Internal Medicine Milestone Group. The Internal Medicine Milestones Project: A Joint Initiative of the Accreditation Council for Graduate Medical Education and the American Board of Internal Medicine. Accreditation Council for Graduate Medical Education website. http://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/InternalMedicineMilestones.pdf. Published July 2015. Accessed July 31, 2015.
Competency | Reporting milestone | Description |
---|---|---|
Patient care | PC1 | Gathers and synthesizes essential and accurate information to define a patient's clinical problem |
PC2 | Develops and achieves comprehensive management plan for each patient | |
PC3 | Manages patients with progressive responsibility and independence | |
PC4 | Skill in performing procedures | |
PC5 | Requests and provides consultative care | |
Medical knowledge | MK1 | Clinical knowledge |
MK2 | Knowledge of diagnostic testing and procedures | |
Systems-based practice | SBP1 | Works effectively within an interprofessional team |
SBP2 | Recognizes system error and advocates for improvement | |
SBP3 | Identifies forces that impact the cost of health care and advocates for and practices cost-effective care | |
SBP4 | Transitions patients effectively within and across health delivery systems | |
Practice-based learning and improvement | PBLI1 | Monitors practice with a goal for improvement |
PBLI2 | Learns and improves via performance audit | |
PBLI3 | Learns and improves via feedback | |
PBLI4 | Learns and improves at the point of care | |
Professionalism | PROF1 | Has professional and respectful interactions with patients, caregivers, and members of the professional team |
PROF2 | Accepts responsibility and follows through on tasks | |
PROF3 | Responds to each patient's characteristics and needs | |
PROF4 | Exhibits integrity and ethical behavior in professional conduct | |
Interpersonal and communication skills | ICS1 | Communicates effectively with patients and caregivers |
ICS2 | Communicates effectively in interprofessional teams | |
ICS3 | Appropriate utilization and completion of health records |
Internal Medicine Milestone Group. The Internal Medicine Milestones Project: A Joint Initiative of the Accreditation Council for Graduate Medical Education and the American Board of Internal Medicine. Accreditation Council for Graduate Medical Education website. http://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/InternalMedicineMilestones.pdf. Published July 2015. Accessed July 31, 2015.
Accreditation Council for Graduate Medical Education. Outcomes Project. https://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramResources/430_CompetencyDefinitions_RO_ED_10182007.pdf. Accessed October 19, 2015.
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- 75-Year-Old Man With Fever, Cough, Myalgias, and PruritusMayo Clinic ProceedingsVol. 90Issue 12
- PreviewA 75-year-old man presented to the emergency department (ED) with a 5-day history of fever, cough, nasal congestion, sore throat, myalgias, headache, loose stools, and diffuse pruritus. His medical history was notable for coronary artery bypass graft surgery several years previously, hypertension, hyperlipidemia, chronic kidney disease, acid reflux, alcohol abuse, and gout. He had taken acetaminophen with modest improvement in his fever, myalgias, and headache. He was a lifelong nonsmoker. The patient had no sick contacts or recent travel history.
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