City School of Medicine. Acad Med. 2020;95(9 suppl).
Supplemental Digital Content
Supplemental Digital Appendix 1 Curriculum Schematic.………..2 Supplemental Digital Appendix 2 Program Objectives and
Assessment Methods……….4
Supplemental Digital Appendix 1 Curriculum Schematic
Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8 Block 9 Block 10 Block 11 Block 12 Block 13
CPA IPE Year One
Year Two
Fall Semester
Summer Semester Spring Semester
Summer Semester Fall Semester Spring Semester
Fundamentals of Medicine II Fundamentals of Medicine 1
Hospital Team Medical Terminology
Learning Basic Medical Sciences
Fundamentals of Medicine III Fundamentals of Medicine IV
Human Biochemistry
Human Structure Functions IV Pathology I Pathology II
Human Structure Functions I, II, III Clinical Correlations
Year Three*
Clinical Correlations Medical Neurosciences Medical Microbiology
History of
Med. Clinical Practice of Medicine I Clinical Practice of Medicine II
SP Pharm Series: Introduction to Pharmacology Continuing Care Clinic I
Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8 Block 9 Block 10 Block 11 Block 12 Block 13 CPA*
IPE
Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8 Block 9 Block 10 Block 11 Block 12 Block 13
Psychiatry Elective Preceptor Elective Vacation
CPA
Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8 Block 9 Block 10 Block 11 Block 12 Block 13
Year 5*
Year 6
Family Med. Elective Yr. 4 Docent Rotation (I) Behavorial Science Study Study Vacation
Pharmacology * Elective Elective Elective
Continuing Care Clinic
Patient Physician Society I Patient Physician Society II
SP Pharm Series: Ambulatory Care Pharmacology Continuing Care Clinic II
OB/Gyn Pediatrics Surgery Yr. 5 Docent Rotation (II)
SP Pharm Series: Prescribing for Special Populations
SP Pharm Series: Rational & Safe Drug Prescribing Continuing Care Clinic IV
*Clinical Clerkships: One and Two-block clerkships are taken in a variety of sequences in Years 4, 5, and 6. Students complete their baccalaureate degree on campus in Year 4. Electives: Students are required to take three of nine elective categories, including one critical care elective. Pharmacology: taken in Blocks 1/2 or Blocks 5/6. Study Months: optional. Vacation: one per year. The Year 4 Clinical Performance Assessment (CPA) is taken in the second half of Year 4 Docent Rotation. Humanities/Social Sciences: selective.
Elective Elective Emergency
Medicine Elective Elective Elective
Humanities/
Social Science Elective
Elective
Elective Yr. 6 Docent Rotation (III) Vacation
Supplemental Digital Appendix 2
Program Objectives and Assessment Methods
Competency Medical Education Program Objectives Assessment Methods*
Communication and Interpersonal Skills
Communicate effectively with patients, families, and the public, as appropriate, across a broad range of
socioeconomic and cultural backgrounds A; B; C; F;
Communicate effectively with colleagues within one’s profession or specialty, other health professionals, and
health related agencies A; B; C; F; I; K; L; N
Work effectively with others as a member or leader of a
health care team or other professional group A; B; I; J; K; L; N Maintain comprehensive, timely, and legible medical
records A; B; C; F; H; I; J; K; L;
N Demonstrate sensitivity, honesty, and compassion in
difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and/or other sensitive topics
A; B; C; F;
Demonstrate insight and understanding about emotions and human responses to emotions that allow one to
develop and manage interpersonal interactions A; B; C; F; I; J; N Act in a consultative role to other health professionals A; B; N
Interprofessional Collaboration
Work with other health professionals to establish and maintain a climate of mutual respect, dignity, diversity,
ethical integrity, and trust B; J; L; N
Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served
A; B; N Communicate with other health professionals in a
responsive and responsible manner that supports the maintenance of health and the treatment of disease in individual patients and populations
A; B; N
Medical Knowledge
Demonstrate an investigatory and analytic approach to
clinical situations A; B; C; F; G; H; J; K; L;
Apply established and emerging bio-physical scientific N principles fundamental to health care for patients and
populations A; B; E; G; H; I; K; L; N
Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence- based health care
A; B; C; D; E; F; G; H; I;
J; K; L; N
Apply principles of social-behavioral sciences to provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care seeking, care compliance, and barriers to and attitudes toward care
B; C; E; F; G; H; I; J; N
Contribute to the creation, dissemination, application, or translation of new health care knowledge and
practices A; B; G; H; K; L
Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, and disease prevention/health promotion efforts for patients and populations
B; G; H; I; J; N
Practice-based Learning and Improvement
Identify strengths, deficiencies, and limits in one’s
