U of M Urology has integrated the ACGME–mandated competencies into the residency. Methods to measure such competencies have been developed and are used to assess individual resident competency in the training program. Each resident is evaluated in the 6 competencies which are:
A. GENERAL COMPETENCIES AND EXAMPLE COMPONENTS
PATIENT CARE
- Gather essential and accurate information about the patient using the following clinical skills:
- Medical interviewing
- Physical examination
- Diagnostic studies
- Make informed diagnostic and therapeutic decisions based on patient information, current scientific evidence and clinical judgment by:
- Demonstrating effective and appropriate clinical problem-solving skills
- Understanding the limits of one’s knowledge and expertise
- Appropriate use of consultants and referrals
- Develop and carry out patient care management plans
- Prescribe and perform competently all medical procedures (invasive and non-invasive) considered essential for the scope of practice
- Counsel patients and families:
- to take measures needed to enhance or maintain health and function and prevent disease and injury
- by encouraging them to participate actively in their care and by providing information that will contribute to their care
- by providing information necessary to understand illness and treatment, share decisions and give informed consent
- Provide care that is sensitive to each patient’s cultural, economic and social circumstances
- Use information technology to optimize patient care
MEDICAL KNOWLEDGE
Know, critically evaluate and use current medical information and scientific evidence for patient care.
PRACTICE-BASED LEARNING AND IMPROVEMENT
- Demonstrate continuous practice improvement by:
- engaging in lifelong learning to improve knowledge, skills and practice performance
- analyzing one’s practice experience to recognize one’s strengths, deficiencies and limits in knowledge and expertise
- using evaluations of performance provided by peers, patients, superiors and subordinates to improve practice
- seeking ways to improve patient care quality
- Use information technology to optimize lifelong learning
- Facilitate education of patients, families, students, residents and other health professionals.
INTERPERSONAL AND COMMUNICATION SKILLS
- Communicate effectively with patients and families to create and sustain a professional and therapeutic relationship.
- Communicate effectively with physicians, other health professionals and health related agencies.
- Work effectively as a member or leader of a health care team or organization.
- Be able to act in a consultative role to other physicians and health professionals.
- Maintain comprehensive, timely and legible medical records.
PROFESSIONALISM
- Consistently demonstrate high standards of ethical behavior.
- Respect the dignity of patients and colleagues as persons including their age, culture, disabilities, ethnicity, gender and sexual orientation.
- Demonstrate respect for and a responsiveness to the needs of patients and society by:
- accepting responsibility for patient care including continuity of care;
- demonstrating integrity, honesty, compassion and empathy in one’s role as a physician;
- respecting the patient’s privacy and autonomy;
- demonstrating dependability and commitment.
SYSTEMS-BASED PRACTICE
- Advocate in the interest of one’s patients
- Work effectively in various health care delivery settings and systems
- Provide optimal value for the patient by incorporating the considerations of cost-awareness and risk-benefit analysis
- Advocate for quality patient care and optimal patient care systems
- Promote health and function and prevent disease and injury in populations
- Possess basic economic and business knowledge to function effectively in one’s practice system
B. GENERAL COMPETENCIES
Patient care
- Faculty evaluations
- Patient satisfaction
- Morbidity & Mortality conference
- Grand Rounds
Medical knowledge
- Faculty evaluations
- Journal Club
- In-service exam scores
- Qualifying Exam performance
- Board Certification
Practice-based learning
- Journal Club performance and improvement with faculty evaluation
- M & M Conference
- Grand Rounds presentations
Interpersonal and communication skills
- Faculty evaluations
- Verbal communication from support staff and colleagues
- Presentations at local and national meetings
- Patient satisfaction
- PGOA (Postgraduate Orientation and Assessment)
Professionalism
- Faculty evaluations
- Verbal communication from support staff and colleagues
- Patient satisfaction
- PGOA
System-based practice
- Faculty evaluation
- Grand Rounds
- Journal Club
- M & M Conference
- PGOA
C. SPECIFIC UROLOGIC COMPETENCIES
Procedural skills
- Faculty evaluations
- Operative logs
- M & M Conference
Research Skills
- Mentor evaluations
- Papers submitted/published
- Presentations at local and national meetings
- Awards
Core Competencies “PIMPPS”
Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals
Medical Knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care
Practice-Based Learning and Improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care
Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
Systems-Based Practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value
