Taking a history from a patient that is appropriate for the clinical situation and the rotation |
|
|
|
|
Performing a physical examination that is appropriate for the clinical situation and rotation |
|
|
|
|
Pelvic examinations and rectal examinations as required for a PGY-1 in your specialty |
|
|
|
|
Integrating the history and physical examination into an understanding of what the clinical problems seem to be |
|
|
|
|
Deciding on the need for, and type of, additional diagnostic testing |
|
|
|
|
Interpreting individual labs or imaging (eg, reading a chest x-ray) or interpreting a comprehensive metabolic panel |
|
|
|
|
Interpreting the lab, imaging, history, and physical exam into a “post-test” probability of the likely clinical problems |
|
|
|
|
Determining the treatments needed for a patient, including symptomatic medications, like pain medications |
|
|
|
|
Performing procedures at the level I would expect a PGY-1 to perform |
|
|
|
|
Calling consultations with other providers |
|
|
|
|
Safely transitioning care at sign out or end of shift |
|
|
|
|
Documenting appropriately in the electronic health record |
|
|
|
|
Ability to look up and apply evidence-based recommendations and access point-of-care diagnostic aids |
|
|
|
|