minimally invasive gynecology milestones these milestones ... · level 2: the fellow is advancing...
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MinimallyInvasiveGynecologyMilestones
ThesemilestoneshavebeendevelopedtoevaluatetheongoingprogressoftraineesintheFellowshipinMinimallyInvasiveGynecology.Themilestonesaimtoprovideaframeworkforassessmentoftheessentialskillsandknowledgeexpectedofa
participantgraduatingfromthefellowshipandaidintheidentificationofanysurgicaloreducationaldeficiencieswithampletimeforremediation.Thesemilestonesarenotdesignedtocoverallaspectsofbenigngynecologicsurgery,butrathertohelpensurethatfellowsgraduatingfromeachprogramwillachievecompetencywithkeysurgicalandclinicalskills.TheseMilestonesarenot
designedtoberelevantinanyothercontext.
Committee/WorkingGroupJubileeBrown
AnneMarieConnolyNoahRindosMandyYunker
Milestonereporting
Themilestonesareintendedtobeusedbyfellowshipprogramstoaidwithsemi-annualfellowreviewsandwithreportingtoAAGL.Milestonesareknowledge,skills,attitudes,andotherattributesorganizedinadevelopmentalframeworkfromlesstomoreadvanced.Theyaredescriptorsandtargetsforfellowperformanceasafellowmovesfromentryintofellowshipthroughgraduation.Theattributesmeasuredincludegynecologicknowledge,surgicalskills,providerattitude,andadditionalattributesexpectedoffellowspursuingadvancedtraininginMinimallyInvasiveGynecology.Foreachperiod,reviewandreportingwillinvolveselectingmilestonelevelsthatbestdescribeafellow’scurrentperformanceandattributes.Milestonesarearrangedintonumberedlevels.TrackingfromLevel1toLevel4issynonymouswithmovingfromnovicetoexpertinthesubspecialty.Eachmilestoneiscomprisedoffourlevels,rangingfromnovicetoadvancedindependentpractitioner.Thesemilestoneswillcompriseonepartoftheaccreditationprocessforeachprogram,andaportionoftheevaluationforgraduationforeachfellow.Overeachsixmonthperiod,milestoneswillberecordedanddiscussedwiththefellowstoevaluatetheirsurgicalperformanceandattributes.Allfellowswillbeexpectedtoattainalevelof2inthemajorityofmilestonesbytheendoftheirfirstyearanda3bythetimetheyarepreparingtograduate.Selectionofalevelimpliesthatthefellowsubstantiallydemonstratesthemilestonesinthatlevel,aswellasthoseinlowerlevels,asfollows:Level1:Thefellowdemonstratesmilestonesexpectedofanincomingfellow/recentlygraduatedOBGYNresidentLevel2:Thefellowisadvancingandisperformingatmid-fellowshiplevelLevel3:Thefellowhasadvancedandismeetingthemajorityofmilestonestargetedforfellowship.(Leveldesignatedasgraduationtarget.)Level4:Thefellowhasadvancedbeyondperformancetargets,isabletofunctionmostlyindependently,andisdemonstrating“aspirational”goalsconsistentwithsomeoneinpracticeforseveralyears.
