Previous ACGME Milestones

ACGME Competency Based Goals & Objectives

COMPETENCY 1. PATIENT CARE: Provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment of health problems and the promotion of health.

• Provide comprehensive and acute care to underserved children

• Collaborate with community resources to provide care through various clinics, outreach sites and home visits.

COMPETENCY 2. MEDICAL KNOWLEDGE: Understand the scope of established and evolving biomedical, clinical, epidemiological, and social-behavioral knowledge needed by a pediatrician; demonstrate the ability to acquire, critically interpret and apply this knowledge in patient care.

• Describe the effect on child health of providing health care to children in medically underserved areas, and explain the value of preventative health services in reducing long term health care costs.

• Describe a strategy to meet and overcome barriers to continuous and comprehensive health maintenance and care, such as:

  • External barriers that pervade and affect medical and social treatment (e.g. social, educational, ethnic, and cultural issues; poverty, homelessness, lack of access).

  • Barriers within the family (e.g. family dysfunction, ignorance of benefits of continuity care).

• Discuss in general terms, the services of the state and local health department, such as:

  • WIC

  • Vaccines for Children

  • Health Cards

  • Early Intervention

  • Environmental Health

  • Epidemiology

  • Lead Screening

  • Infection control

• Describe services available to patients and families, how to access services, and collaborate with these agencies as opportunities arise in practice.

• Describe the existing and potential relationship between the pediatrician and community agencies that serve children and families.

• Describe which medical problems are more prevalent in this population, and how to screen for such problems.

• Describe the uses, benefits, and limitations of a mobile medical unit.

COMPETENCY 3. COMMUNICATION SKILLS: Demonstrate interpersonal and communication skills that result in information exchange and partnering with patients, their families, and professional associates.

• Communicate effectively with underserved children and families, demonstrating the following assessment skills:

  • Engagement skills: ways to ally with the needs and aspirations of patients and families.

  • Exploratory skills: techniques to interview and discuss problems with various culturally diverse populations.

  • Skills in building rapport with patients and families.

  • Skills in gathering data on psycho-social, environmental, economic, and medical issues that relate to a child’s health.

  • Explanatory skills: techniques to explain information, using language that is both culturally appropriate and on the appropriate literacy level of the caretaker and/or patient.

• Communicate effectively with caregivers and different patient populations on various topics through workshops and other types of educational sessions.

COMPETENCY 4. PRACTICE-BASED LEARNING AND IMPROVEMENT: Demonstrate knowledge skills and attitudes needed for continuous self-assessment, using scientific methods and evidence to investigate, evaluate, and improve one’s patient care experiences.

• Use scientific methods and evidence to investigate, evaluate, and improve your own patient care practice; continually strive to integrate best evidence into one’s daily practice.

• Demonstrate willingness and capacity to be a lifelong learner by pursuing answers to clinical questions, using literature, texts, information technology, patients, colleagues, and formal teaching conferences.

• Seek and incorporate feedback and self assessment into a plan for professional growth and practice improvement.

COMPETENCY 5. PROFESSIONALISM: Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diversity.

Recognize and respond to the aspects of health care in underserved and culturally diverse populations that create special barriers to health care delivery.

• Demonstrate commitment, responsibility, accountability for patient care, including continuity of care.

COMPETENCY 6. SYSTEMS-BASED PRACTICE. Understand how to practice quality health care and advocate for patients within the context of the health care system.

Value the roles of community resources in providing services for children and families.

• Discuss the similarities, differences, and importance of the many agencies that provide health care services to children, including traditional medical services, community health centers, and other state- and federally-supported programs.

• Identify agencies that provide health-related services to children in their homes or schools including early intervention programs, hospice, and home health aides.

• Identify agencies and resources available to children and families with special needs (e.g. case management services, social work services, and services for homeless, migrant, pregnant, or disabled children).

• Identify and work collaboratively with a variety of community resources when providing care to families in need.

• Discuss how financial, cultural, political, and environmental issues affect a community’s response to preventable health problems.