STONY BROOK UNIVERSITY SCHOOL OF MEDICINE

COMPETENCIES & INSTITUTIONAL LEARNING OBJECTIVES ANCHORS
ACROSS YEARS IN MEDICAL SCHOOL

COMPETENCIES AND
INSTITUTIONAL OBJECTIVES		 YEAR ONE YEAR TWO YEAR THREE YEAR FOUR
PATIENT CARE: Graduates will apply established and evolving information and technology to provide patient care that is safe, compassionate, appropriate and effective for the treatment of health problems and for the promotion of health.. Graduates are expected to:
1. Gather relevant and accurate patient information by performing a history and physical exam, and utilizing laboratory and imaging data.
  • Clinical Preceptor Evaluation (FMP)
  • H and P OSCE performance (FMP)
  • Clinical preceptor evaluation (ICM)
  • End of Year OSCE
  • OSCE performance (Patho IV)
  • C3 evaluation form
  • CPX
  • Clerkship OSCE (AC,OB,Ped)
  • Direct observation (IM,Surg)
  • Patient write-ups (IM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
  • USMLE Step II CS
2. Perform procedures and interpret diagnostic tests with an understanding of their indications and limitations.
  • Procedural Skills-Direct observation (FMP)
  • Case based assignments (Patho I)
  • End of Year OSCE
  • Laboratory session (Patho I,Patho III)
  • Procedural Skills (ICM)
  • C3 evaluation form
  • CPX
  • Clinical experiences passport (AC,EM,IM,OB)
  • SIMPLE case Mrs. Kapoor (IM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,TTR)
3. Develop reasoned differential diagnoses of patients' clinical problems that are informed by the medical literature.
  • CPC cases (Path)
  • OSCEs (Physiology,Mol)
  • End of Year OSCE
  • Small group case discussion (Patho II,ICM)
  • TBL activity (Patho III)
  • C3 evaluation form
  • CPX
  • In Time Electronic Cases (IM,Ped,FM)
  • Patient write-ups (IM,Ped)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
  • USMLE Step II CK
4. Apply clinical problem solving skills to develop integrated therapeutic plans for the acute and longitudinal management of health problems
  • Clinical preceptor evaluation (ICM)
  • Script concordance test
  • Small group case discussion (Patho III)
  • C3 evaluation form
  • CPX
  • Essay Exam (AC)
  • Patient write-ups (Psy,IM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,TTR)
  • Script concordance test (ACE)
5. Provide safe, timely, effective, efficient, equitable, patient-centered and evidence-based health care.
  • CPC (Path)
  • Patient safety audits (FMP)
  • Vanderbilt Matrix (Path)
  • OSCE performance (Patho IV)
  • Quality Metrics (Patho III)
  • Year Three Orientation
  • ACOG bulletin review (OB)
  • C3 evaluation form
  • CPX
  • Direct observation (FM)
  • FM case: Mr. Wright (FM)
  • Small group performance (Surg)
  • Patient Safety Rounds (PIM)
  • Vanderbilt Matrix (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
6. Integrate principles of disease prevention, health promotion and education into the health care of individuals and communities.
  • Nutrition over lunch (FMP)
  • OSCE (FMP)
  • Small group/CPC (Path)
  • End of Year OSCE
  • Quizzes and exams (Patho I)
  • C3 evaluation form
  • Clinical experiences passport (AC,Ped)
  • Direct observation (AC,FM)
  • FM Case:Ms.Martinez (FM)
  • Reflection paper,depression screening (FM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
MEDICAL KNOWLEDGE: Graduates will acquire knowledge of established and evolving biomedical, clinical and social sciences and their applications to patient care.. Graduates are expected to:
7. Demonstrate current knowledge of the biomedical sciences pertinent to human health and disease across the lifespan.
  • Passing grades in didactic courses (Customized NBME or internal exams)
  • Passing grades in didactic courses (Customized NBME or internal exams)
  • USMLE Step I
  • C3 evaluation form
  • NBME shelf exam (Neurology,Psy,AC,FM,IM,Surg,Ped,OB,EM)
  • Patient write-ups (IM,OB,Psy,Ped)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,ACE,TTR,Anesth,PIM)
  • USMLE Step II CK
8. Acquire, manage, integrate and apply current and evolving knowledge to the care of patients and populations.
  • Customized NBME exams (Patho II,Patho III,Patho IV)
  • TBL sessions (Patho III,Patho IV)
  • USMLE Step I
  • C3 evaluation form
  • NBME shelf exam (Neurology,Psy,AC,FM,IM,Surg,Ped,OB,EM)
  • Patient write-ups (IM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,ACE,TTR,Anesth,PIM)
  • USMLE Step II CK
9. Demonstrate understanding of genetic, environmental, psychological, socioeconomic, cultural and spiritual factors that influence human health and disease.
  • Small group case discussions (FMP)
  • End of Year OSCE
  • Legal advocacy, global health advocacy small group performance (MCS)
  • OSCE performance (ICM)
  • C3 evaluation form
  • CLIPP case 16: Isabella (Ped)
  • Direct observation (AC,FM)
  • OSCE (PIM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,ACE,TTR,Anesth,PIM)
PRACTICE-BASED LEARNING AND IMPROVEMENT: Graduates will evaluate their own patient care practices, appraise and assimilate new technology and scientific evidence to improve patient care throughout their medical careers.. Graduates are expected to:
10. Use reflective skills and audit methodology to evaluate personal practice experiences to inform systematic, practice-based quality improvement.
  • Anatomy group, self and peer feedback (FMP)
  • Reflective essays on SP interviews (FMP)
  • Small group performance: Mid/End of year self assessment form (MCS)
  • C3 evaluation form
  • Hospice Reflection Paper (AC)
  • QI Project Report (FM)
  • Year 3 mid clerkship self rating form (Neurology,Psy,AC,FM,IM,Surg,Ped,OB,EM)