Milestones
PC1:SurgicalCareofBenignGynecologicConditions—OpentechniquesLevel1 Level2 Level3 Level4IndependentlyselectsappropriateopenproceduresforbenigngynecologicconditionsProficientlyandsafelyperformsbenignstraightforwardgynecologicopenproceduresIdentifiessurgicalcomplicationsandappropriatelyusesintra-operativeconsultation
Effectivelyassistsincomplexopengynecologicprocedures(i.e.largeuterus,frozenpelvis)Recognizesanddevelopsmanagementstrategyforintra-operativecomplications,includingconversiontoanopenprocedure
Effectivelyperformscomplexopengynecologicprocedures,withsupervisionManagessurgicalcomplications,withsupervisionCollaborateswithandprovidessubspecialty-specificopensurgicalconsultationtoothermembersofthehealthcareteam,includingconversiontoanopenapproach,withsupervision
IndependentlyandproficientlyperformscomplexopengynecologicproceduresAnticipates,diagnoses,andindependentlymanagesintra-operativesurgicalcomplications,includingthedecisiontoconverttoanopenapproachIndependentlycollaborateswithandprovidessubspecialty-specificopensurgicalconsultationtoothermembersofthehealthcareteamAbletoinstructresidentsinpropersurgicaltechniqueswithminimalguidance
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC2:SurgicalcareofBenignGynecologicConditions:MinimallyInvasiveTechniques-Laparoscopyand/orRoboticPlatformLevel1 Level2 Level3 Level4IndependentlyselectsappropriateminimallyinvasivesurgicalproceduresforbenigngynecologicconditionsProficientlyandsafelyperformsbasicminimallyinvasiveprocedures(i.e.tubalsterilization,adnexectomy,hysterectomy,diagnosticlaparoscopy)IdentifiesMIS-specificcomplicationsandappropriatelyusesintra-operativeconsultation
ProposesappropriateMISproceduresforcomplexbenigngynecologicconditionsEffectivelyassistsduringcomplexMISproceduresRecognizesanddevelopsmanagementstrategiesforMIS-relatedintraoperativecomplications
EffectivelyperformscomplexMISgynecologicprocedures,withsupervisionManagesMIS-relatedsurgicalcomplications,withsupervisionCollaborateswithandprovidessubspecialty-specificMISconsultationtoothermembersofthehealthcareteam,withsupervision
IndependentlyandproficientlyperformscomplexMISgynecologicproceduresAnticipates,diagnoses,andindependentlymanagesintra-operativeMIS-relatedcomplicationsIndependentlycollaborateswithandprovidessubspecialty-specificMISsurgicalconsultationtoothermembersofthehealthcareteamAppliesanevidence-basedapproachtoinnovativeandcomplexMIStreatmentplansforbenigngynecologicconditionsAbletoinstructresidentsinpropersurgicaltechniqueswithminimalguidance
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC3:SurgicalcareofBenignGynecologicConditions:MinimallyInvasiveTechniques-VaginalApproachLevel1 Level2 Level3 Level4IndependentlyconsidersvaginalsurgicalapproachwhenappropriateforbenigngynecologicconditionsUnderstandsstepsofvaginalhysterectomyandperformsstraightforwardproceduresindependentlyIdentifiescomplicationsofvaginalhysterectomyandappropriatelyusesintra-operativeconsultation
ProficientlyandsafelyperformsstraightforwardvaginalhysterectomyEffectivelyassistsduringcomplexvaginalproceduresRecognizesanddevelopsmanagementstrategiesforintraoperativecomplicationsofvaginalsurgery
Effectivelyperformscomplexvaginalprocedures,withsupervisionManagescomplicationsofvaginalsurgery,withsupervisionCollaborateswithandprovidessubspecialty-specificconsultationtoothermembersofthehealthcareteam,withsupervision
IndependentlyandproficientlyperformscomplexvaginalproceduresAnticipates,diagnoses,andindependentlymanagesintra-operativecomplicationsrelatedtovaginalsurgeryIndependentlycollaborateswithandprovidessubspecialty-specificsurgicalconsultationtoothermembersofthehealthcareteamAppliesanevidence-basedapproachtoinnovativeandcomplextreatmentplansforbenigngynecologicconditionssurroundingvaginalsurgeryAbletoinstructresidentsinpropersurgicaltechniqueswithminimalguidance
