Welcome to the University of Colorado School of Medicine on the Anschutz Medical Campus. A Top Ten Medical School, our departments, centers and institutes work with the University of Colorado Hospital, The Children's Hospital and Barbara Davis Center.

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) when the patient presents and throughout the duration of their care episode

Physical Exam

• Perform an accurate and comprehensive abdominal exam on a surgical inpatient.
• Accurately track changes in the physical exam over time in at least one inpatient.
• Recognize normal and abnormal findings.
• Perform both basic and advanced PE techniques as dictated by the presenting complaint.
• Perform an accurate pre-anesthetic exam with focus on the airway evaluation, the cardiac exam and respiratory exam. Include predictors for difficult mask ventilation and intubation.

Clinical Reasoning

• Synthesize a differential diagnosis and treatment plan from available data, including history, physical examination, laboratory, and imaging.
• Develop prioritized differential diagnoses for the following common clinical conditions in general surgery and general anesthesia: ***See common clinical conditions differential diagnosis list.
• Develop initial and long-term diagnostic and therapeutic management plans with the assistance of senior team members (including patient education, prevention and health maintenance).

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.

Core knowledge of perioperative care (surgery and anesthesiology) with focus on the hospitalized setting

• Demonstrates knowledge to identify common surgical conditions
• Demonstrates knowledge of surgical procedures and the relation to anesthetic management.
• Demonstrates knowledge to identify common risk categories for the anesthetic patient.
• Core Knowledge areas: Surgery, Anesthesia

Common modalities used in the practice of general surgery

• Demonstrates knowledge to interpret basic clinical tests and imaging commonly encountered in the inpatient surgical setting.
• Modalities

Common modalities used in the practice of anesthesiology

• Demonstrates the knowledge to interpret pre-operative clinical tests and imaging encountered in the pre-anesthesia evaluation for the adult patient.
• Demonstrates knowledge of basic airway management tools and invasive monitoring devices available for use in the adult patient.
• Modalities

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

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

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

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

PHYSICIANSHIP

Demonstrate compassion, integrity, and respect for others. Responsiveness to patient needs. Accountability to course requirements.

Documentation

• Document truthfully

Demonstrate Compassion and Respect to Pts

• Demonstrate compassion and empathy to all patient

Demonstrate Personal Accountability

• Dress and behave appropriately
• Timeliness in clinical and project work

Understand and Begin and Demonstrate Individual Patient Advocacy

• Explore when it is necessary to advocate for individual patient needs

WORKS EFFECTIVELY WITH OTHER CARE PROVIDERS COMMONLY ENCOUNTERED IN THE HOSPITALIZED SETTING
Understands multiple aspects of patient care within the hospital in the surgical and anesthetic patient.

Works effectively within multi-disciplinary health care team

• Understands unique roles of other providers within the surgical /anesthesiology system including but not limited to: physical and occupational therapists, social workers, 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

IMPROVING HEALTH CARE DELIVERY
Coordinate pt care within the health care system, relevant to care and transitions around the hospital.
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.

• Explore care transitions across multiple delivery settings
• Aware of other health care providers within system
• Understands 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