PGY3 Clinic Goals & Objectives

THE PGY3 AMBULATORY EXPERIENCE

Medical Expert

Goal: Trainees learn about the ambulatory practice of a particular content area and are able to function as ambulatory practitioners in that area.

• Trainees will be able to perform a fluent history and physical examination in the content area of the experience.

• Trainees will be able to select appropriate tests for common presentations in the content area.

• Trainees will be able to generate a focused diagnosis and management plan for new referrals and follow-up visits.
  

• Trainees will be able to describe benefits and risks associated with treatments in the content area.

• Trainees will be able to describe commonly used medications including mechanism of action, adverse effects, and drug interactions.

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Manager

Goal: Trainees learn the skills of arranging care both within and outside the office setting to allow timely and efficient achievement of patient outcomes.

• Trainees will be able to assess the priority and urgency of new referrals, and manage their own appointment schedule to accommodate them.

• Trainees will be able to prioritize patient care issues and plan follow-up appropriately.

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Professional

Goal: Trainees will recognize and act on the particular professional duties of the ambulatory experience.

• Trainees will be punctual and reliable in attending the ambulatory experience.
  

• Trainees will complete tasks they begin, including documentation, following up on tests and other aspects of patient care.

• Trainees will interact with patients, families, office staff and other providers appropriately both in the office and between visits.
  

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Advocate

Goal: Trainees will consistently act to advance the care of their ambulatory patients within the health care system.

• Trainees will link patients consistently to needed programs and services.
  

• Trainees will demonstrate understanding of government funding of therapy, including ODB and individual clinical review mechanisms, and consistently act to ensure their patients access therapies through these programs as needed.
  

• Trainees will consistently identify barriers (eg. financial, social, psychological) to patients’ care and develop plans to overcome them.
  

• Trainees will promote disease prevention with patients and facilitate the institution of preventative measures.
  

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Scholar

Goal: Trainees will identify their learning needs and address them to develop a comprehensive understanding of the content area.

• Trainees will develop a personal learning plan and revise it throughout the experience.

• Trainees will be able to state the scientific principles/evidence base behind basic elements of the content area.
  

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Communicator

Goal: Trainees will consistently communicate clearly, empathically, and effectively with patients, families, and other care providers.

• Trainees will routinely elicit patients’ concerns and views in the course of care.
  

• Trainees will provide patients with essential information related to diagnosis, prognosis and treatment in a clear and understandable manner that encourages patient autonomy and participation in decisions for care.
  

• Trainees will write concise and clear consultation letters to other providers.
  

• Trainees will clearly and accurately document patient encounters (including disclosure of side effects or risks of treatment), phone conversations and other communications with patients.
  

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Collaborator

Goal: Trainees will work with other providers to improve the care of patients.

• Trainees will seek and incorporate the advice of other practitioners in the care of their patients.
  

• Trainees will work closely with patients and families to promote cooperation and adherence to treatment recommendations.
  

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