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Competency-Based Advancement
UCSF’s medical curriculum provides a set of educational experiences designed to support students’ mastery of the core knowledge, skills, and attitudes needed to achieve their goals as physicians, researchers, teachers, and public servants. This core set of knowledge, skills, and attitudes has been organized into the same set of competencies adopted by the Accreditation Council for Graduate Medical Education (ACGME) (http://www.acgme.org/outcome/comp/compMin.asp). Throughout the UCSF curriculum, medical students’ achievement of specific, required competencies is assessed through a variety of methods that include written and laboratory practical examinations, structured clinical examinations, instructor and peer assessments, and self-reflection exercises. UCSF is in the process of developing a set of tools students can use to create a “learning portfolio" that helps document their achievement of expected levels of competency and that supports their work with mentors to map out an individualized learning plan. The following is a list of the program objectives for the UCSF doctor of medicine curriculum.
PROGRAM OBJECTIVES
Patient Care
Graduates will:
- Demonstrate confidence and comfort with the primary provider role and the provision of longitudinal care
- Gather complete and focused histories in an organized fashion, appropriate to the clinical situation and patient language ability
- Conduct relevant, complete and focused physical examinations
- Document encounters efficiently and concisely
- Manage and prioritize patient care tasks for a group of patients
- Anticipate patients’ needs, participate in discharge planning, and create individualized disease management and/or prevention plans including patient self-management and behavior change
- Perform common procedures and alleviate patients’ pain associated with procedures
- Follow universal precautions and sterile technique
Medical Knowledge
Graduates will:
- Recognize the central importance of discovery, understand the scientific foundations of medicine, and apply that understanding to the practice of evidence-based medicine
- Engage in clinical reasoning to solve clinical problems
- Demonstrate an understanding of normal development from the molecular to the socio-cultural levels
- Demonstrate an understanding of the pathophysiology of human disease at molecular, cellular, systems, and whole organism levels
- Demonstrate an understanding of how physical, psychological, sociological, cultural, and environmental processes contribute to the etiology, pathogenesis, and manifestations of human health and disease
- Demonstrate an understanding of the natural history of illness and strategies for promoting health and preventing illness
Practice-Based Learning & Improvement
Graduates will:
- Use information technology to access online medical information, manage information, and assimilate evidence from scientific studies
- Appraise evidence from scientific studies related to individual patients’ health, and apply knowledge of study design and statistical methods to the appraisal of clinical studies
- Understand basic epidemiologic terms for describing disease patterns, and use knowledge of disease patterns to assess the value of diagnostic tests based on patients’ risk of disease
- Facilitate learning of colleagues and the health care team
- Understand the value of systematically evaluating one’s own performance and practice
- Analyze one’s own academic performance and develop individualized plans for improvement
Interpersonal & Communication skills
Graduates will:
- Establish a collaborative and constructive doctor patient-relationship with patients
- Effectively and empathically discuss serious, sensitive, or difficult topics with patients
- Elicit and begin to address patients’ needs and preferences and incorporate them into the management plan
- Share relevant, understandable information with diverse patients
- Work with families and/or caregivers to negotiate patients’ care
- Present information in organized logical fashion appropriate for the clinical situation, including assessment and plan
Professionalism
Graduates will:
- Demonstrate commitment to excellence and personal/professional development, through ongoing self-directed learning and self reflection
- Show insight into their own personal and professional development
- Be sensitive and responsive to culture, race/ethnicity, age, socioeconomic status, gender, sexual orientation, spirituality, disabilities, and other aspects of diversity and identity
- Be responsive to the needs of patients and society, superceding self-interest
- Advocate for patients, their families, and their communities
- Practice ethically, including maintaining patient confidentiality, obtaining appropriate informed consent, responding to medical errors, and understanding principles of ethical research and conflicts of interest
- Show commitment to caring for and advocating for the underserved and/or those populations disproportionately affected by disease
- Promote their own and their colleagues’ professional development through effective feedback
- Show respect, compassion, and integrity while interacting with diverse patients, families, and other health professionals
- Show accountability and dependability in interactions with patients, families, and other health professionals
Systems-Based Practice
Graduates will:
- Identify different types of medical practice and delivery systems, and navigate within different health care systems and teams
- Understand the health care system and recognize ways to assess and improve health care and reduce medical errors, and apply to a specific clinical scenario
- Understand basic principles of health care finance, how methods and costs affect health care delivery, and methods and incentives for controlling costs
- Identify methods for evaluating cost-effectiveness of care, and apply a method to a clinical experience or setting
- Advocate for quality patient care
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