| I.
Goal |
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A.
"Residents will be proficient in the diagnosis and management of
acute and chronic disease and the principles of preventive medicine." |
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| II.
Objectives |
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A.
Acute Illness |
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1.
Cost-effectively diagnose and manage common acute illnesses in an
outpatient setting |
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2.
Recognize patients requiring hospitalization in an outpatient setting |
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3.
Learning Methods |
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a. Clinical
activity
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b.
Precepting hospital admissions from clinic
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c.
Case presentation in Openers |
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d.
Case Conference |
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e.
Didactics |
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f.
Web-based learning
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g.
Continuity of care during FP service (resident follows patient)
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h.
ER experience –
Mary
Bridge
, SMC, Ski Patrol
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i.
Shadowing
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j.
Precepting
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k.
Clinic Month Friday case conferences
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B.
Chronic Disease
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1.
Diagnose and longitudinally manage chronic disease to optimize function
and independence.
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2.
Understand the use of organizational tools such as flow sheets, templates
using practice guidelines, EMR, population databases, disease management
tracking and recall strategies.
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3.
Understand and utilize the multidisciplinary approach to manage chronic
disease.
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4.
Patient Education
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5.
Learning Method
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a. Clinical
activity |
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b. Chart
review- Problem and Medication List use
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c. Chronic
disease flow sheets
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d. Precepting
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e. QCP
or registry system
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f. Didactics |
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g. Individual
Team Meetings for review of patient charts and chronic disease management
at the population level
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h. Orientation
to clinic to enhance continuity
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i. Development,
review and update guideline-based templates
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j. Review
and update patient education files
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k. Electives
with
Joslin
Center
for Diabetes, Swedish nutrition services and rehabilitation (PT, OT,
Speech, Cardiac and Pulmonary)
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l.
Clinic Month Friday case conference
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C.
Mental Health
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1.
Diagnose and manage common acute and chronic mental illnesses
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2.
Understand the interaction between mental and physical health
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3.
Learning Method
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a.
Clinic activity
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b.
Co-counseling
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c.
Behavioral Science rotation
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d.
Didactics
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e.
Shadowing
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f.
Balint
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g.
Precepting – clinical and behavioral science faculty
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h.
Web-based learning modules
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i.
Clinic Month Friday case conferences
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D.
Prevention and Health Care Maintenance
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1.
Integrate evidence-based prevention strategies into whole person care
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2.
Incorporate evidence-based health care maintenance recommendations into
every encounter
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3.
Learning Method
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a.
Clinical activity
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b.
Chart reviews
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c.
Didactics
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d.
Precepting
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e.
Shadowing
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f.
Medical records orientation
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g.
QCP and flow sheet orientation and use
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h.
Template development and updating – Guideline based
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i.
Clinic Block Friday case conferences
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E.
Procedures
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1.
Competently perform core procedures in family medicine (core, expanded and
rural track)
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2.
Learning Method
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a.
Clinical activity (based on year of training)
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b.
Supervision in hospital and procedure clinic, emergency department, and
gynecology clinic
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c.
Video tutorials
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d.
Workshops: suturing, colposcopy, LEEP, ALSO
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e.
CME
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f.
Electives
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F.
Administrative Medicine (L&I, school and work physicals, disability
evaluations)
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1.
Evaluate and document patient status for outside agencies
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2.
Learning Method
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a.
Clinical activity
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b. Clinic block
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c.
Precepting
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d.
Didactics on Occupational Medicine |
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e.
Community Medicine Block
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f. Clinic Block Friday case conferences
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G.
Population-based medicine
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1.
Apply epidemiological principles to effectively manage populations under
your care
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2.
Use registries and QCP system to collect population data
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3.
Learning Method
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a.
Clinical activity
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b.
Utilize national practice guidelines
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c.
Didactics
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d. Clinic Block Friday case conferences
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e.
Team Meeting review of registries and QCP system data
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