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					                                                           I.C.C.P
                        Institutional Core Competency Plan


   A compliance manual for the integration of the “Core Competencies” into osteopathic
                             graduate medical education at

               _________________________________________________ Hospital.
                         (your hospital name here)




                                                                          Questions: Daviss2@ohio.edu
D:\Docstoc\Working\pdf\ea2dbe90-e895-48f2-8a3a-353917aa6c0e.doc 6/14/2011 1
                                        TABLE OF CONTENTS

Page
 3     Timeline for the Implementation and Assessment Process

 4     Part I: American Osteopathic Association (AOA) Guidelines for Structuring the ICCP

 7     Part II: ICCP and GME Committee Responsibilities

 9     APPENDIX A: AOA Core Competencies and Requisite Elements

10     APPENDIX B: Resident evaluations sheets for AOA Core Competencies and requisite elements

22     APPENDIX C: Core Competency Teaching Planning Forms

31     APPENDIX D: Core Competency Matrix

32     APPENDIX E: Year End Report: Program “Complete” Summary – Final Resident Assessment for
       ________________________ (specialty field)

33     APPENDIX F: Template for Annual Report

34     APPENDIX G: Core Competency Program Review

37     APPENDIX H: GME Committee at __________________________ (your hospital name here)




                                                    2
                              TIMELINE FOR THE IMPLEMENTATION
                                  AND ASSESSMENT PROCESS

     The American Osteopathic Association requires DME’s and Program Directors to implement training and Program
Evaluators to assess, the AOA Core Competencies in all AOA training programs. Below is the timeline for the implementation
                                                 and assessment process:



By July 2004, Program Directors must implement training in the first two competencies in a speciality specific
manner:
      - Osteopathic Philosophy & Osteopathic Manipulative Medicine and
      - Medical Knowledge


By January 2005, Program Evaluators must begin assessment through site review process of the first two
competencies:
      - Osteopathic Philosophy & Osteopathic Manipulative Medicine and
      - Medical Knowledge


By July 2005, Program directors must implement training in the next three competencies:
      - Patient Care
      - Interpersonal and Communication Skills and
      - Professionalism


By January 2006, Program Evaluators must begin assessment through site review process of the next three
competencies:
      - Patient Care
      - Interpersonal and Communication Skills and
      - Professionalism


By July 2006, Program Directors must implement training in the last two competencies:
      - Practice-based Learning Improvements and
      - Systems-based Practice Competencies


By January 2007, Program Evaluators must begin assessment through site review process of the last two
competencies:
      - Practice-based Learning Improvements and
      - Systems-based Practice Competencies




                                                            3
                                                       Part I
              American Osteopathic Association (AOA) Guidelines for Structuring the ICCP

       Purpose: This document will serve as the road map for the implementation of competency- based education at
 _____________________________________ Hospital in response to the AOA’s commitment to integrate competency-based
education in all osteopathic GME programs and the mission of the Centers for Osteopathic Research and Education (CORE).

Institutional commitment to the success of the integration and monitoring of competency-based education is
evident by the appointment of the DME (DME, sometimes referred to as the Chief Academic Officer (CAO)) or
his/her designee as the Compliance Officer and by providing the appropriate support staff.


The role of the DME will include but not be limited to formulation of this ICCP, and monitoring the
implementation and continued utilization of competency-based Graduate Medical Education (GME) at the
institution.


The GME Committee will provide the institutional oversight for the monitoring and approval of the ICCP. The
committee will be assisted in this role by periodic reporting of the DME about the overall institutional
compliance and by the program directors about the program specific compliance.


The program directors will serve in the designated role as the monitors for the implementation and continued
adherence to the ICCP by the faculty of their residency programs.


The CORE faculty, the program directors, the DME and the GME Committee will be assisted by the
institution’s designated support staff. The support staff will provide administrative and technical expertise in
implementing and supporting any and all programs of the ICCP.


On behalf of the institution and CORE, the GME Committee will ensure that each AOA accredited postdoctoral
program of the institution will comply with the ICCP.


The magnitude of institutional resources, both personnel and financial, provided by the hospital to successfully
implement the ICCP will be determined by the hospital's CEO/COO based on information provided by the
GME Committee, the DME and the individual program directors. This will be reflected in the hospital annual
budget.


The ICCP recognizes the role of CORE in facilitating the implementation of the plan. The CASC (Core
Academic Steering Committee) and the CORE board have committed to support the individual institutions with
collaborative initiatives and programs for the implementation of this plan.

The DME shall report to the Graduate Medical Education Committee the status of compliance with the
Institutional Core Competency Plan. The written report (APPENDIX F), submitted annually by the DME and
approved by the Graduate Medical Education Committee, shall be forwarded to the CORE Academic Steering
Committee (CASC) of CORE annually. The annual report shall include the following:

                                                           4
     Summary of progress made in implementation of the Institutional Core Competency Plan (until fully
      implemented).
     Effectiveness of methods chosen by the institution to achieve compliance and evaluate core
      competencies.
     Report on each trainee’s progress in learning and development in each core competency reported on
      their respective annual report.
     Summary report for each trainee who is completing his/her respective program with an attestation that a
      minimal level of performance has been achieved in all competencies.
     Outcome measures and report of success in achieving institutional goals.


Each program will integrate the teaching of all seven core competencies in their core curriculum. Each intern
and resident will be evaluated for the demonstrated mastery of each core competency. Each program director
identify appropriate teaching modalities and at least two evaluation tools to be used for each core competency.

The ProgramDirector, DME and GME Committee roles in the implementation and continued adherence to the
ICCP are summarized as follows:
     PROGRAM DIRECTOR                                    DME                          GME COMMITTEE
   Monitor implementation and             Assume role of compliance              Institutional oversight for
    continued adherence to the              officer.                             monitoring and approval of the
    ICCP by the faculty of the             Develop an ICCP.                     ICCP as developed by the DME
    residency programs.                                                          Ensure institutional compliance
                                           Ensure the integration of all
                                                                                   with the ICCP.
   Ensure the integration of the           seven core competen-cies in the
                                                                                 Review and approves all
    seven core competencies into            institution’s GME.
                                                                                   remediation plans submitted by
    the core curriculum according to       Report quarterly to the GME            the DME on behalf of trainees
    AOA timelines (ICCP page 3).            committee on the overall               who fail to meet performance
   Ensure that appropriate teaching        progress of implementation of          expectations.
    modalities and at least two             the ICCP by each program.            Review written annual report
    evaluation modalities are used         Submit to the GME a                    submitted by the DME on the
    for each core competency                remediation plan for all trainees      status of institutional
    element.                                who fail to meet the                   compliance with the ICCP.
   Participate in formulation of a         performance expectation of the       Forward the approved annual
    remediation plan for all trainees       ICP.                                   report to the OGMC of the
    who fail to meet the                   Submit an annual written report        CORE.
    performance expectations of the         to the GME Committee on the
    ICCP.                                   overall effectiveness and status
   Provide GME office and the              of compliance with the ICCP by
    DME with an annual report               the institution. The annual
    (APPENDIX B)on each                     report will be based on the
    trainee’s progress in learning          summary report on each trainee
    and development in each core            provided by the program
    competency.                             directors (APPENDIX F).
   Provide a summary report for
    trainees completing their
    prospective programs with an
    attestation that a minimal
    performance level has been
    achieved in all competencies
    (APPENDIX E).
Individually tailored remediation plans will be afforded to all trainees who fail to meet the performance
expectations of the ICCP. The remediation plan will be formulated from input by the program director, DME
and individual instructors specific to the rotation. The DME will present the plan to the Graduate Medical
Education Committee fro approval.
                                                                  5
The year-end summary report on the progress of each trainee will be reviewed annually and will form the
documents from which the continual quality improvement process will select targeted goals and objectives for
the following academic cycle.

