SCS Programs and Assessments in Core Competencies

Section I - Osteopathic Principles and Practice

Resident Self-Assessment in all 7 competencies available on-line January 1, 2006

Contact Jon Rohrer, Ph.D. for information - rohrerjo@msu.edu, 517.353.9155

Definition: Residents are expected to demonstrate and apply knowledge of accepted standards in Osteopathic Manipulative Treatment (OMT) appropriate to their specialty. The educational goal is to train a skilled and competent osteopathic practitioner who remains dedicated to life-long learning and to practice habits in osteopathic philosophy and manipulative medicine.

1. Demonstrate competency in the understanding and application of OMT appropriate to the medical specialty.

2. Integrate Osteopathic Concepts and OMT into the medical care provided to patients as appropriate.

3. Understand and integrate Osteopathic Principles and Philosophy into all clinical and patient care activities.

OPP/OMM Courses and Modules (Gray items are in development)

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
"Osteopathic Musculoskeletal Exam for the Hospitalized Patient" OPP Module Series	OPP and OMM Competency 1, 2, 3	OME for interns Resident specialties for other modules as applicable	SCS website - requires high-speed connection By CD through Central Office of SCS	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and Post Self-Assessment Content Exam Scores Competency check list done on site
"Osteopathic Treatment of the Postoperative Laparotomy Patient" OPP Module Series	OPP and OMM Competency 1, 2, 3	Resident specialties as applicable	On-line at SCS website - requires high-speed connection By CD through Central Office of SCS	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and Post Self-Assessment Content Exam Scores Competency check list done on site
"The Treatment of the COPD Patient” OPP Module Series	OPP and OMM Competency 1, 2, 3	Resident specialties as applicable	Available January 1, 2006	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and Post Self-Assessment Content Exam Scores Competency check list done on site
"The Treatment of the OB/GYN Patient” OPP Module Series	OPP and OMM Competency 1, 2, 3	Resident specialties as applicable	Available January 1, 2006	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and Post Self-Assessment Content Exam Scores Competency check list done on site

OPP/OMM Assessment Tools and Instruments

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
OMT Specialty Protocol: OB/GYN Service	OPP and OMM Competency 1, 2, 3	Specialty Resident Services	SCS OPP Committee	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Resident document done on site

Section II - Medical Knowledge

Definition: Residents are expected to demonstrate and apply knowledge of accepted standards of clinical medicine in their respective specialty area, remain current with new developments in medicine, and participate in life-long learning activities, including research.

1. Demonstrate competency in the understanding and application of clinical medicine to patient care.

2. Know and apply the foundations of clinical and behavioral medicine appropriate to their discipline.

Medical Knowledge Courses and Modules (Gray items are in development)

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio

Medical Knowledge Assessment Tools and Instruments

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio

Section III - Patient Care

Definition: Residents must demonstrate the ability to effectively treat patients, provide medical care that incorporates the osteopathic philosophy, patient empathy, awareness of behavioral issues, the incorporation of preventive medicine, and health promotion.

1. Gather accurate, essential information for all sources, including medical interviews, physical examinations, medical records, and diagnostic/therapeutic plans and treatments.

2. Validate competency in the performance of diagnosis, treatment and procedures appropriate to the medical specialty.

3. Provide health care services consistent with osteopathic philosophy, including preventative medicine and health promotion that are based on currently scientific evidence.

Patient Care Courses and Modules (Gray items are in development)

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
“Sex in Your Soaps” by Edma R. Bick, D.O. A primary care curriculum that incorporates sexuality into patient care.	Patient Care 3 Professionalism 1,2,3 Interpersonal Communication Skills 1,2 OPP and OMM 3	Primary Care Residents	Available in CD-ROM as part of the FM Academic Physician Leaders Program	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and Post test assessment
"Children’s Behavioral Health" by Lauren Vogel, D.O. Focuses on working with children who present to a family practice with behavioral problems.	Patient Care 1, 2 Interpersonal and Communication Skills 1	Primary Care Residents	Available in CD-ROM as part of the FM Academic Physician Leaders Program	Jon Rohrer, Ph.D. rohrerjo@msu.edu
"Counseling Patients on Health Promotion" SCS Web-based module	Patient Care 3 Professionalism 1,2,3 Interpersonal Communication Skills 1,2 OPP and OMM 3	PGY 1 Residents	Available January 1, 2006	Eric Zemper, Ph.D. zemp@med.umich.edu Jon Rohrer, Ph.D. rohrerjo@msu.edu	Certificate of completion

