BUSM Mission,Vision and Educational Objectives of the M.D. Program (ILO’s)

BOSTON UNIVERSITY SCHOOL of MEDICINE

MISSION , VISION, OVERALL COMPETENCIES and EDUCATIONAL OBJECTIVES of the M.D. PROGRAM

Approved by the Medical Education Committee on May 16, 2006, reorganized under the ACGME competencies in August, 2008

Educational Mission

The Mission of the Doctor of Medicine program at the BUSM is to support the professional development of each student while educating all students to become physicians who will have the knowledge, skills, and dedication needed to provide the best care to every patient from all communities in our diverse society, within an ever-changing health care environment.

The Vision

The BUSM graduate will be recognized by patients, peers, and mentors as one who is fully prepared for postgraduate training and who maintains the highest standards of professional conduct. To define our educational outcomes, we have adopted the ACGME Competencies as they reflect the expectations of a competent physician and are consistent with our vision and goals.

Comprehensive Student Learning Objectives

The objectives of the medical doctor training program are defined as they relate to the six ACGME competencies (ACCME, 2003):

1. 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.

2. Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

3. Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professional associates.

4. Professionalism demonstrated by a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

5. Practice-Based Learning and Improvement that involves investigation and evaluation of one’s own patient care practices, appraisal and assimilation of scientific evidence, and improvements in patient care practices.

6. Systems-Based Practice demonstrated by awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

These comprehensive institutional objectives are further amplified by specific course objectives.


1. MEDICAL KNOWLEDGE

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.

A. Demonstrate knowledge of the normal and abnormal processes from the molecular to the societal levels that affect human health and well being.

Graduates will demonstrate knowledge of:

  1. Normal structure, development and function of human life from the molecular to socio-cultural levels.
  2. The pathophysiology of human disease at molecular, cellular, systems and whole organism levels.
  3. The genetic, physical, psychological, socioeconomic, cultural, nutritional, life style and environmental processes that contribute to human health and the etiology, pathogenesis, and manifestations of disease and responses to treatment.
  4. The frequent clinical, laboratory, imaging, and pathologic manifestations of common maladies.

B. Demonstrate knowledge of the causes, progression and scope of illness.

Graduates will demonstrate knowledge of:

  1. The etiologies and natural histories of diseases and illnesses.
  2. The relative magnitudes of medical conditions from an epidemiologic perspective.

C. Possess the diagnostic and medical management knowledge base and apply to the delivery of effective and efficient medical care.

Graduates will:

  1. Interpret the results and assess the validity and limitations of commonly used diagnostic tests and procedures.
  2. Apply medical knowledge to differential diagnosis and clinical reasoning.
  3. Demonstrate knowledge of strategies for disease prevention and health promotion.
  4. Demonstrate the ability to identify risk factors for disease and/or injury, select appropriate screening modalities for preventive health care.
  5. Demonstrate the ability to integrate knowledge of behavioral biology, the principles of mental health and the role of emotions on health related behaviors.
  6. Demonstrate knowledge of the theories and principles that govern ethical decision making.


2. PATIENT CARE

Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

A. Possess the diagnostic and medical management skills needed to deliver effective and efficient medical care.

Graduates will demonstrate the ability to:

  1. Perform a complete and an organ system specific examination.
  2. Perform routine medical procedures.
  3. Engage in differential diagnosis, clinical reasoning and problem identification appropriate to the patient’s health condition
  4. Construct and implement appropriate management strategies (both diagnostic and therapeutic) that incorporate up-to-date scientific evidence and patient preferences.
  5. Recognize patients with serious conditions requiring critical care and outline an initial course of management
  6. Construct and implement strategies appropriate to palliative and end-of-life care.
  7. Apply appropriate strategies in the provision of preventive care.


3. INTERPERSONAL AND COMMUNICATION SKILLS

Resulting in effective information exchange and teaming with patients, their families, and other health professional associates.

