Table 2. Emergency Medicine Competencies Related to Topic of Diagnostic Uncertainty.

ACGME: Accreditation Council for Graduate Medical Education

Competency, brief description of skill, and ACGME milestone targets for skill levels of competency
Patient Care #7: Disposition Competency: Establishes and implements a comprehensive disposition plan that uses appropriate consultation, patient education regarding diagnosis, treatment plan, medications, and specific disposition instructions.
Level 1 - Describes basic resources available for care	Level 2 - Formulates a specific follow-up plan for common emergency department complaints	Level 3 - Formulates and provides patient education regarding diagnosis, treatment plan, and medication review - Involves appropriate resources in a timely manner		Level 4 - Formulates discharge instructions, including future diagnostic/therapeutic interventions for emergency department patients - Engages patient to effectively implement a discharge plan		Level 5 - Works within the institution to develop systems that enhance safe disposition
Interpersonal and Communication Skills #1: Patient-Centered Communication Competency: Demonstrates interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and their families.
Level 1 - Establishes rapport - demonstrate empathy - Listens effectively	Level 2 - Elicits patients’ reasons for seeking health care and expectations from the emergency department visit - Negotiates and manages simple conflicts		Level 3 - Manages the expectations of emergency department patients and uses communication methods that minimize the stress, conflict, and misunderstanding - Effectively communicates with vulnerable populations		Level 4 - Uses flexible communication strategies and adjusts based on the clinical situation to resolve specific emergency department challenges	Level 5 - Teaches communication and conflict management skills - Participates in review and counsel of colleagues with communication deficiencies