Patient Care Assessment Tools and Instruments

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
360 Degree Resident Evaluation in Patient Care	Patient Care 1, 2, 3	All years of training	Available July 1, 2006 Pilot begins October, 2005	Eric Zemper, Ph.D. zemp@med.umich.edu Jon Rohrer, Ph.D. rohrerjo@msu.edu	Online report of assessment sent to resident and Program Director
Portfolio Form Demonstrating Successful Patient Counseling	Patient Care 3				Resident Document done on site

Section IV - Interpersonal and Communication Skills

Definition: Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams.

1. Demonstrate effectiveness in developing appropriate doctor-patient relationships.

2. Exhibit effective listening, written and oral communication skills in professional interactions with patients, families and other health professionals.

Interpersonal and Communication Skills Courses and Modules (Gray items are in development)

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
"Everything You Need to Know to Find a Job But Won’t Learn in Residency Training" Educational Program	Interpersonal and Communication Skills 1, 2 Professionalism 1	Junior and Senior Residents	Spring of each program year	Patricia Galey galey@msu.edu	Certificate of completion
"All Aboard the ‘Train’ to Leadership and Teaching Skills" By Carolyn Nelson, D.O.	Interpersonal and Communication Skills 1, 2 Practice-based Learning 1	Primary Care Residents	Available in CD ROM as part of the FM Academic Physician Leaders Program	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Discussion & observational assessment; products: Pre- Post-tests

Section V - Professionalism

Definition: Residents are expected to uphold the Osteopathic Oath in the conduct of their professional activities that promote advocacy of patient welfare, adherence to ethical principles, collaboration with health professionals, life-long learning, and sensitivity to a diverse patient population. Residents should be cognizant of their own physical and mental health in order to effectively care for patients.

1. Demonstrate respect for patients and families and advocate for the primacy of patient’s welfare and autonomy.

2. Adhere to ethical principles in the practice of medicine.

3. Demonstrate awareness and proper attention to issues of culture, religion, age, gender, sexual orientation, and mental and physical disabilities.

Professionalism Courses and Modules (Gray items are in development)

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
"Biomedical Ethics"	Professionalism 1, 2 Interpersonal and Communication Skills 2	PGY 1 Residents	November 8, 2005 Registration required through SCS Educational Coordinator	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and post-assessment prior to course on line provided as report to and PD
"Integration of Ethics into Clinical Practice" - 8 Modules of Faculty Development	Professionalism 2	Faculty Development for Program Directors	Contact SCS Central Office 517-353-9155 scs@msu.edu	Jon Rohrer, Ph.D. rohrerjo@msu.edu	No Portfolio entry for residents

Professionalism Assessment Tools and Instruments

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
Assessment of Ethics Competencies	Professionalism 2	PGY 1 Residents	Contact SCS Central Office 517-353-9155 scs@msu.edu	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Report of Assessment sent to resident and PD

Section VI - Practice-Based Learning and Improvement

Definition: Residents must demonstrate the ability to critically evaluate their methods of clinical practice, integrate evidence-based medicine into patient care, show an understanding of research methods, and improve patient care practices.

1. Treat patients in a manner consistent with the most up-to-date information on diagnostic and therapeutic effectiveness.

2. Perform self-evaluations of clinical practice patterns and practice-based improvement activities using a systematic methodology.