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC4:SurgicalcareofBenignGynecologicConditions:MinimallyInvasiveTechniques-HysteroscopyLevel1 Level2 Level3 Level4IndependentlyconsidershysteroscopicapproachwhenappropriateforbenigngynecologicconditionsUnderstandsstepsofhysteroscopicsurgeryandresectionandperformsstraightforwardproceduresindependentlyIdentifiescomplicationsofhysteroscopyandoutlinesmanagementstrategies
ProficientlyandsafelyperformsstraightforwardhysteroscopicresectionsRecognizesanddevelopsmanagementstrategiesforintraoperativecomplicationsofhysteroscopy
Effectivelyperformscomplexhysteroscopicprocedures,withsupervisionManagescomplicationsofhysteroscopy,withsupervisionCollaborateswithandprovidessubspecialty-specificconsultationtoothermembersofthehealthcareteam,withsupervision
IndependentlyandproficientlyperformscomplexhysteroscopicproceduresAnticipates,diagnoses,andindependentlymanagesintra-operativecomplicationsrelatedtohysteroscopyIndependentlycollaborateswithandprovidessubspecialty-specificsurgicalconsultationtoothermembersofthehealthcareteamAppliesanevidence-basedapproachtoinnovativeandcomplextreatmentplansforbenigngynecologicconditionssurroundinghysteroscopicsurgeryAbletoinstructresidentsinpropersurgicaltechniqueswithminimalguidance
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC5:MedicalManagementofAbnormalUterineBleedingLevel1 Level2 Level3 Level4Demonstratesin-depthknowledgeofthephysiologyofthenormalmenstrualcycleDemonstratesabilitytoformulateadifferentialdiagnosisandperforminitialevaluationandtreatmentplanforpatientspresentingwithabnormaluterinebleedingDemonstratetheabilitytoutilizefocuseddiagnosticapproaches
Demonstratesanin-depthknowledgeregardingpatientspresentingwithtypicalabnormaluterinebleedingrelevanttovaryingpatternsofpresentation,comprehensivetreatmentoptions,andrefractorybleedingManagespatientswithcomplexandatypicalabnormaluterinebleedingwithacomprehensivemanagementplan,withsupervisionDemonstratestheabilitytoformulatecomprehensiveplansofmanagementforpatientswithmultipleand/orcomplexcomorbidities
IndependentlymanagespatientswithcomplexandatypicalabnormaluterinebleedingCollaboratesandprovidesconsultationtoothermembersofthehealthcareteamregardingabnormaluterinebleedingLeadsamultidisciplinaryteamforcareofpatientswithacuteandchronicabnormaluterinebleeding
Appliesinnovativeapproachestocomplexandatypicalabnormaluterinebleedingandimplementstreatmentplansbasedonemergingevidence
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC6:PerioperativeCare,includingSurgeryonSpecialPopulationsLevel1 Level2 Level3 Level4AssessespreoperativesurgicalriskandproposesamanagementplantooptimizesurgicaloutcomesinbenigngynecologicpatientsAnticipates,diagnoses,andmanagesmedicaldisordersandsurgicalcomplicationsinbenigngynecologicpatientsduringthepostoperativeperiod
Identifiesspecialpatientpopulationswhichrequiresupplementalpreoperativeassessmentandindividualizedmanagementstrategies,accordingtotheirspecificpresentationordisease-state(i.e.obesity,BRCA+status,adolescents)RecognizesmedicaldisordersandsurgicalcomplicationsinpatientswithcomplexbenigngynecologicconditionsProposesmanagementstrategiesformedicaldisordersandsurgicalcomplicationsinpatientswithcomplexbenigngynecologicconditions
Implementsaplantooptimizesurgicaloutcomesinspecialpatientpopulationswithcomplexbenigngynecologicconditions,withsupervisionParticipatesincriticalcaremanagementofgynecologicsurgicalpatientswithcomplexmedicaldisorders,withsupervisionCollaborateswithandprovidessubspecialty-specificconsultationtoothermembersoftheperi-operativehealthcareteam,withsupervision
Independentlyassessespre-operativesurgicalriskanddevelopsaplantooptimizesurgicaloutcomeinspecialpatientpopulationswithcomplexbenigngynecologicconditionsIndependentlycollaborateswithandprovidessubspecialty-specificconsultationtoothermembersoftheperi-operativehealthcareteam,includingcriticalcarespecialistsAppliesanevidence-basedapproachtoinnovativeperi-operativemanagementofsurgicallycomplexpatients
