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The spreadsheets contain five columns, with the learning objectives stated in the first column. The level of competence shown in the second column were derived from the work of George E. Miller1, and represent the desired level of competence an undifferentiated student should achieve for each stated objective. The first level, Knows, is achieved when the learner gathers facts. At the level of Knows How, facts are interpreted and applied to given situations. Demonstrating that this is accomplished occurs at the competency level of Shows How. At the highest tier, Does, the student integrates his or her knowledge and skills into actual professional practice. Click here for the Levels of Competence page. The third column lists the assessment tools appropriate for evaluating a student's mastery of each objective (i.e. multiple choice questions (MCQs), essays or objective structured clinical examinations). Most of these tools have been formally described as a part of the Accreditation Council for Graduate Medical Education (ACGME) Outcome Project and are accessible on-line at www.ACGME.org. Click here for the Evaluation Methods page. The fourth column is similarly linked to the ACGME Outcome Project General Competencies. As part of this effort, the ACGME has defined the skills and behaviors to be expected from all graduating residents. Examples include interviewing, working with a team, and creating therapeutic relationships with patients. As many of these skills are initially taught in and can be evaluated in medical school, we were inspired to consider medical students as lifelong learners. The ACGME competencies list is available at http://www.acgme.org/outcome/comp/compHome.asp. In the interest of keeping the tables short, the ACGME competencies were keyed as follows: 1.a. Patient Care - Caring and Respectful Behaviors; 1.b. Patient Care - Interviewing; 1.c. Patient Care - Informed Decision-making, etc. They are more fully described in the table ACGME Competencies: Suggested Best Methods of Evaluation. Click here for the ACGME Competencies and Required Skills page. The final column, essentially a reference list, is included to facilitate the acquisition and dissemination of evidence-based knowledge on each topic. Whenever possible, we suggest sources that are continuously updated, and provide the most current information. 1 Miller, GE. The assessment of clinical skills / competence / performance. Acad Med 1990;65:S63-7. |
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