3. Understand research methods, medical informatics, and the application of technology as applied to medicine.

Practice-Based Learning and Improvement Courses and Modules (Gray items are in development)

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
"Evidence Based Medicine and Information Mastery" By Mark Bates, M.D. Seven teaching sessions with PowerPoint, exercises, and assessment for trainers to teach on site to residents	Practice Based Learning and Improvement 1, 2, 3 Medical Knowledge 1	First and Second Year Residents	Available in CD ROM as part of the FM Academic Physician Leaders Program	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and post test assessment

Practice-Based Learning and Improvement Assessment Tools and Instruments

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio

Practice-Based Learning and Improvement Courses and Modules
Programs at SCS and other sites

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
SCS Introduction to Clinical Research Web-Based Course -Using Hulley Text -Provides Basic Terms/Concepts -Provides Feedback -Sets Up Resident for Research Requirement(s) as needed by Specialty Colleges & AOA Mandates -Provides Residents with Appropriate Resources to Conduct Studies at Community Based Hospitals	Practice-Based Learning and Improvement, 2,3 Medical Knowledge 1	Interns/PGY 1 & 2 Residents	Web-Based/Online	Jon Rohrer, Ph.D. rohrerjo @msu.edu	Certificate of Completion Pre/Post Assessment Project Proposal for Specialty College/Other

Practice-Based Learning and Improvement Assessment Tools and Instruments
Programs at SCS and other sites

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
Pre/Post Knowledge Assessment of Clinical Research Skills	Practice-Based Learning and Improvement, 2, 3	Interns/ PGY 1 & 2 Residents	Web-based Online	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre/Post Assessment *Project Proposal

Section VII - Systems-Based Practice

Definition: Residents are expected to demonstrate an understanding of health care delivery systems, provide effective and qualitative patient care within the system, and practice cost-effective medicine.

1. Understand national and local health care delivery systems and how they impact on patient care and professional practice.

2. Advocate for quality health care on behalf of patients and assist them in their interactions with the complexities of the medical system.

Systems-Based Practice Patient Care Courses and Modules (Gray items are in development)

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio
Practice Management Seminar -Practice Models -Insurance needs: Liability, protective, employee -Financial & Accounting: personal & professional	Systems Based Practice 1 & 2 Practice-based Learning & Improvement 2 Professionalism1 & 2 Interpersonal and Communication Skills1 & 2 Patient Care 3	Senior Residents	August 19, 2005 Registration required through SCS	Patricia Galey galey@msu.edu 517.432.0488	Pre/Post test
Systems-based Practice Seminar (11/05) -Relationship of systems and the delivery of quality of care -Overview health care delivery systems in the U.S. with a focus on managed care -How systems impact delivery of care -Finances, resource allocation -Teams in health care delivery -Patient safety	Systems Based Practice 1 & 2 Practice-based Learning & Improvement 2 Professionalism1 & 2 Interpersonal and Communication Skills1 & 2 Patient Care 3	Senior Residents	November 11, 2005 Registration required through SCS	Patricia Galey galey@msu.edu 517.432.0488	Pre/Post test
"Managed Care: Can’t Live with and Can’t Live Without It" by Brenda Fortunate, D.O. Modules provide knowledge and skills for effective practice as a primary care provider in Managed care contract systems.	Systems Based Practice 1	Primary Care Residents	Available in CD ROM as part of the FM Academic Physician Leaders Program	Jon Rohrer, Ph.D. rohrerjo@msu.edu	Pre and post test assessment
Systems-Based Practice Modules – Replaces Educational Days in Practice Management and Systems Based Practice -“Systems-Based Practice: Definitions and Overview -“Impact of Systems and the Delivery of Quality of Care.” -“Overview of Common Health Care Delivery Systems in the U.S. with Focus on Managed Care.” -“How Systems Impact Delivery of Care and Patient Safety” -”Finances, Resource Allocation and Debt Management” -Importance of Teams in Health Delivery” -“Insurance Needs for the Practice, Professional and Workers”	Systems Based Practice 1 & 2 Practice-based Learning & Improvement 2 Professionalism1 & 2 Interpersonal and Communication Skills1 & 2 Patient Care 3	Senior Residents Junior Faculty	Available January 06 Replaces Educational Days in Practice Management and Systems Based Practice	Kathleen J. Dobbs, PA-C, MS dobbsk@msu.edu	Pre/Post test

Systems-Based Practice Assessment Tools and Instruments

Course Description	All AOA Competency Objectives Addressed	Targeted Audience	Availability / Access	Contact Person	Outcome Document for Portfolio

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