Spreadsheet: 5ee72fe9-be60-454c-a001-ceae0122c42d
Sheet: Sheet1

EXPECTED COMPETENCY LEVEL BY PGY YEAR | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5
Level 1 - Beginning to middle of PGY1
Level 2 - Middle PGY1to Beginning of PGY2
Level 3 - Middle PGY2 to middle PGY2
Levels 4 and 5 - End of PGY2 to middle or end of PGY3
 | Beginner | Advanced Beginner | Approaching competency | Competent | Competency Mastered: Consistently superior to peers
 | Skills emerging | Skills Developed
Medical Knowledge
Demonstrates sufficient knowledge to treat common medical conditions and to order and interpret appropriate tests. | Demonstrates limited fund of knowledge or significant gaps | Demonstrates some gaps in knowledge | Demonstrates solid fund of knowledge with few gaps | Demonstrates strong fund of knowledge with rare gaps | Mastery of fund of knowledge
Patient Care
Gathers essential and accurate information. | Demonstrates difficulty in obtaining basic history: misses key data | Obtains basic history; includes most relevant data, lacks efficiency | Obtains through and appropriately focused history most of the time; includes all relevant data. | Obtains through and appropriately focused history consistently with moderate efficiency | Obtains thorough and appropriately focused history consistently and efficiently
Formulates an organized and prioritized assessment and plan. | Presents data with minimal interpretation | Interprets and synthesizes data for patient with simple problems. | Interprets and synthesizes data in most patients with complex or multiple problems | Consistently interprets and synthesizes data in all patients | Consistently and efficiently interprets and synthesizes data in all patients
Application of knowledge | Demonstrates difficulty applying knowledge to patient care; needs significant instruction on management | Applies knowledge to patient care in some clinical situations; knows management of most common medical problems | Applies knowledge to patient care in most clinical situations; moderate management skill for all common medical and some uncommon problems | Appropriately applies knowledge to patient care; excellent management skill of all medical problems | Consistently integrates appropriate knowledge into patient care; able to teach recognition and management skills to others
 | Beginner | Advanced Beginner | Approaching competency | Competent | Competency Mastered: Consistently superior to peers
 | Skills emerging | Skills Developed
Practice-based learning
Creates a goal-oriented plan for self-directed learning and patient care improvement. | Minimal insight | Aware of some strengths and weaknesses, recognizes some feedback | Manages weaknesses and strengths appropriately, incorporates feedback | Uses strengths effectively and  works to minimize effects of his/her weaknesses, elicits feedback | Accepts his/her strengths and weaknesses and uses to his/her advantage, constantly assesses both, incorporates self-assessment and change in practice
Accesses literature to care for a panel of patients in an evidence-based manner. | No evidence of reading to improve knowledge base | Reads case-specific information only ; able to discuss information superficially | Regularly spends time improving knowledge base; information needs reinforcement | Regularly spends time improving knowledge base and assimilates  information well | Has developed a personal system and uses every opportunity to improve knowledge base
Interpersonal and Communication Skills
Communicates effectively with all members of a health care team. | Is on periphery of team | Acts on his/her own most of the time; occasionally team player | Usually is a team player | Recognized by all to be a team player | Always a team player and willing to “go the extra mile” for the team (colleagues and staff)
Establishes therapeutic and empathetic relationships in a culturally sensitive manner. | Can not identify any of his/her own patients | Beginning to develop rapport with patients | Knows own patients; feels responsible for most of them | Strongly identifies his/her own panel of patients; feels responsible for their care | Consistently provides compassionate, responsible care for all his/her patients. Patients easily identify him/her as their doctor.
Listening skills | Pays attention to patient | Pays attention to verbal cues; recognizes some non-verbal cues. | Pays attention to verbal and non-verbal cues; recognizes patient’s agenda; demonstrates some empathy | Pays attention to verbal/non-verbal cues, recognizes unspoken patient agenda; demonstrates empathy | Consistently  listens actively and empathetically; non-verbal cues consistently recognized; patients feel doctor listened to them
Completes medical records in a timely way.
 | Beginner | Advanced Beginner | Approaching competency | Competent | Competency Mastered: Consistently superior to peers
 | Skills emerging | Skills Developed
Professionalism
Demonstrates honesty, compassion, integrity, respect for others and compliance with laws and regulations pertaining to medical practice.
Integrity | Will occasionally fabricate facts if unknown | Truthful. Willing to admit when wrong. | Words and actions above reproach | Words and actions above reproach. Willing to challenge less honorable actions | Words and actions above reproach. Willing to challenge less honorable actions. Valued as a person of honor.
Commitment to excellence | Occasionally learns new skills | Committed to learning new skills | Committed to learning new skills and achieving excellence in a few areas | Committed to improving previous skills, continued learning with  excellence in many areas | Committed to achieving excellence in most area’s of his/her life
Systems-based Practice
Identifies issues related to error and cost. | Does not consider cost in formulating plan | Considers cost but has little understanding of the balance with benefit | Considers cost./benefit in some cases | Considers cost/benefit in most cases | Considers cost/benefit in all cases and negotiates plan of action with patient.
Identifies the need for interdisciplinary collaboration in the delivery of health care. | Minimal understanding of social services | Knows to use social services, but does not know resources available | Uses social services occasionally | Uses social services frequently and refers to appropriate resource. | Uses social services frequently and educates others regarding resources