# SCLO/ Level and Letters

Bei einigen Lernzielen sind noch ein Level oder Buchstaben angegeben. Gemäss der offiziellen SCLO-Seite haben sie folgende Bedeutung:

## Level

| Kapitel | Level 1 | Level 2 |
| General Skills | "Some practical experience: The physician is able to explain the skill (principle, indication, contraindication, burden, possible complications, getting informed consent, documentation) and has performed the skill several times under supervision (if necessary with simulator)." | "Routine: The physician is able to explain the skill (principle, indication, contraindication, burden, possible complications, getting informed consent, documentation). She/he has acquired enough routine to perform the skill correctly without supervision. The skill must be mastered in all age groups of patients, from chil- dren to elderly people (but not in newborn and infants)" |
| Clinical Pictures | "Be able to recognize the possible relevance: If appropriate, the physician considers this clinical picture as a possible diagnosis. She/he can define this clinical picture in broad terms without knowing details." | "Be able to cope with in practice: The physician is able to take a history and perform a physical examination in a structured way. She/he is able to consider the clinical picture as a diagnosis and recognizes and actively searches for the typical complaints and signs. She/he proposes appropriate diagnostic and therapeutic possibilities to her/his supervising physician considering its epidemiology and relevant pathology (including histology, pathophysiology and psychodynamics). She/he explains the diagnostic and therapeutic possibilities to the patient in an appropriate way." |
| Further Knowledge | "This indicates an overview level: The physician is capable to roughly define the concept or describe the procedure including indication and contraindication. She/he is able to recognize its possible relevance in a given clinical situation. She/he has seen the correct performance of the procedure (live, by simulator, video or other media)." | "Be able to cope with in practice: The physician is capable to use this knowledge in interpreting findings, counseling on preventive measures and treating the patient." |

## Letters

| D: | "The diagnosis is made personally by means of physical examination, simple aids or additional investigation requested and interpreted by the physician herself/himself (e.g. X-ray of chest or extremities, electrocardiogram). For example the letter D does not apply for breast cancer, since its diagnosis requires taking and interpreting a biopsy, knowledge beyond a graduate in medicine. Attribution of this letter requires level 2 of competence." |
| T: | "Therapy must be carried out by the physician personally, referring to the most common therapy for an uncomplicated illness. Attribution of this letter requires level 2 of competence." |
| E: | "The physician is able to perform primary and secondary assessment of patients and initiate emergency measures. The letter E may be attributed even in absence of the letter D. The physician in this case is not required to establish a firm diagnosis; she/he may act on a well-founded suspicion. Example: Referral to hospital in case of suspicion of bacterial meningitis." |
| P: | "The physician is able to identify and initiate appropriate preventive measures." |
| G: | "The letter G defines a particularly relevant problem for General Practice and Outpatient Medicine." |

## Quelle

* 1 2 3 4 5 6 7 8 9 10 11 Offizielle Seite des SCLO-Katalogs, abgerufen am 15.02.2015