General Competencies

• Patient Care

  Patient care goal
  
  To provide both medical and endoscopic care to gastroenterology or hepatology patients that is appropriate, cost-effective and compassionate.
  
  Patient care objectives
  

  1. Obtain a complete and accurate history and physical examination from patients with gastrointestinal or hepatology complaints
  2. Interpret and obtain appropriate laboratory studies for the evaluation of gastrointestinal and hepatic disorders
  3. Formulate treatment plans based on patient information and preferences for specific gastrointestinal and hepatic diseases
  4. Apply current scientific evidence using information technology to facilitate the diagnosis and treatment of gastrointestinal and hepatic disease
  5. Appropriately counsel and educate patients and their families about specific gastrointestinal and hepatic problems
  6. Know the healthcare services aimed at preventing gastrointestinal and hepatic problems and maintaining health
  7. Work with other medical and surgical disciplines and health care professionals to provide multidisciplinary care to the gastroenterology or hepatology patient
  8. Competently perform all diagnostic and invasive procedures required for the appropriate management of gastrointestinal disorders
  9. Understand endoscopic protocols to ensure patient safety

  Patient care teaching methods
  

  1. Clinical performance with direct observation
  2. Endoscopy room with observed performance
  3. Rotation specific readings
  4. Daily supervised care of gastrointestinal and hepatology patients
  5. Presentations in clinic and on consult rounds
  6. Didactic and case-based conferences
  7. Observed clinical examination

  Patient care evaluation methods
  

  1. Global faculty evaluation
  2. Teaching rounds
  3. Biannual review with residency program director
  4. Patient surveys
  5. Procedure logs

• Medical Knowledge

  Medical knowledge goal

  To acquire basic scientific and clinical knowledge for the full spectrum of gastrointestinal and hepatic disorders and be able to apply this knowledge to the patient's care. 
  
  Medical knowledge objectives

  1. Know the embryology, anatomy and physiology of the gastrointestinal tract and liver
  2. Apply knowledge of the pathophysiology of gastrointestinal and hepatic disorders to the care of individual patients
  3. Obtain and process knowledge about gastrointestinal and hepatic disorders from reading sources, literature and didactic teaching sessions
  4. Perform well on standardized examinations (in-service training exam) that assess basic science and clinical knowledge
  5. Remain dedicated to the improvement of medical knowledge through a commitment to continued medical education

  Medical knowledge teaching methods
  

  1. Rotation specific readings
  2. Presentations in clinic and on consult rounds
  3. Conference presentations
  4. Satisfactory completion of topic specific board review material

  Medical knowledge evaluation methods
  

  1. Global faculty evaluation
  2. In-service examination
  3. Teaching rounds
  4. Biannual review with residency program director
  5. Checklist of completion of rotation specific reading list from electronic library

• Practice-based Learning and Improvement

  Practice-based learning and improvement goal

  To improve gastroenterology and hepatology patient care practices by the critical evaluation of current practice patterns and by the appraisal and assimilation of scientific evidence.

  Practice-based learning and improvement objectives

  1. Critically analyze, on a regular basis, current practice experience using a systematic and reliable methodology
  2. Perform practice-based improvement by implementing a change in practice based on newly acquired clinical information
  3. Locate, appraise and assimilate scientific studies from gastroenterology and hepatology literature applicable to patient management
  4. Understand scientific study design and statistical analysis to allow evaluation and appraisal of clinical studies
  5. Use information technology to access medical information for themselves and the patient
  6. Be an effective teacher of medical students, junior fellows and other health care professionals
  7. Understand the function of observed standardized clinical evaluations in improvement of physician patient interaction
  8. Active participation in Morbidity and Mortality Conference

  Practice-based learning and improvement teaching methods
  

  1. Clinical performance with direct observation
  2. Daily supervised care of gastroenterology and hepatology patients
  3. Presentations in clinic and on consult rounds
  4. Supervised on-call experiences
  5. Presentations at Journal Club

  Practice-based learning and improvement evaluation methods
  

  1. Global faculty evaluation
  2. Endoscopy and simulation lab
  3. Biannual review with residency program director
  4. Checklist of completion of rotation specific reading list from electronic library

• Interpersonal and Communication Skills

  Interpersonal and communication skills goal

  To develop interpersonal and communication (verbal and writing) skills that will allow effective exchange of information with patients, their families and other health care professionals.

