Competencies Required of the Contemporary Physician
University of Virginia School of Medicine
Competencies Required of the
- The development and practice of a set of personal and professional attributes that enable the independent performance of the responsibilities of a physician and the ability to adapt to the evolving practice of medicine. These include:
a) Humanism, compassion and empathy, b) Commitment to collegiality and interdisciplinary collaboration, c) Engagement in continuing and lifelong self-education,td> d) Awareness of a personal response to one's personal and professional limits, e) Engagement in community and social service, f) Commitment to high ethical standards for personal and professional conduct, g) Knowledge of legal standards and commitment to legal conduct, h) Awareness of economic issues in clinical practice, and i) Cultural competency in clinical practice and professional relationships.
The ability to understand the scientific basis of medicine and apply it to:
a) current clinical practice, b) the analysis and further expansion of medical knowledge and understanding.
The ability to engage and communicate with a patient, develop a student-patient relationship, and communicate with others in the professional setting, using interpersonal skills to build relationships for the purpose of information gathering, guidance, education, support, collaboration and the provision of individualized patient care.Competency goals 1-3 describe abilities that students may already possess to some extent before beginning their medical education. The undergraduate medical education experience should provide them with opportunities to further develop and apply these competencies within the context of clinical care learning.
The ability to take a clinical history, both focused and comprehensive.
The ability to perform a mental and physical examination.
- The ability to select, justify and interpret selected clinical tests and imaging.
- The ability to understand and perform a variety of basic clinical procedures.
The ability to record, present, research, analyze and manage clinical information.Competency goals 4-8 represent specific individual clinical skills activities that are performed in any medical encounter.
The ability to diagnose and explain clinical problems in terms of pathogenesis, to develop a basic differential diagnosis, and to learn and demonstrate clinical reasoning and problem identification.
The ability to understand and select clinical interventions in the natural history of disease, including basic preventive, curative and palliative strategies.
- The ability to understand and to formulate a prognosis about the future events of an individual's health and illness based upon an understanding of the patient, the natural history of disease, and upon known intervention alternatives.
Competency goals 9-11 reflect the three major tasks of individual patient care that involve the integration of competency goals 1-8: identifying and prioritizing clinical problems, understanding, selecting and implementing clinical interventions, and predicting the course of illness and anticipating future patient healthcare outcomes.
These competency goals reflect the three major reasons for which patients seek clinical care.
The preceding competency goals are the core elements of clinical medicine. The final competency goal reflects the fact that in providing patient care, the physician must also consider the practical context within which medical care is delivered from the perspective of both the individual patient and the environment in which they live.
The ability to provide clinical care within the practical context of a patient's age, gender, personal preferences, family, health literacy, culture, religious perspective, and their economic circumstances. This competency goal also includes consideration of relevant ethical, moral and legal perspectives including patient advocacy and public health concerns, and as well as the resources and limitations of the healthcare system.
Adapted from findings of the 1998 University of Virginia School of Medicine Task Force on Medical School Objectives. Amended 2008. Revised 2009 to align with AAMC/ACGME Objectives. September 1, 2009. -DJI