Interns - PGY 1 Year
The PGY I house officers will refine their basic clinical skills and begin to develop complete differential diagnoses and treatment plans. They will learn how to apply evidenced based and cost effective strategies in the diagnosis and treatment of various medical conditions in both the inpatient and ambulatory settings. They will learn how to function effectively as part of a multi-disciplinary team. They will begin to understand the context and system in which health care is delivered, and begin to learn how to access and utilize resources.
- Residents will demonstrate willingness to take on primary responsibility for patients care
- Residents will be able to perform a complete and accurate history and physical
- Residents will demonstrate the ability to communicate effectively, verbally or in writing, with patients, supervisors, colleagues, students, and mutli-disciplinary team members
- Residents will maintain comprehensive, legible, and timely medical records
- Residents will be able to generate a comprehensive differential diagnosis based on the assessment of the patient’s complaint
- Residents will be able to synthesize and prioritize issues in the care or patients
- Resident will demonstrate commitment to the ideals of professionalism, ethics, respect, compassion, and altruism in all of their interactions with patients, families, and colleagues.
- Residents will demonstrate the ability to access and critically evaluate medical literature, and be able to apply knowledge to clinical practice
- Residents will demonstrate an enthusiasm for self-improvement, evidencing on-going self –learning, responsiveness to criticism, ability to learn from past experiences, and willingness to identify and improve systemic deficiencies
- Residents will learn to understand the system in which they work, and demonstrate the ability to access various resources, providers, information technology, and multidisciplinary team members in the care of their patients
- Residents will demonstrate behaviors that engender sensitivity and responsiveness to issues related patients’ and colleagues’ gender, age, culture, religion, sexual preferences, socioeconomic status, beliefs, behaviors and disabilities
Juniors - PGY 2 Year
In addition to further refining the goals and objectives stated above for the PGY 1 year, residents will begin to take on increasing responsibilities for patient care, leadership, teaching and administration of the ward team. Residents will further expand their medical knowledge base and patient care skills. Residents will also begin to finesse the skills necessary for assessment of severity illness, triaging and facilitation of care in both the inpatient and ambulatory settings. In this year, residents will continue to develop their individualized course for life long learning. Junior residents will continue to develop their individual course for life long learning. Junior residents will also use this year to identify goals and career tracks. Active participation in scholarly activities is part of the expectation of this year.
- Residents will demonstrate the ability to effectively serve as the leader and role model for the inpatient teams
- Residents will demonstrate the ability to triage patients based on the severity of their illnesses
- Residents will demonstrate the ability to offer appropriate guidance in communication of transfer of care and ensuring safe sign outs
- Residents will demonstrate appropriate communication skills with the attendings, the junior house officers, the multi-disciplinary team members, and consultant staff, in the implementation of patient care recommendations.
- Residents will demonstrate the appropriate communication/interpersonal skills, medical knowledge base, and enthusiasm for teaching students, colleagues, attendings, patients, and multi-disciplinary team members
- Residents will demonstrate behaviors that reflect commitment to continuing the development of professional and ethical behaviors
- Residents will demonstrate active pursuit of self-learning/improvement and of scholarly activities
- Residents will demonstrate the ability to teach and communicate knowledge effectively to others and create a nurturing atmosphere for learning
- Based on a more sophisticated understanding of the system, residents will identify and help to improve limitations in their work environment
- By refining time-management skills, residents will demonstrate efficiency and effectiveness in the care of hospitalized and ambulatory patients
Seniors - PGY 3 Year
PGY-3 resident will further refine their patient care, supervisory, and teaching skills. They will continue to expand their medical knowledge base, as they apply evidence based and cost-conscious strategies in patient care. Under the supervision of teaching attendings, residents will develop progressive independence in their various responsibilities. As the most senior house staff members, residents will recognize the important part they play as role models, counselors, and teachers to the more junior members of the teams. The senior residents will also serve as consultant to other services in the hospital.
- Residents will demonstrate the ability to be independent in initial patient assessment, triage, and development of patient care plans
- Residents will demonstrate the communication and interpersonal skills necessary for fostering the growth and development of the more junior residents
- Residents will demonstrate effectiveness and continual enthusiasm for self learning and teaching of colleagues
- Residents will demonstrate sophisticated understanding of the various practice settings, maximizing the delivery of health care by recognizing the resources of the system
- Residents will understand their own limitations as senior residents, and know when to defer to the advice of others
- Residents will participate actively in quality of care assessment and improvement
- Residents will provide timely, professional, evidence based, educational, and helpful consultative advice to colleagues from other services
- Residents will continue to vigorously pursue career development, self-education, and scholarly activities