knowledge and expertise A; B; I; J; K; L; N
Set learning and improvement goals A; B; K; L; N Identify and perform lifelong learning activities that
address one’s gaps in knowledge, skills, and/or attitudes A; B; I; J; K; L; N Incorporate feedback into daily practice A; B; J; K; L; N Locate, appraise, and assimilate evidence from
scientific studies related to patients’ health problems A; B; G; H; K; L Participate in the education of patients, families,
students, trainees, peers, and other health professionals A; B; C; F; I; J; K; L; N Continually identify, analyze, and implement new
knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes
A; B; E; G
Patient Care
Gather essential and accurate information about patients and their conditions through history-taking, physical examination, and the use of laboratory data, imaging, and other tests
A; B; C; D; E; F; G; H; I;
J; K; L; N Interpret laboratory data, imaging studies, and other
tests required for the area of practice A; B; E; F; G; H; I; J; K;
L; N Provide health care services to patients, families, and
communities aimed at preventing health problems or
maintaining health A; B; C; E; F; G; H; I; N
Organize and prioritize responsibilities to provide care
that is safe, effective, and efficient A; B; E; G; H; K; L; N Make informed decisions about diagnostic and
therapeutic interventions based on patient information
and preferences, up-to-date scientific evidence, and A; B; C; D; E; F; G; H; I;
K; L; N
Competency Medical Education Program Objectives Assessment Methods*
Counsel and educate patients and their families to empower them to participate in their care and enable
shared decision-making C; B; E; F; G; H; J; N
Perform all medical, diagnostic, and surgical procedures
considered essential for the area of practice A; B; E; G; H; I; J; K; L;
N
Develop and carry out patient management plans A; B; D; E; G; H; I; J; K;
L; N Provide appropriate referral of patients including
ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes
A; B; I; K; L; N Perform supervisory responsibilities commensurate
with one’s roles, abilities, and qualifications A; B; K; L
Personal and Professional Development
Develop the ability to use self-awareness of knowledge, skills, and emotional limitations to engage in
appropriate help-seeking behaviors A; B; J; K; L; N Demonstrate healthy coping mechanisms to respond to
stress A; B; J; K; L; N
Manage conflict between personal and professional
responsibilities A; B; J; K; L; N
Practice flexibility and maturity in adjusting to change
with the capacity to alter one’s behavior B; J; N Provide leadership skills that enhance team functioning,
the learning environment, and/or the health care
delivery system A; B; I; J; K; L; N
Demonstrate self-confidence that puts patients, families,
and members of the health care team at ease A; B; C; F; I; J; N
Professionalism
Demonstrate compassion, integrity, and respect for
others A; B; C; F; I; J; K; L; N
Demonstrate respect for patient privacy and autonomy A; B; G; H; I; J; K; L; N Demonstrate accountability to patients, society, and the
profession A; B; G; H; K; L; M; N
Demonstrate sensitivity and responsiveness to diversity, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation
A; B; C; F;
Demonstrate a commitment to ethical principles pertaining to provision or withholding of care, confidentiality, informed consent, and business practices, including compliance with relevant laws, policies, and regulations
A; B; E; G; H; I; J; K; L;
N Demonstrate responsiveness to patient needs that
supersedes self-interest while maintaining own well-
being A; B; I; J; K; L; N
Provide appropriate role modeling A; B; K; L
Systems-based Practice
Work effectively in various health care delivery settings
and systems relevant to one’s clinical specialty A; B;
Coordinate patient care within the health care system
relevant to one’s clinical specialty A; B; G; H; I; J; K; L; N Incorporate considerations of cost awareness and risk-
benefit analysis in patient and/or population-based care A; B; C; F; G; H; I; J; N Advocate for quality patient care and optimal patient
care systems A; B; G; H; I; N
Utilize resources in the community that may provide
assistance to patients A; B; E; G; H; I; J; N
Describe principles of utilization review and quality
improvement A; B; G; H; I; J; N
*Assessment Methods Key
A Clinical Documentation Review B Clinical Performance Rating/Checklist
C Exam – Institutionally Developed, Clinical Performance D Exam – Institutionally Developed, Oral
E Exam – Institutionally Developed, Written/Computer-based F Exam – Licensure, Clinical Performance
G Exam – Licensure, Written/Computer-based H Exam – Nationally Normed/Standardized, Subject I Multisource Assessment
J Narrative Assessment K Oral Patient Presentation L Peer Assessment
M Portfolio-Based Assessment N Self-Assessment
Reference
Englander R, Cameron T, Ballard AJ, Dodge J, Bull J, Aschenbrener CA. Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Acad Med. 2013; 88: