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 rheumatological problems under supervision of board certified rheumatologist
4. Learner should demonstrate competency in inra-articular aspirations and injections
5. Learner should be competent in interpreting synovial fluid analysis

1. Ambulatory Rheumatology clinic training (4/week)
2. In-patient rheumatology consultations

1. End of rotation evaluation by attending
2. Mini-CEX (ABIM)#
3. Evaluation by attending of residents knowledge & clinical skills during rotation

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. Understand different Rheumatological diseases; pathophysiology and management.
2. Understand basic immunology
3. Understand new therapeutics and concepts in Rheumatology
4. Commitment to continuous learning
5. Demonstrate competency in intra-articular procedures

1. Assigned readings
2. Daily weekday didactic lectures
3. Procedure demonstrations by Attending

1. Rheumatology monthly exam
2. Ability to discuss consults
3. ABIM in-service exam
4. Attending end of rotation evaluation

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. Inpatient consultations and follow-ups
2. Outpatient consultations and follow-ups
3. Ambulatory case discussions with attending.
4. Peer-group discussion
5. Interaction & communication with other health care personnel involved in patient care e.g. radiologist, pathologist, other medical/surgical specialist.

1. Rounders evaluation thru direct observation and feedback by patients & ancillary staff.
2. Mini-CEX (ABIM)

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. Daily interaction with health care professionals
2. Peer-group discussion
3. Faculty Role modeling

1. Rotation evaluation by Attending.
2. ABIM Praise Cards and Early warning Cards
3. 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. Book: Users’ guides to the Medical Literature (JAMA)
2. Self-directed inquiry
3. Interactive computer programs

1. Rotation evaluation by Attending

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. Ambulatory case discussions with attending.

1. Monthly rotation evaluation by attending
2. Clinic patient discussions.