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC7:ManagementofLeiomyomataLevel1 Level2 Level3 Level4Demonstratetheabilitytoperforminitialevaluation,formulateafocuseddifferentialdiagnosis,andutilizefocuseddiagnosticapproachesforleiomyomataFormulateacomprehensivemanagementplan,withassistance
Demonstrateanin-depthknowledgeregardingevaluation,workup,andcounselingofpatientswithleiomyomataDemonstratestheabilitytoformulatecomprehensivemanagementplansforpatientsbasedonage,anatomiclocation,symptoms,andreproductivedesires
CollaboratesandprovidesconsultationtoothermembersofthehealthcareteamregardingleiomyomataIndependentlyimplementscomprehensivemanagementplansforpatientswithleiomyomata,includingsurgicalandmedicalmanagementoptions
IndependentlyandproficientlyperformscomplexproceduresonleiomyomataAnticipates,diagnoses,andindependentlymanagesintra-operativeanatomicchallengesandcomplicationsrelatedtoleiomyomataIndependentlycollaborateswithandprovidessubspecialty-specificsurgicalconsultationtoothermembersofthehealthcareteamAppliesinnovativeapproachestoleiomyomataandimplementstreatmentplansbasedonemergingevidence
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC8:ManagementofEndometriosisLevel1 Level2 Level3 Level4Demonstratetheabilitytoperforminitialevaluation,formulateafocuseddifferentialdiagnosis,andutilizefocuseddiagnosticapproachesforendometriosisFormulateacomprehensivemanagementplan,withassistance
Demonstrateanin-depthknowledgeregardingevaluation,workup,andcounselingofpatientswithendometriosisDemonstratestheabilitytoformulatecomprehensivemanagementplansforpatientsbasedonage,anatomiclocation,symptoms,andreproductivedesires
CollaboratesandprovidesconsultationtoothermembersofthehealthcareteamregardingendometriosisIndependentlyimplementscomprehensivemanagementplansforpatientswithendometriosis,includingsurgicalandmedicalmanagementoptionsConsultsotherservicesappropriatelyforendometriosisrelatedsurgicalissues
IndependentlyandproficientlyperformscomplexproceduresforendometriosisAnticipates,diagnoses,andindependentlymanagesintra-operativeanatomicchallengesandcomplicationsrelatedtoendometriosisIndependentlycollaborateswithandprovidessubspecialty-specificsurgicalconsultationtoothermembersofthehealthcareteamAppliesinnovativeapproachestoleiomyomataandimplementstreatmentplansbasedonemergingevidence
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC9:ManagementofAdnexalPathology/PelvicMassLevel1 Level2 Level3 Level4Demonstratetheabilitytoperforminitialevaluation,formulateafocuseddifferentialdiagnosis,andutilizefocuseddiagnosticapproachesforpelvicmassFormulateacomprehensivemanagementplan,withassistance
Demonstrateanin-depthknowledgeregardingevaluation,workup,andcounselingofpatientspresentingwithapelvicmassrelevanttovaryingpatternsofpresentationandcomprehensivetreatmentoptionsDemonstratetheabilitytoformulatecomprehensivemanagementplansforpatientsbasedonage,anatomiclocation,symptoms,andreproductivedesiresDeterminetheneedforconsultation,referral,ortransferofpatientsDemonstratestheabilitytoformulatecomprehensivemanagementplansforpatientswithmultipleand/orcomplexcomorbidities
CollaboratesandprovidesconsultationtoothermembersofthehealthcareteamregardingpelvicmassIndependentlyimplementscomprehensivemanagementplansforpatientswithadnexalpathology,includingsurgicalandmedicalmanagementoptionsConsultsotherservicesappropriatelyforsurgicalissuesrelatedtoadnexalpathology
Appliesinnovativeapproachestocomplexandatypicalpelvicmassandimplementstreatmentplansbasedonemergingevidence
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PC10:ManagementofPelvicPainLevel1 Level2 Level3 Level4DemonstratesabilitytoformulateadifferentialdiagnosisandperforminitialevaluationandtreatmentplanforpatientspresentingwithacuteorchronicpelvicpainDemonstratetheabilitytoutilizefocuseddiagnosticapproaches
Demonstrateanin-depthknowledgeregardingpatientspresentingwithacuteorchronicpelvicpainrelevanttovaryingpatternsofpresentation,treatmentoptions,andrefractorypelvicpainManagespatientswithcomplexandatypicalacuteandchronicpelvicpainwithacomprehensivemanagementplan,withsupervisionDemonstratestheabilitytoformulatecomprehensiveplansofmanagementforpatientswithmultipleand/orcomplexcomorbidities
