The application of medical and biopsychosocial knowledge and skills to deliver safe and effective patient-centered care in the diagnosis, management and prevention of common health problems.
Performance Measures |
CLINICAL SKILLS AND REASONING
Historical Data Gathering
- Obtain accurate history from patient using a systems based approach
- Seek and obtain additional information from secondary sources (ex. family, medical record, pharmacy, allied health professionals) when the patient presents and throughout the duration of their care episode
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Physical Exam
- Perform an introductory physical exam on a patient with a musculoskeletal complaint
- Recognize normal and abnormal findings
- Correlate physical exam with imaging studies
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Clinical Reasoning
- Synthesize a differential diagnosis and treatment plan from available data, including history, physical examination, laboratory, and imaging.
- Develop initial and long-term diagnostic and therapeutic management plans with the assistance of senior team members (including patient education, prevention and health maintenance).
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DELIVERY OF PATIENT CENTERED CARE
Patient Management
- Recognize differences in clinical care in the context of patient’s preferences and overall health
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PATIENT-CENTERED CLINICAL SKILLS AND REASONING
- Gather data that defines both the disease and the illness experience (patient perspective, expectations and the illness’ effect on their functioning, preferences for care) and develop diagnostic / management plans that account for these variables.
- Develop diagnostic and management plans to find common ground in identifying problems, goals and roles
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An understanding of the anatomy, pathophysiology, presenting manifestations, evaluation and management of common medical issues encountered.
Performance Measures |
Core knowledge of musculoskeletal care with focus on the outpatient setting
- Demonstrates knowledge to identify common musculoskeletal conditionss
- Demonstrates knowledge of metabolic bone disease related to basic science
- Core Knowledge areas
Common modalities used in the practice of musculoskeletal medicine
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The ability to investigate and evaluate patient care practices, appraise and assimilate scientific evidence and improve the practice of medicine and individual performance
Performance Measures |
LEARNING AND IMPROVEMENT BY ANSWERING CLINICAL QUESTIONS BASED ON PATIENT CARE SCENARIOS
Locate, evaluate, and assimilate scientific evidence related to patient’s health care problems. |
Learning and improvement by answering clinical questions based on patient care scenarios
Locate, evaluate, and assimilate scientific evidence related to patient’s health care problems.
Ask answerable questions for emerging information needs
- Identify clinical questions as they arise in patient care activities
Acquire best evidence
- Access medical information resources to answer clinical questions
- Effectively search evidence based medicine resources to obtain original primary literature
Apply the evidence to decision making for individual patients
- With assistance, determines if evidence can be generalizable to individual patients
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Learning and Improving via Feedback
With assistance, identify strengths and limits in one’s knowledge and performance. Set learning and improvement goals.
Improves via feedback
- Respond productively to feedback from all members of the team
- Seek, with prompting, feedback from faculty and residents
Improves via self-reflection
- With assistance, reflect on feedback to develop plans for improvement
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Use of effective listening, verbal, non-verbal and written communication skills with patients, families and all members of the healthcare team to provide patient-centered care
Performance Measures |
PATIENTS AND FAMILY
Communicate effectively with patients and families, across a broad range of cultural, literacy and socioeconomic backgrounds. |
Communicate Effectively
- Timely and effective written and verbal communication to pts
- Use verbal and non-verbal skills to establish rapport with pts/families
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Intercultural Sensitivity
- Effectively use an interpreter during appropriate pt care scenarios.
- Demonstrate sensitivity to pts including but not limited to differences in race, gender, sexual orientation, and literacy.
- Actively seek to understand patient differences and patient perspective
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PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS
- Accurately communicate data orally or in writing to other physicians or health care providers
- Work effectively as a member of the health care team
- Communicate effectively with outside physicians and other health care workers
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TRANSITIONS
- Effectively communicate with other health care providers at the time of transitions
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A commitment to the highest standards of competence, ethics, integrity and accountability to patients, families, all members of the healthcare system and the profession at large
Performance Measures |
PHYSICIANSHIP
Demonstrate compassion, integrity, and respect for others. Responsiveness to patient needs. Accountability to course requirements. |
Documentation
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Demonstrate Compassion and Respect to Pts
- Demonstrate compassion and empathy to all patients
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Demonstrate Personal Accountability
- Dress and behave appropriately
- Timeliness in clinical and project work
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Understand and Begin and Demonstrate Individual Patient Advocacy
- Explore when it is necessary to advocate for individual patient needs
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PATIENT-CENTEREDNESS
Respect for patient privacy and autonomy. Sensitivity and responsiveness to diverse patient population (gender, age, culture, race, religion, disabilities, sexual orientation, etc). |
Respect patient dignity, culture, beliefs, values and opinions
- Treat patients with dignity and respect
- Maintain confidentiality, privacy
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The ability to work effectively within the local and broader context of the healthcare system to advocate for and provide quality patient care
Performance Measures |
WORKS EFFECTIVELY WITH OTHER CARE PROVIDERS COMMONLY ENCOUNTERED IN THE OUTPATIENT SETTING
Understands multiple aspects of patient care within the outpatient setting
Works effectively within multi-disciplinary health care team
- Understands unique roles of other providers within the health care system including but not limited to: physical and occupational therapists, case managers, advanced practice providers and nurses
Acknowledges multiple forces that impact the cost of health care
- Reflect on physicians’ impact on the cost of individual care for the patient, the clinical environment and broader healthcare system
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Improving Health Care Delivery
Coordinate pt care within the health care system as it relates to the musculoskeletal patient. Understands complexity of patient care.
Understands complexity of patient care.
Advocate for quality patient care and optimal patient care systems to improve community health
Work effectively within multiple health care delivery systems.
- Aware of other health care providers within system
- Understand unique roles of other providers within the care system
Recognize system error and opportunities for improvement
- Recognize health care forces that increase the risk for error including barriers to optimal patient care
- With guidance, reflect upon incidents such as near misses and preventable medical errors
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