  • Vanderbilt Matrix (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
11. Recognize personal limitations, actively seek help and advice as appropriate and modify future behavior in response to feedback.
  • Anatomy group, self and peer feedback (FMP)
  • Mid/End of year study skills self audit (FMP)
  • Reflective essays on SP interviews (FMP)
  • Clinical preceptor evaluation (ICM)
  • End of Year OSCE
  • Mid/End of year study skills self audit (MCS)
  • Small group performance (MCS)
  • C3 evaluation form
  • Reflection Papers
  • Year 3 mid clerkship self rating form (Neurology,Psy,AC,FM,IM,Surg,Ped,OB,EM)
  • Individualized Learning Plan (ACE)
12. Demonstrate adaptive expertise through the ability to critically appraise and incorporate new scientific developments for clinical problem-solving and patient care.
  • Neuro news report (NS)
  • Small group discussions (FMP)
  • End of Year OSCE
  • Written reports, projects (Pharm,Patho I)
  • C3 evaluation form
  • EBM project (FM)
  • Journal club (Surg)
  • Patient write-ups (IM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
INTERPERSONAL AND COMMUNICATION SKILLS: Graduates will demonstrate interpersonal and communication skills that result in effective information exchange and team work with patients, patients' families and professional associates.. Graduates are expected to:
13. Demonstrate effective audience- and context- appropriate writing skills in reflective essays, researched reports, medical records and professional communications including email and digital/electronic records.
  • Create an OSCE (stroke) project (NS)
  • Written Report (Mol)
  • Ethics consultation chart note (MCS)
  • Patient advocacy letter (MCS)
  • C3 evaluation form
  • CPX
  • Patient write-ups (Ped,IM)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
14. Use effective, audience- and context-appropriate verbal and interactive skills in communications with peers, medical professionals, and patients.
  • Small group &CPC (Path)
  • Standardized Patient (FMP)
  • Clinical preceptor evaluation (ICM)
  • End of Year OSCE
  • Observed oral presentations (MCS)
  • Small group performance (Patho III)
  • C3 evaluation form
  • CPX
  • Clerkship OSCE (Ped)
  • Clerkships formative OSCEs (PPI score) (OB,Surg)
  • Precepted Clinical Oral presentation (OB)
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
PROFESSIONALISM: Graduates will demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to diverse patient populations.. Graduates are expected to:
15. Exhibit professionalism through compassion, altruism, integrity, respect, responsibility and sensitivity in meeting obligations inherent in the practice of medicine.
  • Peer teaching and assessment (NS,FMP)
  • Clinical preceptor evaluation (ICM)
  • End of Year OSCE
  • Small group performance (Patho I,ICM)
  • Written reflection (Illness exp) (MCS)
  • C3 evaluation form
  • CPX
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,ACE,TTR,Anesth,PIM)
16. Use sound moral reasoning and judgment to evaluate, render and defend decisions regarding patient care and health care policies.
  • Ethics paper (FMP)
  • Small group performance (FMP)
  • End of Year OSCE
  • Ethics consultation chart note (MCS)
  • C3 evaluation form
  • CLIPP case 22: Mandy (Ped)
  • Giving Bad News (NS)
  • Oral exam (Surg)
  • Reflection Papers
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,ACE,TTR,Anesth,PIM)
17. Demonstrate sensitivity and responsiveness to patients' personal characteristics such as race, color, sex, age, ethnicity, religion, national origin, sexual orientation, disability, socioeconomic or marital status.
  • CPC (Path)
  • OSCE, Small group case on dev disability (FMP)
  • Clinical preceptor evaluation (ICM)
  • End of Year OSCE
  • OSCE performance (ICM)
  • Self-Directed Learning Assignment (Patho I)
  • C3 evaluation form
  • CLIPP case 16: Isabella (Ped)
  • CPX
  • Remediation if necessary (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg,ACE,TTR,Anesth,PIM)
SYSTEMS-BASED PRACTICE: Graduates will demonstrate an awareness of the larger context and system of health care. They will effectively utilize system resources to provide optimal care.. Graduates are expected to:
18. Coordinate care and utilize cost effective resources to promote health, prevent disease and provide optimal and safe patient care.
  • Create an OSCE project (NS)
  • Patient safety audits (FMP)
  • Back story (Patho I)
  • C3 evaluation form
  • CPX
  • Clerkship OSCE (Ped)
  • Interdisciplin Rounds (IM)
  • Patient write-ups (Psy)
  • Vanderbilt Matrix (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
19. Work effectively as a team with health care managers and health care providers including those from other disciplines to assess, coordinate, and improve patient care.
  • Community site visit / discussion (FMP)
  • C3 evaluation form
  • FM Case: Mrs. Sanchez (FM)
  • Hospice Interprofessional Activity (AC)
  • Hospice Reflection Paper (AC)
  • Interdisciplin Rounds (IM)
  • Remediation if necessary (ACE,TTR,Anesth,PIM,SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)
20. Participate in evaluation of personal medical errors, system errors and implementation of potential solutions.
  • CPC (Path)
  • Error log (FMP)
  • Patient safety audits / discussion/ journals (FMP)
  • Medication Error Analysis (Pharm)
  • Year Three Orientation
  • C3 evaluation form
  • M & M conference (Surg)
  • Oral exam (Surg)
  • Patient Safety Rounds (PIM)
  • Time out, Opioid Risk Assessment Narcotic Database access (Anesth)
  • Vanderbilt Matrix (SubI Emg,SubI Med,SubI ObG,SubI Peds,SubI Surg)

Abrreviations Used