IndependentlymanagespatientswithcomplexandatypicalacuteandchronicpelvicpainLeadsamultidisciplinaryteamforcareofpatientswithacuteorchronicpelvicpain
Appliesinnovativeapproachestocomplexandatypicalacuteandchronicpelvicpainandimplementstreatmentplansbasedonemergingevidence
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
MK1(Anatomy)Level1 Level2 Level3 Level4Demonstratesknowledgeofbasicpelvicanatomytoincludemajororgansincludingneurovascularandmusculoskeletalstructures
Demonstratesknowledgeofthevascularandnervesupplytoeachofthepelvicorgansandstructures,includingtheexternalgenitalia,uterus,adnexa,ureter,bladder,andrecto-sigmoidcolonDemonstratesknowledgeofnormalretroperitonealanatomy
AppliesknowledgeofnormalpelvicandabdominalanatomyinthesurgicalsettingDemonstratesknowledgeofpelvic,retroperitoneal,andupperabdominalanatomydistortedbybenigngynecologicconditions(i.e.endometriosis,fibroids,adnexalmass,adhesions,mülleriananomalies)
Appliesknowledgeofpelvic,retroperitoneal,andupperabdominalanatomydistortedbybenigngynecologicconditionsinacomplexsurgicalsettingAppliesknowledgeofanatomywhenreviewingdiagnosticstudies
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
MK2:MenstrualCyclePhysiologyandManagementofHormonalInterventionLevel1 Level2 Level3 Level4Understandsbasicreproductivephysiologyanddescribeshormonalchangesundernormalphysiologicconditions
EffectivelyassistsindiagnosingirregularitiesinmenstrualfunctionRecognizesanddevelopsmanagementstrategyforirregularitiesrelatedtomenstrualdysfunction,includingabnormaluterinebleeding,post-menopausalhormonaltherapy,andendometriosis
EffectivelydevelopstreatmentplansforirregularitiesrelatedtomenstrualdysfunctionManagesirregularitiesrelatedtomenstrualdysfunction,includingabnormaluterinebleeding,post-menopausalhormonaltherapy,andendometriosis,withsupervisionCollaborateswithandprovidessubspecialty-specificconsultationtoothermembersofthehealthcareteam,whenappropriate
IndependentlyandproficientlyperformsmedicaldecisionmakingrelatedtomenstrualdysfunctionAnticipates,diagnoses,andindependentlymanagescomplexmedicalsituationsrelatedtomenstrualdysfunction,includingabnormaluterinebleeding,hormonaltherapy,andendometriosis,whennotrespondingtofirst-lineinterventionIndependentlycollaborateswithandprovidessubspecialty-specificconsultationtoothermembersofthehealthcareteam
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
MK3:DiagnosticTechniquesandTreatmentPlanningLevel1 Level2 Level3 Level4Demonstratesknowledgeofbasicimagingmodalitiesusedtoevaluatepatientswithbenigngynecologicconditions(e.g.ultrasound,HSG,MRI)Demonstratesknowledgeofbasicdiagnostictechniquesusedtoevaluatepatientswithbenigngynecologicconditions(e.g.endometrialbiopsy,colposcopy)
Appliesknowledgeofimagingmodalitiesanddiagnostictechniquestoplanappropriatesurgicalormedicalinterventionforbenigngynecologicconditions
Collaborateswithradiologistorotherspecialiststodeterminewhichimagingmodalitiesordiagnostictechniqueswouldbemosthelpfulindiagnosisandmanagementplan
Appliesknowledgeofdiagnostictechniquestoformulatetreatmentplansinthemostcomplexsettingandadjuststreatmentplansaccordinglyforpatientswithabnormalresults
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
MK4:CongenitalAnomaliesLevel1 Level2 Level3 Level4Demonstratesknowledgeofbasicimagingmodalitiesusedtoevaluatepatientswithcongenitalanomalies(e.g.ultrasound,HSG,MRI)Demonstratesknowledgeofbasicdiagnostictechniquesusedtoevaluatepatientswithcongenitalanomalies
Appliesknowledgeofimagingmodalitiesanddiagnostictechniquestoplanappropriatesurgicalormedicalinterventionforcongenitalanomalies
Collaborateswithradiologistorotherspecialiststodeterminewhichimagingmodalitiesordiagnostictechniqueswouldbemosthelpfulindiagnosisandmanagementplan
