Comprehensive Care Objectives

Goal: Teach the knowledge, skills, and attitudes of ambulatory primary care.

Objective 1: By the end of the these experiences, students will demonstrate knowledge and clinical skills pertinent to the provision of care within the ambulatory primary care setting.

Core knowledge and skills include the ability to:
     
A. Appropriately obtain a history and perform a physical exam in an ambulatory setting.
B. Document the pertinent findings in an accurate and concise manner.
C. Differentiate between normal, variants of normal, and pathology in the data base.
D. Identify major and minor problems in perspective (appropriately prioritize).
E. Select and interpret appropriate diagnostic tests commonly used in the ambulatory primary care setting (lab, X-rays, EKGs, PFTs).
F. Formulate a reasonable assessment and management plan.
1. Be able to discuss differential diagnoses.
2. Demonstrate the use of multiple problem solving techniques (exhaustive, algorithmic, pattern recognition, hyperthetico-deductive).
G. Organize and present data in a focused and effective manner.
H. Discuss patient care issues pertinent to identified problems, using prior knowledge and available educational resources.
1. Basic science applications
2. Basic medical principles
3. Commonly used medications
4. Referral criteria
I. Discuss and implement health maintenance and preventive care strategies consistent with established guidelines.
J. Evaluate the effectiveness of prior management plans, and modify the plan to improve the care of the patient.
     
Core knowledge and skills will encompass consideration of the following variables:
   
K. Students will demonstrate basic clinical knowledge and skills applicable to the presentation, evaluation, and management of patients of different ages (infant, child, adolescent, adult, geriatric) and sexes.
L. Students will demonstrate basic clinical knowledge and skills applicable to the presentation, evaluation, and management of patients presenting with a common acute or chronic problem according to established lists. Additionally, students will demonstrate the ability to appropriately evaluate and manage patients presenting with undifferentiated or multiple problems.
M. Students will demonstrate the basic clinical knowledge and skills necessary to perform a problem focused or complete evaluation appropriately according to established guidelines.
N. Within the continuity care system, students will demonstrate the ability to use time and follow-up as an evaluative and therapeutic tool. Students will be able to identify patients at risk of being lost to follow-up, and appropriately modify their clinical approach.
O. Students will demonstrate basic clinical knowledge and skills applicable to the presentation, evaluation, and management of patients within the context of the patient's family, psychological, occupational, social, cultural, and financial conditions.

Objective 2: By the end of these experiences, the student will demonstrate knowledge, skills, and attitudes which facilitate appropriate health care delivery in the ambulatory care setting.

A. Students will practice and demonstrate appropriate communication skills with the patients and their families; and with the clinic staff, faculty, and other members of the health care team.
B. Students will demonstrate the effective use of patient education, family involvement, clinic and community resources, and consultants.

Objective 3: By the end of these experiences, the student will demonstrate knowledge, skills, and attitudes necessary for long term productivity (regardless of career choice).

The student will demonstrate:
   
A. Continuous improvement in the efficiency with which effective care is provided.
B. Continuous improvement in the level of confidence and competence when confronting ambulatory care problems.
C. Enthusiasm for learning, and enjoyment of providing care in the ambulatory care setting.
D. The effective use of education resources.
E. A working knowledge of peer review, malpractice prevention, and record keeping.
F. A working knowledge of current trends in physician work force needs, health care financing and practice management.

Home Orientation Contact CCC
  reviewed 6/7/05 - dlp