UM PCCM Fellowship Education Committee

Fellowship Learning Objectives for UM Consults

 

Goal I: Patient Care

 

Fellows must demonstrate the ability to provide patient-centered care that is appropriate, compassionate, and effective for treatment of health problems and the promotion of health.

 

Objectives: In the inpatient consultative service setting:

 

  1. Fellows will be an effective consultant in pulmonary and critical care medicine
  2. Fellows will gather essential and accurate information by performing and complete a clinically-relevant history and physical examination.
  3. Fellows will understand how to order and interpret appropriate diagnostic tests.
  4. Fellows will make informed diagnostic and treatment decisions by analyzing and synthesizing information.
  5. Fellows will understand the limits of their knowledge and expertise.
  6. Fellows will develop a differential diagnosis and management plan.
  7. Fellows will maintain comprehensive, timely, effective and legible medical records.
  8. Fellows will effectively counsel patients and families
  9. Fellows will effectively communicate with the primary healthcare team and effectively address issues in question.

 

Goal II: Medical Knowledge

 

Fellows will know, critically evaluate and use correct medical information and scientific evidence for patient care.

 

Objectives: In the inpatient consultative service setting:

 

  1. Fellows will be able to access information and evaluate the medical literature
  2. Fellows must demonstrate habits consistent with life-long learning.
  3. Fellows will demonstrate mastery of the basic and clinical science elements for the following disorders:
  4. Fellows will develop competence in the identification and management of the following clinical situations and symptoms:
    1. Approach and evaluate  “dyspnea”
    2. Approach and evaluation of hemoptysis
    3. Evidence based preoperative pulmonary evaluation
    4. Identification and management of the acutely ill patient
    5. Management of the lung transplant recipient
    6. Indications for bronchoscopy
    7. Indications, performance and management of chest tubes.
  5. Fellows will demonstrate mastery of the basic and clinical science elements for the following disorders:
    1. Obstructive lung diseases

                                                               i.      Asthma exacerbation

                                                             ii.      COPD exacerbation

                                                            iii.      Bronchiectasis

1.      Cystic fibrosis

                                                           iv.      Obliterative bronchiolitis           

    1. Restrictive disorders

                                                               i.      Diffuse interstitial lung disease

1.      Idiopathic pulmonary fibrosis

2.      Pneumoconiosis

3.      Sarcoidosis

4.      Other

    1. Pulmonary vasculitis and pulmonary hemorrhage syndromes
    2. Pulmonary venous thromboembolic disease
    3. Occupational and environmental lung diseases
    4. Pneumothorax and pleural effusions
    5. Pulmonary infections

                                                               i.      Community acquired pneumonia

                                                             ii.      Healthcare associated pneumonia

                                                            iii.      Pneumonia in the immunocompromised host

                                                           iv.      Fungal infections

                                                             v.      Opportunistic infections

                                                           vi.      Empyema

                                                          vii.      Tuberculosis

                                                        viii.      Atypical mycobacterial infections

                                                           ix.      HIV associated infections

    1. Identification, diagnosis and staging of pulmonary malignancy

                                                               i.      Primary lung

                                                             ii.      Metastatic disease to the lung

    1. Respiratory failure

                                                               i.      Acute lung injury/Adult respiratory distress syndrome

                                                             ii.      Neuromuscular respiratory failure

 

Goal III: Interpersonal Communication Skills

 

Fellows must demonstrate interpersonal and communication skills that result in effective information exchange and collaboration with patients, families and health professionals.

 

Objectives: In the inpatient consultative service setting.

  1. Fellows will demonstrate appropriate communication and documentation skills as a pulmonary/CCM consultant
  2. Fellows will demonstrate the ability to develop effective relationships with patients and families.
  3. Fellows will exhibit communication that is characterized by socio-cultural effectiveness.
  4. Fellows will communicate respectfully and effectively with other members of the health care team.
  5. Fellows will be an administrative leader and teacher of house officers and medical students

 

Goal IV: Professionalism

 

Fellows will demonstrate a commitment to professionalism, ethical behavior, and a commitment to the development of cultural humility.

 

Objectives: In the inpatient consultative service setting

  1. Fellows will demonstrate integrity, honesty, compassion, empathy and altruism.
  2. Fellows will respond in a timely manner to requests for consultation.
  3. Fellows will acknowledge errors and limitations.
  4. Fellows will demonstrate responsibility, accountability, dependability, commitment, leadership and encourage continuity of care.
  5. Fellows will respect patient and family privacy and autonomy.
  6. Fellows will exhibit a commitment to the development of cultural humility.

 

Goal V: Practice-Based Learning and Improvement

 

Fellows will investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and use these processes to improve patient care.

 

Objectives: In the inpatient consultative service setting

  1. Fellows will exhibit evidence of self-evaluation
  2. Fellows will demonstrate ongoing self-education and habits of life-long learning.
  3. Fellows will discuss performance and incorporate feedback from colleagues, co-workers and supervising attending physicians.
  4. Fellows will apply these processes to improve patient care.

 

Goal VI: Systems-Based Practice

 

Fellows will practice quality health care that is cost-effective and advocate for patients within the health system.  In addition, the fellow will understand the quality improvement process and how to partner with health care managers and providers toward this goal.

 

Objectives: In the inpatient consultative service setting

  1. Fellows will demonstrate care coordination and knowledge of medical practice and delivery systems at the University of Michigan
  2. Fellows will utilize evidence based practice guidelines to optimize patient care.
  3. Fellows will advocate for patients and for populations of patients.
  4. Fellows will understand and practice cost-effective health care that does not compromise quality of care.