CRITERIA FOR ADVANCEMENT FROM 1st TO 2nd YEAR CLINICAL FELLOW
Patient Care
• Prioritizes a patient's problems
• Prioritizes a day of work
• Monitors and follow up patients appropriately
• Demonstrates caring and respectful behavior with patient’s and families
• Gathers essential and accurate information through interviews and physical exams and reviews other data.
• Knows indications, contraindications & risks of various forms of renal replacement therapy
• Knows indications, contraindications & risks of renal biopsy
• Knows indications, contraindications and risks of femoral, subclavian, and internal jugular vein catheterization
• Works with all health care professionals to provide patient-focused care
• Understands and weighs alternatives for diagnosis and treatment
• Uses diagnostic procedures and therapies appropriately
• Elicits subtle findings on physical examination
• Obtains a precise, logical and efficient history
• Interprets results of laboratory tests and procedures to include renal biopsy properly
• Is able to manage multiple problems at once
• Makes informed decisions about diagnosis and therapy analyzing clinical data.
• Develops and carries out management plans.
• Considers patient preferences when making medical decisions
• Reasons well in ambiguous situations
• Spends time appropriate to the complexity of the problem
Medical Knowledge
• Uses written and electronic reference and literature sources to learn about patients' diseases
• Demonstrates knowledge of basic and clinical sciences
• Applies knowledge to therapy
• Is aware of indications, contraindications and risks of procedures and commonly used medications
• Demonstrates knowledge of epidemiologic and social-behavioral sciences
• Applies the basic, clinical, epidemiologic and social behavioral science knowledge to the care of the patient
• Demonstrates an investigatory and analytic approach to clinical situations
Practice-Based Learning Improvement
• Understands his or her limitations of knowledge
• Asks for help when needed
• Is self motivated to acquire knowledge
• Uses computerized sources of results and information to enhance patient care
• Accepts feedback and develops self-improvement plans.
• Undertakes self-evalutation with insight and initiative
• Facilitates the learning of students and other health care professionals
• Analyzes personal practice patterns systematically, and looks to improve.
• Compares personal practice patterns to larger populations
• Locates, appraises and assimilates scientific literature appropriate to nephrology
• Applies knowledge of study design and statistics
Interpersonal and Communication Skills
• Writes pertinent and organized notes
• Composes timely and legible medical records
• Uses effective listening, narrative and non-verbal skills to elicit and provide information.
• Works effectively as a leader of the health care team
• Creates and sustains therapeutic and ethically sound relationships with patients and families.
• Provides education and counseling to patients, families and colleagues
• Is able to discuss end of life care with patient/families
Professionalism
• Establishes trust with patients and staff
• Does not refuse to treat patients
• Is honest, reliable, cooperative and accepts responsibility
• Shows regard for opinions and skills of colleagues
• Is free from substance abuse or satisfactorily undergoing rehabilitation
• Demonstrates respect, compassion and integrity
• Is responsive to the needs of patients and society, which supercedes self-interest
• Displays initiative and leadership
• Is able to delegate responsibility to others
• Demonstrates commitment to on-going professional development
• Demonstrates commitment to ethical principles pertaining to the provision or withholding of care, patient confidentiality, informed consent and business practices
• Demonstrates sensitivity to patient culture, gender, age, preferences and disabilities
• Acknowledges errors and works to minimize them
• Is effective as a consultant
Systems-Based Practice
• Is a patient advocate
• Has constructive skepticism
• Advocates for high quality patient care and assists patients in dealing with system complexity.
• Applies knowledge of how to partner with other health care providers to assess, coordinate and improve patient care
• Uses systematic approaches to reduce errors
• Participates in developing ways to improve systems of practice and health management
• Demonstrates ability to adapt to change
• Provides cost effective care
• Understands how individual practices affect other health care
• professionals, organizations, and society
• Demonstrates knowledge of types of medical practice and delivery systems
• Practices effective allocation of health care resources that does not compromise the quality of care
Updated November 21, 2007 Created by Megan Johnson
