Educational Program Objectives
University of Minnesota Medical School

Graduates of the University of Minnesota Medical School should be able to:

Objective Outcome Measures ACGME Essential Competency

1) Demonstrate mastery of key concepts and principles in the basic sciences and clinical disciplines that are the basis of current and future medical practice.

  • USMLE Steps 1 and 2
  • Year 1 and 2 course performance, based on standardized examinations
  • Clinical rotation performance
  • Feedback from residency directors

Medical Knowledge

2) Demonstrate mastery of key concepts and principles of other sciences and humanities that apply to current and future medical practice, including epidemiology, biostatistics, healthcare delivery and finance, ethics, human behavior, nutrition, preventive medicine, and the cultural contexts of medical care.

  • USMLE Steps 1 and 2
  • Course performance (esp. in Physician and Society, Nutrition, and Human Behavior at TC campus; Medical Sociology, Medical Epidemiology and biometrics, Family Medicine I, Medical Ethics, Human Behavioral Development and Problems, and Psycho-Social-Spiritual Aspects of Life-Threatening Illness at DU campus)
  • Clinical rotation performance
  • Feedback from residency directors

Medical Knowledge

3) Competently gather and present in oral and written form relevant patient information through the performance of a complete history and physical examination.

  • Yr 2 OSCE
  • Physician and Patient (PAP) course performance at TC campus, assessed by tutors using global rating forms and observed practical exams
  • Course performance at DU campus in Applied Anatomy, Clinical Rounds & Clerkship (CR & C), Clinical Pathology Conference, and Integrated Clinical Medicine
  • Clinical rotation performance

Patient Care; Interpersonal and Communication Skills

4) Competently establish a doctor-patient relationship that facilitates patients’ abilities to effectively contribute to the decision making and management of their own health maintenance and disease treatment.

  • Yr 2 OSCE and Primary Care Clerkship (PCC) OSCE
  • PAP course performance at TC campus, assessed by tutors using global rating forms and observed practical exams
  • Preceptorship and CR & C course performance at DU campus
  • Clinical rotation performance

Patient Care; Interpersonal and Communication Skills

5) Competently diagnose and manage common medical problems in patients.

  • PCC OSCE
  • Clinical rotation performance

Medical Knowledge; Patient Care

6) Assist in the diagnosis and management of uncommon medical problems; and, through knowing the limits of her/his own knowledge, adequately determine the need for referral.

  • Clinical rotation performance
  • Documented achievement of procedural skills in the Competencies Required for Graduation

Medical Knowledge; Patient Care; Practice-Based Learning and Improvement

7) Begin to individualize care through integration of knowledge from the basic sciences, clinical disciplines, evidence-based medicine, and population-based medicine with specific information about the patient and patient’s life situation.

  • Clinical rotation performance
  • Feedback from residency directors

Patient Care; Medical Knowledge; Interpersonal and Communication Skills; Professionalism

8) Demonstrate competence practicing in ambulatory and hospital settings, effectively working with other health professionals in a team approach toward integrative care.

  • Yr 2 and PCC OSCE
  • PAP course performance at TC campus, assessed by tutors using global rating forms and observed practical exams
  • Physician and Society (PAS) course performance at TC campus
  • Preceptorship, CR & C, and Introduction to Rural Primary Care Medicine course performance at DU campus
  • Clinical rotation performance

Practice-Based Learning and Improvement; Systems-Based Practice

9) Demonstrate basic understanding of health systems and how physicians can work effectively in health care organizations, including:

  • Use of electronic communication and database management for patient care.
  • Quality assessment and improvement.
  • Cost-effectiveness of health interventions.
  • Assessment of patient satisfaction.
  • Identification and alleviation of medical errors.
  • PAS course performance at TC campus
  • Medical Sociology and CR & C course performance at DU campus
  • Clinical rotation performance, especially the PCC
  • Feedback from residency directors
  • Feedback from local health plans

Practice-Based Learning and Improvement; Systems-Based Practice

10) Competently evaluate and manage medical information.

  • Critical reading exercises in PAS and other courses at TC campus
  • Clinical Pathology Conference performance and exercises in Problem Based Learning Cases at DU campus
  • Year 2 Health disparities project
  • PCC EBM project

Patient Care; Medical Knowledge; Practice-Based Learning and Improvement; Systems-Based Practice

11) Uphold and demonstrate in action/practice basic precepts of the medical profession: altruism, respect, compassion, honesty, integrity and confidentiality.

  • PAS course performance at TC campus
  • Preceptorship and Cr & C course performance at DU campus
  • Clinical rotation performance
  • Participation in honor code and student peer assessment program
  • Participation in anatomy memorial
  • Participation in volunteer service activities

Professionalism

12) Exhibit the beginning of a pattern of continuous learning and self-care through self-directed learning and systematic reflection on their experiences.

  • PBL cases at DU campus
  • Yr 2 Health disparities project
  • Clinical rotation performance
  • Participation in research

Professionalism

13) Demonstrate a basic understanding of the healthcare needs of society and a commitment to contribute to society both in the medical field and in the broader contexts of society needs.

  • Course performance in all years
  • Introduction to Rural Primary Care Medicine course project at DU campus
  • Involvement of students in international study
  • Enrollment in RPAP, RCAM, and UCAM
  • Yr 2 Health disparities project
  • Feedback from residency directors
  • Participation in volunteer service activities

Patient Care; Medical Knowledge; Practice-Based Learning and Improvement; Professionalism; Systems-Based Practice

These objectives are written to reflect the qualities and competencies expected of our graduates. Each objective specifies the expected competency level to be attained by our students, the outcome measures used to evaluate attainment of the objective, and the essential qualities and competencies of a physician (as defined by the six ACGME Essential Competencies) addressed by the objective. The Accreditation Council for Graduate Medical Education (ACGME) has formulated essential competencies felt to be necessary for physicians practicing in the current health care climate. They are:

  • Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
  • Medical Knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care
  • Practice-Based Learning and Improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care
  • Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals
  • Professionalism , as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
  • Systems-Based Practice , as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide optimal patient care

The objectives for the undergraduate curriculum can be grouped as follows:

Objectives 1-3: Knowledge and skills addressed principally in the first two (preclinical) curricular years;

Objectives 4-9: Knowledge and skills addressed principally in the second two (clinical) curricular years;

Objectives 10-13: Knowledge, attitudes, and skills addressed throughout the curriculum.

The objectives, which relate to the ACGME essential competencies, are designed to be modified for use also by the graduate (GME) programs at the University of Minnesota Medical School. Residency programs can modify the competency level stated in the objectives and the outcome measures to reflect their own programs, while maintaining the overall integration of basic learning objectives across undergraduate and graduate medical education.

One of the primary outcome measures for the objectives is clinical rotation performance. To expand on this; clinical rotation performance is assessed by attending physicians and residents using a Web-based global rating form, evaluating the following knowledge, competencies, skills, and attitudes:

  • Medical knowledge and the ability to apply knowledge in clinical situations
  • Competency in patient care including communication and relationships with patients/families
  • Skills in data gathering from the history, physical examination, clinical and academic sources, and diagnostic tests
  • Assessment and prioritization of problems
  • Management of problems, including knowledge of patient data and progress
  • Appropriate decision making
  • Communication in written and oral reports
  • Professionalism, including: patient care and management in teams (work habits), independent learning, personal characteristics, and commitment to medicine
  • Specific procedural skills (see report outlining Competencies Required for Graduation)

Ratified by Education Council 2/18/03