Appliesknowledgeofpelvic,retroperitoneal,andupperabdominalanatomyinspecificcongenitalanomaliestoformulatecomprehensivepatientspecifictreatmentplansImplementsknowledgeofcongenitalanomalies,resultsofevaluation,andpatientfactorstoformulatecomplexcomprehensivetreatmentplansforpatientswithcongenitalanomaliesandutilizesthisinformationinmodifyingthesurgicalapproach
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
MK5:PelvicFloorDisordersLevel1 Level2 Level3 Level4Demonstratesthemedicalknowledgesurroundingpelvicfloordisordersinthediagnosis,evaluation,andcounselingofthesepatientsPerformssystematicevaluationofthepelvicfloorandordersappropriatetestingwithsupervisionFormulateacomprehensivemanagementplan,withassistance
AppliesknowledgeofpelvicfloordisorderstocounselpatientsregardingmedicalandsurgicaloptionsfortherapyFormulatesacomprehensivetreatmentplanforpatientswithpelvicfloordisorders
Collaborateswithotherspecialiststodeterminewhichtherapeuticmodalitiesordiagnostictechniqueswouldbemosthelpfulindiagnosisandmanagementplansofpatientswithcomplexpelvicfloordisorders
Appliesknowledgeofpelvicfloordisordersinacomplexsetting
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
SBP1:ComputerSystemsLevel1 Level2 Level3 Level4Retrievesbasicpatientinformationfromtheelectronicmedicalrecord(EMR)
RetrievescomplexpatientinformationfromtheEMR
Generatesorders,communicateswithreferringphysiciansandtrainees,anddocumentscommunicationwithpatients
UsesEMRtoitsfullpotential,andfacilitatesintegrationofcomputer-basedcommunicationwithteam
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐ SBP2:Value-basedPatientCare(Quality/Cost)Level1 Level2 Level3 Level4Demonstratesknowledgeofgeneralobstetricsandgynecologyguideline-basedcare(e.g.,AmericanCollegeofObstetriciansandGynecologists[ACOG]publications)Demonstratesknowledgeoftheimportanceofprovidingcost-effectivecareUnderstandsthediversityandrolesofallmembersofthehealthcareteam
Demonstratesknowledgeofguideline-basedcarespecifictominimallyinvasivegynecologyDemonstratesknowledgeofcostrelatedtodiagnosticandtreatmentplansDemonstratesknowledgeofpersonnelandresourcesneededtofacilitatevalue-based(highquality,cost-effective)care
Appliesknowledgeofguideline-basedcarespecifictominimallyinvasivegynecology,withsupervisionIncorporatescost-awarenessintothedevelopmentofdiagnosticandtreatmentplans,withsupervision(e.g.,formularydrugs,genericdrugs,tailoringofdiagnostictests)Coordinatespersonnelandresourcestofacilitatevalue-basedcare,withsupervision
Independentlyappliesknowledgeofguideline-basedcarespecifictominimallyinvasivegynecologyIndependentlyincorporatescost-awarenessintothedevelopmentofdiagnosticandtreatmentplansIndependentlycoordinatespersonnelandresourcestofacilitatevalue-basedcare
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PBLI1:ScholarlyactivityLevel1 Level2 Level3 Level4Criticallyreviewsandinterpretspublicationswiththeabilitytoidentifyhypotheses,studyaims,design,results,andlimitationsDemonstratesknowledgeofcommonlyusedstudydesigns(e.g.,randomizedcontrolledtrial[RCT],cohort,case-control)Demonstratesknowledgeofbasicprinciplesunderlyingtheethicalconductofresearchandtheprotectionofhumansubjects
Designsahypothesis-drivenorhypothesis-generatingscholarlythesis,underthedirectionofaresearchmentorDemonstratesknowledgeofadvancedstudydesignsandstatisticalmethodologyAppliestheprinciplesofethicsandgoodclinicalpracticetotheprotectionofhumansubjectsrecruitedtoparticipateinresearch,asindicated
Executesahypothesis-drivenorhypothesis-generatingscholarlythesis,underthedirectionofaresearchmentorAppliesknowledgeofadvancedstudydesignandstatisticalmethodologytoresearch,includingascholarlythesisComplieswithresearchoversightregulations
Completesanddefendsacomprehensivewrittenscholarlythesisthatdemonstrates:-advancedresearchmethodologyanddesign-statisticalanalysis-synthesisofscientificliterature,hypothesistesting,anddescriptionsoffindingsandresults
Comments:Notyetachievedlevel1:☐ PBLI2:Qualityimprovement(QI)Level1 Level2 Level3 Level4Identifiesproblemsinhealthcaredelivery
