ACGME and Year 2 competencies

• describe using proper nomenclature, the etiology, pathogenesis, structural and functional manifestations of disease.
  
  
• describe in detail what happens to cells and tissues in response to abnormal stimuli.
  
  
• explain the basic principles of the immune system as it relates to defense against disease (innate, humoral, cell mediated)
  
  
• describe the principles of classifying infectious microorganisms
  
  
• demonstrate the fundamental techniques required for safely handling of  infectious agents.
  
  
• identify major drug classes and prototype drug(s) for each class.
  
  
• discriminate between major drug classes based on their mechanism(s) of action at the molecular, cellular, organ and whole organism levels.
  
  
• describe the etiology, diagnosis and management of the major neurological and psychiatric diseases.
  
  

• apply the understanding of the etiology, pathogenesis, structural and functional manifestations of disease to solving clinically relevant problems.
  
  
• recognize and differentiate diseases at the gross, microscopic and ultrastructural levels.
  
  
• illustrate what happens to the dynamics and natural course of disease states once physicians intervene.
  
  
• describe how common microorganisms are associated with specific clinical diseases and what factors are involved in pathogenesis.
  
  
• summarize possible aberrant immunological responses.
  
  
• explain what is necessary for preventing microorganisms from spreading within communities and hospitals.
  
  
• compare and contrast the different vaccines currently used in clinical settings.
  
  
• give examples of  the potential for drug-induced adverse effects.
  
  
• link drug-drug interactions with specific adverse effects.
  
  
• identify and correlate significant contraindications of specific drugs and/or drug classes.
  
  
• describe the basis for drug action on specific cells and organs as a basis for decisions regarding applications in human disease therapy.
  
  
• accurately describe the clinical presentation of a patient as it relates to the patient’s disease process.
  
  
• develop an assessment of the patient’s problem(s) and develop a differential diagnosis for each major problem. 
  
  
• interpret common laboratory test results.
  
  
• perform certain basic clinically-relevant lab procedures.
  
  
• summarize the factors involved in how physicians make judicious use of the clinical laboratory.  AND
  
  
• demonstrate how to write an accurate prescription.
  
  

• apply the principles and techniques gleaned from the bio-psychosocial model in all patient encounters.
  
  
• effectively communicate with peers, teachers, and patients.
  
  
• participate as a team-player in all course-based or clinical team-based situations.
  
  
• exhibit professional behavior and role recognition in the classroom and in clinical situations.
  
  
• demonstrate their understanding of the ethical and moral as well as social and community context of providing health care.

• demonstrate their use of critical thinking and problem-solving skills
  
  
• demonstrate the effective use of the personal computer in clinical medicine for data storage as well as accessing the medical literature, the Internet  and other sources of information
  
  
• use electronic media for preparing and presenting clinical cases.
  
  
• demonstrate how to use information technology in problem solving.
  
  
• explain the implications of information technology on patient confidentiality.
  
  
• apply principles of Evidence Based Medicine (using Case Studies) .including formulating a reasonable clinical question, gathering current information from the scientific/medical literature, critically appraise the information for its validity and usefulness for making evidence-based clinical decisions.

Patient Care – compassionate, appropriate, and effective care

Communicate effectively

x

x

Respectful behavior patient and family

x

Gather information

x

Up to date scientific info and clinical judgment

x

Educate patients and family

Use of IT

x

Perform procedures

x

Health maintenance and prevention

Work with other health professionals

x

Medical Knowledge – biomedical, clinical, social/behavioral, and epidemiology knowledge and application

Analytical thinking

x

x

x

Know and apply basic and clinical sciences

x

x

x

Practice-Based Learning – evaluate and improve practice and patient care

Use systematic methods to analyze & improve care

Read about patients’ problems

x

Population studies

x

Study design and statistical methods

x

Use IT to manage info and continuing education

x

Facilitate others’ learning

x

X

Interpersonal and Communication Skills – effective information exchange and team work

Ethics

x

Listening skills

x

x

Work as team

x

X

Professionalism – commitment to ethical behavior and professional responsibilities

 Ethics, responsibility, diversity sensitivity

x

Respect, compassion, and integrity

x

Systems-Based Practice – awareness of and ability to work within larger health care system

Larger context and systems of health care

Interplay of  own practice, other professionals, society

Different delivery systems

Cost effective care and resource allocations

Advocate for patients