Milestones

Patient Care 1: History

Level 1





speech input

speech input


Level 2

Elicits and concisely reports a hypothesis driven patient history for common patient presentations
speech input


Independently obtain data from secondary sources
speech input


Level 3

Elicit and concisely reports a hypothesis-driven patient history this complex patient presentation
speech input


Reconcile current data with secondary sources
speech input


Level 4

Efficiently elicit and
concisely report a patient history, incorporating pertinent psychosocial and other determinants of health
speech input


Use history and secondary data to guide the need for further diagnostic testing
speech input


Level 5

Efficiently and effectively tailor the history taking, including relevant historical subtleties, based on patient, family, and system needs
speech input


Model effective use of history to guide the need for further diagnostic testing
speech input


Patient Care 2: Physical Examination


Level 1

Perform a general physical examination while attending to patient comfort and safety
speech input


Identify common abnormal findings
speech input


Level 2

Document a hypothesis-driven physical examination for a common patient presentation
speech input


Interpret common abnormal findings
speech input


Level 3

Document a hypothesisdriven physical examination for a complex patient presentation
speech input


Identify and interpret uncommon and complex abnormal findings
speech input


Level 4

Reference use of advanced maneuvers to elicit subtle findings
speech input


Integrate subtle physical examination findings to guide diagnosis and management
speech input


Level 5

Model effective evidence-based physical examination technique
speech input


Teach the predictive value of the examination findings to guide
diagnosis and management
speech input


Patient Care 3: Clinical Reasoning

Level 1

Organize and accurately summarize information obtained from the patient evaluation to develop a clinical impression
speech input


Level 2

Integrate information from all sources to develop a basic differential diagnosis for this patient's presentation
speech input


Identify clinical reasoning errors within patient care, with guidance
speech input


Level 3

Develop a thorough and prioritized differential diagnosis for this
patient's presentation
speech input


Retrospectively apply clinical reasoning principles to identify
errors
speech input


Level 4

Develop prioritized differential diagnoses in this patient presentation and incorporate subtle, unusual, or conflicting findings
speech input


Continually re-appraise the clinical reasoning to improve patient care in real time
speech input


Level 5

Develop prioritized differential diagnoses in this complex patient presentation
speech input


Model how to recognize error and reflect upon one’s own clinical
reasoning
speech input


Patient Care 4: Patient Management – Inpatient

Level 1

Formulate management plan for each
condition, with guidance
speech input


Identify opportunities to maintain and promote health
speech input


Level 2

Develop and implement management plans for each condition, recognizing acuity, and modify based on the clinical course
speech input


Develop and implement management plans to maintain and promote health, with guidance
speech input


Level 3

Develops and implements value-based (high value) management plans for patients with multisystem disease and comorbid conditions; modify based on the clinical course
speech input


Level 4

Independently develop and implement plan to maintain and promote health, incorporating pertinent psychosocial and other determinants of health
speech input


Use shared decision making to develop and implement value-based (high value) comprehensive
management plans for this patient's comorbid and multisystem disease, including those conditions requiring critical care
speech input


Level 5

Independently develop and implements comprehensive plans to maintain and promote health, incorporating pertinent psychosocial and other determinants of health
speech input


Develop and implement comprehensive
management plans for rare or ambiguous presentations or unusual comorbid conditions
speech input
Patient Care 1: History

Level 1





speech input

speech input


Level 2

Elicits and concisely reports a hypothesis driven patient history for common patient presentations
speech input


Independently obtain data from secondary sources
speech input


Level 3

Elicit and concisely reports a hypothesis-driven patient history this complex patient presentation
speech input


Reconcile current data with secondary sources
speech input


Level 4

Efficiently elicit and
concisely report a patient history, incorporating pertinent psychosocial and other determinants of health
speech input


Use history and secondary data to guide the need for further diagnostic testing
speech input


Level 5

Efficiently and effectively tailor the history taking, including relevant historical subtleties, based on patient, family, and system needs
speech input


Model effective use of history to guide the need for further diagnostic testing
speech input


Patient Care 2: Physical Examination


Level 1

Perform a general physical examination while attending to patient comfort and safety
speech input


Identify common abnormal findings
speech input


Level 2

Document a hypothesis-driven physical examination for a common patient presentation
speech input


Interpret common abnormal findings
speech input


Level 3

Document a hypothesisdriven physical examination for a complex patient presentation
speech input


Identify and interpret uncommon and complex abnormal findings
speech input


Level 4

Reference use of advanced maneuvers to elicit subtle findings
speech input


Integrate subtle physical examination findings to guide diagnosis and management
speech input


Level 5

Model effective evidence-based physical examination technique
speech input


Teach the predictive value of the examination findings to guide
diagnosis and management
speech input


Patient Care 3: Clinical Reasoning

Level 1

Organize and accurately summarize information obtained from the patient evaluation to develop a clinical impression
speech input


Level 2

Integrate information from all sources to develop a basic differential diagnosis for this patient's presentation
speech input


Identify clinical reasoning errors within patient care, with guidance
speech input


Level 3

Develop a thorough and prioritized differential diagnosis for this
patient's presentation
speech input


Retrospectively apply clinical reasoning principles to identify
errors
speech input


Level 4

Develop prioritized differential diagnoses in this patient presentation and incorporate subtle, unusual, or conflicting findings
speech input


Continually re-appraise the clinical reasoning to improve patient care in real time
speech input


Level 5

Develop prioritized differential diagnoses in this complex patient presentation
speech input


Model how to recognize error and reflect upon one’s own clinical
reasoning
speech input


Patient Care 4: Patient Management – Inpatient

Level 1

Formulate management plan for each
condition, with guidance
speech input


Identify opportunities to maintain and promote health
speech input


Level 2

Develop and implement management plans for each condition, recognizing acuity, and modify based on the clinical course
speech input


Develop and implement management plans to maintain and promote health, with guidance
speech input


Level 3

Develops and implements value-based (high value) management plans for patients with multisystem disease and comorbid conditions; modify based on the clinical course
speech input


Level 4

Independently develop and implement plan to maintain and promote health, incorporating pertinent psychosocial and other determinants of health
speech input


Use shared decision making to develop and implement value-based (high value) comprehensive
management plans for this patient's comorbid and multisystem disease, including those conditions requiring critical care
speech input


Level 5

Independently develop and implements comprehensive plans to maintain and promote health, incorporating pertinent psychosocial and other determinants of health
speech input


Develop and implement comprehensive
management plans for rare or ambiguous presentations or unusual comorbid conditions
speech input

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 547 boilerplate words
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