Education Program Objectives

Introduction

The faculty of the FSU College of Medicine design and implement an educational program to prepare students with the knowledge, skills, behaviors and attitudes to become exemplary physicians who practice patient-centered health care, discover and advance knowledge, and are responsive to community needs, especially through service to elder, rural, minority, and underserved populations, as described in the COM Mission statement. In addition to fulfilling basic graduation requirements of passing all courses and clerkships, passing Step 1 and Step 2-CK of the United States Medical Licensing Examinations, and being in good standing for Professional behavior, students must have demonstrated competency in each of the learning outcomes of seven competency domains.

The Competency Domains

The Curriculum Committee of the FSU COM has adopted medical education program objectives that incorporate adaptations of two national physician competency models: the Accreditation Council for Graduate Medical Education (ACGME) and the Association of American Medical Colleges (AAMC) Physician Competency Reference Set (PCRS). The PCRS was developed by the AAMC through its initiative to define a taxonomy of competency-based education that not only applies across the continuum of medical education, but is also applicable to different health care professions and different physician specialties. A Mission-based domain was developed and added by the FSU COM faculty to assure that each graduate has demonstrated competency in the knowledge and skills at the heart of the COM vision and Mission.  

Competency Domain 1: Patient Care

EPO 1

Provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health

Performs history and physical, demonstrates clinical reasoning and judgment, and incorporates guidance for health promotion and wellness

Competency Domain 2: Knowledge for Practice

EPO 2

Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences and the application of this knowledge to patient care

Applies scientific and clinical knowledge to explain the normal and abnormal function of organ systems across the lifespan, mechanisms of disease, and the mechanisms and rationale of clinical diagnostic tests and therapeutic interventions. Applies knowledge of biostatistics and epidemiology to identify health problems and risk factors for patients and populations.

Competency Domain 3: Practice-Based Learning and Improvement
EPO 3

Demonstrate reflective practice for life-long learning and improvement of patient care through continuous self-evaluation, evaluation of one’s care of patients, and appraisal and assimilation scientific evidence

Demonstrates reflective practice and commitment to personal growth and improvement. Utilizes information resources to locate and appraise evidence to guide clinical decisions

Competency Domain 4: Interpersonal and Communication Skills
EPO 4

Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and other health professionals

Communicates effectively with patients, families, health professionals, health agencies, and the public across a wide range of socioeconomic and cultural backgrounds. Manages patient and family values, goals, and preferences. Demonstrates sensitivity, honesty, and compassion in interpersonal interactions, including in difficult situations. Delivers organized and accurate presentations.

Competency Domain 5: Professional Identity Formation
EPO 5

Demonstrate a commitment to personal and professional growth, and to carrying out professional responsibilities, adherence to ethical principles, and respect for codes of conduct

Demonstrates professional behavior and respect for all. Acknowledges differences in values and beliefs, and demonstrates willingness to critically analyze one’s own personal views. Demonstrates honesty and integrity in all activities. Performs tasks and responsibilities in a timely manner. Takes responsibility for lapses in professionalism. Participates in developmental coaching to develop values, mission, goals, and career exploration.

Competency Domain 6: Systems-Based Practice
EPO 6

Demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care

Participates in identifying system errors and potential systems solutions. Incorporates considerations of cost awareness and risk-benefit analysis in patient and/or population care. Demonstrates skill in team building and leadership. Identifies key elements for safe and effective transitions of care. Describes how components of a complex health care system are interrelated and how they impact patient care.

Competency Domain 7: FSU COM Mission
EPO 7

Demonstrate knowledge of the structural, systems, and personal contributors to the social determinants of health and health equity, especially in elder, rural, minority and underserved populations

Identifies social determinants of health and how they create opportunities for and barriers to wellness for underserved populations. Identifies opportunities for physicians to partner with community resources to improve individual and population health. Explains the process of community health assessment to improve population health status. Applies the geriatric principles of care, and identifies the systems and social contributors to the well-being of older adult populations. Identifies the social, cultural, and systems factors associated with the health status of rural populations. Identifies factors contributing to racial and social justice in medicine. Demonstrates knowledge of the ways intersectionality, implicit and explicit bias relate to clinical decisions and quality care.