  Interpersonal and communication skills objectives

  1. Develop rapport with patients and their families
  2. Develop effective listening skills and be able to elicit and provide information using appropriate nonverbal, explanatory and patient interview skills
  3. Formulate and write coherent and legible notes in the medical record
  4. Write clear, concise and comprehensible manuscripts for publication
  5. Prepare and deliver oral or case presentations in a thoughtful, organized and coherent manner
  6. Work effectively with others (gastroenterology fellows and faculty) as a member or leader of the gastroenterology and hepatology health care team
  7. Interact and communicate effectively with nurses and other health professionals and hospital staff

  Interpersonal and communication skills teaching methods
  

  1. Clinical performance with direct observation
  2. Endoscopy room with observed performance
  3. Daily supervised care of gastroenterology and hepatology patients
  4. Presentations in clinic and on consult rounds
  5. Didactic conferences
  6. Supervised on-call experiences

  Interpersonal and communication skills evaluation methods
  

  1. Global faculty evaluation
  2. Observed clinical examination
  3. Patient surveys
  4. Teaching rounds
  5. Biannual review with residency program director
  6. Checklist of completion of rotation specific reading list from electronic library

• Professionalism

  Professionalism goal

  To be professional by adherence to high ethical standards, accountability and sensitivity to the diverse gastroenterology and hepatology patient population.

  Professionalism objectives

  1. Have respect, compassion and integrity in your interactions with patients, their family members and other health care professionals
  2. Accept responsibility readily, be industrious and self-motivated and bring assigned tasks to completion
  3. Function as an effective leader of the gastroenterology and hepatology health care team
  4. Understand and commit to the ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent and gastroenterology and hepatology business practices
  5. Be sensitive and responsive to the patients’ culture, age, gender and disabilities

  Professionalism teaching methods
  

  1. Clinical performance with direct observation
  2. Endoscopy room with observed performance
  3. Daily supervised care of gastroenterology and hepatology patients
  4. Presentations in clinic and consult rounds
  5. Didactic conferences
  6. Supervised on-call experiences

  Professionalism evaluation methods
  

  1. Global faculty evaluation
  2. Observed clinical examination
  3. Patient surveys
  4. Teaching rounds
  5. Biannual review with residency program director

• Systems-based Practice

  Systems-based practice goal

  To be aware of and responsive to the health care system in which you practice, and use available resources to optimize care of the patient.

  Systems-based practice objectives

  1. Understand how patient care practices affect other health care professionals within the local, regional and national health care system
  2. Understand differences between various types of medical practices and delivery systems (e.g., HMO, academic, private practice, etc.), especially with regard to health care costs and allocation of resources
  3. Readily identify and correct healthcare system deficiencies that may result in less than optimal care of the patient
  4. Assist patients in dealing with healthcare system complexities
  5. Practice cost-effective healthcare and resource allocation without compromising the quality of patient care
  6. Know how to partner with health care managers or other providers in efforts to improve coordination and effectiveness of the health care system

  Systems-based practice teaching methods
  

  1. Clinical performance with direct observation
  2. Endoscopy room with observed performance
  3. Daily supervised care of patients
  4. Presentations in clinic and consult rounds
  5. Didactic conferences

  Systems-based practice evaluation methods
  

  1. Global faculty evaluation
  2. Observed clinical examination
  3. Biannual review with residency program director
  4. Checklist of completion of rotation specific reading list from electronic library