Table 2 a, b, and c The new Patient Care 1, 2, and 3 (PC1. PC2, and PC3) of Milestones 2.0
From: Pediatric Endocrinology Milestones 2.0—guide to their implementation
Level 1 | Level 2 | Level 3 | Level 4 | Level 5 |
|---|---|---|---|---|
a. PC1: History | ||||
Acquires a comprehensive and developmentally appropriate pediatric medical history Reviews available medical records | Acquires an endocrine history and a comprehensive pediatric medical history, including pubertal development and other pertinent positives and negatives Identifies relevant findings in the medical record | Acquires a tailored endocrine history, including growth, historical subtleties, and psychosocial aspects Independently requests additional information to supplement available medical records | Efficiently integrates the patient history with the complete medical record, supplemental information, and tailored assessment of potential endocrine disorders | Is identified as a peer resource in interpreting subtleties and recognizing ambiguities in the patient history |
b. PC2: Physical Exam | ||||
Performs a developmentally appropriate complete physical examination, with awareness of patient comfort | Performs a developmentally appropriate complete physical examination using strategies to optimize patient comfort and identifies abnormal endocrine findings | Performs a tailored physical examination using strategies to optimize patient comfort and identifies subtle abnormal endocrine findings | Detects, pursues, and integrates key physical examination findings to distinguish nuances among competing, often similar diagnoses | Is identified as a peer resource for performing tailored physical exams, maximizing patient comfort |
c. PC3: Patient Management | ||||
Reports and implements management plans developed by others for routine endocrine presentations | Develops and implements management plans that require modification for routine endocrine presentations | Develops and implements management plans for routine endocrine presentations | Develops and implements management plans for complex endocrine presentations, and modifies plans as necessary | Is identified as a peer resource for development of management plans for complex endocrine presentations, and modifies plans as necessary |