Graduates will:

A. Treat all patients in a caring and compassionate manner.

Graduates will demonstrate the ability to:

  1. Provide compassionate treatment of patients with respect for privacy, dignity and informed consent.
  2. Be sensitive and responsive to patients’ unique personal and social attributes.

B. Possess clinical communication skills needed to deliver effective and efficient medical care.

Graduates will demonstrate the ability to:

  1. Obtain an accurate and thorough medical history.
  2. Counsel and educate patients and their families to achieve and maintain appropriate health and life-style behaviors.

C. Demonstrate competence in communication with patients from all cultures.

Graduates will demonstrate the ability to:

  1. Use communication and negotiation skills, both oral and written, that result in effective cross-cultural information exchange, partnership and collaboration.

D. Demonstrate skills that enable effective and collaborative interdisciplinary teamwork.

Graduates will demonstrate the ability to:

  1. Work effectively with others as a member or leader of a health care team to coordinate patient-focused care.


4. PROFESSIONALISM

Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

A. Adhere to the highest ethical standards of medical practice and other professional activities.

Graduates will demonstrate:

  1. Honesty and integrity in all actions.
  2. The ability to advocate for the interest of one’s patients over one’s own interests.
  3. Awareness of the risks to medical professionalism posed by the conflicts of interest inherent in various financial and organizational arrangements for biomedical research and the teaching and practice of medicine.

B. Demonstrate a commitment and sensitivity to a diverse patient population.

Graduates will:

  1. Obtain and apply information from relevant cultures – and belief systems (ED21) including learning from one’s own patients, to improve communication.
  2. Advocate on behalf of patients or patient groups that suffer systematically poorer health outcomes.
  3. Support improvements in access to health care for all populations, a reduction in racial and ethnic disparities in health status, and improvements in the social condition of disadvantaged populations.

C. Contribute to the advancement of scientific knowledge.

Graduates will:

  1. Advocate for support of and general education in fundamental research and biological and population based sciences for the advancement of medicine.


5. PRACTICE-BASED LEARNING AND IMPROVEMENT

Investigation and evaluation of one’s own patient care practices, appraisal and assimilation of scientific evidence, and improvements in patient care practices.

A. Demonstrate the ability to find and critically appraise biomedical information.

Graduates will demonstrate the ability to:

  1. Critically analyze and evaluate basic science and clinical information that applies to human biology and the practice of medicine.
  2. Retrieve (from electronic databases and other resources), organize, and utilize biomedical information for decision making in the care of patients and populations.

B. Possess the attitudes, abilities and self-knowledge necessary for life-long learning and improvement.

Graduates will demonstrate the ability to:

  1. Recognize limitations in one’s knowledge and clinical skills and seek appropriate assistance.
  2. Recognize the ways in which one’s patient care and other professional practices affect other health care professionals, the health care organization and the larger society, and the ways in which these elements of the system affect one’s own practice.
  3. Learn from one’s own practices and corresponding efforts to improve them.
  4. Describe one’s own feelings in response to patients and families and the potential effects on the doctor-patient relationship.
  5. Continuously improve one’s knowledge and skills through ongoing professional development.

6. SYSTEMS-BASED PRACTICE

Demonstrate awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

A. Demonstrate awareness and responsiveness to the organization and provision of health care services.

Graduates will demonstrate:

  1. Knowledge of the elements of cost-effective health care and resource allocation and of their effect on quality of care.
  2. Knowledge of the various types of medical practice and delivery systems and the differences among them.
  3. The ability to effectively call on system resources to provide care that is of optimal value.

B. Effectively call on system resources to promote optimal care.

Graduates will have the ability to:

  1. Advocate for quality patient care and demonstrate the ability and habit of assisting all patients in dealing with system complexities.
  2. Assess prevailing local practices and identify the barriers and potential solutions to closing the gap between prevailing and best practices.