An annual written evaluation summary of the overall effectiveness of the Core Competency Plan will be
prepared by the medical education department and presented to the Graduate Medical Education Committee for
review.




                                                      6
                                                             Part II:
                                              ICCP and GME Committee Responsibilities
                                     At ____________________________ (your hospital name here)

1. The GME Committee will consist of the following members:
      List DME, all residency program directors, and any other medical educators/staff (APPENDIX H).

           Title                         Name                          Office                         Email                         Phone


…..

2. The GME Committee will meet (how often). Use planning calendar below to chart planned meetings.
2005 Calendar:
      T     W    R   F   S   S   M   T    W   R    F    S    S    M     T    W    R    F    S    S    M    T    W    R    F    S    S    M    T    W    R    F    S    S    M
Jan                      1   2   3   4    5   6    7    8    9    10    11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Feb   1     2    3   4   5   6   7   8    9   10   11   12   13   14    15   16   17   18   19   20   21   22   23   24   25   26   27   28
Mar   1     2    3   4   5   6   7   8    9   10   11   12   13   14    15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Apr                  1   2   3   4   5    6   7    8    9    10   11    12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
May                      1   2   3   4    5   6    7    8    9    10    11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Jun         1    2   3   4   5   6   7    8   9    10   11   12   13    14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Jul                  1   2   3   4   5    6   7    8    9    10   11    12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Aug   30    31                   1   2    3   4    5    6    7    8     9    10   11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29
Sep   1     2    3   4   5   6   7   8    9   10   11   12   13   14    15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Oct                      1   2   3   4    5   6    7    8    9    10    11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Nov         1    2   3   4   5   6   7    8   9    10   11   12   13    14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Dec   1     2    3   4   5   6   7   8    9   10   11   12   13   14    15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31



2006 Calendar;
      T     W    R   F   S   S   M   T    W   R    F    S    S    M     T    W    R    F    S    S    M    T    W    R    F    S    S    M    T    W    R    F    S    S    M
Jan   31                     1   2   3    4   5    6    7    8    9     10   11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Feb         1    2   3   4   5   6   7    8   9    10   11   12   13    14   15   16   17   18   19   20   21   22   23   24   25   26   27   28
Mar         1    2   3   4   5   6   7    8   9    10   11   12   13    14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Apr                      1   2   3   4    5   6    7    8    9    10    11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
May   30    31                   1   2    3   4    5    6    7    8     9    10   11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29
Jun              1   2   3   4   5   6    7   8    9    10   11   12    13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Jul                      1   2   3   4    5   6    7    8    9    10    11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Aug   1     2    3   4   5   6   7   8    9   10   11   12   13   14    15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
Sep                  1   2   3   4   5    6   7    8    9    10   11    12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Oct   31                     1   2   3    4   5    6    7    8    9     10   11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Nov         1    2   3   4   5   6   7    8   9    10   11   12   13    14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30
Dec                  1   2   3   4   5    6   7    8    9    10   11    12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31




3. In preparation for each academic year, the DME, Program Directors, and GME Committee will develop
   their ICCP and continuous quality improvement plan by:

            a. Each residency director and DME (as the program director for the internship program) will:
                  1. Identify the teaching methods and evaluation tools currently used to teach and measure each
                      required core competency.
                  2. Identify the areas of need in teaching each core competency.
                          a. For items 1 & 2 use the Core Competency Matrix at Appendix D.
                          b. For each mark on the Matrix note the specifics of who, what, when, where, and how
                          (see Appendix C).
                  3. Identify remediation plan for any deficiencies.

            b. The GME Committee will meet to:
                  1. Identify common teaching methods and evaluation tools for required core competency.
                  2. Identify remaining areas of need in teaching and evaluating each required core competency.
                  3. Determine which teaching methods and evaluation tools will be used across programs and
                     within programs.
                  4. Determine which anticipated outcomes will be used across programs and within programs.
                  5. If necessary, develop additional teaching methods and/or evaluation tools to comply with
                     each required core competencies.
                  6. Set standards for successfully meeting the evaluation measures (e.g. the score for acceptable
                     pass rates on rotation evaluations, OSCEs, etc.)
                  7. Approve remediation activities for those who fail to meet the standards.
                                                                                       7
       8. Determine methods for monitoring the progress of each intern and resident so that program
           directors have data summaries that can be aggregated across programs.
       9. Review the traditional internship curriculum to verify that the goal of traditional interns
           receiving adequate exposure to the core competencies is being met.
     NOTE:
     In identifying the evaluation tools, be sure to address the core competency map, the program
     directors evaluation of residents, and all other AOA tools.

c. During the academic year, the GME Committee will:
      1. Review the data from each program and in aggregate (how often).
      2. Discuss what teaching methods and evaluation tools are working or need revisions.
      3. Make modifications as needed throughout the year.
      4. Summarize the status of the review (how often) and submit to the CORE/OPTI as requested.

d. During the fourth quarter of the academic year, the GME Committee will review the current year
   and plan for the next year by:
      1. Summarizing the progress made in implementation of the Institutional Core Competency
          Plan (until fully implemented).
      2. Evaluating the effectiveness of methods chosen by the institution to achieve compliance and
          evaluate core competencies.
      3. Develop a report on each trainee’s progress in learning and development in each core
          competency reported on their respective annual report.
      4. Develop a summary report for each trainee who is completing his/her respective program
          with an attestation that a minimal level of performance has been achieved in all
          competencies.
      5. Develop report of outcome measures and report success in achieving institutional goals.
      6. Determine the best methods for institutional growth and which teaching methods and
          evaluation tools will continue to be used during the next academic year.
      7. Identify any CORE/OPTI mandates that need to be worked into the ICCP for the next
          academic year.
      8. If necessary, identify and develop new teaching methods and evaluation tools.
      9. Until all core competencies are in compliance, repeat steps #3a and #3b above with the new
          required core competencies for the year.




                                               8
                             APPENDIX A: AOA Core Competencies and Requisite Elements
Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine: Residents are expected to demonstrate and
apply knowledge of accepted standards in Osteopathic Manipulative Treatment (OMT) appropriate to their specialty. The
educational goal is to train a skilled and competent osteopathic practitioner who remains dedicated to life-long learning and to practice
habits in osteopathic philosophy and manipulative medicine.
Required Element #1: This resident demonstrated competency in his/her understanding and application of OMT in
          (specialty field)
Required Element #2: This resident integrated Osteopathic Concepts and OMT into the medical care he/she provided to patients as
appropriate.
Required Element #3: This resident understood and integrated Osteopathic Principles and Philosophy into all clinical and patient
care activities.
Competency 2: Medical Knowledge: Residents are expected to demonstrate and apply knowledge of accepted standards of clinical
medicine in their respective specialty area, remain current with new developments in medicine, and participate in life-long learning
activities, including research.
Required Element #1: This resident demonstrated competency in the understanding and application of clinical medicine to patient
care.
Required Element #2: This resident knows and applies the foundations of clinical and behavioral medicine appropriate to his/her
discipline.
Competency 3: Patient Care: Residents must demonstrate the ability to effectively treat patients, provide medical care that
incorporates the osteopathic philosophy, patient empathy, awareness of behavioral issues, the incorporation of preventive medicine,
and health promotion.
Required Element #1: Gathered accurate, essential information from all sources, including medical interviews, physical
examinations, medical records, diagnostic/therapeutic plans, and treatments.
Required Element #2: This resident validated competency in the performance of diagnosis, treatment and procedures appropriate to
his/her medical specialty.
Required Element #3: This resident provided health care services consistent with osteopathic philosophy, including preventative
medicine and health promotion based on current scientific evidence.
Competency 4: Interpersonal and Communication Skills: Residents are expected to demonstrate interpersonal and
communication skills that enable them to establish and maintain professional relationships with patients, families, and other members
of health care teams.
Required Element #1: This resident demonstrated effectiveness in developing appropriate doctor-patient relationships.
Required Element #2: This resident exhibited effective listening, written and oral communication skills in professional interactions
with patients, families and other health professionals.
Competency 5: Professionalism: Residents are expected to uphold the Osteopathic Oath in the conduct of their professional
activities that promote advocacy of patient welfare, adherence to ethical principles, collaboration with health professionals, life-long
learning, and sensitivity to a diverse patient population. Residents should be cognizant of their own physical and mental health in
order to care effectively for patients.
Required Element #1: This resident demonstrated respect for his/her patients and families and advocated for the primacy of his/her patient’s welfare
and autonomy.
Required Element #2: This resident adhered to ethical principles in the practice of medicine.
Required Element #3: This resident demonstrated awareness and proper attention to issues of culture, religion, age, gender, sexual
orientation, and mental and physical disabilities.
Competency 6: Practice-Based Learning and Improvement: Residents must demonstrate the ability to critically evaluate their
methods of clinical practice, integrate evidence-based medicine into patient care, show an understanding of research methods, and
improve patient care practices.
Required Element #1: This resident treated patients in a manner consistent with the most up-to-date information on diagnostic and
therapeutic effectiveness.
Required Element #2: This resident performed self-evaluations of clinical practice patterns and practice-based improvement
activities using a systematic methodology.
Required Element #3: This resident understood research methods, medical informatics, and the application of technology as applied
to medicine.
Competency 7: System-Based Practice: Residents are expected to demonstrate an understanding of health care delivery systems,
provide effective and qualitative patient care within the system, and practice cost-effective medicine.
Required Element #1: This resident understands national and local health care delivery systems and how they affect patient care and
professional practice.
Required Element #2: This resident advocated for quality health care on behalf of his/her patients and assisted them in their
interactions with the complexities of the medical system.
                                                                    9
                                                 APPENDIX B
                Resident evaluations sheets for AOA Core Competencies and requisite elements

COMPETENCY 1: OSTEOPATHIC PHILOSOPHY AND OSTEOPATHIC MANIPULATIVE MEDICINE
Residents are expected to demonstrate and apply knowledge of accepted standards in Osteopathic Manipulative
Treatment (OMT) appropriate to their specialty. The educational goal is to train a skilled and competent
osteopathic practitioner who remains dedicated to life-long learning and to practice habits in osteopathic
philosophy and manipulative medicine.

Required Element #1: The resident demonstrated competency in his/her understanding and application of
OMT in _______________________________ (specialty field).

 Please check the box(es) for the       Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                   evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that      methods, outcomes or               performance for this element:
 were used:                             demonstrations of compliance.
 TEACHING MODALITIES                    EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
   Participated in OMT training         Monthly Service Rotation           Exceptional
    at hospital and ambulatory sites.     Evaluations                        Meets Competencies
   Is able to perform a critical        Objective Structured Clinical       Usually Consistently
    appraisal of medical literature
    related to OMT.
                                          Examinations (OSCE)                Deficient
   Was observed and credentialed in
                                         Portfolio                        COMMENTS:
    the performance of OMT through       Other:
    the assessment of his/her
    diagnostic skills, medical know-
    ledge and problem-solving
    abilities.
   Completed OMT computer
    educational modules.


   Required Element #2: The resident integrated Osteopathic Concepts and OMT into the medical care he/she provided to
                                                 patients as appropriate.

 Please check the box(es) for the       Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                   evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that      methods, outcomes or               performance for this element:
 were used:                             demonstrations of compliance.
 TEACHING MODALITIES                    EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The Resident:
  Assumed increased responsibility      Monthly Service Rotation           Exceptional
     for the incorporation of             Evaluations                        Meets Competencies
     osteopathic concepts in his/her     Objective Structured Clinical       Usually Consistently
     patient management.
  Participated in activities that
                                          Examinations (OSCE)                Deficient
     provided educational programs at    Portfolio                        COMMENTS:
     the student and intern level.       Other:
  Participated in CME programs
     provided by COMS, the AAO
     and the specialty colleges.
  Completed OMT computer teaching
     modules.




                                                                10
 Required Element #3: The resident understood and integrated Osteopathic Principles and Philosophy into all clinical and
                                               patient care activities.

Please check the box(es) for the       Please check the box(es) for the   Please check the appropriate rating box
methods, outcomes or demon-            evaluation tool used to document   and comment on this resident’s
strations of compliance that were      methods, outcomes or               performance for this element:
used:                                  demonstrations of compliance.
TEACHING MODALITIES                    EVALUATION MODALITIES              OUTCOME ASSESSMENT
The Resident:
  Used caring, compassionate           360-Degree Evaluation              Exceptional
       behavior with patients.           Instruments                        Meets Competencies
  Demonstrated the treatment of        Monthly Service Rotation            Usually Consistently
       people rather than symptoms.      Evaluations                        Deficient
  Demonstrated understanding           Objective Structured Clinical    COMMENTS:
       of the somato-visceral            Examinations (OSCE)
       relationships and the role of    Other:
       the musculoskeletal system in
       disease.
  Demonstrated listening skills
       in interaction with patients.
  Demonstrated knowledge of
       and behavior in accordance
       with the Osteopathic Oath and
       AOA Code of Ethics.




                                                               11
COMPETENCY 2: MEDICAL KNOWLEDGE
Residents are expected to demonstrate and apply knowledge of accepted standards of clinical medicine in their
respective specialty area, remain current with new developments in medicine, and participate in life-long
learning activities, including research.
Required Element #1: The resident demonstrated competency in the application of clinical medicine to patient
care.
 Please check the box(es) for the         Please check the box(es) for the      Please check the appropriate rating box
 methods, outcomes or demon-              evaluation tool used to document      and comment on this resident’s
 strations of compliance that were        methods, outcomes or                  performance for this element:
 used:                                    demonstrations of compliance.
 TEACHING MODALITIES                      EVALUATION MODALITIES                 OUTCOME ASSESSMENT
 The Resident:
     Completed COMLEX Part III              360-Degree Evaluation               Exceptional
      and/or an In-Service Examination        Instruments                         Meets Competencies
      this year.                             Chart Stimulated Recall Oral         Usually Consistently
     Demonstrated improved clinical          Examinations (CSR)
                                                                                  Deficient
      decision-making and problem-           Monthly Service Rotation
      solving abilities.                      Evaluations                       COMMENTS:
     Attended seminars, CME                 Portfolio
      programs, Grand Rounds or              Written Examinations (i.e., in-
      lectures.                               training exam)
     Participated in a directed             Other:
      readings program and/or journal
      club.

Required Element #2: This resident knows and applies the foundations of clinical and behavioral medicine
appropriate to his/her discipline.

 Please check the box(es) for the         Please check the box(es) for the      Please check the appropriate rating box
 methods, outcomes or demon-              evaluation tool used to document      and comment on this resident’s
 strations of compliance that were        methods, outcomes or                  performance for this element:
 used:                                    demonstrations of compliance.
 TEACHING MODALITIES                      EVALUATION MODALITIES                 OUTCOME ASSESSMENT
 The Resident:
 Participated in research activities      360-Degree Evaluation                 Exceptional
  that allowed the critical evaluation      Instruments                           Meets Competencies
  of current medical information and       Chart Stimulated Recall Oral           Usually Consistently
  scientific evidence.
 Developed as a medical educator by
                                            Examinations (CSR)                    Deficient
  giving presentations before peers        Monthly Service Rotation            COMMENTS:
  and faculty, and participated in the      Evaluations
  instruction of medical students.         Portfolio
 Was routinely assessed on his/ her       Written Examinations (i.e., in-
  performance of medical procedures.        training exam)
 Participated in programmatic             Other:
  education on Life Long Learning.
 Participated in lectures and
  workshops on behavioral psycho-
  social, multicultural issues in his/
  her medical specialty as appropriate.




                                                                      12
COMPETENCY 3: PATIENT CARE
Residents must demonstrate the ability to effectively treat patients, provide medical care that incorporates the
osteopathic philosophy, patient empathy, awareness of behavioral issues, the incorporation of preventive
medicine and health promotion.
Required Element #1: Gathered accurate, essential information from all sources, including medical
interviews, physical examinations, medical records, diagnostic/therapeutic plans and treatments.
 Please check the box(es) for the      Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or demonstra-       evaluation tool used to document   and comment on this resident’s
 tions of compliance that were used:   methods, outcomes or               performance for this element:
 TEACHING MODALITIES                   demonstrations of compliance.
 The resident was routinely            EVALUATION MODALITIES              OUTCOME ASSESSMENT
 observed for his/her performance:
    of medical interviewing            360-Degree Evaluation              Exceptional
       techniques                        Instruments                        Meets Competencies
    of effective patient               Chart Stimulated Recall Oral        Usually Consistently
       management plans.                 Examinations (CSR)                 Deficient
    of requesting and sequencing       Checklist Evaluations            COMMENTS:
       diagnostic tests and             Monthly Service Rotation
       consultative services.            Evaluations
    of his/her caring attitude that    Objective Structured Clinical
       is mindful of cultural            Examinations (OSCE)
       sensitivities, patient
       apprehensions, and accuracy
       of information
    at bedside rounds.

Required Element #2: This resident validated competency in the performance of diagnosis, treatment and
procedures appropriate to his/her medical specialty.

Please check the box(es) for the       Please check the box(es) for the   Please check the appropriate rating box
methods, outcomes or                   evaluation tool used to document   and comment on this resident’s
demonstrations of compliance that      methods, outcomes or               performance for this element:
were used:                             demonstrations of compliance.
TEACHING MODALITIES                    EVALUATION MODALITIES              OUTCOME ASSESSMENT
The resident:
 Completed a program for               Checklist Evaluations              Exceptional
   instruction and credentialing to     Monthly Service Rotation           Meets Competencies
   validate their competency in the      Evaluations                         Usually Consistently
   performance of medical               Objective Structured Clinical      Deficient
   procedures, where appropriate.        Examinations (OSCE)              COMMENTS:
 Understands and gives patients        Procedures/Case Logs
   instructions on potential            Other:
   complications and known risks
   (Informed Consent).
 Participated in bedside teaching
   rounds.




                                                               13
Required Element #3: This resident provided health care services consistent with osteopathic philosophy
including preventive medicine and health promotion based on current scientific evidence.

 Please check the box(es) for the        Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                    evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that       methods, outcomes or               performance for this element:
 were used:                              demonstrations of compliance.
 TEACHING MODALITIES                     EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
   Demonstrates effective skills         Checklist Evaluations              Exceptional
      in counseling patients and          Monthly Service Rotation           Meets Competencies
      their families on health             Evaluations                         Usually Consistently
      promotion and lifestyle             Objective Structured Clinical      Deficient
      activities related to good           Examinations (OSCE)              COMMENTS:
      health maintenance.                 Procedures/Case Logs
   Demonstrates effective skills         Simulations and models.
      in referring patients to not-       Other:
      for-profit and community
      service organizations that
      support health promotion and
      behavioral modification
      programs.
   Demonstrates ability to work
      with professionals from
      varied disciplines as a team to
      provide effective medical care
      to patients that addresses their
      diverse health care needs.
   Participates effectively in
      bedside teaching rounds.




                                                                 14
COMPETENCY 4: INTERPERSONAL AND COMMUNICATION SKILLS

Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and
maintain professional relationships with patients, families and other members of health care teams.

Required Element #1: This resident demonstrated effectiveness in developing appropriate doctor-patient
relationships.

 Please check the box(es) for the      Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                  evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that     methods, outcomes or               performance for this element:
 were used:                            demonstrations of compliance.
 TEACHING MODALITIES                   EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
   Demonstrates effective              360-Degree Evaluation              Exceptional
      patient interviewing               Instruments                        Meets Competencies
      techniques.                       Checklist Evaluation                Usually Consistently
   Demonstrates ability in             Monthly Service Rotation           Deficient
      assessing the health of non-       Evaluations                      COMMENTS:
      English-speaking and deaf         Objective Structured Clinical
      patients.                          Examinations (OSCE)
   Demonstrates the ability to         Portfolio
      involve patients and families     Other:
      in decision-making.
   Illustrates the use of
      appropriate verbal and non-
      verbal skills when
      communicating with patients,
      families and faculty.
   Demonstrates an
      understanding of cultural and
      religious issues and
      sensitivities in the doctor-
      patient relationships.
   Participated in videos,
      workshops,
      bedside/clinic/office teaching
      about interpersonal and
      communications skills.




                                                               15
Required Element #2: This resident exhibited effective listening, written and oral communica-tion skills in
professional interactions with patients, families and other health professionals.

 Please check the box(es) for the      Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                  evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that     methods, outcomes or               performance for this element:
 were used:                            demonstrations of compliance.
 TEACHING MODALITIES                   EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
   Communicated medical                360-Degree Evaluation              Exceptional
      problems and patient options       Instruments                        Meets Competencies
      at the appropriate level of       Checklist Evaluation                Usually Consistently
      understanding.                    Monthly Service Rotation           Deficient
   Maintained comprehensive,            Evaluations                      COMMENTS:
      timely and legible medical        Objective Structured Clinical
      records.                           Examinations (OSCE)
   Demonstrated respectful             Portfolio
      interactions with health          Other:
      practition- ners, patients and
      their families.
   Elicited medical information
      effectively.
   Demonstrated and
      understanding of resources
      available to physicians to
      assist with appropriate
      assessment of
      communication- impaired
      patients.
   Worked effectively with
      others as a member or leader
      of a health care team.
   Participated in workshops/
      videos, bedside/clinic/office
      teaching on effective
      oral/written communication
      skills.




                                                               16
COMPETENCY 5: PROFESSIONALISM

Residents are expected to uphold the Osteopathic Oath in the conduct of their professional activities that
promote advocacy of patient welfare, adherence to ethical principles, collaboration with health professionals,
life-long learning and sensitivity to a diverse patient population. Residents should be cognizant of their own
physical and mental health in order to care effectively for patients.

Required Element #1: This resident demonstrated respect for his/her patients and families and advocated for
the primacy of his/her patient’s welfare and autonomy.

 Please check the box(es) for the        Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                    evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that       methods, outcomes or               performance for this element:
 were used:                              demonstrations of compliance.
 TEACHING MODALITIES                     EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
   Honestly represented a                360-Degree Evaluation              Exceptional
      patient’s medical status and         Instruments                        Meets Competencies
      the implications of informed        Checklist Evaluation                Usually Consistently
      consent on medical treatment        Monthly Service Rotation           Deficient
      plans.                               Evaluations                      COMMENTS:
   Maintained patient’s                  Objective Structured Clinical
      confidentiality and                  Examinations (OSCE)
      demonstrated proper                 Portfolio
      fulfillment of the physician’s      Other:
      role in the doctor-patient
      relationship.
   Maintained appropriate and
      non-exploitive relationships
      with his/her patients.
   Informed patients accurately
      of risks associated with
      medical research projects, the
      potential consequences of
      treatment plans and the
      realities of medical errors in
      medicine.
   Treated the terminally ill with
      compassion in the
      management of pain,
      palliative care and preparation
      for death.
   Participated in
      course/program (compliance
      and end of life) workshops,
      lectures, bedside/ clinic/office
      teaching.
   Participated in mentor/mentee
      sessions on professionalism,
      ethics and cultural diversity.




                                                                 17
Required Element #2: This resident adhered to ethical principles in the practice of medicine.

 Please check the box(es) for the                    Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                                evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that                   methods, outcomes or               performance for this element:
 were used:                                          demonstrations of compliance.
 TEACHING MODALITIES                                 EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
       Had an increased understanding of             360-Degree Evaluation              Exceptional
        conflicts of interest inherent in medicine
        and the appropriate response to societal,
                                                       Instruments                        Meets Competencies
        community and health care industry            Checklist Evaluation                Usually Consistently
        pressures.                                    Monthly Service Rotation           Deficient
       Used limited medical resources                 Evaluations                      COMMENTS:
        effectively and avoided the utilization of
        unnecessary test and procedures.              Objective Structured Clinical
       Recognized the inherent vulner- ability        Examinations (OSCE)
        and trust accorded by patients to             Portfolio
        physicians and upheld the highest moral
        principles, avoiding exploitation for
                                                      Other:
        sexual, financial or other personal gain.
       Pursued life-long learning goals in
        medicine, humanism, ethics, and gained
        insight into the understand- ing of
        patient concerns and the proper
        relationship with the medical industry.
       Participated in workshops, lec-ures,
        bedside/clinic/office teaching.
       Participated in mentor/mentee program
        on professionalism.

Required Element #3: This resident demonstrated awareness of/proper attention to issues of culture, religion,
age, gender, sexual orientation and mental and physical disabilities.

 Please check the box(es) for the                    Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                                evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that                   methods, outcomes or               performance for this element:
 were used:                                          demonstrations of compliance.
 TEACHING MODALITIES                                 EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
          Became more knowledgeable                  Chart Stimulated Recall Oral       Exceptional
           about/responsive to patient special
           needs and cultural origins.
                                                       Examinations                       Meets Competencies
          Advocated for continuous quality of        Objective Structured Clinical       Usually Consistently
           care for all patients.                      Examinations (OSCE)                Deficient
          Prevented discrimination based on          Portfolio                        COMMENTS:
           defined patient characteristics.
          Had increased understanding of the
                                                      Other:
           legal obligations of physicians in the
           care of patients..
          Attended lectures/workshops on
           multicultural medicine.
          Demonstrated competency by
           modeling it for other residents and
           house staff.




                                                                             18
COMPETENCY 6: PRACTICE-BASED LEARNING AND IMPROVEMENT
Residents must demonstrate the ability to critically evaluate their methods of clinical practice, integrate
evidence-based medicine into patient care, show an understanding of research methods and improve patient care
practices.
Required Element #1: This resident treated patients in a manner consistent with the most up-to-date
information on diagnostic and therapeutic effectiveness.

 Please check the box(es) for the               Please check the box(es) for the    Please check the appropriate rating box
 methods, outcomes or                           evaluation tool used to document    and comment on this resident’s
 demonstrations of compliance that              methods, outcomes or                performance for this element:
 were used:                                     demonstrations of compliance.
 TEACHING MODALITIES                            EVALUATION MODALITIES               OUTCOME ASSESSMENT
 The resident:
   Used reliable and current infor- mation      Chart Stimulated Recall Oral        Exceptional
    in diagnosis and treatment.
   Understands how to use the medical
                                                  Examinations (CSR)                  Meets Competencies
    library and electronically mediated          Objective Structured Clinical        Usually Consistently
    resources to discover pertinent medical       Examinations (OSCE)                 Deficient
    information.                                 Monthly Service Rotation          COMMENTS:
   Demonstrated the ability to extract and
    apply evidence from scientific studies to
                                                  Evaluations
    patient care.                                Portfolio
   Seeks feedback on his/her presentations      Written Examinations (i.e., in-
    and reports.                                  training exam)
   Participated in evidence-based medicine      Other:
    Journal Clubs.


Required Element #2: This resident performed self-evaluations of clinical practice patterns and practice-based
improvement activities using a systematic methodology.
Please check the box(es) for the                Please check the box(es) for the    Please check the appropriate rating box
methods, outcomes or                            evaluation tool used to document    and comment on this resident’s
demonstrations of compliance that               methods, outcomes or                performance for this element:
were used:                                      demonstrations of compliance.
TEACHING MODALITIES                             EVALUATION MODALITIES               OUTCOME ASSESSMENT
The resident:
 Understood and participated in                 Chart Stimulated Recall Oral        Exceptional
   quality assurance activities at                Examinations (CSR)                  Meets Competencies
   the hospital and at ambulatory                Objective Structured Clinical        Usually Consistently
   sites.                                         Examinations (OSCE)                 Deficient
 Applied the principles of                      Portfolio                         COMMENTS:
   evidence-based medicine in the                Other:
   diagnosis and treatment of
   patients.
 Compared/studied the
   effectiveness of his/her practice
   patterns against the results
   obtained with other population
   groups in terms of effectiveness
   and outcomes.




                                                                        19
Required Element #3: This resident understood research methods, medical informatics and the application of
technology as applied to medicine.

 Please check the box(es) for the       Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                   evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that      methods, outcomes or               performance for this element:
 were used:                             demonstrations of compliance.
 TEACHING MODALITIES                    EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
   Participated in research             Monthly Service Rotation           Exceptional
      activities as required by           Evaluations                        Meets Competencies
      his/her respective specialty       Objective Structured Clinical       Usually Consistently
      college.                            Examinations (OSCE)                Deficient
   Demonstrated computer                Portfolio                        COMMENTS:
      literacy, information retrieval    Procedure/Case Logs
      skills and an understanding of     Other:
      computer technology that
      applies to patient care and
      hospital systems.
   Applied study designs and
      statistical methods to the
      appraisal of clinical studies.
   Participated in Journal Clubs
      and evidence-based medicine
      programs.
   Sought feedback on his/her
      presentations and reports.
   Provided effective and
      thoughtful feedback to others
      on their presentations and
      conclusions.




                                                                20
COMPETENCY 7: SYSTEM-BASED PRACTICE
Residents are expected to demonstrate an understanding of health care delivery systems, provide effective and
qualitative patient care within the system and practice cost-effective medicine.
Required Element #1: This resident understands national and local health care delivery systems and how they
affect patient care and professional practice.

 Please check the box(es) for the              Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                          evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that             methods, outcomes or               performance for this element:
 were used:                                    demonstrations of compliance.
 TEACHING MODALITIES                           EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
     Attended instruction in matters of        360-Degree Evaluations             Exceptional
      health policy and structure.
     Has an increased understanding of
                                                Chart Stimulated Recall Oral       Meets Competencies
      business applications in medical           Examinations (CSR)                  Usually Consistently
      practice.                                 Monthly Service Rotation           Deficient
     Demonstrated operational know-             Evaluations                      COMMENTS:
      ledge of health care organizations and
      state and federal programs.               Objective Structured Clinical
     Demonstrated an increased                  Examinations (OSCE)
      understanding of his/her role as a        Portfolio
      member of the health care team in the     Other:
      hospital, ambulatory clinic and
      community.
     Attended guest lectures/ seminars
      with policy makers.
     Attended hospital utilization review,
      quality and other administrative and
      multidisciplinary meetings.



Required Element #2: This resident advocated for quality health care on behalf of his/her patients and assisted
in their interactions with the complexities of the medical system.

 Please check the box(es) for the              Please check the box(es) for the   Please check the appropriate rating box
 methods, outcomes or                          evaluation tool used to document   and comment on this resident’s
 demonstrations of compliance that             methods, outcomes or               performance for this element:
 were used:                                    demonstrations of compliance.
 TEACHING MODALITIES                           EVALUATION MODALITIES              OUTCOME ASSESSMENT
 The resident:
   Has an increased understanding              360-Degree Evaluations             Exceptional
    of local medical resources                  Checklist Evaluations              Meets Competencies
    available to patients for treatment
                                                Objective Structured Clinical       Usually Consistently
    and referral.
   Participated in advocacy
                                                 Examinations (OSCE)                Deficient
    activities that enhance the quality         Portfolio                        COMMENTS:
    of care provided to patients.               Other:
   Practiced clinical decision-
    making in the context of cost,
    allocation of resources and
    outcomes.




                                                                       21
                                                  APPENDIX C
                                      Program Core Competency Teaching Plan

Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
Element 1: This resident demonstrated competency in his/her understanding and application of OMT in
                         (specialty field)
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Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
Element 1: This resident demonstrated competency in his/her understanding and application of OMT in
                         (specialty field)
Tch Modality       Eval Tool          Frequency/Date     Review Protocol    Feedback Loop      Remediation        Resource
                                                                                                                  Forms Mgmnt
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                                                                                                                  Supplies
                                                                                                                  Facilities
                                                                                                                  Computer




Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
Element 2: This resident integrated Osteopathic Concepts and OMT into the medical care he/she provided to patients as appropriate.
Tch Modality       Eval Tool          Frequency/Date     Review Protocol    Feedback Loop      Remediation        Resource
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Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
Element 2: This resident integrated Osteopathic Concepts and OMT into the medical care he/she provided to patients as appropriate.
Sub Elements:
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                                                                22
Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
Element 3: This resident understood and integrated Osteopathic Principles and Philosophy into all clinical and patient care
activities.
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Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
Element 3: This resident understood and integrated Osteopathic Principles and Philosophy into all clinical and patient care
activities.
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Competency 2: Medical Knowledge
Element 1: This resident demonstrated competency in the understanding and application of clinical medicine to patient care.
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Competency 2: Medical Knowledge
Element 1: This resident demonstrated competency in the understanding and application of clinical medicine to patient care.
Tch Modality       Eval Tool          Frequency/Date      Review Protocol    Feedback Loop       Remediation        Resource
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                                                                 23
Competency 2: Medical Knowledge
Element 2: This resident knows and applies the foundations of clinical and behavioral medicine appropriate to his/her discipline.
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Competency 2: Medical Knowledge
Element 2: This resident knows and applies the foundations of clinical and behavioral medicine appropriate to his/her discipline.
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Competency 3: Patient Care
Element 1: Gathered accurate, essential information from all sources, including medical interviews, physical examinations, medical
records, diagnostic/therapeutic plans, and treatments.
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Competency 3: Patient Care
Element 1: Gathered accurate, essential information from all sources, including medical interviews, physical examinations, medical
records, diagnostic/therapeutic plans, and treatments.
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                                                                 24
Competency 3: Patient Care
Element 2: This resident validated competency in the performance of diagnosis, treatment and procedures appropriate to his/her
medical specialty.
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Competency 3: Patient Care
Element 2: This resident validated competency in the performance of diagnosis, treatment and procedures appropriate to his/her
medical specialty.
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Competency 3: Patient Care
Element 3: This resident provided health care services consistent with osteopathic philosophy, including preventative medicine and
health promotion based on current scientific evidence.
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Competency 3: Patient Care
Element 3: This resident provided health care services consistent with osteopathic philosophy, including preventative medicine and
health promotion based on current scientific evidence.
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                                                                25
Competency 4: Interpersonal and Communication Skills
Element 1: This resident demonstrated effectiveness in developing appropriate doctor-patient relationships.
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Competency 4: Interpersonal and Communication Skills
Element 1: This resident demonstrated effectiveness in developing appropriate doctor-patient relationships.
Tch Modality       Eval Tool           Frequency/Date      Review Protocol    Feedback Loop       Remediation         Resource
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Competency 4: Interpersonal and Communication Skills
Element 2: This resident exhibited effective listening, written and oral communication skills in professional interactions with
patients, families and other health professionals.
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Competency 4: Interpersonal and Communication Skills
Element 2: This resident exhibited effective listening, written and oral communication skills in professional interactions with
patients, families and other health professionals.
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                                                                  26
Competency 5: Professionalism
Element 1: This resident demonstrated respect for his/her patients and families and advocated for the primacy of his/her patient’s welfare and
autonomy.
Tch Modality         Eval Tool             Frequency/Date        Review Protocol       Feedback Loop         Remediation           Resource
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Competency 5: Professionalism
Element 1: This resident demonstrated respect for his/her patients and families and advocated for the primacy of his/her patient’s welfare and
autonomy.
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                                                                                                                                   Facilities
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Competency 5: Professionalism
Element 2: This resident adhered to ethical principles in the practice of medicine.
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Competency 5: Professionalism
Element 2: This resident adhered to ethical principles in the practice of medicine.
Tch Modality         Eval Tool             Frequency/Date        Review Protocol       Feedback Loop         Remediation           Resource
                                                                                                                                   Forms Mgmnt
                                                                                                                                   Staff
                                                                                                                                   Supplies
                                                                                                                                   Facilities
                                                                                                                                   Computer




                                                                         27
Competency 5: Professionalism
Element 3: This resident demonstrated awareness and proper attention to issues of culture, religion, age, gender, sexual orientation,
and mental and physical disabilities.
Tch Modality      Eval Tool             Frequency/Date    Review Protocol     Feedback Loop       Remediation        Resource
                                                                                                                     Forms Mgmnt
                                                                                                                     Staff
                                                                                                                     Supplies
                                                                                                                     Facilities
                                                                                                                     Computer




Competency 5: Professionalism
Element 3: This resident demonstrated awareness and proper attention to issues of culture, religion, age, gender, sexual orientation,
and mental and physical disabilities.
Tch Modality      Eval Tool             Frequency/Date    Review Protocol     Feedback Loop       Remediation        Resource
                                                                                                                     Forms Mgmnt
                                                                                                                     Staff
                                                                                                                     Supplies
                                                                                                                     Facilities
                                                                                                                     Computer




Competency 6: Practice-Based Learning and Improvement
Element 1: This resident treated patients in a manner consistent with the most up-to-date information on diagnostic and therapeutic
effectiveness.
Tch Modality        Eval Tool           Frequency/Date    Review Protocol     Feedback Loop       Remediation        Resource
                                                                                                                     Forms Mgmnt
                                                                                                                     Staff
                                                                                                                     Supplies
                                                                                                                     Facilities
                                                                                                                     Computer




Competency 6: Practice-Based Learning and Improvement
Element 1: This resident treated patients in a manner consistent with the most up-to-date information on diagnostic and therapeutic
effectiveness.
Tch Modality        Eval Tool           Frequency/Date    Review Protocol     Feedback Loop       Remediation        Resource
                                                                                                                     Forms Mgmnt
                                                                                                                     Staff
                                                                                                                     Supplies
                                                                                                                     Facilities
                                                                                                                     Computer




                                                                  28
Competency 6: Practice-Based Learning and Improvement
Element 2: This resident performed self-evaluations of clinical practice patterns and practice-based improvement activities using a
systematic methodology.
Tch Modality      Eval Tool           Frequency/Date      Review Protocol    Feedback Loop       Remediation        Resource
                                                                                                                    Forms Mgmnt
                                                                                                                    Staff
                                                                                                                    Supplies
                                                                                                                    Facilities
                                                                                                                    Computer




Competency 6: Practice-Based Learning and Improvement
Element 2: This resident performed self-evaluations of clinical practice patterns and practice-based improvement activities using a
systematic methodology.
Tch Modality      Eval Tool           Frequency/Date      Review Protocol    Feedback Loop       Remediation        Resource
                                                                                                                    Forms Mgmnt
                                                                                                                    Staff
                                                                                                                    Supplies
                                                                                                                    Facilities
                                                                                                                    Computer




Competency 6: Practice-Based Learning and Improvement
Element 3: This resident understood research methods, medical informatics, and the application of technology as applied to
medicine.
Tch Modality       Eval Tool          Frequency/Date      Review Protocol    Feedback Loop       Remediation        Resource
                                                                                                                    Forms Mgmnt
                                                                                                                    Staff
                                                                                                                    Supplies
                                                                                                                    Facilities
                                                                                                                    Computer




Competency 6: Practice-Based Learning and Improvement
Element 3: This resident understood research methods, medical informatics, and the application of technology as applied to
medicine.
Tch Modality       Eval Tool          Frequency/Date      Review Protocol    Feedback Loop       Remediation        Resource
                                                                                                                    Forms Mgmnt
                                                                                                                    Staff
                                                                                                                    Supplies
                                                                                                                    Facilities
                                                                                                                    Computer




                                                                 29
Competency 7: System-Based Practice
Element 1: This resident understands national and local health care delivery systems and how they affect patient care and
professional practice.
Tch Modality        Eval Tool          Frequency/Date      Review Protocol     Feedback Loop       Remediation         Resource
                                                                                                                       Forms Mgmnt
                                                                                                                       Staff
                                                                                                                       Supplies
                                                                                                                       Facilities
                                                                                                                       Computer




Competency 7: System-Based Practice
Element 1: This resident understands national and local health care delivery systems and how they affect patient care and
professional practice.
Tch Modality        Eval Tool          Frequency/Date      Review Protocol     Feedback Loop       Remediation         Resource
                                                                                                                       Forms Mgmnt
                                                                                                                       Staff
                                                                                                                       Supplies
                                                                                                                       Facilities
                                                                                                                       Computer




