Feedback, Advising & ILP Resources

Shadowing Rubrics | Clinic Prep & Agenda Setting | Interpersonal Communications | Closure & Documentation

Faculty Advising Folder

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Level of Complexity

Low-Med-High

Clinical Area

Preventative care

Chronic disease mgmt

Acute illness/hospital/ER

Obstetrics

Mental health / SUD

Musculoskeletal health

Care of women

Pediatrics

Geriatrics

+ Milestones

Core Outcomes

Skills

Communication w/ Patient

Effective Data Gathering

Appropriate Physical Exam

Problem Representation

Differential diagnosis

Management plan

Teamwork

Closed loop

Time Management

Finishes tasks on time

Professionalism

Not a jerk

Level of Independence

Observation only

Active supervision

Reactive supervision

Independent

Provided supervision

In [this level of complexity] [Clinical Area], practiced [this skill] at [this level of independence].

eg: high complexity OB, practiced patient communication; reactive supervision

ACGME Family Medicine Subcompetencies

Patient Care

PC1: Care of the Acutely Ill Patient

PC2: Care of Patients with Chronic Illness

PC3: Health Promotion and Wellness

PC4: Ongoing Care of Pts w/ Undifferentiated Signs, Symptoms, or Health Concerns

PC5: Management of Procedural Care

Medical Knowledge

MK1: Sufficient Breadth and Depth to Practice FM

MK2: Critical Thinking and Decision Making

Systems-Based Practice

SBP1: Patient Safety and Quality Improvement

SBP2: System Navigation for Patient-Centered Care

SBP3: Physician Role in Health Care Systems

SBP4: Advocacy

Practice-Based Learning and Improvement

PBLI1: Evidence-Based and Informed Practice

PBLI2: Reflective Practice / Commitment to Personal Growth

Professionalism

P1: Professional Behavior and Ethical Principles

P2: Accountability/Conscientiousness

P3: Self-Awareness and Help-Seeking Behaviors

Interpersonal and Communication Skills

ICS1: Patient- and Family-Centered Communication

ICS2: Interprofessional and Team Communication

ICS3: Communication within Health Care Systems

Entrustable Professional Activities:

Provide a usual source of comprehensive, longitudinal medical care for people of all ages.
Care for patients and families in multiple settings.
Provide first-contact access to care for health issues and medical problems.
Provide preventive care that improves wellness, modifies risk factors for illness and injury, and detects illness in early, treatable stages.
Provide care that speeds recovery from illness and improves function.
Evaluate and manage undifferentiated symptoms and complex conditions.
Diagnose and manage chronic medical conditions and multiple co-morbidities.
Diagnose and manage mental health conditions.
Diagnose and manage acute illness and injury.
Perform common procedures in the outpatient or inpatient setting.
Manage prenatal, labor, delivery and post-partum care.
Manage end-of-life and palliative care.
Manage inpatient care, discharge planning, transitions of care.
Manage care for patients with medical emergencies.
Develop trusting relationships and sustained partnerships with patients, families and communities.
Use data to optimize the care of individuals, families and populations.
In the context of culture and health beliefs of patients and families, use the best science to set mutual health goals and provide services most likely to benefit health.
Advocate for patients, families and communities to optimize health care equity and minimize health outcome disparities.
Provide leadership within interprofessional health care teams.
Coordinate care and evaluate specialty consultation as the condition of the patient requires.

5 Levels of Supervision:

Observation but no execution, even with direct supervision
Execution with direct, proactive supervision
Execution with reactive supervision
Supervision at a distance and/or post hoc
Supervision provided by the trainee to more junior colleagues

Medicine/NF Feedback

1 MK-2 Applies critical thinking skills in patient care

1 - knows doctoring is hard, basic decisions/interpretation

2 - synthesize / integrates, + BH, anticipates changes

3 - adapts to patient, communicates with family

4 - synthesizes when difficult, thinks about population

5 - patient+family+community=plan, fully aligned w/ pt

2 acute and urgent problems, initiates timely interventions

1 - misses urgency

2 - sees urgency, can’t see plan

3 - recognizes urgency, can see plan

4 - urgent work done now & w/ confidence, timely and efficient

5 - exceptionally skilled/intervenes or consults easily

3 Cares for patients with chronic conditions

1 - recognizes

2 - adapts to various states

3 - considers guidelines, pt goals, comorbidities

4 - leads team, supports patient self-management

5 - stays current, personalizes care

4 Works well with the healthcare team

1 - poor teamwork/relationships, hinders care

2 - mixed feelings from team, limited effort

3 - generally gets along

4 - respectful, personable, reliable

5 - masterful, collegial relationships, ideal care

5 Initiative/work ethic

1 - no initiative/commitment

2 - interest but no ownership

3 - ownership and initiative for learning

4 - strong work ethic

5 - role model

6 Supports the transitions of care process

1 - doesn’t on discharges, no sense of resources

2 - understands roles, starting to collaborate

3 - builds relationships, appreciative engagement

4 - owns process while directing team for ideal care

5 - seamless collaboration w/ nurses, consultants, etc

7 Communication w/ patients and families

1 - rushed, impersonal, inadequate, disorganized

2 - improving

3 - easily understood, accurate, sensitive

4 - respectful, collaborative, personable

5 - masterful relationships/rapport optimize care

8 Getting work done

1 - late to pages/documentation, cannot prioritize

2 - gradual documentation, can’t run list alone

3 - can get work done alone

4 - does work with timely documentation, circles back

5 - works well under stress, wondrously flexible

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