From: A web-based simulation of a longitudinal clinic used in a 4-week ambulatory rotation: a cohort study
Diagnosis |
1. Identify pertinent features on history and physical examination |
2. Describe diagnostic tests used to evaluate a patient, including their cost-effectiveness |
3. List the differential diagnosis for a patient based on his/her clinical presentation |
Natural history |
1. Classify a patient's current state in the natural history of a chronic condition |
2. Describe, to a patient, the expected course of their condition without treatment |
3. Order tests, if necessary, to monitor the course of a chronic condition |
Treatment |
1. Describe, to a patient, and compare treatment options including: mechanism of action; benefits, including efficacy and time course; risks, including adverse effects |
2. Order tests, if necessary, to monitor treatment efficacy and/or adverse effects |
3. Analyze data to determine changes in treatment that is required |
4. Discuss an appropriate duration of treatment for a chronic condition |
5. Detect if treatment has failed, and select alternate treatment options |
Special situations |
1. Provide prepregnancy counseling to a woman with a chronic condition, including: how her condition will affect fertility; how or if her condition will change during pregnancy; how the condition will affect her during pregnancy; how the condition will affect the fetus during pregnancy; the likelihood her baby will develop the same condition, management or treatment that should take place prior to conception |
2. Formulate a management plan for a pregnant woman with a chronic medical condition |
3. Manage a patient with a chronic medical problem during the peripartum period |
4. Formulate a management plan for a woman with a chronic medical condition during the immediate and later post-partum period |
Practice management |
1. Discuss the criteria by which requests for consultation should be prioritized as urgent |
2. Discuss an appropriate time frame to arrange follow-up care in the case of: a patient in whom the diagnosis has not been made; a patient in whom you've initiated therapy; a patient on therapy who has not been stabilized; a patient on therapy who has been stabilized |
3. Discuss factors that influence whether a patient can be followed his/her primary care physician for a medical condition |
4. Describe key recommendations that should be made to a primary care physician who will be following a patient for a medical condition |