Women's Health Care Competencies for Medical Students
 APGO

Competency Area II.
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Graduates of medical schools will be able to:
II.  Effectively communicate with patients, demonstrating awareness of gender and cultural differences.



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Competence		 Evaluation
Method		 ACGME
Comp
a.  Describe how the patient's ideas, feelings, beliefs, expectations, and experience of illness affect health outcomes. 
Knows How  MCQ, Oral, Essay  5c 
b.  Describe the correlation between specific communication skills and clinical outcomes. 
Knows How  MCQ, Oral, Essay  4a, 5c 
c.  Describe how sex, sexuality, gender, and sociocultural factors affect communication by and with female patients. 
Knows How  MCQ, Oral, Essay  4a, 5c 
d.  Describe how sex and gender differences affect the power differential and the formation of a therapeutic relationship between the clinician and patient. 
Knows How  MCQ, Oral, Essay  4a, 5a, 5b, 5c 
e.  Demonstrate how to gather comprehensive information regarding issues that are unique to or manifest differently in women, including menstrual and reproductive history, body image, substance abuse, mental health, sexual history, personal violence, contraception, and incontinence. 
Shows How  SP, OSCE  1a, 1b, 4a, 4b, 5a, 5b 
f.  Integrate appropriate screening questions for the identification of substance abuse, high-risk sexual activity, and interpersonal violence or abuse in a manner that demonstrates empathy, respect, and cultural sensitivity. 
Shows How  SP, OSCE  1a, 1b, 4a, 4b, 5c 
g.  Demonstrate the ability to perform a danger assessment in a woman who discloses violence or abuse. 
Shows How  SP, OSCE  1b, 4a, 4b, 5a, 5c 
h.  Demonstrate skills that build trust by addressing contextual factors, such as culture, ethnicity, gender, language/literacy, socioeconomic class, spirituality/religion, age, sexual orientation, disability, and care-giving responsibilities. 
Shows How  SP, OSCE  4a, 4b, 5c 
i.  Respond to patients' emotions using nonverbal and verbal skills, including reflecting, legitimizing/validating, expressing support, expressing partnership, and expressing respect. 
Shows How  SP, OSCE  1a, 4a, 4b 
j.  Demonstrate how to share control of the interview by using facilitative nonverbal behavior, using language the patient can understand, eliciting the patient's concerns and expectations for the encounter, and negotiating a consensual agenda for the encounter. 
Shows How  SP, OSCE  1a, 1b, 4a, 5a, 5c 
k.  Demonstrate a strategy to provide counseling about family planning and safe sex methods. 
Shows How  SP, OSCE  1e, 5a, 5c 
l.  Demonstrate shared responsibility for health decisions by identifying and negotiating areas of agreement and disagreement, and by identifying gender and cultural barriers and enablers to adherence. 
Shows How  SP, OSCE  4a 
m.  Propose a plan to explain both normal and abnormal results in a sensitive manner, and to educate the patient about the follow-up process using words and written information the patient can understand. 
Shows How  SP, OSCE  1d, 1e, 5b, 5c