                            2.  Marc Feldman, MD

 

Administrative Support:  Carol Maurizio

 

Date Revised:  March 1, 2004

 

 

 

 

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

· Master the basic skills of history taking and physical examination with an emphasis on the pulmonary system.

 

· Achieve competency in performing procedures.

 

 

· Pulmonary consultation supervised by the pulmonary faculty.

· CXR Conference

· Pulmonary Medicine Clinic

· Sleep Medicine Clinic

· PFT test interpretation

· Bedside Thoracoentesis

· Role modeling by pulmonary faculty

 

· Monthly rotation evaluation by the supervising faculty

· Procedure Logs

· Mini-CEX

· Observation of consultations done by the trainees

· Supervision/Observation of procedures

 

 

 

 

 

 

 

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

· Demonstrate a working knowledge of initial work-up and treatment of various pulmonary disorders.

· Demonstrate analytical thinking and commitment to continuous learning

· Know the indications and contraindications for common pulmonary procedures.

· Demonstrate a working knowledge of effective peri-operative consultation

· Didactic lectures 2 to 3 times/week

· Pulmonary consultation supervised by the pulmonary faculty.

· Pulmonary Medicine Clinic

· Morning Report

· SGH Board review (for PGY-2/3s)

· Medical Grand Rounds

· Mortality and Morbidity conference

· Monthly rotation evaluation by supervising faculty

· Observation of consultations done by the trainees

 

 

 

 

 

 

Interpersonal and Communication Skills

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

· Communicate effectively with patients and attending faculty

· Demonstrate effective patient/family interviewing skills

· Demonstrate skill at establishing good rapport with patients and families

· Demonstrate the ability to educate & counsel  patients and families about illnesses and treatment options

· Improve listening skills

· Rounds on patients on the pulmonary consult service

· Pre-bronchoscopy counseling

· Patient presentations to faculty

· Case discussions

· Peer group discussions

· Role modeling by pulmonary faculty

· Monthly rotation evaluation by supervising faculty

· Mini-CEX

 

 

 

 

 

Professionalism

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

· Treat patients and families with respect and consideration

· Treat all allied health care professionals with respect

· Be sensitive to issues concerning race, religion, sexual orientation, disability, age, culture and gender

· Respect patient autonomy, confidentiality and privacy

· Demonstrate honesty in all aspects of caring for patients

· Didactic lectures by faculty

· Daily interaction with health care professionals

· Peer group discussions

· Pulmonary Faculty role modeling

· Monthly rotation evaluation by supervising faculty

· Mini-CEX

 

 

 

 

 

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

· Learn and demonstrate knowledge of scientific study design and statistical methods

· Learn to accept and use feedback from others constructively

· Learn to do self assessment of performance on a routine basis

· Learn to use on-line medical information sources effectively

· Facilitate the learning of other members of health care team

·  Lectures pertaining to ambulatory aspects of pulmonary medicine

· Evidence based medicine course

· Journal Club

· Self directed inquiry related to caring for patients

· Computer based learning

· Role modeling by pulmonary faculty

· Monthly rotation evaluation by supervising faculty

· Resident’s Grand Rounds presentations

· Poster/oral presentations at scientific meetings pertaining to Pulmonary topics

 

 

 

 

 

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

· Practice pulmonary medicine in a cost effective manner

· Learn about and how to avoid common errors in the practice of pulmonary medicine

· Understand how heath insurance issues affect care and patient behavior in both the inpatient and outpatient settings

· Learn how to be an advocate for patients and help them use the insurance/health care system effectively

· Didactic lectures

· Role modeling by pulmonary faculty

· Including system based practice issue into care of patients in both inpatient and outpatient settings

 

· Monthly rotation evaluation by supervising faculty

 

 

 

Specific educational experience expected during pulmonary medicine rotation:

 

Obstructive lung diseases, including asthma, bronchitis, emphysema, bronchiectasis, and cystic

fibrosis

Pulmonary malignancy--primary and metastatic

Pulmonary infections, including tuberculous, fungal, and those in the immunocompromised host

Diffuse interstitial lung disease

Pulmonary vascular disease, including primary and secondary pulmonary hypertension and the

vasculitis and pulmonary hemorrhage syndromes

Occupational and environmental lung diseases

Iatrogenic respiratory diseases, including drug-induced disease

Acute lung injury, including radiation, inhalation, and trauma

Pulmonary manifestations of systemic diseases, including collagen vascular

 

Respiratory failure, including the adult respiratory distress syndrome, acute and chronic

respiratory failure in obstructive lung diseases, and neuromuscular respiratory drive disorders

Disorders of the pleura and the mediastinum

Genetic and developmental disorders of the respiratory system

Sleep disorders

 

ability to interpret the following Imaging procedures, including

chest roentgenograms

computed axial tomograms

radionuclide scans

Sleep studies

 

 

 

 

 

 

Resource Materials

 

Recommended Textbooks:

      · Harrison’s Principles of Internal Medicine

      · American College of Physicians MKSAP (Pulmonary Section)

 

Didactic Conference Topics:

      · Interpretation of Pulmonary Function Tests

      · Lung Cancer

      · Evaluation of a plural effusion

      · Airway diseases

      · ARDS

      · ABGs interpretation and acid – base disorders

      · Pneumonia

      · Interstitial lung diseases

      · Evaluation of dyspnea, cough and hemoptysis

      · Evaluation and Management of the solitary pulmonary nodule

      · Venous thromboembolism

      · Ventilator management

      · Peri-operative evaluation and management

 

Electronic/Web Based Resources:

www.sgintmed.com (Sinai-Grace Residency Home Page; has many links to useful online resources)

 

Relevant Practice Guidelines:

 

Key Articles:

 

Complete Bibliography: