Table 1.

Sample core outcomes, objectives, and activities of internal medicine rotations in Kenya and the United States.

Shared APPE Outcomes and Objectives	MTRH-Kenya Activity	SLEH-US Activity	EPA Domain a	CAPE Outcome b
Exemplify Clinical Competence: Demonstrate appropriate clinical knowledge Design patient-specific pharmacotherapy plans Implement specific and measurable monitoring plans Demonstrate a questioning mindset through daily self-directed identification of clinical questions Identify and advocate for preventative screenings and care	Interdisciplinary rounds Patient counseling Screening for HIV and TB Identification of literature for patient care Daily medication administration record review	Interdisciplinary rounds Patient counseling Screening for immunization needs Identification of literature for patient care Admission medication reconciliation	a, c, d, f	1.1, 2.1–2.4, 3.1–3.5, 4.2
Effective Communication Skills: Develop appropriate professional relationships and communication with members of the health care team, preceptor(s), and students Advise healthcare professionals on appropriate drug therapy based on efficacy, safety, and cost-effective prescribing Deliver informative and appropriate presentations Provide patient education using appropriate language and assessment strategies	Interdisciplinary care rounds Topic discussions Patient presentations Journal Club	Interdisciplinary care rounds Topic discussions Patient presentations Journal Club	a, b, d	3.2, 3.4, 3.6, 4.2, 4.4
Gain Institutional Pharmacy Awareness: Develop an understanding of pharmacy policies and procedures Participate in the identification of drug errors and adverse drug reactions	Participation in centralized pharmacy activities Identify drug errors and report adverse drug reactions	Orientation to pharmacy workflow Utilize formulary options	c, e	2.2
Professionalism: Exhibit the characteristics of a professional Demonstrate empathy in interactions with patients and the healthcare team Practice time management skills	Interdisciplinary rounds Patient counseling Self-evaluations Interviewing workshop Weekly cultural debriefs	Interdisciplinary rounds Patient counseling Self-evaluations	a, b, e, f	4.1, 4.4

^a EPA domain: a = patient care provider; b = interprofessional team member; c = population health promoter: d = information master; e = practice manager; f = self-developer [20]; ^b CAPE outcome domain: 1 = foundational knowledge; 2 = essentials for practice and care; 3 = approach to practice and care; 4 = personal and professional development [19]; MTRH = Moi Teaching and Referral Hospital; SLEH-US = Sidney & Lois Eskenazi Health-United States; EPA = Entrustable Professional Activities; CAPE = Center for the Advancement of Pharmacy Education; HIV = Human Immunodeficiency Virus; TB = Tuberculosis.