Template:WikEM elective goals and objectives

WikEM elective goals and objectives

  • A wide variety of suggested objectives are listed with corresponding milestones to help fit the needs of individual learning plans and asynchronous learning needs. Those seeking to create individualized goals and objectives for elective documentation purposes can select relevant sections to build a personalized elective proposal for their residency leadership and/or Graduate Medical Education office to review.
  • At the completion of the elective, the resident should be able to:
Sample Objectives Associated milestones
Organize and construct clinical features for selected disease processes, syndromes, or chief complaints.

Integrate classification criteria into new or existing clinical feature sections.

Performance of Focused History and Physical Exam (PC2) Abstracts current findings in a patient with multiple chronic medical problems and, when appropriate, compares with a prior medical record and identifies significant differences between the current presentation and past presentations
  • Level 4- Synthesizes essential data necessary for the correct management of patients using all potential sources of data
  • Level 5- Identifies obscure, occult or rare patient conditions based solely on historical and physical exam findings
Critique existing literature regarding diagnostic testing for applications and limitations. Construct or modify sections to assist users with result interpretation. Diagnostic Studies (PC3) Applies the results of diagnostic testing based on the probability of disease and the likelihood of test results altering management.
  • Level 2- Orders appropriate diagnostic studies
  • Level 3- Interprets results of a diagnostic study, recognizing limitations and risks, seeking interpretive assistance when appropriate. Reviews risks, benefits, contraindications, and alternatives to a diagnostic study or procedure
  • Level 5- Discriminates between subtle and/or conflicting diagnostic results in the context of the patient presentation
Build, design, or update differential diagnoses sections for specific chief complaints, syndromes, or disease processes.

Categorize differentials via severity, organ systems, or other classifications to assist users with prioritization and management.

Diagnosis (PC4) Based on all of the available data, narrows and prioritizes the list of weighted differential diagnoses to determine appropriate management
  • Level 1- Constructs a list of potential diagnoses based on chief complaint and initial assessment
  • Level 3- Uses all available medical information to develop a list of ranked differential diagnoses including those with the greatest potential for morbidity or mortality
  • Level 4- Synthesizes all of the available data and narrows and prioritizes the list of weighted differential diagnoses to determine appropriate management
Formulate treatment recommendations from existing literature in a concise format organized via severity, target organ systems, or disposition. Pharmacotherapy (PC5) Selects and prescribes, appropriate pharmaceutical agents based upon relevant considerations such as mechanism of action, intended effect, financial considerations, possible adverse effects, patient preferences, allergies, potential drug-food and drug-drug interactions, institutional policies, and clinical guidelines; and effectively combines agents and monitors and intervenes in the advent of adverse effects in the ED.
  • Level 1- Knows the different classifications of pharmacologic agents and their mechanism of action.
  • Level 2- Applies medical knowledge for selection of appropriate agent for therapeutic intervention Considers potential adverse effects of pharmacotherapy
  • Level 3- Considers array of drug therapy for treatment. Selects appropriate agent based on mechanism of action, intended effect, and anticipates potential adverse side effects.
Judge current recommended management and disposition plans then update articles to reflect new evidence. Justify updates by synthesizing relevant medical literature into concise recommendations. Disposition (PC7) Establishes and implements a comprehensive disposition plan that uses appropriate consultation resources; patient education regarding diagnosis; treatment plan; medications; and time and location specific disposition instructions
Construct or edit procedural guides to assist point of care users via clear illustrations and instructions. Link relevant work up, complications, and external articles. General Approach to Procedures (PC9) Performs the indicated procedure on all appropriate patients (including those who are uncooperative, at the extremes of age, hemodynamically unstable and those who have multiple co-morbidities, poorly defined anatomy, high risk for pain or procedural complications, sedation requirement), takes steps to avoid potential complications, and recognizes the outcome and/or complications resulting from the procedure.
  • Level 2- Knows indications, contraindications, anatomic landmarks, equipment, anesthetic and procedural technique, and potential complications for common ED procedures
  • Level 3- Correctly interprets the results of a diagnostic procedure
  • Level 5- Teaches procedural competency and corrects mistakes
Critique new bedside ultrasound applications in the literature and create articles to assist in acquisition and interpretation of images. Other Diagnostic and Therapeutic Procedures: Goal-directed Focused Ultrasound (Diagnostic/Procedural) (PC12) Uses goal-directed focused Ultrasound for the bedside diagnostic evaluation of emergency medical conditions and diagnoses, resuscitation of the acutely ill or injured patient, and procedural guidance.
Implement an independent reading plan that reviews existing literature to build a portfolio of evidence based articles. Medical Knowledge (MK) Demonstrates appropriate medical knowledge in the care of emergency medicine patients.
Use an open access contribution system to assist providers via a point of care resource. Technology (SBP3) Uses technology to accomplish and document safe healthcare delivery.