New AAMC Competency
Domains
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SELECT Competency Domains
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MCOM Program Objectives
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Patient Care
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Provide
patient-centered care that is compassionate, appropriate, and effective for
the treatment of health problems and the promotion of health
1.1 Perform all
medical, diagnostic, and surgical procedures considered essential for the
area of practice
1.2 Gather essential
and accurate information about patients and their conditions through
history-taking, physical examination, and the use of laboratory data,
imaging, and other tests
1.3 Organize and prioritize
responsibilities to provide care that is safe, effective, and efficient
1.4 Interpret laboratory data, imaging
studies, and other tests required for the area of practice
1.5 Make informed
decisions about diagnostic and therapeutic interventions based on patient
information and preferences, up-to-date scientific evidence, and clinical
judgment
1.6 Develop and carry
out patient management plans
1.7 Counsel and
educate patients and their families to empower them to participate in their
care and enable shared decision-making
1.8 Provide
appropriate referral of patients including ensuring continuity of care
throughout transitions between providers or settings, and following up on
patient progress and outcomes
1.9 Provide health
care services to patients, families, and communities aimed at preventing
health problems or maintaining health
1.10 Provide
appropriate role modeling
1.11 Perform supervisory responsibilities commensurate
with one’s roles, abilities, and qualifications
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Values- Centered Care
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Spc1:
Demonstrate advanced ability to perform values-based, patient-centered
comprehensive assessment, diagnosis
and shared decision making in the care of patients
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Knowledge for
Practice
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Demonstrate
knowledge of established and evolving biomedical, clinical, epidemiological
and social-behavioral sciences, as well as the application of this knowledge
to patient care
2.1 Demonstrate an
investigatory and analytic approach to clinical situations
2.2 Apply established
and emerging bio-physical scientific principles fundamental to health care
for patients and populations
2.3 Apply established
and emerging principles of clinical sciences to diagnostic and therapeutic
decision-making, clinical
problem-solving, and other aspects of evidence-based health care
2.4 Apply principles
of epidemiological sciences to the identification of health problems, risk
factors, treatment strategies,
resources, and disease prevention/health promotion efforts for patients and
populations
2.5 Apply principles
of social-behavioral sciences to provision of patient care, including
assessment of the impact of psychosocial and cultural influences on health,
disease, care seeking, care compliance, and barriers to and attitudes toward care
2.6 Contribute to the
creation, dissemination, application, and translation of new health care
knowledge and practices
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Health Systems
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Smk1: Advanced knowledge of US and
international health systems, policy, and finance
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Practice-based Learning and Improvement
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Demonstrate the ability to investigate and evaluate one’s care of
patients, to appraise and assimilate scientific
evidence, and to
continuously improve patient care based on constant self-evaluation and
life-long learning
3.1 Identify
strengths, deficiencies, and limits in one’s knowledge and expertise
3.2 Set learning
and improvement goals
3.3 Identify and
perform learning activities that address one’s gaps in knowledge, skills,
and/or attitudes
3.4 Systematically
analyze practice using quality improvement methods, and implement changes
with the goal of practice improvement
3.5 Incorporate
feedback into daily practice
3.6 Locate,
appraise, and assimilate evidence from scientific studies related to
patients’ health problems
3.7 Use information technology
to optimize learning
3.8 Participate in
the education of patients, families, students, trainees, peers, and other
health professionals
3.9 Obtain
and utilize information about individual patients, populations of patients,
or communities from which patients are drawn to improve care
3.10 Continually
identify, analyze, and implement new knowledge, guidelines, standards,
technologies, products, or services
that have been demonstrated to improve outcomes
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Leadership
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Spbl1: Demonstrate advanced competency in self-assessing
knowledge gaps and setting improvement goals,
then perform activities to accomplish these
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Health Systems
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Spbl2: Demonstrate ability to analyze a health
care environment/system and recommend changes to improve patient outcomes.
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Interpersonal and
Communication Skills
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Demonstrate interpersonal and communication
skills that result in the effective exchange of information and collaboration
with patients, their families, and health professionals
4.1 Communicate effectively with patients,
families, and the public, as appropriate, across a broad range of
socioeconomic and cultural backgrounds
4.2 Communicate
effectively with colleagues within one’s profession or specialty, other
health professionals, and health related agencies
4.3 Work effectively
with others as a member or leader of a health care team or other professional
group
4.4 Act in a
consultative role to other health professionals
4.5 Maintain
comprehensive, timely, and legible medical records
4.6 Demonstrate
sensitivity, honesty, and compassion in difficult conversations, including
those about death, end of life, adverse events, bad news, disclosure of
errors, and other sensitive topics
4.7 Demonstrate
insight and understanding about emotions and human responses to emotions at
allow one to develop and manage interpersonal interactions
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Leadership
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Sipc1: Demonstrate advanced team leadership
skills that enhance team functioning, the learning environment, and/or the
health care system
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Values- Centered Care
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Sipc2: Demonstrate advanced ability to
communicate effectively and sensitively with patients, adjusting language and
style in order to incorporate their knowledge, values, and culture
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Professionalism
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Demonstrate a commitment to carrying out professional
responsibilities and an adherence to ethical principles
5.1 Demonstrate
compassion, integrity, and respect for others
5.2 Demonstrate
responsiveness to patient needs that supersedes self-interest
5.3 Demonstrate
respect for patient privacy and autonomy
5.4 Demonstrate
accountability to patients, society, and the profession
5.5 Demonstrate
sensitivity and responsiveness to a diverse patient population, including but
not limited to diversity in gender,
age, culture, race, religion, disabilities, and sexual orientation
5.6 Demonstrate
a commitment to ethical principles pertaining to provision or withholding of
care, confidentiality, informed
consent, and business practices, including compliance with relevant laws,
policies, and regulations
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Leadership
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Sp1: Demonstrate advanced ability in all of the
above, and the ability to inspire and instruct peers in these areas.
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Systems-Based Practice
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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
6.1 Work
effectively in various health care delivery settings and systems relevant to
one’s clinical specialty
6.2 Coordinate
patient care within the health care system relevant to one’s clinical
specialty
6.3 Incorporate
considerations of cost awareness and risk-benefit analysis in patient and/or
population-based care
6.4 Advocate
for quality patient care and optimal patient care systems
6.5 Participate
in identifying system errors and implementing potential systems solutions
6.6 Perform
administrative and practice management responsibilities commensurate with
one’s role, abilities, and qualifications
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Health Systems
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Ssbp1: Show advanced ability to incorporate
knowledge of health systems and cost of care into medical decisions
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Ssbp2: Strategize
and advocate for quality improvement in patient care and health care systems
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