BeginsworkingonaQIproject,eitherasanindividualorasateammember
ContinuestodevelopaQIproject,employingmethodstomeasureandanalyzethedata
CompletesaQIproject,eitherasanindividualorteammemberDisplayseffectiveteamworkskills
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PROF1:ProfessionalethicsandaccountabilityLevel1 Level2 Level3 Level4Demonstratesintegrity,respect,honesty,andcompassionIshonestandtruthfulinallcircumstancesUnderstandsHIPAApoliciesandappropriateuseconceptsDemonstratestimelinessincompletionofassignedrotations,reports,statelicensure,andduties
Isaccountableincompletionofduties,records,andpatientcareIssensitiveandresponsivetodiversepatientpopulationandneeds,regardlessofgender,age,race,sexualorientation,religion,ordisabilitiesDemonstratesknowledgeofregulationsforbillingandcoding
Acknowledgeserrorswithprogramdirector,facultymembers,and/orpatientsRespondswelltoconstructivecriticismTakesonresponsibilityrelatedtolearning,coordinationofcare,patientcare,ContinuousQualityImprovement(CQI),andcomplianceissues
Servesasarolemodelforhonesty,integrity,professionalism,andcompassionatepatientcareDemonstratescommitmenttoself-improvementPrioritizesandadvocatesforpatientneedsoverself-interestOperatesprofessionallyandindependentlyinvariouseducationalandpatientcareenvironments
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
PROF2:Compassion,Integrity,andRespectforOthersLevel1 Level2 Level3 Level4Understandstheimportanceofcompassion,integrity,andrespectforothersDemonstratessensitivityandresponsivenesstopatients
Consistentlyshowscompassion,integrity,andrespectintypicalsituationswithpatients,peers,andmembersofthehealthcareteamConsistentlydemonstratessensitivityandresponsivenesstodiversityofpatients’ages,cultures,races,religions,abilities,orsexualorientationsAcceptsconstructivefeedbacktoimprovehisorherabilitytodemonstratecompassion,integrity,andrespectforothers
Consistentlyshowscompassion,integrity,andrespectforpatientswhodeclinemedicaladvice,requestun-indicatedtestsortreatments,orhavepsychiatriccomorbidities,andforteammembersexperiencingconflictorhighstressModifieshisorherownbehaviorbasedonfeedbacktoimprovehisorherabilitytodemonstratecompassion,integrity,andrespectforothers
Consistentlymodelscompassion,integrity,andrespectforothersCoachesotherstoimprovecompassion,integrity,andrespectforpatients
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
ICS1:TeamworkandCommunicationwithPhysiciansandOtherHealthProfessionalsLevel1 Level2 Level3 Level4Understandstheimportanceofrelationshipdevelopment,informationgatheringandsharing,andteamwork
Demonstratesanunderstandingoftherolesofhealthcareteammembers,andcommunicateseffectivelywithintheteamDemonstratesanunderstandingoftransitionsofcareandteamdebriefing
WorkseffectivelyininterprofessionalandinterdisciplinaryhealthcareteamsParticipatesineffectivetransitionsofcareandteamdebriefingCommunicateseffectivelywithphysiciansandotherhealthcareprofessionalsregardingpatientcare
LeadsinterprofessionalandinterdisciplinaryhealthcareteamstoachieveoptimaloutcomesLeadseffectivetransitionsofcareandteamdebriefingRespondstorequestsforconsultationinatimelymanner,andcommunicatesrecommendationstotherequestingteam
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐
ICS2:CommunicationwithPatientsandFamiliesLevel1 Level2 Level3 Level4DemonstratesadequatelisteningskillsCommunicateseffectivelyinroutineclinicalsituations
ChecksforpatientandfamilyunderstandingofillnessandmanagementplanAllowsforopportunitiesforpatientquestionsMaintainscommunicationwithpatientandfamilyregardingplanofcare
Communicateseffectivelywithpatientsandfamiliesacrossabroadrangeofsocio-economicandculturalbackgroundsCommunicateseffectivelyinstressful,emergent,andcomplexsituations(e.g.,complications,poorprognosis,patientdeath)
RolemodelseffectivecommunicationCapableofinformingpatientsandfamiliesaboutamedicalerrorthatcausedharm
☐ ☐ ☐ ☐ ☐ ☐ ☐ Comments:Notyetachievedlevel1:☐