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	INTERNAL MEDICINE POLICIES & PROCEDURES Internal Medicine Policy for Competencies to be Achieved by the R3 Prior to Graduation	Policy Number : 23
		Date Issued : 1/2003
		Prior Revision Date :
		Date Revised :

PURPOSE

To provide R3 with competencies to be achieved prior to graduation.

SCOPE

Applies to all interns and residents (hereafter all will be referred to as trainees) in the Internal Medicine training program on the Presbyterian Hospital of Dallas campus.

PROVISIONS

The third year of residency is the year of synthesis. It is during this year that one learns to practice the art of medicine, not just the science.

The third year of residency is the time for developing oneself in the areas of self-assessment, career planning, and professional development. It is the year of bringing together the life long roles of teacher and student – pursuing knowledge, and passing it on.

Patient Care Duties:

In-patient
- All the competencies required of an R1 and R2
Out-patient
- All the competencies required of and R1 and R2
Consult
- All the competencies required of an R2

Knowledge: The third year resident is expected to demonstrate an active, ongoing pursuit of knowledge and the application of that knowledge to the care of patients, teaching, and improving patient care. One is expected to attend lectures, read textbooks and use the medical literature.

Interpersonal and Communication Skills: All competencies of an R1 and R2. In addition, the R3 should be skilled at communicating with any patient or peer, in any situation, in a manner expected of the medical profession.

Practice-Based Learning: All the competencies of an R1 and R2. It is during this year that the resident must inventory one’s knowledge and skills gained in the last two years. The resident should make a written assessment of areas of strength and weakness and develop a written plan to address the areas of weakness. This assessment should be done regarding al the competencies. This assessment should be discussed early in the year with a mentor, setting goals and meeting periodically to evaluate progress.

Professionalism: All the competencies of an R1 and R2. The third year resident must incorporate into the practice of medicine all of the skills and attitudes outlined in the Charter on Professionalism written by the ABIM/ACP. (See attached) The self-assessment should address the strengths and weaknesses in this area, with goals to correct the weaknesses.

System–Based Practice: All the competencies of an R1 and R2.


	MARK FELDMAN, M.D. Chairman, Internal Medicine Program Director, Internal Medicine	BRUCE BOUGENO Vice President, Medical Staff Affairs