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Education

General Competencies


1. PATIENT CARE

patient care Goal

To provide care, both medical and endoscopic, of patients with gastroenterology or hepatology that is appropriate, cost-effective, and compassionate.

patient care Objectives

  1. Obtain a complete and accurate history and physical examination from patients with gastrointestinal/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 health care 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/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/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

 

2. MEDICAL KNOWLEDGE

Medical Knowledge Goal

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

Medical Knowledge objectives

  1. Know the embryology, anatomy and physiology of 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, the literature and didactic teaching sessions.
  4. Perform well on standardized examinations (in-service training exam) assessing fund of basic science and clinical knowledge.
  5. Dedication to improvement in 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

3. 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

4. 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 in the literature.
  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/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/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

5. PROFESSIONALISM

Professionalism Goal

To be professional by adherence to high ethical standards, accountability, and sensitivity to the diverse gastroenterology/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/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/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/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

6. 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 health care system deficiencies that may result in less than optimal care of the patient.
  4. Assist patients in dealing with health care system complexities.
  5. Practice cost-effective health care and resource allocation without compromising 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