Inherent in good patient care is a resident's ability to demonstrate integrity, respect, compassion and empathy for patients and their families. Residents at all levels of training will demonstrate sensitivity and responsiveness to patient's age, culture, gender and disabilities.
PGY-1 Skill Set
PGY-1 residents will:
- Gather essential and accurate information.
- Organize and record medical information accurately.
- Synthesize and interpret data from other providers and diagnostic testing.
- Develop skills of focused history taking based on the established diagnosis or differential diagnosis.
- Perform complete physical exams with consistent sequence.
- Describe and interpret abnormal findings.
- Identify problems and prioritize the differential diagnosis.
- Begin to formulate clinical plans of action that are guideline or evidence-based.
- With experience, develop the appropriate use of diagnostics and therapeutic choices.
- Begin to prioritize the care of unstable patients.
- Address acute and chronic problems, as well as addressing issues of prevention and health promotion.
- Demonstrate an understanding of the indications, contraindications and techniques for procedures.
- Participate in informed consent with patients.
- Be supervised for all procedures until clinical competency is achieved.
- Clearly document all procedures.
- Attend Learning To TALK sessions.
PGY-2 Skill Set
In addition to the above objectives, PGY-2 residents will:
- Improve on the interpretation of history and improve their efficiency.
- Correctly detect subtle findings on physical exam.
- Teach physical exam skills to peers and students.
- Incorporate patient preference, cost, and risk and benefit when considering specific treatment and diagnosis.
- Change the course of care for unexpected side effects or undesired outcomes of a treatment plan.
- Supervise junior residents in procedures when competency has been achieved.
- Improve procedural skills through repetition.
- Minimize risk and discomfort of patients.
PGY-3 Skill Set
In addition to the above noted objective, PGY-3 residents will:
- Appropriately conduct focused exams.
- Demonstrate sound reasoning in ambiguous situations.
- Assist junior residents/students in improving skill of effective decision-making.