Competency 7: System-Based Practice
Element 2: This resident advocated for quality health care on behalf of his/her patients and assisted them in their interactions with
the complexities of the medical system.
Tch Modality        Eval Tool          Frequency/Date      Review Protocol     Feedback Loop       Remediation         Resource
                                                                                                                       Forms Mgmnt
                                                                                                                       Staff
                                                                                                                       Supplies
                                                                                                                       Facilities
                                                                                                                       Computer




Competency 7: System-Based Practice
Element 2: This resident advocated for quality health care on behalf of his/her patients and assisted them in their interactions with
the complexities of the medical system.
Tch Modality        Eval Tool          Frequency/Date      Review Protocol     Feedback Loop       Remediation         Resource
                                                                                                                       Forms Mgmnt
                                                                                                                       Staff
                                                                                                                       Supplies
                                                                                                                       Facilities
                                                                                                                       Computer




                                                                  30
          APPENDIX D
      Core Competency Matrix
Core Competency Matrix Instructions




                31
                                                 APPENDIX E
                                                Year End Report

             PROGRAM “COMPLETE” SUMMARY – FINAL RESIDENT* ASSESSMENT
                   FOR                            (specialty field)
This resident has been assessed with at least two evaluation tools for each required element of each of
the seven competencies.       Yes     No

A document portfolio of this resident’s “best performance” evaluations for each competency is attached to this
report.  Yes     No

   Please mark a summary assessment for each competency at Residency Program Completion.
                                                             Deficient   Usually meets   Consistently meets   Exceptional
   1. Osteopathic Philosophy and Osteopathic                             Competencies     Competencies
      Manipulative Medicine
                                                             Deficient   Usually meets   Consistently meets   Exceptional
   2. Medical Knowledge                                                  Competencies     Competencies

                                                             Deficient   Usually meets   Consistently meets   Exceptional
   3. Patient Care                                                       Competencies     Competencies

                                                             Deficient   Usually meets   Consistently meets   Exceptional
   4. Interpersonal and Communication Skills                             Competencies     Competencies

                                                             Deficient   Usually meets   Consistently meets   Exceptional
   5. Professionalism                                                    Competencies     Competencies

                                                             Deficient   Usually meets   Consistently meets   Exceptional
   6. Practice-based Learning and Improvement                            Competencies     Competencies

                                                             Deficient   Usually meets   Consistently meets   Exceptional
   7. System-based Practice                                              Competencies     Competencies



 I HEREBY ATTEST THAT THE GRADUATING RESIDENT HAS SUCCESSFULLY COMPLETED ALL THE REQUIREMENTS OF
 THE TRAINING PROGRAM, AND IS RECOMMENDED FOR PROGRAM COMPLETE STATUS.        Yes   No
 If no, explain:




 (Signature of Program Director)                                                                     (Date)



 (Printed name of Program Director)                  (AOA Training Site)

 The following signature verifies that the resident has had the opportunity to review this report.


 (Signature of Resident)                                                                             (Date)


 (Printed name of Resident)

 *not for Interns




                                                        32
                                         APPENDIX F
                         Template for Institutional ICCP Annual Report



 Summary of progress made in implementation of the Institutional Core Competency Plan (until fully
   implemented).
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
 Effectiveness of methods chosen by the institution to achieve compliance and evaluate core
   competencies.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

 Report on each trainee’s progress in learning and development in each core competency reported on
   their respective annual report.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

 Summary report for each trainee who is completing his/her respective program with an attestation that a
   minimal level of performance has been achieved in all competencies.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

 Outcome measures and report of success in achieving institutional goals.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________



                                                 33
                                            APPENDIX G:
                                  Core Competency Program Review
                                Pre and Post Annual Review Checklist
            A Required Element of the Osteopathic Intern/Residency On-Site Program Review


1. Is there a comprehensive Institutional Core Competency Plan which outlines the methods by which to
   achieve educational and evaluation activities for the required competencies?

                      ____ Yes       ____ No

   Comments: __________________________________________________________

   ____________________________________________________________________

2. Does the Institutional Plan address content issues defining responsibilities, goals and methods of educational
   exposure and evaluation activities to be utilized?

                      ____ Yes       ____ No

   Describe: ____________________________________________________________

   _____________________________________________________________________

3. Has the institution’s Medical Education Committee approved the Plan and documented same in the
   Committee minutes?

                      ____ Yes       ____ No        Date _________________

4. Is there evidence that the Medical Education Committee monitors the implementation and performance of
   the Plan?

                      ____ Yes       ____ No

   Discuss frequency and method: __________________________________________

   ____________________________________________________________________

5. Is there evidence that the Plan is updated annually by the DME and approved by the Medical Education
   Committee?

                      ____ Yes       ____ No

   Describe: ___________________________________________________________


Core Competency Program Review Survey
Page two


                                                       34
6. Is there evidence that the Annual Report of Core Competency Performance is submitted to the OPTI with all
   essential elements?

                      ____ Yes       ____ No

   Comments: __________________________________________________________

   ____________________________________________________________________


7. Is a report included of each trainees progress in achieving goals including the Program Complete Summary
   for graduating residents?

                      ____ Yes       ____ No

8. Do Program Directors record resident progress in Competencies on Resident Annual Report?

                      ____ Yes       ____ No

9. Do Intern and Resident Program Directors have specific responsibilities in assessing intern/resident progress
   in meeting core competencies?

                      ____ Yes       ____ No

10. Are all AOA accredited postdoctoral programs integrated in the Plan?

                      ____ Yes       ____ No

   If no, explain deficiency: _______________________________________________

   ____________________________________________________________________

11. Is there evidence of OPTI collaboration in the Plan review or participation or assistance/monitoring?

                      ____ Yes       ____ No

   Describe: ___________________________________________________________

Core Competency Program Review Survey
Page three


12. Is there an increase annually in the competency education and evaluation modalities utilized?

                      ____ Yes       ____ No

   Describe: __________________________________________________________

   ___________________________________________________________________

                                                       35
13. Does a remediation plan exist for residents failing to meet performance levels?

                      ____ Yes        ____ No

   Describe: __________________________________________________________

   ___________________________________________________________________

14. Comment on the institutional commitment to the AOA Core Competency Program and its functionality.

   ___________________________________________________________________

   ___________________________________________________________________

   ___________________________________________________________________

   ___________________________________________________________________

15. Has the institution provided sufficient resources, both financial and personnel, to   successfully implement
    the Plan?

                      ____ Yes     ____ No

     If no, explain deficiency:
__________________________________________________________________________________________
_________________________________________________________________________________________




                                                        36
                           APPENDIX H
 GME Committee at __________________________ (your hospital name here)


Title           Name            Office           Email            Phone




                                  37
38

				
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